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Advocate Christ Family MedicineChief Residents’ Manual2015-2016Table of ContentsDutiesSchedulingVacations, CME, Sick TimeRotation ScheduleHoliday ScheduleKenwood Clinic ScheduleSaturday ScheduleNursing Home ScheduleOrientation:Team Building – meet with incoming PGY1s Update the PGY1 Resident Book – DON’T PANIC so that it is ready for the new mitteesEvents:White Coat CeremonyGraduation Resident RetreatsApplication ReceptionFMC Center EventsResidency FairsSports PhysicalsResident & Associate of the MonthAAFP Chief Resident Leadership Development ProgramCommunication with your Residentswith Other Chiefs @ Advocatewith your Program Directorswith Advocate Medical EducationResident Monthly MeetingsChief Resident ElectionsChief Resident TimelineResources – There are additional resources and samples on the googledocs Christfmchiefs page.Duties:The Chief Residents of the Advocate Christ Family Medicine Residency Program duties and responsibilities include, but are not limited to:Participation in resident support and assessmentInterface with other residencies within the Advocate system including sending vacation and rotation schedules to the chief residents in pediatrics, emergency medicine, internal medicine, obstetrics, surgery and the ICU scheduleLiaison between office of Program Director and residents/medical studentsParticipation in generating schedules (Rotation, Vacation, Saturday clinic, Kenwood Clinic schedule, and OB buddy list). Serving on specified hospital committees: graduate medical education council, family medicine department meetings, family medicine and P.I. committee.Participation in weekly faculty meetings x2/moStanding member of the recruitment, orientation, curriculum and graduation committees Responsible for coordinating resident participation on recruitment, orientation, curriculum, social committees and various hospital committeesAssist the Family Medicine Center Director and Practice Manager in implementing educational, quality assurance and cost containment procedures for the Family Medicine ClinicFunction as resident leaders in collaborating with hospital administration, residency Program Director and faculty regarding implementation of residency program goals, objectives and strategic plansCoordinating activities with Residency Coordinator, such as the White Coat Ceremony, the Residency Retreat, Graduation, Applicants’ Reception and arranging ED coverage when neededParticipation in chief resident leadership conference (usually May and October)Plan monthly resident informational meetings on WednesdaysAcceptance of the position implies a daily availability to the residency Program Director and a commitment to regularly scheduled meetings with Program DirectorFurther Duties include:Meet program directors, current chiefs and co-chiefs (if applicable) to assign responsibilitiesOffice Schedule Resident will also be in charge of screening, approving/disapproving vacation and CME requests.Inpatient ScheduleResident will also be in charge of communicating with other chief residents in departments regarding resident schedules.Send out master scheduling requests to all residentsMeet with other departments to determine master schedule. Always use Advocate e-mail for all correspondence.Scheduling2015-2016 blocks are:123456789101112136/22-7/197/20-8/168/17-9/139/14-10/1110/12-11/811/9-12/612/7-1/31/4-1/312/1-2/282/29-3/273/28-4/174/18-5/155/16-6/12You create:Rotation ScheduleVacation Schedule (Be mindful of gaps in clinical team coverage).Holiday Schedule (There are six Advocate approved holidaysNew YearsChristmasMemorial DayIndependence DayLabor DayThanksgivingChristmas Eve, New Year’s Eve and Easter are not approved Holidays and calls on these days start at 5:00pmKenwood Clinic ScheduleSaturday ScheduleNursing Home ScheduleBe aware of the rules for the Clinic ScheduleFamily Medicine Master Schedule Guidelines:Send out master schedule request to all of the residents.Make Vacation schedule.Make Rotation Schedule.Electives will be selected at the beginning of the year.For PGY1 Class:FMI (16 weeks)Surgery (8 weeks)ICU (4 weeks)Peds Inpatient (8 weeks)Nursery/Peds Amb (2 weeks each)OB (8 weeks)ER (4 weeks)For PGY2 Class:FMI Sr (8 weeks)Pulm (4 weeks)Peds ER (4 weeks)GI (4 weeks)Comm Med/Geriatrics (4 weeks)Endo (2 wks)NF (6 wks)Ophth/ENT (2 wks each)Practice Management (4 weeks)Ortho (4 weeks)Elective (4 weeks) *New change this yearGyne (4 weeks)For PGY3 Class:FMI Sr (8 weeks)Try not to schedule any resident on FMI in April (boards) and June (graduation)Uro/Neuro (2 weeks each) Derm (4 weeks)Psych (4 weeks)Sports Med (4 weeks)Cardiology (4 weeks)Fast Track ( weeks) *New change this yearNF/*Plastic Surgery & Wound Care (2 weeks each) *New change this yearPeds Outpatient Ambulatory Elective (4 weeks) *New change this yearPeds Elective (4 weeks)Adult Medicine Elective (4 weeks)Adult Medicine Elective (8 weeks)HOLIDAYS FOR CALLS: Remember, chiefs cover calls that are not assigned to the PGY2s.4th of JulyLabor DayThanksgivingChristmas Eve (not an Advocate approved holiday. Calls on the Eve start after 5:00pm)Christmas DayNew Year’s Eve (not an Advocate approved holiday. Calls on the Eve start after 5:00pm)New Year’s DayEaster (not an Advocate approved holiday)Memorial DayKENWOOD CLINIC SCHEDULE: Everyone assigned to four Fridays. For PGY2s, this correlates with Comm Med month. Try to correlate PGY3s to Derm month.SATURDAY SCHEDULE: Divide as evenly as possible. Avoid assigning Saturdays to people on FMI, NF, Vacation , Fast Track or PEC. Assign people to Saturdays and Nursing home duties in the same week.NURSING HOME SCHEDULE: Two residents are assigned to the Nursing Home Schedule each Wednesday at 1:00pm.Locations and Supervising Physicians are:Dr. Toguem630-765-0978BRENTWOOD – 5400 West 87th Street, Burbank, IL 60459CRESTWOOD (Symphony of Crestwood) – 14255 S. Cicero Ave, Crestwood, IL 60445RENAISSANCE – 2940 West 87th Street, Chicago, IL 60652Dr. Ojiako630-923-1101LEXINGTON – 10300 Southwest Highway, Chicago Ridge, Il 60415Dr. Yates773-615-1879EVERGREEN (The Villa at Evergreen) – 10124 S. Kedzie, Evergreen Park, IL 60805Dr. Jaffery630-923-1113MCOLE (Manor Care Oak Lawn East) – 9401 S. Kostner, Oak Lawn, IL 60453CLINIC SCHEDULING: This is more of an FYI. Two years ago, the chiefs had to take this over due to the absence of the clinic director, so it is important you are aware of the basics.Goal: Timely and efficient production and distribution of clinic schedules, scheduled 12 weeks out.Chiefs – Unofficial admin time on Tuesdays (depends on rotations and meeting schedule)Rotations with special clinic times: FMI (alternate M, Tues, Thus, Fri afternoons with two seniors)Practice management (7 clinics per week [1/2 days] +/-Saturdays)Sports Medicine (no Monday clinic, shadow Dr. Burra in Naperville, Tues 1-2 lecture & 2-4 clinic, Thurs, AM clinic, PM w/Dr. Chandran’s clinic; Fri, 1/2 – full day of clinicRemember:GMEC meetings on 2nd Fri of almost every month (can schedule chiefs in clinic after meeting starting at 10am) Peds NF weeks; FMI NF weeks; Personal Days; Person on Psych will have clinic Mon and Fri if working with Dr. Gaviria.Residents should determine who they are working with on a rotation. A resident must confirm in advance what their schedule will be in advance in order to appropriately create the clinic schedules.Assign people to OMT clinic on Thus afternoons from 1-4pm. Can also schedule people as frozen.Scheduling Attendings per week:Dr. Bennett – 1 clinic/2 preceptingDr. Rossato – 1 clinic/2 precepting (her or Dr. Rybka always precepting Thurs PM for OMT Clinic)Dr. Smith – 2 clinic/2 preceptingDr. Kaar – 6 sessions total per week 1-2 clinic, 4-5 preceptingDr. Chandran – Mon & Thurs PM clinic/ 4 precepting (He cannot precept Tues PM, goes to high schools, works with football team; no afternoon clinic for him when he is on FMI).Dr. Sladek – 6 sessions total per week, 1-2 clinic, 4-5 preceptingDr. Rybka – every other Monday and every other Thursday (check his previous schedules to continue the pattern)There should be at LEAST one preceptor for every 4 residents in clinic. Try to schedule two preceptors if there are 4 residents. Ideally ONE preceptor per 2-3 residents. The above clinic/precepting rations and guidelines are variable based on FMI schedules and attending vacations.Check previous rotations for when attendings usually have their clinic and try to maintain stability with when they have their own clinic.Rotation InformationPGY-1 RotationsObstetrics: Show up to 2E/W at 5:30AM your first day and start rounding on postpartum patients. Signout will be at 7AM in the OB conference room. Contact Dr. Sladek in advance of starting the rotation to arrange for a first-day orientation.Surgery: Show up at 5AM your first day in the front of SINI, which is on the 4th floor. You will assist in making the list and then proceed to round on patients.ER: You will be given times of 10 shifts that you are to attend to lasting 10 hours a piece over the block. You must have special Care Connection Login prior to starting rotation. A Care Connection Form is sent to you via E-Value to complete and send to Eileen one week for processing. Hand in your green cards and patient lists at the end of the rotation. No evaluation is completed without these documents being turned in.Pediatrics: Show up in the Pediatric Resident signout room at 6:30AM on the 4th floor of Hope hospital.Family Medicine Inpatient: You are to report to the Family Medicine signout room in either 0613 or 0614 of the rooms next to the auditorium at 7AM on the first day.Nursery: You are to report to the computer area just outside the NICU at 7AM on your first day.Pediatric Ambulatory Clinic: Show up at the first floor clinic of Hope hospital at 8AM your first day.ICU: Show up in Pod#1 of the ICU at 7AM your first day.PGY-2 RotationsFor each rotation, one should contact the rotation a week in advance this first block is a bit different so calling tomorrow will be okay. If you have any difficulties or conflicts let us know.Practice Management: check clinic schedule to see when you work. You will work at least 6-7 half days per week. You will have several meetings with Dr. Bennett during your rotation. You will also have at least two videotaped sessions of a patient interaction. Remember to finish your checklist and hand it in to Dr. Bennett.ENT: Dr. Marra 708-460-0007, if he is not available you can work with Dr. Walsh (same office). Call ahead for schedule.Gyne: Dr. N. Church 773-233-6500. If interested in more hands on gyne, opportunities may be available with Dr. Savin/Dr. Sundar (708-684-5340) but there needs to be 6 week advance notice in order to coordinate schedules. Opportunities for individual sessions may be scheduled in advance with Drs. Savin/Sundar. This would be in addition to the time with Dr. Church.Pulm: two choices: Dr. Razma Group (Hanif, Jamilla, Razma, Beri, Mohammed) 708-274-4900 and Dr. Sunbuli/Dr. Sahloul 708-422-0636 (they generally alternate teaching months)Comm Med: Work with group according to IM schedule (available on Residents Online)Occ Health: Dr. Mark Veldman 708-799-8245 17850 S. Kedzie, at South Suburban Hospital in Hazel CrestFriday mornings: Dr. Stewart, Kenwood Clinic at United Church of Christ, 4600-08 South Greenwood Avenue, Chicago, IL. 60653. (773) 373-2861 * Fax: (773) 373-8291. Email:kenwooducc@Endo: Dr. Yasmeen group (Hasan, Drever, Qazi) 708-684-6867. In office. Call ahead.Urology: De Franco group (User, Kim, Berger, Hoyme, etc) 708-423-8706. In office. Call aheadNeurology: Zelkowitz 708-957-3737 (outpatient) or the Wichter group (inpatient) call neurology pager 41-2468. In office.GI: View schedule for teaching service attendings on IM Residents’ Online. Call the attending to see what time you start.Ortho: Fakhouri (specialize in hand/upper extremities) 708-237-7200; Midwest Ortho (Branovacki(knees and hips)/Lim(spine)/ 708-226-3300. Advanced Orthopedicis: Troy(knees/hips/shoulders/upper ext)/Perez-Sans(shoulder) (pending approval). Leonard? (will verify) You can work with as many as these docs as your schedule permitsOptho: Dr. Ticho 708-423-4070 or Dr. Al-Khudari 708-636-9393PEC: Peds ER (2nd year): 9 shifts. Rose the ER residency secretary should email you when packet is ready (similar to when you did ER). If you do not receive check with her a week before you are scheduled to start. You must complete ED access form prior to starting rotation (see e-value). Make sure you have login information before starting (Care Connection login with "-ed" at the end). Turn in your green card and patient logs. No evaluations without these being turned in.PGY-3 RotationsContact all rotations as early as possible so they can prepare for you coming!! Residents should determine who they are working with on a rotation and what their schedule will be three months in advance in order for you to appropriately create the clinic schedules.Cards: Most people love either rotation. Either rotate with IM (Check residents’ online), all inpatient and will be with Dr. Diamond/ Qazi/Abi-Manseur. You can also arrange rotation with any cardiologist, but you are responsible for scheduling.ID: The only option is to do this with IM and you must clear with the IM chiefs.Rheum: Dr. Colbert. Outpatient only. See pt on own, write note, present, and come up with plan together. 2 days a week. Call/page Dr. Mihailescu to set up. Anesthesiology/Pain: All inpatient. Pain clinic is outpatient. This is a separate rotation. Contact department secretary for scheduling. Fast Track: Similar to main ED but cases are like clinic cases. Lots of minor procedures. Schedule through ER chiefs or ER secretary, Rose. You will be scheduled for 9 shifts.Psych: Dr. Gaviria is in his office on Tues, Weds and Thurs. Call to set up schedule. His schedule changes each month. Call ahead, write down your schedule and then tape it up in his office. Can also set up 1 morning per week with Dr. Rowles with his group sessions.Derm: E-mail kasey.lewis@ with your available dates at least two weeks before your rotation and she will send you a schedule. Arrive on time or they will send you home. Put your pager on vibrate while you are in clinic. Get copy of patient list for that day because you can add procedures to your log. Dr. Welsch lets you do all biopsies and skin tag removals and even lets you do kenalog injections. With Dr. Bielinski you get to watch.Peds Rads: Romila and Heller. Good rotation when studying for boards. Contact Jakki Persak 41-3296 to schedule. There’s a book to study that you should check out from Jeanette from Family Medicine and return when rotation ends.Peds Endo: Dr. Viswanatham. Good learning. Inpatient and Outpatient. . Contact Jakki Persak 41-3296 to schedule.Peds Pulm: Dr. Akhtar. Good teaching. See patient, write note, present, sometime have to read articles and present those. . Contact Jakki Persak 41-3296 to schedule.Sports Med: Mon – Both AM and PM with Dr. BurraTues – AM with Dr. Gourineni; 1-2pm sports med lecture with Dr. Chandran in clinic large conference room (have to do 1 sports med related topic presentation prior to end of rotation). 2-4pm clinicWeds – AM – Conferences; PM Physical Therapy with Accelerated RehabThus – AM Dr. Chaudhri SW Center for Healthy Joints; PM with Dr. Chandran ClinicFri – AM with Foot & Ankle Clinic; PM with Dr. Fakhouri ClinicAllergy/Immunology: Dr. Camara/Floro has good teaching.Vacation SchedulingSend out master vacation schedule requests as soon as possible.When approving vacation time, be aware of: AOA ITE: 10/8/15 ABFM ITE: 10/30/15Fall retreat dateBoards weeksClinical teamsApplicant receptionPrior to start of the year, the chiefs send out vacation requests to all residents, including incoming PGY1s. Make a received by date, so you can work on the schedule in a timely manner. Any forms not turned in by the date you select will be reviewed and status determined, after the schedule comes out.Goldenrod forms for vacation/time off must be submitted eight weeks in advance. Requests received less than eight weeks in advance may be denied. No more than 4 residents can be off at the same timeFirst submitted, first approved.Weeks are officially Monday to Sunday. Appropriate coverage must be made if leaving the weekend before.No vacations during rotations less than four weeks longNo vacation during the first/last week of the academic year.Any leave (vacation/sick/personally) in 3excess of 23 working days per year must be made up before the resident may advance to the next academic year/graduate.No vacation during week of In-training examNo vacation during the following rotations:PGY1: ICU & FMI. You will take your vacation during each of the following rotations: Surgery, OB, ER & PedsPGY2: FMI, Ortho, Gyne, Com MedPGY3: FMI (regardless of the number of seniors, Derm, Sports Med, PsychChanges to Saturday morning office hours must also be submitted to chief resident a minimum of eight weeks in advance.Coordinator will assist in vacation day trackingCME RequestsForms should be completed eight weeks advance. Requests received less than eight weeks in advance may be denied. This time can be used for taking COMLEX/USMLE 3. Must submit goldenrod for PGY3’s taking boards in April, but not counted as CME.Coordinator will assist in tracking CME timeSick Time If a resident is sick or has a personal emergency:They are responsible for calling you. You should remind them they also need to call the: Residency coordinator, Service or office they are rotating with (and find coverage), and Center Director (if they are missing outpatient office hours).CommitteesHave people sign up for the committees. Ensure people actually participate in their committees.Here is the 2014-2015 Committee MITTEEREPRESENTATIVESDATES OF MEETINGSCONTACT PERSON & notesSOCIAL COMMITTEEDrs. Meghan Shaughnessy, Ericka Sanders, Jack Nickless, Melissa Faubert, Alon Bloom, Jahanvi PatelThese residents will bring ideas about social “unofficial” resident social events.CLASS REPRESENTATIVES PGY1PGY1s: Drs. Melissa Faubert & Sameena Jawed2014: 7/9; 11/12; 12/102015: 4/8; 5/13; 6/10Are included in the Curriculum Review which is being reviewed & to be scheduled shortly.CLASS REPRESENTATIVES PGY2PGY2s: Drs. Jack Nickless & Meghan Shaughnessy2014: 7/9; 11/12; 12/102015: 4/8; 5/13; 6/10CLASS REPRESENTATIVES PGY3PGY3: Drs. Am Singh & Penn Allen2014: 7/9; 11/12; 12/102015: 4/8; 5/13; 6/10ETHICS COMMITTEEDrs. Penn Allen 2014: 9/5 & 12/52015: 3/6, 6/5, 9/4 & 12/41st Friday of the QuarterContact: Karen Darr Karen.darr@e-mailed on 6/27/14 to find out particularsRECRUITMENT COMMITTEEDrs. Meghan Shaughnessy, Jack Nickless, Melissa Faubert, Andrea Feijoo, Sameena Jawed, Solmaz Rahmani, Alon BloomWe should meet within the next 4-6 weeks. CCOM has a summer and fall recruitment event where 2 residents and the PD will attend.Contacts faculty: Drs. Zitter & ChandranWebsite, Banners, Interviews, Evaluations, HandoutsGMECDr. Patel2nd Friday of each month in Keyser Rm from 7:30-9a2014 dates are: 7/11; 8/8; 9/12; 10/10; 11/14; 12/12; 1/9; 2/13; 3/13; 4/10; 5/8; 6/12Contact Person: Cherie Overcast cherri.overcast@ And yes, her e-mail is different than her name is spelled! GMEC Sub-CommitteeContact Person: Dr. Hansen? Cherie Overcast? Cmt is just starting (2/5/14)FMC PERFORMANCE IMPROVEMENTDrs. Podrebarac, Moore, Res on Prac Mgmt rot, Practice Manager, Nurses, CMAs, Brenda Simmons & a patient rep4th Wednesday of each month @ 8am Contact Person: Jeanette Gooden, Jeanette.gooden@ CURRICULUM COMMITTEESee Class repContact Person: Eileen Molloy mary.molloy@ INFECTION CONTROLShapir Rosenberg, MDHeld in Rm 06362nd Friday of the month - 7:30-9am.Contact Person: Robin Leverette-Dardy robin.dardy@ FAMILY MEDICINE DEPARTMENT PERFORMANCE IMPROVEMENT COMMITTEEAssociate Program Director & ChiefsHeld in Rm 0613 2nd Weds of mo @ 9:30Watch e-mails for dates.Contact Person: Kimi DowdellKimi.dowdell@FACULTY MEETINGChiefs & Faculty1ST, 2ND & 3rd Weds Contact Person: Eileen Molloy mary.molloy@ FACULTY/NURSE MEETINGChiefs, Faculty & Nursing Staff5th Weds of monthContact Person: Jeanette Gooden, Jeanette.gooden@ Orientation/Team Building – *Meet with incoming PGY1sE-mail the interns about the team building that happens during orientation week early. Ask to wear appropriate clothing; can suggest/create new team building activity; consider ropes course vs. whirleyball vs other appropriate activity. Coordinate with Dr. Smith.You participate in the Team Building Exercises during orientation anize the intern orientation. Coordinate with Dr. Bennett and Dr. Smith to ensure all topics are covered appropriately.Update the Residency PGY1 book “Don’t Panic” in a timely fashion so we have it ready for the incoming PGY1 class.You will have an introductory session during orientation week with the incoming PGY1sYou will also be scheduled for a session toward the end of the week regarding schedule changes, clinic, vacation, rotations & rotation details (revise intern rotations’ descriptions)meals, and,“what to do when on call” *Meet with new PGY2s & PGY3sDuring orientation week, do the scenarios to practice being a senior with your new PGY2s and go over their PGY2 rotations, briefly. EXAMPLES at END OF THIS MANUAL.Hand out the rotational guides.EVENTS:White Coat CeremonyThis is held on the evening of 6/17/15 You are the hosts of the White Coat Ceremony. Talk to Eileen about this. You make the stethoscope charms for the interns. (Get charms from Mary Ellen)Ask Dr. Smith to say a few words – like a week in advance.Email the interns and ask them for a short bio/introduction song. Do this far in advance.GraduationYou will collaborate with coordinator and program director in selecting the graduation date and location where the graduation will be held. This must be within budget. The total cost for the 2014 graduation brunch was $6310.00. You will invite the graduation’s guest speaker for the class. This should be done prior to start of interviews.Review teaching certificates for faculty with EileenPresent awards:Intern of the YearSpecialist of the YearFaculty of the YearCommunity Attending of the YearSlide ShowResident RetreatsYou are responsible for the fall and spring retreats.Choose Fall retreat weekend and make them aware for vacation choices EARLY! Start planning the FALL retreat ASAP! Retreat locations have included Camp White Eagle and Dekoven Center and the Beach House in Michigan City, IN “Orange Crush”.No coverage will be provided. Whoever is scheduled to be on call, does that call.Cost of Mich City rental: approx. $1500. Cost of food & supplies, approx. $125.Cost of Camp White Eagle rental: approx. $1590. Cost of food & supplies, approx. $145.Don’t forget to communicate with faculty & clinic staff about this, too.Spring retreat is typically a clinic wide picnic. Coordinate with Jenny and Dr. Smith for dates.2014-2015 was held at the Centennial Park in Oak Lawn. Cost: $50 for rental of pavilion, and $35/hour for using the ballfield. Sometimes the field is not available – depending on softball season.Typically, everyone brings food to share.Don’t forget to communicate with faculty & clinic staff about this, too.Residency FairsYou and the Recruitment Committee determine who will be attending the Residency Fairs. CCOM Opportunities DaysJune 9th, 2015 from 11:30am to 1:00pmHeld at CCOMAMSA at U of I – no dates yetFamily Medicine Midwest ConferenceOctober 9th to 11th Held in Rosemont, ILAdditional Events throughout the yearClinic activities happen from time to time, such as Pot Lucks, Showers, Movie Night, Holiday Party, Golf Outing, Art Fair/Talent Show. Act as a liaison with the clinic staff for these events.Applicant ReceptionYou don’t have to plan this, but do help in facilitating attendance at the applicant reception on January 15th, 2016 @ Marcello’s Restaurant. Attendance is required except for those on call.Sports PhysicalsRichardsEvergreen ParkEisenhowerMoraine ValleyAny others that Dr. Chandran determinesResident & Associate of the Month & Feedback by ResidentsSpeak with the current chiefs about this process. Voting is held on Wednesdays and positive feedback has been welcomed.AAFP Chief Resident Leadership Development Program May 9-11, 2015. Put in goldenrod. You must make your travel reservations and we will reimburse you. Also, Chief Resident Leadership Development Program 9/29 to 10/3.Resident Monthly MeetingsYou will conduct a Resident Meeting once a month, but not in months during interview season. This meeting will be held at noon. No Advisement or Program Director meetings will be scheduled during this time. You create the agenda.You may want to create a phone list to hand out to the residents on the first munication *with your ResidentsRemind PGY3s about doing their board applications and permanent licensesRemind PGY3s about registering for boards early and submitting goldenrods for time off.Remind PGY2s about Step 3 timing (This must be done in Fall of 2nd year. Must be completed prior to 12/31 and passed before advancing to third year.)Touch base with interns throughout the year regarding rotations.Resident & Associate of the Month is handled through the chiefs. Eileen has pins in her office for you to award to the recipients.Written feedback from the residents have been given to the staff.*with other chiefs @ AdvocateAt the beginning of the year, once the rotation schedule has been approved, e-mail the schedule to IM, Peds and ER. Keep them updated with your changes.Open lines of communication with new chiefs for OB, IM and ER.Consider e-mailing the Family Medicine rotation schedule to Colleen of Surgeyr*with Program DirectorsMeet the first Tuesday of every month with Dr. Bennett and Dr. Smith at 8:00am @ Impressions Café in the hospital. Put it in your phone now. Remember to submit a goldenrod to excuse yourself from clinic at these times, if inadvertently scheduled.*with Advocate Medical EducationLoreta Krutulis is the Director of Med Ed @ Christ, loreta.krutulis@ Thomas Hansen, MD, is the Designated Institutional Official for Advocate Christ, Thomas.hansen@ Call Rooms Keep the program directors and residency coordinator informed of Call Room concerns. Report safety concerns through Midas. Call Rooms suggestion by Dr. Nickless was:Estimated room dimensions 9 x 13 feet2 desks with extended shelving above bothSmall couch & chair to allow for team meetings in roomsReal bathroom doorImproved lighting in call roomsReplace ceiling tilesFresh PaintNew floorsGet rid of old wall fixture (lights on wall above beds, old intercom system)Here are notes from the 3/24/14 meeting with Loreta Krutulis (Director of Medical Education @ Christ)Call Rooms – now that the 95th street wing is open, Advocate is going to look at Call RoomsWhen overnight call for another service, where does that person sleep? Peds? Any others?Are three beds sufficient? Are there ever four people on overnight call?Swipe access is very expensive. They’ve upped their rates for this process in the range of the unaffordable. So instead, they are proposing, changing the locks so that Family Medicine Call Rooms are different than other specialties.Can we network one good printer for all three rooms?We will get new computersHave the chief residents submit some ideas of how they want this.One room with bunk beds, one room with single bed, one room with no beds – a work area.Two computers stations in the work room.Flooring appears OK – no carpet – lack of cleanlinessTent cards are currently being used to let residents know when beds have been changed and room cleaned. There should be a communication sheet on the back of the door showing when they were in there.They will be putting up a white board for communicationConversation with residents in call rooms on 3/24/14:Bathroom doors don’t closeCoat hooks are behind the door – move them.Replace ceiling – add lightingReplace flooringNew FurnitureRemove the locker – takes up too much space and is not used.Give us a drawer (part of the desk?) in each call room where I-pads, purses can be locked up.Chief Resident ElectionsCurrent chief residents, residents, nurses and faculty submit a list of nominees to the program Director in March.The PD will select those candidates from the list of nominees who are eligible based on academic and professional status in program and interest.Two candidates are selected by all of the residents and faculty casting their vote.The chief resident election meeting is managed by the Chief Residents.The elected Chief Residents will officially take over their responsibilities at the beginning of the new academic year, but may take on responsibilities earlier by mutual consent.Chief Resident Timeline MarchMeet with Program DirectorsBegin training new chiefsHost Resident MeetingSend vacation requests for next year – When is Fall retreat?Begin Master schedule and meet with other departmentsAprilMeet with Program DirectorsSend out final master schedule to all residents and other departments AFTER approvalHost Resident MeetingResident Retreat (April or May)Update PGY1 “Don’t Panic” book and give to Eileen for printing.MayHost Resident MeetingFinalize orientation detailsLeadership conferenceJuneHost Resident MeetingPrepare orientation materialAttend graduationAny revision needed for Resident ManualAssist with PGY1 orientationOrientation of PGY 2 to FMI and to working with medical studentsCreate committee listingJulyMeet with Program DirectorsHost Resident Meeting – review how to track your procedure logs with the PGY1sMeet with Recruitment Committee about upcoming recruitment season.School PhysicalsAugustMeet with Program DirectorsHost Resident Meeting – are we having a holiday party this year?Check in with PGY1s to see how they’re doing. Be a mentor.School PhysicalsSeptemberMeet with Program DirectorsHost Resident MeetingGraduation plans finalizedAttend Chief Resident Conference Communicate in-service exam dates to other rotations. Assign shifts AM & PMOctoberMeet with Program DirectorsRecruiting season begins – assist in tours, dinners, and interviewsIn-service exam dates: 10/8 AOA and 10/30 ABFMProgram Photo on 10/30NovemberMeet with Program DirectorsRecruiting season – assist in tours, dinners, and interviewsDecemberMeet with Program DirectorsReview patient numbers/requirements for graduationRecruiting season – assist in tours, dinners, and interviewsJanuaryMeet with Program DirectorsRecruiting season – assist in tours, dinners and interviewsBegin planning date of the resident retreat & communicate the date to faculty and other rotations.FebruaryMeet with Program DirectorsHost Resident Meeting (boost resident morale)Plan picnic for April or MayAttend ranking meetingsPRACTICE BEING A SENIOR SCENARIOSScenario Number One: The Apathetic InternNarrator: You arrive for sign out at 8am on Sunday morning. You are ready to start your Night Float shift. You sit down at the computer and hear sign out from the intern.Points for Intern to get across:62 year old male with pmhx HTN, diabetes, Prostate CA who presented to ACMC 2 days ago with chief complaint of fatigue, pain, and lethargy. When the patient came in, his labs were significant for potassium of 3.1, Glucose of 344, and creatinine of 1.3. Patient has been being treated for HTN, DM, hypokalemia, and dehydration. He has been getting a little better in terms of his pain but he is still very weak and tired. Consults include his oncologist who recently started him chemo. (Senior resident says something here, asks a few questions)Intern: Oh and the labs came back this morning. His potassium is 3.3, creatinine is 3.2. The plan for him is to see what the primary care doctor wants to do about maybe discharging him back to the nursing home today. Soooo do you have any questions??If Senior asks for more details, INTERN to provide a few details. “he has been really tired the last few days. Basically since admission he’s been laying in bed. Too tired to work w/ PT. You have to wake him up when talking to him. Oh and his blood pressures have been okay. They’re like 94/56. He’s been like that for the last two days. And in his previous admission he had blood pressures in the same range. Oh yeah! Yesterday we ordered blood cultures because we weren’t sure if he was septic or something...They aren’t growing anything. We did a urine culture too, that’s not growing anything.”(Senior should prompt intern further to look at his creatinine, why do we think this changed so drastically? Is there something we are missing? Is the patient really stable enough to go to NH? Also engage intern in active management of their patient and critical thinking)Scenario Number Two: The Disorganized InternNarrator: You are on FMI and it’s about 3:30pm. You look in the call room for one of your interns but don’t see them. You assume they are on the floor working on patient plans. About 30 minutes later you decide to call your intern to touch base. He meets you back in the call room.(Senior should ask “how’s it going?”....anything I can help you with?)Intern: Ummmm....good good. I talked to Cardiology about the coumadin and I also talked to the Primary about it but I think I need to call Cards back because I think the dose might not be perfect and....(Senior should ask, umm which patient are we talking about)Intern: Oh, this is for Jane Smith. The 55 year old with a few medical problems. I forgot to talk to Cardiology about the patient’s hypertension medications so I need to call them back. Plus I didn’t even talk to Renal yet about what they think of the creatinine so I don’t know what we’re going to do about that and then also, I still need to write my note on the admission we did this morning.(Senior should hopefully recognize that the intern is kind of feeling overwhelmed but also is very disorganized)NEED TO EXPAND ON THIS. SENIOR NEEDS TO GIVE ADVICE ON WRITING DOWN QUESTIONS IN SYSTEMATIC FASHION AND ONLY CALLING CONSULTANTS ONCE A DAY, OR MORE IF ONLY NECESSARY. ALSO NOTES NEED TO BE DONE EARLIER, ESPECIALLY H&PSScenario Three: The Know-It-All/Defensive InternNarrator: It is 11am lecture time and the senior and intern are sitting running the list. The intern has just gotten done discussing their new admission with new-onset renal failure with nephrology.Intern: So I talked with nephrology and they think the patient has ATN from NSAID use. I told them that I don't think that makes sense and I think this is from their chronic diabetes. They said to stop all NSAIDs but I don't think we should stop their ASA because they could be wrong.(Senior should prompt the intern to explain why they think this way and why they don't trust the consultant's advice. Also suggest the serious consequences that could occur if intern is wrong)Intern: But I know what I am talking about, nephrology was my last rotation before I started intern year. I saw a patient just like this on my rotation.(Senior should approach intern in non-judgemental way to provide feedback so they know that their input is important, but we consult specialists for their expert opinions and should respect what they tell us)Intern: Well I just don't think you trust me yet. My board scores are amazing.(Senior should reinforce importance of critical clinical thinking and reassure that there is nothing personal in this critique) ................
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