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Intern orientation slides
1.
Intern Orientation 2018 David
Liskey & Travis Gerrard Chief Medicine Residents
2.
© 2018 Virginia
Mason Medical Center Welcome to Virginia Mason!
3.
© 2018 Virginia
Mason Medical Center Medicine Chiefs Picture of David and Travis Travis Gerrard Outpatient Chief (917) 566-4480 David Liskey Inpatient Chief (541) 602-6680
4.
© 2018 Virginia
Mason Medical Center 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
6.
© 2018 Virginia
Mason Medical Center MyEvaluations • The go to place for: • Work Schedules • Conference Schedules • Duty Hours • Know-and-Gos • Evaluations • App available for Android and Apple
7.
© 2018 Virginia
Mason Medical Center AMION • Back up schedules • Clinic schedules • Confirmed vacations • Block schedules Login: vmres IM
8.
© 2018 Virginia
Mason Medical Center VMIMR • Tool for storing and organizing knowledge • Noon conference presentations saved here
9.
© 2018 Virginia
Mason Medical Center 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
10.
© 2018 Virginia
Mason Medical Center Inpatient Schedules
11.
© 2018 Virginia
Mason Medical Center 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
12.
© 2018 Virginia
Mason Medical Center 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
13.
© 2018 Virginia
Mason Medical Center Collaborative Practice: Clinic Immersion
14.
© 2018 Virginia
Mason Medical Center Eastgate: Clinic Immersion
15.
© 2018 Virginia
Mason Medical Center 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)
16.
© 2018 Virginia
Mason Medical Center 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
17.
© 2018 Virginia
Mason Medical Center 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
18.
© 2018 Virginia
Mason Medical Center Conferences • Morning Conference • Noon Conference • Clinic Didactics • Inpatient Curriculum • Conference attendance is required
19.
© 2018 Virginia
Mason Medical Center Conferences Once created, put picture of block 1 conference schedule
20.
© 2018 Virginia
Mason Medical Center 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
21.
© 2018 Virginia
Mason Medical Center 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
22.
© 2018 Virginia
Mason Medical Center 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
23.
© 2018 Virginia
Mason Medical Center 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.
24.
© 2018 Virginia
Mason Medical Center 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
25.
© 2018 Virginia
Mason Medical Center 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)
26.
© 2018 Virginia
Mason Medical Center 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!
27.
© 2018 Virginia
Mason Medical Center 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)
28.
© 2018 Virginia
Mason Medical Center 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
29.
© 2018 Virginia
Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center 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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Mason Medical Center Tuesday Soup • Weekly program updates and news • Look for it in your email inbox!
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Mason Medical Center 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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Mason Medical Center
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Mason Medical Center Questions • Questions? • Feel free to contact us • Travis.gerrard@virginiamason.org • David.liskey@virginiamason.org • Or stop by our office.
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