HOSPITALIST ROTATION

Contacts: Deb Burgy via page, AHS answering service (612-863-7560), or through the Medical Education Office

Subspecialty Clinic Experience: none

Resident Continuity Clinic: Friday AM, a three week minimum notice given to Anne is required if resident plans on taking vacation during this rotation.

Conference: May attend AHS case conference if no resident conference (see schedule in Hospitalists’ area)

PERFORMANCE EXPECTATIONS:

The workday is from 8:30 am - 5:00 pm, Monday through Friday. Admissions and consultations are given until 4:00 pm. There are no weekend or night responsibilities. Attendance at residency teaching conferences is encouraged, but at times patient care may take precedence.

The hospitalist resident will work with 2-4 faculty hospitalists during each week of this 4 week rotation. Daily case load is 6-8 patients, including both primary management and consultations. In addition to admitting up to 2 new patients daily with a faculty hospitalist, patients who are admitted overnight may be added to the caseload.

EDUCATIONAL GOALS AND OBJECTIVES:

	Educational objectives	Assessment method
Patient Care	1) Hospital admissions and consults and follow up visits will be performed, staffed, and documented in Excellian with appropriate language by the resident 2) Experience taking care of patients in the hospital on the floor and ICU as the primary team, in the hospital in a consultative role, on SKI acute rehab unit (including attending multidisciplinary rounds on SKI patients) as an intenal medicine consultant, and in CDART	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 2) Participate in tutorials with selected hospitalists on important topics (noted in the list below with an asterisk)	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) The resident is expected to have about 6-8 patient encounters per day including H&P’s, consults, and follow ups, with no new patients started after 4 PM	Global faculty assessment
Systems-Based Practice	1) Understand systems unique to this subspecialty 2) Attend one Abbott Northwestern Hospitalist subgroup meeting and one Abbott Northwestern Hospital Committee meeting with a AHS hospitalist who serves on that committee (a list of meetings scheduled during that block will be available to the resident)	Global faculty assessment

Core topics to be covered by patient care, didactic lecture or independent reading are the core clinical competencies for hospitalists as defined by the Society of Hospitalist Medicine;

1. Acute coronary syndrome

2. Acute renal failure

3. Alcohol and drug withdrawal*

4. Asthma*

5. Cardiac arrhythmia

6. Cellulitis

7. Chronic obstructive pulmonary disease*

8. Community acquired pneumonia*

9. Congestive heart failure

10. Delerium and dementia*

11. Diabetes mellitus*

12. Gastrointestinal bleed

13. Hospital-acquired pneumonia

14. Pain management

15. Perioperative medicine

16. Sepsis syndrome

17. Stroke

18. Urinary tract infection

19. Venous thromboembolism

Additionally, to complement the ANW residency curriculim;

20. Antibiotic resistance*

21. Care of the paraplegic and quadriplegic patient*

EVALUATION:

The resident is evaluated on an ongoing basis by hospitalist faculty. Immediate feedback will be given throughout the course and a formal E*Value assessment will be completed by one of the faculty who has worked with the hospitalist resident.