Residency Website - Information for Residents and Students



Rotations, Dictations, and Facility Information TOC \o "1-2" \h \z \u Residency Website PAGEREF _Toc409427350 \h 2Important People to Know PAGEREF _Toc409427351 \h 2Surgery Etiquette PAGEREF _Toc409427352 \h 22nd Year Rotations/Attendings PAGEREF _Toc409427353 \h 3On-Call Rules PAGEREF _Toc409427354 \h 5Daily Surgery Schedule PAGEREF _Toc409427355 \h 5Picking Order PAGEREF _Toc409427356 \h 6Hospitals/Facilities PAGEREF _Toc409427357 \h 6Non-IHC Hospitals PAGEREF _Toc409427358 \h 6IHC Hospitals PAGEREF _Toc409427359 \h 8Dictation PAGEREF _Toc409427360 \h 9General Instructions and Template PAGEREF _Toc409427361 \h 9Template for Dictation PAGEREF _Toc409427362 \h 9IMED/Intermountain Dictation System PAGEREF _Toc409427363 \h 11IASIS Dictation Instructions – Davis, Pioneer Valley, SL Regional, Jordan Valley PAGEREF _Toc409427364 \h 13Transcription Solutions Dictation PAGEREF _Toc409427365 \h 14Davis Surgical Center Dictation Instructions PAGEREF _Toc409427366 \h 15Mountain West Surgical Center Dictation PAGEREF _Toc409427367 \h 16SMOPS Dictations PAGEREF _Toc409427368 \h 17Checklist………………………………………………………………………………………………………………………………………………..18Residency Website you’re ever prompted for a password to access stuff, it’s: doctorteriImportant People to KnowCami Bills (801-507-3750, cami.bills@) Handles IHC/resident issues. Contact for Grand Rounds food/equipment arrangements, state license/controlled substance reimbursements, online access to hospital schedules (she makes the requests), passwords, name tags, everything related to IMC/IHC call or email her first. Office on 3rd floor of building 2. Dawn Bernard (dbarnard@), 801-265-2000 ext. 127): she is the St. Mark’s Family Medicine Residency Coordinator. She determines your St Marks schedules, arranges for name badges, passwords etc. Her office is in the Family Medicine clinic.Surgery EtiquetteSome doctors like you to call them the night before to discuss cases.Be on time: 15 minutes early, showing up after a case has started is bad form unless the Dr. expects you to be late for some reason. 30 minutes early if it is your first time to that hospital or surgery center. Some make you take a quick tour. It also takes a little time to find the right location and where to change.Pull gloves, gown, get local, position lights etc., place tourniquet (check w/ Dr. how they like it), write name/glove size on board etc.Always ask permission to scrub unless you’re assigned to their rotation. Take no one for granted even if you’ve scrubbed before.Help transfer patient, hold leg to place splint/dressings/boot.Ask if you can help with post op notes/orders.Thank them for letting you participate every time.Always offer to dictate, if they say yes, always ask what they want the diagnoses and procedures to be, don’t assume anything. Write down local type and amount used, estimated blood loss, products/hardware used, sutures used, and tourniquet time. Also find out the history of present illness to include in the dictation. Grab a sticker with the patient information and go dictate. Keeping the stickers in a little notebook or paper is a great way to keep track of patients for logging cases. The stickers have all the information you need for logging except for the procedure, so write that down and which side the surgery was performed.2nd Year Rotations/AttendingsRotationAttending(s) / AddressPhone Number(s)ScheduleNotesIMC/IHC PodiatryAnnemarie EdwardsHolladay IHC Clinic 6272 S Highland Dr.Murray, UT 84121Edwards: 801-550-8336M: Clinic with EdwardsT: Clinic with EdwardsW: FREE DAYTh: FREE DAYF: FREE DAYWeekends: on-call with EdwardsSt. Marks Pod ticJason DickersonHeiden Davidson Ortho6360 S 3000 E Suite 210Salt Lake City, UT 84121Mikol AndersonSLC Podiatry (St. Marks)1250 E 3900 SEast Bldg, Ste #420Millcreek, UT 84124C: 801-891-6592O: 855-806-7846Mikol Cell:801-860-1749O: 801-269-9939M: Clinic PM, Surg AMT: FREE DAYW: FREE DAYTh: FREE DAYF: Surg at IMC or CottonwoodWeekends: On-call with Dickerson- He also goes to Lone Peak, so heads-up for thatIMC Pod/Ortho/PlasGreg RowanSLC IHC Clinic389 S 900 ESalt Lake City, UT 84102C: 801-244-1054O: 385-282-2450**Call/email catherine.coon@ , 801-450-1272, to setup appointment to get cPOE access; Rowan wants you to have it on his rotationM: Clinic Rowan 7:45T: Anderson cases if he has anyW: Surgery with Rowan at IMC-SCTh: Sx with McKenzie Am FrkF: Sx with McKenzie qowkWeekends: on-call with Rowan- You will be on-call with Rowan during this month, but he doesn’t get much call so it’s not bad- Just look at schedule to see if you have Tuesday afternoon cases with Anderson, a lot of weeks you won’t have any to scrub. Dave McKenzieYou don’t need to know an address for him, just show up to his casesDave McKenzie:623-466-5608VA PodiatryDr. Winkerton (you cover his TKAs on Mondays if he has them)Otherwise, it’s just VA clinic Winkerton’s Office: 801-561-3101M: FREE DAY or Winkerton’s TKA cases if he has themT: Sx AM VA Clinic afternoon (1pm)W: VA Clinic all dayTh: FREE DAYF: Sx AM VA clinic afternoon (1pm)Weekends: off- Keep clinic moving- Winkerton’s TKAs on Mondays – His office will call you a few days before to make sure you will be thereSt. Mark’s MedicineYou work with family medicine residents – one senior resident and one 1st year resident1250 E 3900 S East Blvd, Suite 260Salt Lake City, UT 84107Dawn Bernard is the contact: dbarnard@(801) 265-2000See Below for Contact Stuff for This RotationM: Start admit shift at noonT: End admit shift at noonW: Rounds at 10:00 am, leave when senior says you can, usually after they’re done with their clinic at like 3:30-5Th: Rounds at 10:00 am, leave when senior says you can, usually after they’re done with their clinic at like 3:30-5F: FREE DAYWeekends: off- You basically get there Mondays at noon and leave Tuesdays at noon- On Wednesday and Thursday, you leave when the senior says you canSt. Mark’s Medicine Contact Stuff:Nursing Station Extensions:3Sf-7340??????? 3Wf-7350?? ???? 3Sb-7345??????? 3Wb-7355?4Sf-7440???????? 4Wf-7450?? ???? 4Sb-7445????????4Wb-7455? ???? ? 5Wf-7550??????? 5Wb -7555??Attendings: Pat Green: 801-828-5857John Berneike: 801-870-0465Rich Allen: 801-870-0464Karl Kirby: 801-349-9960Devan Millard: 801-688-0409Camille Collett: 801-245-9759Sleep Rm on the 4th floor right as you go from the main hospital to the outpatient building, your card opens those doorsNurs 6680??????? ICU 7762Lab 7083???????? In Pt Pharm 7019ER 7129??????Dict# 801-262-4507?? ID #,?Admit H&P-1, Consult-2, OpReport-3, D/C-4Devan Millard: 801-688-0409Camille Collett: 801-245-9759VA Psych / PathologyPathology:- 2 weeks @ the VA hospital. It is located on the 1st floor near Holistic medicine.- They give you a room to sit in. They have some slides you can go through if you want. They say they are going to grab you if they have anything they are doing so you can watch.- Bring study material to readPsych/Behavioral Science:- 2 weeks at the VA. Meet in their offices around 9:00 am- Their offices are on the ground floor. Coming from the large parking lot, go in the entrance on the right (The ER is the entrance on the left). Enter the building and take the first hallway on the right. It is on the right hand side at the end of that short hallway.- You will usually round as a team after 9:00 am. They don’t give us any patients. Just follow them around and listen. Travis is the psychiatrist in charge and is laid back and young.Wound Care / IDWound Care: Dr. Tettelbach (also with Seegmiller or Preece and Groberg)- IMC wound care center (Bld 2, 3rd floor) and LDS wound care center (6th floor)- It’s pretty much an 8-5 gig- Show up the first day and Tettelbach tells you when and where to be places.- You’re usually with Tettelbach on M,T,W,F and Seegmiller on ThID: Various attendings- Office is on LL2 under Women’s Center (next to HR office)- Just show up at 9 am on the first day and pray for the best, rounds are usually in early afternoon, but depends on attendingOn-Call RulesGenerally, you’ll take call for the attending of whichever rotation you’re on (e.g. if you’re on St. Mark’s Podiatry, you take call for Rowan)There’s a “general call” resident who is technically on-call for all attendings in the area (for late-night surgeries, etc.). We all rotate who is the on-call person, typically taking a week at a time, but we really can make the schedule however we want it to beWe’ve had big problems with attendings trying to get us to do consults without them ever seeing the patient, watch out for thisDaily Surgery ScheduleThere is a spreadsheet on google docs that contains all the surgeries happening for a given day. Those cases don’t get added by a miracle, we add them ourselves.Call/check online for all surgery centers and hospitals each day (call before 4pm, some places close up early). After getting the cases, put them into the google doc spreadsheet.IHC facilities can be checked at and Non-IHC facilities need to be called, with exception of the places listed below that email their schedules to our group gmail accountEmail next day schedule to Dr. Hodge the night before. Actually she has access to the schedule online too…. Hodge: Nan.Hodge@Some places (Cottonwood and St. Marks Facilities – the places in the charts below that say “on email list” in red lettering) email their schedules to the below email address:The email is IMCPodiatryResidency@Password is doctorteriAdd this email to your phone so you can receive the surgery schedules daily on your phoneYou guys decide who calls which places to fill in the schedulePicking OrderHere’s the picking order for “free day” cases…. In other words, if you’re on a rotation that has a “free surgery” day, you will get to pick surgeries for that day at your assigned time below (e.g. if you’re on St. Mark’s medicine rotation, then you’ll get onto the spreadsheet at 8:40 on Thursday night to sign up for your Friday cases).1. 3rd Year Cherry Picker – Before 7:204. IMC/Ortho/Plastics/Dickerson rotation (Everyday) – 7:202. St. Mark's Podiatry/Rowan/ Mckenzie rotation (W, Th, F) – 7:403. IMC Podiatry/ Annemarie Edwards rotation (W, Th, F) – 8:005. VA Podiatry/Winterton rotation (M, Th, F) – 8:206. St. Mark's Medicine rotation (F only) – 8:40** At 9:00 pm, all cases become fair gameThe rule will be that you cannot start picking until your assigned time, but as of 9 pm, all cases become fair game for anyone to pick.Hospitals/FacilitiesNon-IHC HospitalsHospitalAddressPhone NumberTipsLakeview Hospital650 S Medical Dr.Bountiful, UT 84010801-299-2160raid cabinets/fridge in physician loungeSLSC (Salt Lake Surgical Center)617 E 3900 SSalt Lake City, UT 84107801-261-2141food in lounge upstairs; we technically can’t scrub hereMountain West Surgery Center1551 S Renaissance Towne Dr.Bountiful, UT 84010801-383-1111Food provided at lunch; it might take a few weeks to be able to scrub here cause they need to get the updated resident list from HodgeCottonwood Surgery Center6053 Fashion Square Dr.Salt Lake City, UT 84107ON EMAIL LIST801-262-0098Salt Lake Regional1050 E South Temple AveSalt Lake City, UT 84102801-350-47004700 men’s locker room door Code. 04111 Physician’s Lounge –Snacks. 14111 Surgery Access, 2468 door code from clinic to hospital. Lunch in basement-just say you’re a Dr., no sign out. Clark SLR office 801-505-5277 M-W SH 801-466-8206. Cell #s: Clark 801-450-4287, Smith 801-363-2543. Office building glass door after hours: 2188*Ogden Regional5475 Adams Ave PkwyOgden, UT 84405801-479-2111Get badge and dictation number from staff services. Dr Lounge: Badge works, food providedSouth Ogden Specialty Surgery Center955 Chambers Street, Suite 101Ogden, UT 84403(801) 317-4896Get your paperwork in earlySt. Marks 45th Street348 E 4500 SSalt Lake City, UT 84107ON EMAIL LIST801-685-6400food in lounge at lunchyou can also access the schedule via remote access on EPICSt. Mark’s Main3900 S 1300 ESalt Lake City, UT 84107ON EMAIL LISTOR scheduling: 801-268-7275OR front desk: 801-268-7270Food: cafeteria, tell them you are a resident. Doctors lounge by the men’s dressing room serves breakfast and lunch. Main OR locker for men #162, code is 4,43,20St Marks Surgery Center (SMOPS)3900 S 1300 ESalt Lake City, UT 84107ON EMAIL LISTScheduling: 801-290-5273Front Desk 801-262-0358This is not on EPIC so you have to wait for the emailMountain West Hospital(Tooele)2055 North Main Street, Tooele, UT 84074(435) 843-3600You don’t get to scrub here, but McKenzie may have you go and observe; he usually does a case or two here before his Northpoint cases on every other FridayMen’s Locker Room Code: 8020You’ll have to go to the patient pre-op area and dial 2687 from the phone at the front desk to get someone from the OR to let you back to the dressing roomNorthpointe Surgical Center (Tooele)2326 N 400 E Bldg C Ste 100. Tooele, UT 84074Get there early the first day so they can give you the “tour” and what notIHC HospitalsHospitalAddressPhone NumberTipsAltaView Hospital9400 S 1300 ESandy, UT 84094801-501-2208food at lunch in physician loungeIMC Main5121 S Cottonwood St.Murray, UT 84107Cami Bills: 801-507-3750cami.bills@Main: 801-507-6262Men’s dressing room on ground floor building 2, Women’s locker room on the 2nd floor, OR on 2nd floor, lunch in Dr.’s lounge. Physician lounge by cafeteria.IMC Surgery Center5121 S Cottonwood St.Murray, UT 84107801-507-3100locker room and staff lounge door code: 3131*, lunch provided in staff lounge.LDS Main OR8th Ave & C StreetSalt Lake City, UT 84143801-403-3340food in lounge on 2nd floor near cafeteria. Dressing rooms are on 2nd floor, staircase leads from dressing room up to the OR. OR is on 3rd floor. Badge works here. The ladies locker room # at the SC: 12185LDS Avenues SC359 8th AveSalt Lake City, UT 84143801-408-3200Orem Community Hospital331 N 400 WOrem, UT 84057801-224-4080Snacks in lounge. Enter in the ER entrance and the front office is immediately on the Left. Badges work here now.Utah Valley Hospital and SC1034 N 500 WProvo, UT 84604801-357-7850locker room and lounge is 48126# at UVOC your badge will work.American Fork Hospital170 N 1100 EAmerican Fork, UT 84003801-855-3300If your badge doesn’t work here, call 801-357-7126OR is on 2nd floor, Dr lounge has free snacks, if you go to the Pink Shop or the main cafeteria, they’ll give you a free meal if you tell them who you’re working with/ a residentMcKay Dee Main4401 Harrison BlvdOgden, UT 84403801-387-2800Scrubs: machine code is 914 e then 3842 e. men’s locker-room combo – 9876.? Free food at lunch in the OR lounge, also food found in the 3rd floor Dr.’s lounge at breakfast and odd hours.McKay Dee Surgery Center3903 Harrison BlvdOgden, UT 84403**4401 Harrison Blvd Ogden, UT???801-387-3600Riverton Hospital3741 W 12600 SRiverton, UT 84065801-285-4000DictationGeneral Instructions and TemplateFor all IHC facilities, you will be given your own codeIHC SLC: 801-442-4000, use your IHC code. Facility Code (IMC 154, LDS 128, AVH 116, Op Report #3 Surgery center Op Report #82)IHC South: 801-357-2040 (AF 118, Orem 134, UV 144. Op report #3)McKay-Dee/SC: use your IHC code.Mtn West SC: 732-1512, phys ID (1298 Anderson, 52111 Seagle), 0, acct#, 0 for job ID.SLSC: tape recorder in recoverySLR: 801-350-4300, Site ID (SLR: 2043), Physician ID#, 1, 3# op report, Pt acct #, 2, 5 to get job number. Clark 72034, Smith 71630, Royall 71983, D. Seegmiller 35782Lakeview - residents don’t dictateDavis SC - dictation in post-op, instruction on wall with physician codes, op note code is 3. (Potter #472, see cupboard door for all codes).St Marks Surgery Center: 801-268-7630. Op report #73. You’ll get your own code, use it. Template for DictationCase Date: Patient Name: MRN #: Surgeon Name: Dr ***, DPMAssistant: Resident Name, DPM PGY-2Preoperative Diagnosis: Postoperative Diagnosis: SameProcedure: ***Pathology: NoneAntibiosis:Anesthesia: MAC sedation with local anesthesiaHemostasis: Ankle Tourniquet at 250 mmHg for *** minutesEstimated Blood Loss: Minimal (<10 cc)Materials:Injectables: 10cc of 1% lidocaine plain given preoperatively, and 10 cc of 0.5% bupivacaine plain given postoperatively.Condition: Patient tolerated the above-noted anesthesia and procedure well and was transferred to the PACU with VSS/VSI and CFT was intact in all digits. Patient is in stable condition.Indications for Procedure: Patient presented to clinic complaining of ***. Patient has a diagnosis of ***. Patient attempted and failed conservative treatment as outlined in clinic encounter notes. Patient gave informed consent after lengthy discussion of risks, benefits, indications, and alternatives to surgery. No guarantees were given or implied. Although no guarantees were given, based on experience we would expect patient to return to activity with few complications and limitations. Patient understands and desires surgery. It is with this understanding that we proceed.Pre-procedure Info: In pre-op holding area, the limb to be operated on was marked by both physician and patient. Patient was transferred to the OR table and placed in a supine position with an ankle tourniquet placed on the right ankle but was not inflated yet. A timeout was performed in which identification of the correct patient, procedure, location, and materials was done. MAC sedation was performed and a local block was placed at the ankle using a total of 10cc of 1% lidocaine plain. The right foot was then prepped and draped in normal sterile fashion. A surgical pause was made to verify correct patient, site of procedure, and type of procedure. The right foot was exsanguinated and the ankle tourniquet was inflated to 250 mmHg.Procedure Dictation: Attention was directed to the *** where a ***cm linear longitudinal incision was made in order to expose the surgical area. The incision was deepened through the superficial and deep fascia through blunt dissection. Tendons, ligaments, and neurovascular structures were retracted and care was taken to avoid damage to these structures throughout dissection. Venous contributaries that obstructed procedure progress were ligated or cauterized as necessary. ***. The wound was then irrigated with copious amounts of sterile normal saline. The periosteal and capsular structures were then reapproximated and sutured using 2-0 Vicryl and 3-0 Vicryl as well as other soft tissue up to the level of the dermis. The skin was then reapproximated and sutured using 4-0 Monocryl suture using a running subcuticular stitch. Significant Findings: Utilizing fluoroscopy, proper deformity reduction and graft and hardware placement were observed. No immediate complications.Postoperative: Patient tolerated the above-noted anesthesia and procedure well and was transferred to the PACU with VSS/VSI and CFT was intact in all digits. Post-operative directions were dispensed both written and oral, being discussed with patient and family. Surgery shoes were dispensed as well Rx for Percocet 5 mg PO q6h prn and Zofran 8 mg PO q8h prn. Patient was given my number and instructed to call if there is an abnormal amount of pain, swelling, bleeding through the dressings, drainage, acute signs of infection, or signs/symptoms of DVT such as calf swelling, pain, or cramping. Patient will return to clinic next week for first post-op appointment which was previously scheduled prior to surgery.IMED/Intermountain Dictation SystemFor all IHC facilities, you will be given your own codeIHC SLC: 801-442-4000, in house *0333 use your IHC code. Facility Code (IMC 154, LDS 128, AVH 116, Op Report #3, Surgery Center Op Report #82)IHC South: 801-357-2040 (AF 118, Orem 134, UV 144. Op report #3)IASIS Dictation Instructions – Davis, Pioneer Valley, SL Regional, Jordan ValleyTranscription Solutions DictationDavis Surgical Center Dictation InstructionsMountain West Surgical Center DictationSMOPS Dictations**You don’t use your St. Mark’s dictation codes here. You use the code for whichever attending you are scrubbing with:Greg Anderson: 0604Mikol Anderson: 7281Greg Rowan: 2014Moritz: 0042Check Listget ID/password for IMC. Ask Cami Bills for online surgical schedule access requests if all IHC hospitals don’t show up on and accounts.Also there is an app for that work out who calls who, who checks which online schedules. See google template: our website has rm each other about your rotations and what to expect...you are all in this togetherget DEA, license ASAP. Must have state license and NPI prior to applying for DEA. Contact Cami Bills for reimbursement (treat her nice, she will save your butt).DOPL - - have to apply for the DOPL (which requires you to send them results of Part?1, 2, and 3 boards, as well as your transcript from pod school), get it back with your license # for Utah, then?apply for the DEA.To have results of Part 3 sent to Utah, go to this link,?which of course costs?$45: DOPL, check both boxes on the very top of the?first page of applicationWhen it asks for you NPI # on DEA (which I was unable to complete since I didn't have Utah License #), the easiest way is just google your name + NPI and its on the internet for everyone to see.?On the DEA app, when it asks for Tax ID #, just leave tax ID # blank and use the SSN spot to give your SSNKeep your receipts for transcript request, board result requests, and licensing.You will submit them to Cami Bills for reimbursement which will arrive with your next paycheck. The state license is a couple hundred and the DEA one is around $700. Plan accordingly.Get credentialing done for Cottonwood Surgery Center. Jodi will need the packet filled out as well as your DOPL and DEA. Get the packet done ASAP, you will work there a lot!imcpodiatryresidency@, password doctorteri ................
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