This document provides an orientation overview for interns at Virginia Mason Medical Center. It introduces the chief residents and leadership team. It outlines the program's mission and tools used like MyEvaluations, AMION, and Microsoft Teams. It details intern schedules, responsibilities, and policies for inpatient rotations, clinics, conferences, electives, communication, and time off. Questions are welcomed from the interns regarding any part of the orientation.

1. Intern Orientation 2018
David Liskey & Travis Gerrard
Chief Medicine Residents

2. © 2018 Virginia Mason Medical Center
Welcome to Virginia Mason!

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Medicine Chiefs
Picture of David and
Travis
Travis Gerrard
Outpatient Chief
(917) 566-4480
David Liskey
Inpatient Chief
(541) 602-6680

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Internal Medicine Leadership Team
• Alvin Calderon
• Paul Smith
• Carrie Horwitch
• Michael Soung
• Joy Bucher
• Susan McCormick
• Joey Parker
• Michael Ingraham

5. © 2018 Virginia Mason Medical Center
Our Program’s Mission

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MyEvaluations
• The go to place for:
• Work Schedules
• Conference Schedules
• Duty Hours
• Know-and-Gos
• Evaluations
• App available for Android and
Apple

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AMION
• Back up schedules
• Clinic schedules
• Confirmed vacations
• Block schedules
Login: vmres IM

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VMIMR
• Tool for storing and organizing knowledge
• Noon conference presentations saved here

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Microsoft Teams
• New communication and learning tool this year
• Streamlined communication with you
• Make conferences and discussions interactive
• Share high yield snippets of information
• Social platform
• Communicate with residents and service teams
• We will be rolling this out over the next several weeks

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Inpatient Schedules

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Inpatient Rotations
Wards
• Orientation 6/22 at 6:45 am
• Meet with David in the Chief’s Office
CCU
• Orientation 6/22 at 7 am
• Meet in CCU with CCU senior and attending
Night Float
• Orientation 6/22 at 6:30 pm
• Meet with David in the Chief’s Office

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Continuity Clinic Schedules
• See AMION for clinic schedule
• When is clinic?
• Once a week during electives
• Two full days during wards
• None during CCU or nights
• Eastgate residents
• Will be assigned a day, though this is subject to change if coverage is
needed
• It is your responsibility to check your schedule each week

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Collaborative Practice: Clinic Immersion

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Eastgate: Clinic Immersion

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Continuity Clinic Orientation
Continuity Clinic Orientation
GIM/Downtown Eastgate Public Health Eastgate Epic Training
Date: June 25th June 25th June 26th
Time: 8:30 am 8:30 am 1 - 5pm
Location: Buck level 8, GIM Eastgate Public Health
14350 SE Eastgate Way
Bellvue, WA 98007
King County Chinook
Building
401 5th Ave
Seattle, WA 98103
Chinook Room 133
Jessica Rakonza (Mon) Tara Kerr (Tue) Tara Kerr (Tue)
Brett Schroeder (Tue) Cheyenne Enevold (Wed) Cheyenne Enevold (Wed)
Matthew Ong (Wed) Carmen Alcock (Thur) Carmen Alcock (Thur)
Anton Manyak (Thur) Carol Jia (Fri) Carol Jia (Fri)
Danielle Hanssen (Fri)

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Eastgate Badges
On 6/26 in the morning before Epic training, pick
up badges at:
King County Administration Building, Level 3
ID and Access Control Office, Room 312
500 4th Avenue
Seattle, WA
Phone: 206-477-9462
Hours: 0800-1600, Monday-Friday

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Electives
• Know and go
• Found on MyEvaluations
– My Portfolio  Policies/Curricula/Videos/Conference Handouts
• Attend Morning & Noon Conference
• MKSAP available in the Chief’s Office
• You are expected to read MKSAP for each core
elective
• You will get a free physical or online copy of MKSAP
at the end of your intern year
• In Training Exam – review with preceptors
• VMIMR – Log learning and interesting cases.
Share rotation specific information

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Conferences
• Morning Conference
• Noon Conference
• Clinic Didactics
• Inpatient Curriculum
• Conference attendance is required

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Conferences
Once created, put picture of block 1 conference schedule

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Morning Report
• Focus on recent papers, board review, critical analysis, procedures
• Attend while on electives
• Alternates Monday/Wednesday and Tuesday/Thursday each block
• Starts Tuesday, July 3rd at 0730

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Noon Conference
• Monday-Thursday
• Attend on all rotations except nights, CCU, surgery
• You will be responsible for 3-5 presentations per year
• Meet with the chiefs to discuss your cases
• Resident case report from 1200-1230
• Focus on differential diagnosis, diagnostics, and treatment
• Board style questions and 5-10 minute lecture at the end
• General and specialty lectures from 1230-1300
• Review sessions
• Cases and supplemental materials posted to VMIMR.com

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Clinic Didactic
• Once weekly review of primary care medicine topic
• Only attended by categorical/primary care residents
• Starts July 9th on Monday/Tuesday/Thursday
Monday Tuesday Thursday
Allcock Ong Hanssen
Manyak Rakonza Schroeder
Enevold Jia Kerr
Kardasheva Aldana Lobaton
Moore Beck Mattes
Arjomand Benzar Sargent
Lemon Bukiri Whooley
Mohanachadran Fitelson Opheim
Ajeto Philander
Saganic / Slade Rieck

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Inpatient Curriculum
• Fridays from 12:00-12:30
• Led by code team senior
• All residents on wards attend
• Topics include atrial fibrillation, ACS, CHF,
diabetes, hyponatremia, etc.

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Resident Wellness
Intern to Intern Sessions
• Fridays from 12:30-1:00
• Led by social worker
• Optional for interns to attend
Chai Wednesdays
• Free chai/snacks every Wed from 3-4:30
• In the Staff Dining Room in the cafeteria

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Chief’s Office
• The home of your chiefs
• Disclaimer: when we aren’t actually at home or
on service
• Comfortable couch
• Whiteboards
• Phone chargers
• OTC meds
• Candy! (not to be confused with OTC meds)

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Internal Medicine Residency Board
• Located outside the Chief’s Office
• Current schedules
• Upcoming events
• Pictures of recent events
• Sign ups for med student teaching
• Resident metrics
• And more!

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Backup Schedule
• Check MyEvals and Amion for your schedule
• This is YOUR responsibility
• No vacation while on backup
• Expected to be at work within 2 hours of the call
• One ED intern at a time is second back up
• You can switch backup with other interns if both
parties agree – must fill out a yellow form
(located outside the Resident Lounge)

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Sick Days
• Outpatient rotations or continuity clinic:
• Email Travis, Hayley, and your attending
• If in continuity clinic, call Travis - (917)-566-4480
• Inpatient rotations (wards, CCU, nights):
• Call David (541)-602-6680 and email both chiefs
• If overnight, call until we pick up – DO NOT TEXT!
• If no answer within 2 hours, call backup directly
• Call in for illness or if too fatigued to work

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Duty Hours
• Less than 80 hours per week, averaged over 4
weeks
• At least 10 hours between shifts
• Log into MyEvaluations every 3 days to log your
hours
• Hours are used to pay the departments you work
in for teaching time, so it’s important that you log
your hours regularly!

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Time Off
• 15 vacation days per year
• Two 5 day blocks and the other 5 days can be divided
into 2 smaller blocks, if you want
• Can only use during elective
• Must submit a yellow form (outside resident lounge)
to the chiefs 4-12 weeks prior to rotation start that is
affected. No exceptions!
• 4 weeks if clinic schedule is not affected
• 12 weeks if clinic changes are required
• 9 sick days
• 5 professional days off per year
• 2 wellness / dental visits
• Deadline for vacation requests that effect clinic for
rotation 3 is JUNE 22!

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Communication
Vocera/Pager Etiquette
• Urgent – respond within 10 minutes
• Non-urgent – respond within 1 hour
• Do not page someone to your pager number
• Do not page someone to a phone then walk away
• Cell phones with local area codes are available in the
locker room for wards and night residents.
• Teams: How we will be communicating with you

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Communication
Vocera App
• Download app to your phone – receive pages on your
phone
• Same etiquette as pagers
• Can also send secure text messages to users

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Communication
Cerner Messaging
• Inpatient
• For non-urgent communication
• Respond within 1 hour to RN requests
• Can use to communicate with consultants
• Night float: Intern A and Intern B pools
• Sign-out at end of day
• Outpatient
• Check daily on work days for clinic results/messages
• Not responsible for messages/results over weekends
• Sign out to clinic attending while on vacation

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Communication
Email
• Check your email daily, even on CCU and nights
• Respond when requested within 48 hours
• Set away messages while on vacation
• Set rules so your inbox is not flooded (we can help you
do this)
• Set up email on your mobile device
Remote access at: https://owa.vmmc.org

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Instagram
VMIMR (Virginia Mason: Internal Medicine
Residency) Instagram account we recently
started
If you have a desire to be a designated
poster, let us know!

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Tuesday Soup
• Weekly program updates and news
• Look for it in your email inbox!

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Attire
Scrub Policy
• You get 2 sets of blue scrubs
• Teal scrubs are for non-Medicine specialties
• May be worn on wards, CCU, and nights
• May be worn with plain T-shirt (no writing)
Try to cover tattoos
Electives
• Business casual
• No jeans (ever)
• Closed toe shoes

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Questions
• Questions?
• Feel free to contact us
• Travis.gerrard@virginiamason.org
• David.liskey@virginiamason.org
• Or stop by our office.