Welcome to the
Department of Medicine!
SI 270.2 Straight Internship in Medicine


                        Dr. Iris Thiele ...
A little history ...

 Straight internship program in the 1980s before
 the INTARMED program was established
 Straight Int...
A program in evolution...


 Lesser students
 More duties
 More electives
SI 270.2 Straight Internship in Medicine
Course Description

  Rotation in medicine and its subspecialties with
  opportun...
SI 270.2 Straight Internship in Medicine
Terminal Competencies

  Recognize and diagnose common and some uncommon
  medica...
SI 270.2 Straight Internship in Medicine
Terminal Competencies
  Formulate a plan for patient education based on perceived...
44 weeks in Medicine
8 weeks in community rotation
                                   ER (4 weeks)
OPD: General medicine, ...
4 weeks
           Mon     Tues    Wed     Thurs     Fri     Sat     Sun



 AM
           Pre-            Post-     Pre- ...
MICU
           Last 2 weeks: one Straight Internʼs hour (case management
           conference) per week


          Mon ...
12 weeks divided
                                         into 4-week blocks

Ward rotation
 1st week of 1st 4-week block:...
Mon              Tues            Wed            Thurs               Fri           Sat      Sun

                        En...
8 weeks divided
                                         into 4-week blocks

OPD rotation

 Mainly general medicine clinic...
8 weeks divided
                                    into 4-week blocks

OPD rotation

 Attend continuity clinic
 Go on dut...
Night Duties
OPD/Subspecialty rotations (24 weeks)

  7 pm to 7 am
  4 weeks: ER duty
  4 weeks: Pay duty
  8 weeks: SAPOD...
16 weeks


Subspecialty rotation

 12 weeks mandatory rotation
  IDS, Nephrology, Cardiology, Endocrinology,
  Gastroenter...
16 weeks


Subspecialty rotation

 Consultant buddy
  Signs learning contract, gives end-of-rotation grades, goes
  on pay...
Google Group

 Feel free to post - letʼs document the journey
 Main mode of submissions for requirements -
 I hate paper!
...
Logbook



 Document attendance
 Document all patient encounters
  Cannot upload patient log with identifiers
Research

 Research adviser
 Milestones
  Week 11: completed research proposal

  Week 22: progress report

  Week 33: pre...
Informatics sessions
 Baseline computer                 BIBUS (open source
                                   bibliographi...
The program is what YOU make it!

Just ask and you can ...
 Have more patients
 Do procedures
 Attend subspecialty confere...
A little about
myself ...
A little about
myself ...




Anything
you’d like to
tell me?
Thank You
         +639285030986
       isiptan@gmail.com
http://www.endocrine-witch.info
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Straight Internship orientation 2011

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Straight Internship orientation 2011

  1. 1. Welcome to the Department of Medicine! SI 270.2 Straight Internship in Medicine Dr. Iris Thiele Isip Tan Dr. Adrian Paul Rabe
  2. 2. A little history ... Straight internship program in the 1980s before the INTARMED program was established Straight Interns were the JAPODs - term survived even if straight internship program was discontinued
  3. 3. A program in evolution... Lesser students More duties More electives
  4. 4. SI 270.2 Straight Internship in Medicine Course Description Rotation in medicine and its subspecialties with opportunities for self-directed learning and direct patient care as junior admitting physicians Refinement of knowledge and skills learned in LU 5 and LU 6 as health practitioner, leader/manager, researcher, health educator and social mobilizer Education in medical informatics will be integrated in the rotation Instill the knowledge, skills and attitudes of information management
  5. 5. SI 270.2 Straight Internship in Medicine Terminal Competencies Recognize and diagnose common and some uncommon medical problems/ diseases/ emergencies Manage common and some uncommon medical problems/ diseases/ emergencies using sound clinical judgment, logical decision-making strategies and evidence-based medicine Completely document patientsʼ cases including the medical history, physical examination, course of illness and management plan Submit a completed research work
  6. 6. SI 270.2 Straight Internship in Medicine Terminal Competencies Formulate a plan for patient education based on perceived need Demonstrate the proper attitudes and values of a humane and community-oriented physician Effectively communicate with patients, their caregivers and colleagues Demonstrate harmonious working and professional relationships with other members of the health team (superiors, peers, subordinates and paramedical personnel) Acquire essential informatics skills
  7. 7. 44 weeks in Medicine 8 weeks in community rotation ER (4 weeks) OPD: General medicine, MICU (4 weeks) Hypertension, Geriatrics, Subspecialty clinics (not Wards (12 weeks) covered by subspecialty rotation) OPD (8 weeks) Mandatory subspecialties: IDS, Endocrinology, Elective subspecialty Cardiology, Pulmonology, (4 weeks) Gastroenterology, Nephrology Mandatory subspecialty (12 weeks)
  8. 8. 4 weeks Mon Tues Wed Thurs Fri Sat Sun AM Pre- Post- Pre- Post- Pre- duty 24-h duty duty 24-h duty duty (7 am- DUTY (Day (7 am- DUTY (Day (7 am- 7 pm) off) 7 pm) off) PM 7 pm) ER Rotation On pre-duty day, decked 2 old patients to manage On duty day, decked 2-3 new patients (1 patient every shift) and 1-2 old patients to manage Maximum patients allowed: 5 No continuity clinic; only one duty intern per day
  9. 9. MICU Last 2 weeks: one Straight Internʼs hour (case management conference) per week Mon Tues Wed Thurs Fri Sat Sun A M Endorse Endorse Endorse Endorse Endorse Endorse ment ment ment ment ment ment rounds rounds rounds rounds rounds rounds P Audit/ R Ward E Ward Ward work Ward work Grand Ward work work D work Rounds U Ward TY P MICU MICU Team P MICU work R D MICU R D Subspec Captain Ward Subspec E U Subspec E U D rounds T rounds D work T rounds Y rounds U U Y TY Blood bank Blood bank TY Blood bank P screening screening screening M Ward Ward work Straight work Ward work Ward work Intern’s hour TIME OFF TIME OFF Endorse Endorse Endorse Endorse Endorse ment ment ment ment ment rounds rounds rounds rounds rounds
  10. 10. 12 weeks divided into 4-week blocks Ward rotation 1st week of 1st 4-week block: JAPOD Decked 2 old service patients to manage under direct supervision by senior medical resident (countersigns all orders) and service consultant APOD duty: decked 2 new patients to manage During duty, will manage decked patients at ER while awaiting admission under direct supervision by ER medical resident WAPOD duty: answer all ward referrals under direct supervision by ward resident
  11. 11. Mon Tues Wed Thurs Fri Sat Sun Endorse Endorsement Endorse Endorsement Endorsement conf Endorse ment conf ment conf conference conf ment conf Audit A Service conference/ 24 Ward work Ward work Grand Rounds Ward work Ward work Ward M rounds h 24 work h W Ward work A Endorse Ward work A Consultant Service P Consultant ment P O O rounds rounds Service rounds D rounds rounds D D D Ward Work U U TY Ward Work TY Ward Work Ward Work Ward Work Continuity P TIME TIME clinic M OFF OFF Endorse Endorsement Endorse Endorsement Endorsement ment rounds ment rounds rounds rounds rounds Attend continuity clinic Submit two case write-ups per block of rotation (comprehensive discussion with appended literature review)
  12. 12. 8 weeks divided into 4-week blocks OPD rotation Mainly general medicine clinic May substitute 10 half-days with consultantsʼ private clinics 4 half-days each Geriatrics Hypertension Subspecialty clinics (not covered by mandatory/elective rotations)
  13. 13. 8 weeks divided into 4-week blocks OPD rotation Attend continuity clinic Go on duty: ER, SCU-POD, SAPOD ECG reading Week 1-2 of first 4-week block: ECG reading homework Remaining weeks: Decked 5 ECGs to read after every OPD day, counter-signed by medical resident
  14. 14. Night Duties OPD/Subspecialty rotations (24 weeks) 7 pm to 7 am 4 weeks: ER duty 4 weeks: Pay duty 8 weeks: SAPOD duty 8 weeks: SCU-POD duty Post-duty status: May go home after 12 nn
  15. 15. 16 weeks Subspecialty rotation 12 weeks mandatory rotation IDS, Nephrology, Cardiology, Endocrinology, Gastroenterology, Pulmonology 4 weeks elective rotation 4 one-week blocks, 2 two-week blocks, one 2-week block and 2 1-week blocks Allergy, Adult Medicine, Medical Oncology, Rheumatology, Hematology, Neurology
  16. 16. 16 weeks Subspecialty rotation Consultant buddy Signs learning contract, gives end-of-rotation grades, goes on pay rounds Learning contract for each rotation Sectionʼs blueprint PLUS what youʼd like to do Continuity clinic Night duties: ER, Pay, SCU-POD, SAPOD
  17. 17. Google Group Feel free to post - letʼs document the journey Main mode of submissions for requirements - I hate paper! Research Patient log Venue for announcements
  18. 18. Logbook Document attendance Document all patient encounters Cannot upload patient log with identifiers
  19. 19. Research Research adviser Milestones Week 11: completed research proposal Week 22: progress report Week 33: preliminary report Week 44: final research paper
  20. 20. Informatics sessions Baseline computer BIBUS (open source bibliographic software) literacy survey PDA use in medicine Monthly brown bag/lunch Evaluating medical information sessions (lecture/demo) on the Internet Discuss results of computer Patient resources on the literacy survey Internet Introductory lecture on health Decision support tools informatics Continuing medical education Literature search using PubMed on the internet (mobile access to PubMed) Basic database operations
  21. 21. The program is what YOU make it! Just ask and you can ... Have more patients Do procedures Attend subspecialty conferences/conventions Go to consultantsʼ private clinics (near PGH)
  22. 22. A little about myself ...
  23. 23. A little about myself ... Anything you’d like to tell me?
  24. 24. Thank You +639285030986 isiptan@gmail.com http://www.endocrine-witch.info

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