OUTPATIENT G1
ROTATION
Contact: Lisa Callies
Continuity Clinic:
Wednesday PM
Educational Goals and Objectives:
The goal of the first year outpatient experience is
to provide experience and exposure to geriatric care, subacute
rehab care, breast screening and health, chemical dependency, ENT, and general
outpatient care (at the Medicine Clinic and COC).
|
|
Educational
objectives |
Assessment
method |
|
Patient
Care |
1)
Learn the
basics regarding medical care provided in Nursing Homes and subacute care settings with a focus on the special needs
of the elderly and subacute rehab 2)
Learn breast exam, diagnosis and counseling of patients at the 4)
Learn about common and more obscure ENT problems with Dr. Michael Tedford 5)
Work on interview skills with discussion of taped interviews 6)
Use reading time for assigned readings 7)
Learn the basics regarding Chemical Dependency diagnosis and treatment
including effects of physician impairment 8)
Develop ongoing skills in general outpatient Internal Medicine in the
Medicine Clinic and COC 9)
See below for specifics of some of the rotation components |
1)
Global faculty assessment 2)
Direct faculty observation |
|
Medical
Knowledge |
1)
Understand the variable presentations of medical problems in the geriatric
population and the unique care needs of subacute
rehab patients 2)
Understand the different types of breast cancer and the different treatment
approaches and options. 3)
Understand pain and other symptom management options and techniques. 4)
Understand the basic evaluation and treatment of adult ENT disorders 5)
Understand the risks of physician drug and alcohol abuse 6)
Understand how to recognize the signs of impairment of physicians and know
the requirements in reporting such impairment |
Global
faculty assessment |
|
Practice-Based
Learning and Improvement |
1)
Demonstrate insight into knowledge deficiencies and limitations 2)
Use information technology to answer clinical questions |
Global
faculty assessment |
|
Interpersonal
and Communication Skills |
1)
Refine the skills necessary to present patients and topics informally and
formally to another physician or group |
Global
faculty assessment |
|
Professionalism |
1)
Arrive to clinic on time and finish charting when applicable before leaving
clinic |
Global
faculty assessment |
|
Systems-Based
Practice |
1)
Understand systems unique to each of the outpatient settings including follow
up care, communication, and community resources |
Global
faculty assessment |
Goals and Objectives for Outpatient Continuity Clinic:
The
goal of Medicine Clinic is to provide an opportunity for the resident physician
to manage a group of patients with a wide range of medical problems over their
three years of training.
Objectives:
Learn
to manage acute and chronic medical conditions including diabetes,
hypertension, pulmonary problems, heart disease, lipid disorders, GI disorders,
outpatient gynecologic problems, dermatologic conditions and depression/anxiety.
Learn appropriate health maintenance measures and apply to patients.
Learn to communicate with and educate and support a group of patients over
time.
Learn time management and appropriate charting and billing in the outpatient
setting.
This
rotation is designed to give you a variety of experiences, most of which focus
on the outpatient, non-acute care areas of adult health care. During this
rotation you will miss the Tuesday and Thursday conferences. Call Lisa Callies and any clinic if you are sick or must be gone. You
are expected to wear your beeper at all times. Get the Outpatient reading and
videos from Lisa Callies’ office and see her prior to
starting the rotation.
1. Reading Time: Use Wednesday mornings and Monday afternoons to read
the assigned material. You are expected to be in the hospital when doing it.
Assigned readings include Tuesdays with Morrie,
Kitchen Table Wisdom; I'll Quit Tomorrow,
and selected journal review articles.
2. Geriatrics and transitional care: You will work with Dr. Laurel
Laden on Tuesday mornings at St. Mary’s
Transitional Care Unit which is at
3. Chemical Dependency: On Wednesday mornings following Grand Rounds,
you will meet with either Dr. Miller or Dr. Heltemes
according to the schedule in Lisa's office and their contact information is
available there also. These tutorials will cover chemical dependency topics
such as alcoholism; alcohol induced medical illnesses, drug abuse, alcohol and
drug abuse in the physician and subsequent impairment issues. There are
assigned readings for this experience.
4. Medicine Clinic: Every Wednesday afternoon you will have your regular
continuity clinic. There are some readings about interviewing, as well as our
Basic Physical Exam document, which you will use throughout your residency. A three
week minimum notice, given to Anne is required if you are planning on
taking vacation time. If you are doing an elective instead of G1 outpatient,
you still will have Continuity Clinic
5. Breast Clinic: Thursday mornings you will be with Dr. Margit Bretzke on the fourth floor in the
6. ENT Clinic: Occurs every Thursday
afternoon from 1-5 PM at Dr. Michael Tedford’s office
in
7. Interview Tutorial: You will be witnessed conducting one interview of
a patient encounter during your time in Medicine Clinic in the first year.
These will be reviewed with you during open time. Choose patients with
end-of-life or other challenging situations. Emphasis will be on empathy,
comfort, and subtle skills rather than gathering data. Please watch the videos
"On The Edge of Being" and "Notes From the Edge",
"Dr. Peter", "One Story, Two Voices", and
"The Doctor."
8. ANGMA COC: Tuesday PM, and all day Friday will be with the ANGMA COC
physicians. The clinic is at the NE corner of highways 169 and 494 in
The address is
1. Go north on 10th ave on the east side of the
hospital and go one block to 26th St. Take 26th St. west (one way) to Portland.
Turn left (south) on
10. Palliative
Care consults: Contact Dr. Richards at the beginning of the rotation. Learning
about End-of-life care is an important aspect of this rotation so priority
should be given to working with Dr. Richards during all open times. After each
consult, we will catalogue your observations. You will also be working with
Katie Herman, Chaplain and Kirsten McSteen, CNS.
|
|
AM |
PM |
|
Monday |
Palliative Care (Dr. Richards) |
|
|
Tuesday |
Transitional care rounds (Dr Laurel
Laden) |
ANGMA COC |
|
Wednesday |
Grand Rounds And reading
time |
Medicine clinic |
|
Thursday |
Breast clinic |
ENT Clinic
(Dr. Tedford) |
|
Friday |
ANGMA COC |
ANGMA COC |