G3 Ambulatory Medicine Rotation (ANGMA COC)

 

Contact for ANGMA-COC:

Tod Worner 952-914-8100
8100 W. 78th Street
Edina, MN

 

Reach the COC clinic from the hospital as follows:
Go north on 10th Avenue 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 Portland and go to 31st street. Turn right and 31st St. and go a few blocks and enter 35W south. 35W S merges with Cross-town (62), stay to the right and continue west on 62 until you come to highway 169 south. Take this south for a few miles to Valley View Road. After the exit ramp, turn left and cross the highway and then turn right onto the Frontage Road. In a short while this will take you to the clinic. Park anywhere in the surface lot. The clinic is the first clinic on the first floor (Suite 100).

 

COC IM clinic all day Monday through Friday (except for continuity clinic half day at the Medicine Clinic which is scheduled for Monday AM). Mornings are dedicated to seeing various physicians’ patients for urgent needs or routine follow up. The afternoon schedule is a dedicated “Add-On” schedule with one dedicated physician and patients scheduled every 30 minutes from 1:30 PM until 4:30 PM (last patient at 4 pm).

 

Resident continuity clinic: Monday AM, a three week minimum notice, given to Anne is required if you are planning on taking vacation time.

 

 

AM

PM

Monday

Medicine Clinic

ANGMA COC

(Add-on)

Tuesday

ANGMA COC

ANGMA COC

(Add-on)

Wednesday

Grand Rounds
ANGMA COC

ANGMA COC

(Add-on)

Thursday

ANGMA COC

ANGMA COC

(Add-on)

Friday

ANGMA COC

ANGMA COC

(Add-on)

 

Performance Expectations:

See below.

Educational Goals and Objectives of ANGMA-COC experience:

 

 

Educational objectives

Assessment method

Patient Care

1) Perform new patient and follow up visits and subsequently discuss their findings and assessments and plans with the designated staff

2) Document the visit details in Excellian

3) Use information technology extensively to support patient care decisions.  This includes electronic references and hand-held technology

4) Develop increasing efficiency and ability to triage needs of patient’s medical problems

1) Global faculty assessment

2) Direct faculty bedside observation

Medical Knowledge

1) Review core topics noted below using patient care and didactic opportunities and supplement with independent reading

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) Give the clinic at least 2 days notice if absence from clinic expected

2) Arrive to clinic on time and finish charting before leaving clinic

Global faculty assessment

Systems-Based Practice

1) Offer coding recommendations based on the patient’s visit and documentation

2) Understand and utilize as effectively as possible the systems unique to an outpatient setting
3) Develop a robust understanding of clinical practice guidelines, while recognizing their limitations

Global faculty assessment

 

Core topics to be covered by patient care or independent reading include the evaluation, diagnosis and treatment of:

Chest pain
Abdominal pain                                                  

Heartburn
Headache                                            

Obesity
Low back pain
Depression
Smoking cessation
Alcohol abuse
Hyperlipidemia
Hypertension
Diabetes mellitus
Upper respiratory tract symptoms
Urinary tract infection
Vaginal discharge
Fatigue
Anemia
Red eye
Healthcare maintenance and screening
Prostate health (cancer screening, infection, BPH)
Chronic kidney disease
Secondary prevention of ASCVD

Common musculoskeletal problems
Osteopenia/Osteoporosis
Preoperative evaluation