Medical Knowledge And Clinical Care:

• CORE SIGNS AND SYMPTOMS:
  • Chest pain
  • Dyspnea
  • Edema
  • Jaundice
• CORE Clinical ISSUES:
  • Anemia
  • Cancer
  • COPD
  • Asthma
  • Coronary artery disease
  • Congestive Heart Failure
  • GI bleed
  • Deep Venous Thrombosis/ Pulmonary Embolism
  • Liver disease
  • Pneumonia
  • Renal failure
  • Substance abuse
• Secondary Clinical Issues (NOT Required but often covered)
  • General Care of the Hospitalized Patient—Nutrition/diet, bowel care, sleep issues, activity levels, fluids and electrolytes, skin care, etc.
  • Pain Management
  • Infections
  • Cardiac Rhythm
  • Disturbances
  • Sepsis/DIC/Shock
  • Hypertensive crisis
  • Common Endocrine Problems
  • Delirium/Dementia
• PHYSICAL EXAM SKILLS:
  • Cardiovascular examination
  • Pulmonary Examination
• DIAGNOSTIC TESTS:
  • Basic chemistries including renal function and hepatic function studies
  • ABG
  • Cardiac enzymes
  • Cultures/gram stains
  • EKG
  • Radiology (chest and abdominal plain films, abdominal ultrasound, basic chest and abdominal CT)

Communication:

• Obtain and convey medical information with patients, their families and professional colleagues including but not limited to:
  • Discuss advanced directives and DNAR orders with patients and families in the inpatient setting
  • Deliver difficult news including information regarding diagnosis and prognosis in life-threatening conditions
  • Listen actively
  • Demonstrate collaborative decision making
  • Gain skills in the effective use of medical translators
  • Complete written notes and oral presentations, and call consultations
  • Obtain a medical consultation from subspecialty colleagues; communicate effectively with consultants

Professionalism:

• Demonstrate a commitment to carrying out professional responsibilities
• Adhere to ethical principles
• Demonstrate sensitivity to a diverse patient population and culturally competent care

Systems-Based Practice:

• Introduction to the cost of health care and cost-effective care
• Introduction to core quality measures within the hospital system
• Develop skills in team-based care, including an understanding of the skills and knowledge provided by consultants, nurses, PT, RT, OT, lab staff, discharge planners, etc.
• Understand how an illness episode occurs across different care settings

Practice-Based Improvement:

• Transitions in medical care and interdisciplinary approaches to care
• Performance assessment of core quality measures for one or more patients cared for during the rotation
• Education of housestaff and faculty on core quality measures in the inpatient setting