Summary of today's Noon Conference

• Please note the Department of Medicine has agreed to pay for your taxi ride home and back to work if you are too fatigued to drive. Just save your receipt and turn it into Renee

Below links can be accessed easily by clicking on labels on the right side of the blog (when accessed on a computer)

• CLICK HERE to download Dr. Ragland's powerpoint from today

• CLICK HERE to download Resident Policy Manual (also give to you at orientation)

• CLICK HERE to download CIR MOU (contract) for 2014-2015 (also give to you at orientation)

• CLICK HERE  for Review of ACGME Duty Hour requirements as given in handout today

• UCLA Employee Assistance Program  phone number 1-800-730-3859

Rotation Goals and Objectives

Ladies and gentlemen,

Please download the updated Rotation Goals and Objectives (previously on evalue).
The goals and objectives are PGY level specific for those rotations you do more than once in residency. They also reflect the ACGME 6 Core Competencies.

The Journal Club Curriculum and Research Curriculum have also been updated and uploaded.

This post will always be available under the resources and acgme labels. We also added it in the link box on the right of the website

Click Here for Goals and Objectives

Patient Care
Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Medical Knowledge
Residents must be able to demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.

Practice-Based Learning and Improvement
Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

Interpersonal and Communication Skills
Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, patients’ families, and professional associates.

Professionalism
Residents must be able to demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

Systems-Based Practice
Residents must be able to demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

Transition of Care- Patient Signouts

Acronym for Effective Signouts 

Senior residents: you must observe your interns method for signouts at least twice a rotation and provide constructive feedback afterwards. Additionally, you are responsible for signing out all sick patients to the on call senior.

It is stongly encouraged for interns and seniors to identify sick and new patients and consider joint evaluation at bedside during signouts.

SIGNOUT?

o S: Is this patient particularly Sick or DNR
o I: Identifying data and demographic info about patient
o G: General hospital course for the patient
o N: New events or occurrences of the day
o O: Overall Health status
o U: Upcoming possibilities and things to watch for
o T: Tasks that need to be completed prior to next handoff
o ?: Any questions?

Fluid, Electrolytes and Acid Base Management

Below is a lecture Dr. Spinello, former ICU Director,  gave to new interns a couple of years ago. I found it extremely helpful and I hope you as interns do as well.

I attached the label "lectures" to it so you can always search for it on this blog in case it gets lost amongst other posts.

Fluid, Electrolytes and Acid Base Management

Sub-specialty Admission Guidelines

The program directors from Internal Medicine, Emergency Medicine, and Surgery have sat down and reviewed our guidelines. This is what we have come up with so far. These guidelines were run by med exec and approved.

Please remember, these are guidelines and not policies. As always, the patient comes first!

Continuity Clinic Schedule

The following tutorial can be used to generate a report of all your continuity clinic dates. Residents are encouraged to include the exact date they want the patient to return to clinic with them. The scheduling staff are encouraged to use this list as well to maintain continuity.

1. Go to www.AMiON.com
2. Login at the top right
3. Click the My Schedule Icon:
4. Select your name in the R1/R2/R3 drop down menu
5. Click on Create Schedule
6. Click the "Yearly Clinic Summary" at the top right

Overnight Survival Guide