OnCallAdvisors: Transition to Attending

Next week OnCall Advisors will be hosting four free webinars designed to help residents and fellows prepare for their transition to attending.  The "cram session" is designed to fill in the gaps on topics they need to know more about before leaving training:

• Knowing the parts of their employment contract that are most likely to cause a termination event.
• Avoid costly misunderstandings about their income.
• Ideas to help control work/life balance.
• How physician can keep more of their money and effectively handle debt and taxes.
• Learn physician-specific financial strategies for protecting their assets and loved ones.
• Knowing the most important steps to take to build a strong financial foundation in the early years of their career.

You can sign up using the link below:

Graduating residents/fellows, click here to sign-up

OnCall Advisors has educated residents and fellows all across the country on these topics and we don't want yours to miss this last chance to learn what they need to know on these topics.  

Matthew J. Wiggins | Lead Advisor & PartnerOnCall Advisors 888.848.0786 x. 103(f) 402.507.4477 MWiggins@OnCallAdvisors.com

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

New Pulmonary & Critical Care Medicine Faculty

We have some exciting news. Kern Medical Center has hired 2 pulmonary and critical care physician for the intensive care unit.

Stay tuned to officially welcome our new faculty!

National Patient Safety Goals

Below are the National Patient Goals for 2015 as stated by The Joint Commission, previously known as JCAHO (Joint Commission on Accreditation of Healthcare Organizations).


1. Identify patients correctly: Use at least two ways to identify patients.

2. Use medicines safely: Before a procedure, label medicines that are not labeled. Take extra care with patients who take medicines to thin their blood. Record and pass along correct information about a patient’s medicines. Update home med lists

3. Use alarms safely: Make improvements to ensure that alarms on medical equipment are heard and responded to on time

4. Prevent infection: Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Use proven guidelines to prevent infection of the blood from central lines. Use proven guidelines to prevent infection after surgery. Use proven guidelines to prevent infections of the urinary tract that are caused by catheters

5. Identify patient safety risks: Find out which patients are most likely to try to commit suicide.

6. Prevent mistakes in surgery: Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body. Mark the correct place on the patient’s body where the surgery is to be done. Pause before the surgery to make sure that a mistake is not being made. TIME OUT

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?

Call day holllaaaaaa

Pitbull