Curriculum > Year 1
Curriculum - Year 1
YEAR 1
JFMA: First year residents spend 3 Blocks weeks on family practice inpatient service
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
JFMA Hospital Service |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
JFMA Hospital Service |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
JFMA Hospital service, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
JFMA Hospital service, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
JFMA Hospital service, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
JFMA Hospital service, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
JFMA Hospital service, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
JFMA Hospital service, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
JFMA Hospital service, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
JFMA Hospital service, inpatient rounds, discussion |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
JFMA Hospital service, inpatient rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Initiate evaluation and emergent treatment for a variety of common symptoms including (although not necessarily confined to) patients presenting with chest pain, abdominal pain, fever, respiratory symptoms such as shortness of breath, lower extremity edema, bowel dysfunction, urinary tract dysfunction, dysfunction of the neurological systemS |
Resident conferences
a. Metchick, MD, “Inpatient Management of Diabetes Mellitus”; Am J Med; 2002
b. King, et al., “Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control, American Family Physician, {Vol. 66; No. 2; July 15, 2002} |
Medical Knowledge
Patient Care |
Initiate management and outline a general management plan for patients with conditions including (but not necessarily confined to) asthma, coronary artery insufficiency, cerebral vascular insufficiency, pulmonary embolism, pneumonia, diverticulitis, cholecystitis, pancreatitis, bleeding from the GI tract, pyelonephritis, DVT, cardiomyopathy with congestive heart failure, and sepsis; |
JFMA Hospital Service
Resident conferences |
Medical Knowledge
Patient Care |
Pediatrics-A.I. duPont: First year residents spend two blocks on the inpatient
pediatric services at A.I. DuPont. One block consisting of 4 weeks of days and the
other consisting of 2 weeks of nights and 2 weeks of days. The goal of this rotation
is for the resident to understand and demonstrate the principles and methods of
caring for hospitalized pediatric patients.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation, with assistance from patient and family members |
A.I. DuPont Hospital for Children |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
A.I. DuPont Hospital for Children |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
A.I. DuPont Hospital for Children, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
A.I. DuPont Hospital for Children, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
A.I. DuPont Hospital for Children, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
A.I. DuPont Hospital for Children, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
A.I. DuPont Hospital for Children, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
A.I. DuPont Hospital for Children, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
A.I. DuPont Hospital for Children, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
A.I. DuPont Hospital for Children |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
A.I. DuPont Hospital for Children, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Carry out initial evaluation of pediatric patients presenting with symptoms referable to disorders of the respiratory tract, GI tract, neurological system, as well as patients with fever and dehydration; |
Resident conferences
Nelson's, Harriet Lane, 5 minute Pediatric Consult
Various practice guidelines available at following web sites http://www.cincinnatichildrens.org/svc/alpha/h/health-policy/ev-based/
OM, Asthma, Bronchiolitis, AGE, Febrile Infant, Pneumonia, UTI, First Seizure - afebrile, appy http://aappolicy.aappublications.org/
Hyperbili, Febrile Seizure, Nonfebrile first Seizure, AGE, UTI, Closed head trauma, GER http://www.guideline.gov/
http://kidshealth.org/
|
Medical Knowledge
Patient Care |
Initiate management of pediatric patients with asthma, pneumonia, with and without respiratory distress, sepsis, meningitis, fever of unknown origin, gastroenteritis including evaluation and management of hydration status. |
A.I Dupont Hospital for Children
Resident conferences
See above references |
Medical Knowledge
Patient Care |
Obstetrics: The first-year obstetric experience focuses predominantly on peri-partum and post-partum management as well as obstetric delivery.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
Jefferson OB Dept |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination, including evaluation of the cervix and uterus |
Jefferson OB Dept |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
Jefferson OB Dept, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
Jefferson OB Dept, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
Jefferson OB Dept, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
Jefferson OB Dept, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
Jefferson OB Dept, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
Jefferson OB Dept, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
Jefferson OB Dept, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
Jefferson OB Dept |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
Jefferson OB Dept, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Understand the stages and mechanisms of labor and how they impact management decisions |
Jefferson OB Dept, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Perform an vaginal delivery with supervision, including performance and repair of episiotomy |
Jefferson OB Dept, rounds, discussion, simulation training |
Medical Knowledge
Patient Care |
Understand the indications for fetal monitoring and interpret fetal monitoring strip with supervision |
Jefferson OB Dept, rounds, discussion, Resident conferences, simulation training |
Medical Knowledge
Patient Care |
Conduct an organized evaluation of a women presenting in possible labor |
Jefferson OB Dept, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Evaluate the pregnant woman for possible complications of pregnancy with a special focus on pre-eclampsia; |
Jefferson OB Dept, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Initiate early management for patients with pregnancy complications, particularly pre-eclampsia, and to develop a clear understanding of indication for consultation. |
Jefferson OB Dept, rounds, discussion, Resident conferences, simulation training |
Medical Knowledge
Patient Care |
Jefferson Emergency Room: First-year residents spend one block in the Jefferson Emergency Department. Although predominant emphasis in this first-year emergency department rotation is given to data gathering, priority setting and formulation of initial management with appropriate consultation, special emphasis is also given to initial management of patients presenting with chest pain, shortness of breath, abdominal pain and fever. Emphasis on management is given to stabilization of the acutely ill patient, establishment of airway, breathing, and circulatory supports. All residents are certified in basic and advanced CPR prior to completion of their residency. The course may or may not be taken during the emergency department rotation.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
Jefferson Emergency Dept |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
Jefferson Emergency Dept |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
Jefferson Emergency Dept, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
Jefferson Emergency Dept, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
Jefferson Emergency Dept, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
Jefferson Emergency Dept, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
Jefferson Emergency Dept, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
Jefferson Emergency Dept, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
Jefferson Emergency Dept, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
Jefferson Emergency Dept |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
Jefferson Emergency Dept, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Understand and apply basic principles of triage |
Jefferson Emergency Dept |
Medical Knowledge
Patient Care |
Develop an appropriate outline for initial management for acutely ill patients presenting to the emergency department, including appropriate request for supervision and consultation |
Jefferson Emergency Dept, Resident conferences, simulation training |
Medical Knowledge
Patient Care |
Surgery: This rotation is comprised of two weeks of inpatient surgery and a one week outpatient. The goal of the surgical rotation is to improve residents' understanding of the role of surgical evaluation management and the patient's physiologic response to surgical intervention as well as to improve procedural skills.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs |
Competency Addressed |
Evaluates the presenting problem using a focused investigation |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
Jefferson Dept of Surgery, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
Jefferson Dept of Surgery, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
Jefferson Dept of Surgery, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
Jefferson Dept of Surgery, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
Jefferson Dept of Surgery, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
Jefferson Dept of Surgery, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
Jefferson Dept of Surgery, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
Jefferson Dept of Surgery |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
Jefferson Dept of Surgery, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Recognize a variety of acute surigcal problems |
Jefferson Dept of Surgery, Resident conferences |
Medical Knowledge
Patient Care |
Elicit symptoms and signs of conditions that require surgical management |
Jefferson Dept of Surgery, Resident conferences |
Medical Knowledge
Patient Care |
Develop an approach to diagnostic evaluation of potential surgical conditions |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care |
Develop an initial management plan that emphasizes stabilization of the patient and, when relevant, preparation for surgery |
Jefferson Dept of Surgery, Resident conferences |
Medical Knowledge
Patient Care |
Carry out appropriate procedures to prepare patients for surgery |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care |
Have an approach to post-operative management, emphasizing appropriate rehabilitation; |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care |
Begin to develop an approach to managing coexisting medical conditions for patients with surgical problems; |
Jefferson Dept of Surgery |
Medical Knowledge
Patient Care |
Develop increased comfort with procedural skills, such as insertion of central, arterial, femoral venous catheter, variety of suture techniques, subcutaneous incisions, draining abscesses |
Jefferson Dept of Surgery, Resident conferences, simulation training |
Medical Knowledge
Patient Care |
Family Medical Center A & B: The goal of these two four-week blocks is to orient interns to functioning in the family medical center. This includes introduction to and appreciation of the role of each office staff member, understanding charting procedures, overview of billing with an emphasis in the role of the provider, case management and introduction to ambulatory care. An additional goal is to increase the number of patients for whom the first year resident provides continuous primary care.
The Family Practice Center Orientation month includes an introduction to community medicine and Population Health with exposure to clinical care in multiple community settings. The goals of these sessions are that residents will be able to understand the concept of community oriented primary care, have an overview of the health problems of the Philadelphia area, and develop an initial understanding of the role of social agencies and the departmental social worker in addressing patient and family needs. This is accomplished through a series of community and home visits, including clinical care and health education. Interns will also develop an appreciation of the role of drug treatment programs through a rotation in a methadone treatment center. Dr. Altshuler will create the schedule and any questions are to be directed to him.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
JFMA FPC Office |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
JFMA FPC Office |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
JFMA FPC Office, discussions with preceptor |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
JFMA FPC Office, discussions with preceptor |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
JFMA FPC Office, discussions with preceptor |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
JFMA FPC Office, discussions with preceptor |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
JFMA FPC Office, discussions with preceptor |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
JFMA FPC Office |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
JFMA FPC Office |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
JFMA FPC Office |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
JFMA FPC Office, discussions with preceptor |
Patient Care
Systems based Practice
Professionalism |
Identify each office staff member and have a general understanding of the role that they play in the provision of care |
JFMA FPC Office, discussion, orientation with staff |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Begin to develop an approach to the biopsychosocial model including taking a history relevant to social supports, stressors, and perceived stress. |
JFMA FPC Office, resident conferences, morning report |
Patient Care
Interpersonal and Communication Skills
Professionalism |
Intensive Care Unit: The resident will rotate 4 weeks in the intensive care unit. The goal of this rotation is to become familiar with the acute care and management of severely ill patients.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
Methodist ICU |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
Methodist ICU |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
Methodist ICU, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
Methodist ICU, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
Methodist ICU, inpatient rounds, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
Methodist ICU, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
Methodist ICU, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
Methodist ICU, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
Methodist ICU, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
Methodist ICU |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
Methodist ICU, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Assess and treat acute coronary syndrome |
Methodist ICU, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Recognize and treat cardiac arrhythmias and heart block; |
Methodist ICU, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Manage and diagnose septic shock |
Methodist ICU, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Recognize and treat ARDS |
Methodist ICU, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Discuss prognoses and code status with patients’ families |
Methodist ICU, discussion, Resident conferences |
Patient Care
Interpersonal and Communication Skills
Professionalism |
Long term Care/Nursing Home Rotation: The goal of this longitudinal rotation is for the resident to be exposed to and become skilled in the medical management of frail, elderly patients in the long term care setting.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
Assigned nursing home |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
Assigned nursing home |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options |
Assigned nursing home, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills |
Presents a well-organized and understandable case to the attending |
Assigned nursing home, inpatient rounds |
Medical Knowledge
Patient Care
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Presents a well-organized and understandable diagnosis and plan to the patient |
Assigned nursing home, discussion |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
Assigned nursing home, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated |
Assigned nursing home, inpatient rounds, discussion |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
Assigned nursing home, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
Assigned nursing home, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Understands and acts on ethical principles |
Assigned nursing home |
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
Assigned nursing home, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Understand the importance of the multidisciplinary team approach to providing. quality care and to maintain physical, social, and emotional well being of patients in the long-term care setting. |
Assigned nursing home, rounds, discussion, a. Various practice guidelines for nursing home care at http://www.amda.com/tools/clinicalcorners.cfm |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Manage geriatric syndromes commonly seen in the long-term care setting such as dementia, urinary incontinence, depression, falls, failure to thrive, polypharmacy and pressure ulcers. |
Assigned nursing home, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care |
Understand the scope of care that can be provided in a long-term care setting from rehabilitation to palliative care |
Assigned nursing home, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Gain knowledge of ethical issues in the long term care setting such as advance directives, decision-making capacity, pain management, end-of-life care. |
Assigned nursing home, rounds, discussion, Resident conferences |
Medical Knowledge
Patient Care
Systems based Practice |
Understand federal and state regulations for the care of patients in long-term care facilities, including the use of physical restraints and psychotropic medications |
Assigned nursing home, rounds, discussion, Resident conferences |
Patient Care
Systems based Practice |
Geriatrics: The goal of this rotation is to provide knowledge and clinical experience in geriatric medicine in a variety of settings including geriatric ambulatory clinic, geriatric consultation service, palliative care service, sub-acute and long-term care facilities, and home care settings.
Learning Objectives
At the completion of the rotation, Residents will: |
Where/How Learning Occurs
|
Competency Addressed
|
Evaluates the presenting problem using a focused investigation |
JFMA Geriatric practice locations |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Performs a competent and appropriate physical examination |
JFMA Geriatric practice locations |
Medical Knowledge
Patient Care
Interpersonal and Communication Skills |
Locates and utilizes evidence-based resources in the care of an individual or patient group |
Explore website resources: UpToDate, MDConsult, etc |
Practice-Based Learning |
Accepts and incorporates faculty feedback |
JFMA Geriatric practice locations, inpatient rounds, discussion |
Practice-Based Learning
Interpersonal and Communication Skills
Professionalism |
Works with colleagues to share responsibilities for patient care and administrative tasks |
JFMA Geriatric practice locations, inpatient rounds, discussion |
Systems based Practice
Professionalism |
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice |
JFMA Geriatric practice locations, inpatient rounds, discussion |
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner |
JFMA Geriatric practice locations, rounds, discussion |
Patient Care
Systems based Practice
Professionalism |
Show respect and compassion for the autonomy and dignity of older persons. |
JFMA Geriatric practice locations |
Patient Care
Interpersonal and Communication Skills
Professionalism |
Perform the components of a comprehensive geriatric assessment (ADL, IADL, cognitive function, gait and mobility). |
JFMA Geriatric practice locations |
Medical Knowledge
Patient Care |
Understand the interdisciplinary approach to care of older adults. |
JFMA Geriatric practice locations |
Systems based Practice |
Demonstrate knowledge of end-of-life care including management of symptoms such as pain. |
JFMA Geriatric practice locations,Resident conferences |
Medical Knowledge
Patient Care
Systems based Practice |
Detect, evaluate and manage common geriatric syndromes such as dementia, falls, weight loss, incontinence, depression, delirium, and osteoporosis |
JFMA Geriatric practice locations, Resident conferences |
Medical Knowledge
Patient Care |
Medically manage older patients with multiple co-morbid chronic illnesses on multiple medications. |
JFMA Geriatric practice locations, Resident conferences |
Medical Knowledge
Patient Care
Systems based Practice |
Facilitate medical decision-making for elderly patients, incorporating medical assessment as well as patient values and preferences |
JFMA Geriatric practice locations, Resident conferences |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills |
Coordinate care of patients between ambulatory settings, hospital, and long-term care, including home care, nursing homes, and hospice care |
JFMA Geriatric practice locations |
Medical Knowledge
Patient Care
Systems based Practice
Interpersonal and Communication Skills |
Support health promotion and disease prevention in the context of life expectancy |
JFMA Geriatric practice locations |
Medical Knowledge
Patient Care |
Identify and work effectively with older adults’ caregivers. |
JFMA Geriatric practice locations |
Patient Care
Systems based Practice
Interpersonal and Communication Skills
Professionalism |
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