ROTATING RESIDENTS ON MEDICINE

Welcome to the medicine teaching service.  The medicine teaching service is medical education through a proper balance of teaching, education, service and research.  The Department of Medicine’s role is to provide you with a well-supervised learning experience. It is expected you will meet certain guidelines as listed below.  If you have any questions, please ask the Chief Resident, Shawn Groves, MD. 

Welcome,

J. Gregory Rosencrance, MD
Program Director

Greg Clarke, MD
Associate Program Director

1.   Please inform the senior resident or your team of any clinic responsibilities, special departmental meetings, tests, etc…that will require you to be absent. 

2.   You must return after your continuity clinic or absence to see all your patients. 

3.   All patients seen in ER must be discussed with the senior resident. 

4.   All discharges, AMA’s, transfers, consults, etc., must be discussed with the senior resident. 

5.   Major changes in status or aggressive/dangerous therapies must be discussed promptly with the senior resident. 

6.   You should present your cases (not read the H&P) with x-rays, labs, ECG, etc. in morning report.  You are required to attend unless in clinic. 

7.   Always check out face-to-face daily to the on-call team, and leave them a patient list. 

 8.   You should only leave when your patients are taken care of, not when  your call duty is over.

 9.   Come in before an AM clinic if you have unstable patients or patients in the ICU’s. 

10.  Autopsies must be requested. 

11.  Attendance at 8:00 conference is required, round before if necessary. 

12.  If a student is on your service please treat them as members of the team not as servants.  They are our farm team and will be more likely to stay if treated with respect.  Please do this even if you were not treated fairly.  Abuse of students (or anyone else) will not be tolerated. 

13.  Cooperation, division of labor, flexibility and honesty are required prerequisites for the best experience. 

14.  You must complete your charts as soon as possible – before you leave the service all charts must be complete. The attendings get very testy when their  privileges are suspended because a resident has not completed the charts.  DC summaries should be done at the time of discharge. Your Program Director  will be notified of delinquencies. 

15.  Notify the resident and attending of excellent or substandard performances of students. 

16.  Please consult other University faculty and services preferentially. 

17.  If the ER is busy, please request a bed as soon as you know that the patient will be admitted.  Unstable patients and those needing rapid diagnostic radiological procedures may remain in the ER if needed. 

18.  Let those with more experience and/or clout (senior, chief resident or attending) wage political battles. 

19.  Keep your ACLS current. 

20.  Your suggestions and constructive criticisms are welcome. 

21.  You cannot moonlight when on medical teaching service. 

22.  Family medicine residents are required to assume the care of previously unassigned inpatients into their clinic; this is all, not selected patients.

23.  You are expected to come in as early as necessary to be prepared for rounding with your team.

24.  Compete evaluation forms promptly. 

25.  You are expected to read about your patient’s problems. 

26.  Answer all pages quickly as possible.