INTERNAL MEDICINE RESIDENCY PROGRAM

DEPARTMENT OF MEDICINE Internal Medicine Residency Program

RESIDENCY MANUAL

ACADEMIC YEAR 2020-2021

FINAL 09/04/2020 For the most up-to-date versions, please refer to Internal Medicine Residency SharePoint Site or

site.

2020-2021 IM Resident Manual FINAL (07-22-2020) ? Page 1

Melina Awar, MD, FACP, FHM

Program Director, Internal Medicine Residency 713-441-6729

Lara Colton, MD, FACP

Associate Program Director, Internal Medicine Residency 713-441-6729

J. Marietta Clewing, MD

Associate Program Director, Internal Medicine Residency 713-441-6722

Ejaz Janjua, DO

Associate Program Director, Internal Medicine Residency 713-441-6722

Michelle Henderson,

Academic Education Manager, Internal Medicine Residency 713-441-5114

Lisa Caputo

Program Coordinator, Assistant to Directors, IM Residency 713-441-6742

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Table of Contents

Residency Curriculum 2020-2021................................................................................................................. 7 Residents Contact Information...................................................................................................................... 8 Fellows Contact Information.......................................................................................................................... 9 Rotation Calendar 2020-2021 ..................................................................................................................... 10 Required Educational Activities .................................................................................................................. 13

Attendance Policy ................................................................................................................................... 13 Morning Report ....................................................................................................................................... 14 Medicine Grand Rounds ......................................................................................................................... 16 Noon Conference.................................................................................................................................... 17

Autopsy Conference ........................................................................................................................... 17 Evidence-Based Medicine Conference .............................................................................................. 17 High Value Care (HVC) ...................................................................................................................... 18 Journal Club ....................................................................................................................................... 19 Morbidity/Mortality Conference........................................................................................................... 19 Senior Talk ......................................................................................................................................... 20 Bi-Weekly Friday Intern Report .......................................................................................................... 21 Bi-Weekly Friday Board Review......................................................................................................... 22 Daily Board Review (PGY-3) .............................................................................................................. 22 Quality and Process Improvement Education ........................................................................................ 23 University Teaching Service (UTS) ............................................................................................................. 24 UTS Daily Routine .................................................................................................................................. 24 Pre-Rounds ............................................................................................................................................. 24 Work Rounds .......................................................................................................................................... 24 Attending Rounds ................................................................................................................................... 24 Interdisciplinary Rounds ......................................................................................................................... 24 Team Pager ............................................................................................................................................ 25 Time Management .................................................................................................................................. 25 Day's End................................................................................................................................................ 26 Sign-Out .................................................................................................................................................. 26 Night Float............................................................................................................................................... 27 Cross-Coverage...................................................................................................................................... 28 Cross Cover Pager .................................................................................................................................. 28 Admission Pager ..................................................................................................................................... 28 Emergencies And Codes ........................................................................................................................ 29 Code Blue Pagers ................................................................................................................................... 29 Code Blue Note and Log ........................................................................................................................ 29 Days Off .................................................................................................................................................. 29 Day Call and Admissions ........................................................................................................................ 30 Admitting Patients to the University Teaching Service (UTS) ............................................................ 30 Long Call and Short Call .................................................................................................................... 30

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Calling The Attending ......................................................................................................................... 31 UTS Summary ........................................................................................................................................ 31

Capping .............................................................................................................................................. 31 Sign-Out ............................................................................................................................................. 31 Other ACGME Program Requirements .............................................................................................. 31 Codes/Code Pager Hand-Off ............................................................................................................. 31 Medical Students .................................................................................................................................... 33 Inter-Professional Practice (IPP): Goals & Objectives For IPP Activity ...................................................... 38 Discharge/Death Summary: Documentation Requirements ....................................................................... 39 Discharging Patients ............................................................................................................................... 39 Discharge Summaries ............................................................................................................................ 39 Other Floor Duties ....................................................................................................................................... 40 Off Service Notes/Sign-Out .................................................................................................................... 40 Transfers To/From The MICU................................................................................................................. 40 Outside Hospital Transfers ..................................................................................................................... 40 Transfer Center Checklist ....................................................................................................................... 41 Pronouncing Death ................................................................................................................................. 41 Request For Autopsy .............................................................................................................................. 42 Code Blue Documentation...................................................................................................................... 44 Team Rooms .......................................................................................................................................... 44 Call Rooms ............................................................................................................................................. 45 Backup System and Schedule .................................................................................................................... 46 Statement of Professionalism ..................................................................................................................... 48 Paid Time Off and Educational Leave ........................................................................................................ 50 Paid Time Off .......................................................................................................................................... 50 Requirements For Taking Paid Time Off (PTO) or Educational Leave (EL) .......................................... 50 Steps To Take PTO (Paid Time Off) or El (Educational Leave) ............................................................. 51 Education Leave ..................................................................................................................................... 51 Fellowship Interviews.............................................................................................................................. 52 Unused PTO ........................................................................................................................................... 52 Resident Wellness Days ......................................................................................................................... 53 Houston Methodist Hospital Holidays ......................................................................................................... 55 Elective Rotations ....................................................................................................................................... 56 Research Elective ....................................................................................................................................... 57 IM Residency Research Mentors ................................................................................................................ 58 Directory ...................................................................................................................................................... 60 Primary Care Clinic (PCC) .......................................................................................................................... 61 Clinic Process ......................................................................................................................................... 61 Extra PCC Sessions (Floating Clinics) ................................................................................................... 62 Follow-Up of Labs and Results ............................................................................................................... 62 After Hours Clinic Calls ........................................................................................................................... 62 Medication Samples ............................................................................................................................... 62

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Physician Education and Assessment Center (PEAC) Modules ............................................................ 63 Yale Curriculum ...................................................................................................................................... 63 Pre-Clinic Huddles .................................................................................................................................. 63 Clinic Teams ........................................................................................................................................... 63 Schedule Changes & Referrals .............................................................................................................. 63 Scheduled PTO and Float Days ............................................................................................................. 63 Clinic Work Flow ..................................................................................................................................... 63 PCC CLINIC SCHEDULE 2020-2021 ......................................................................................................... 64 Primary Care Pathway ................................................................................................................................ 65 Evaluations.................................................................................................................................................. 66 Mentorship................................................................................................................................................... 68 Moonlighting Policy ..................................................................................................................................... 69 Chaperone Policy For Sensitive Examinations In The Inpatient & Outpatient Settings.............................. 70 Minimizing Exposure During COVID-19 Pandemic .................................................................................... 71 Inpatient .................................................................................................................................................. 71 Ambulatory.............................................................................................................................................. 73 Medical Students .................................................................................................................................... 73 Return To Work Policy............................................................................................................................ 74 Didactics/Conferences ............................................................................................................................ 74 Miscellaneous ............................................................................................................................................. 75 Contacting Attending Prior To Start of Rotation ..................................................................................... 75 The Paging System ................................................................................................................................ 75 Dress Code ............................................................................................................................................. 75 Resident Areas ....................................................................................................................................... 75 USMLE-Step 3 ........................................................................................................................................ 75 Campus Map ............................................................................................................................................... 76

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