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Welcome

Welcome. Dr. Richard Walsh Chair, Department of Medicine Chief of Medicine, UH Dr. Louis Rice Vice Chair for VA Chief of Medicine, VA Dr. Bruce Berger Chair, Intern Selection Committee. Keith Armitage, MD Program Director Susan Kirsh,MD Associate Program Director VA, Ambulatory

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Welcome

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  1. Welcome • Dr. Richard Walsh • Chair, Department of Medicine • Chief of Medicine, UH • Dr. Louis Rice • Vice Chair for VA • Chief of Medicine, VA • Dr. Bruce Berger • Chair, Intern Selection Committee

  2. Keith Armitage, MD Program Director Susan Kirsh,MD Associate Program Director VA, Ambulatory Sarah Augustine Assistant Program Director VA Inpatient Klara Papp, PhD Education Specialist Dan Wolpaw, MD Primary Care Program Advisor Deena Berger Administrative Coordination for Educational Programs Marymay Maxwell VA Housestaff Office Barbara Bonfiglio UH Housestaff Office Notary Historian Copy machine queen Program Leaders/Administration

  3. Jay Finigan VA Keith Petras Ambulatory Noah Jones UH Q 4 month rotation UH 31250 VA 31533 Ambulatory 31529 Most Importantly: Chief Residents

  4. Intern Orientation Schedule

  5. The ‘curriculum’ of Internship • The goal- gain clinical competence in the care of adult patients (ACGME Competencies) • “the patient is the curriculum” • General medicine and specialty wards; ICU and ambulatory rotations • Noon conference • Other conferences • Attending rounds; walk rounds • Morning report • Grand Rounds • Reading

  6. Ambulatory Block • 8-9 am conference • EBM on Friday am • VA specialty clinics • “Selectives in the pm” • Procedure CD-ROM

  7. Research and Elective Time • No “assigned” elective • Be available 8-5, M-F; let the Chief Resident know about other time away • Dr. Walsh, Dr. Rice, Program Directors and Chief Residents can assist in picking elective and research mentors

  8. Annual Events • Intern Mini-retreat- October • Getting feedback on the program • Intraining Exam- October 14-20 • Holiday Party • Bronson Day/ Intern Educational Retreat • Spring Dinner – May 22, 2003 • End of the Year Picnic- June 13, 2003 • End of Internship- June 23, 2003

  9. Evaluation and Feedback:Getting and giving • “Self feedback” • Electronic and written- www.mednav.nav • Attending feedback • Evaluation File • Evaluate your resident and attending! • On-going feedback about the way things are going • Semi-annual review

  10. Faculty Mentors • All categorical interns must pick a mentor by 1/1/03 • At least one meeting • Dr. Walsh, Dr. Rice, Program Directors and Chief Residents can help select mentors

  11. Misc. Stuff Rotation schedules- www.mednav.net GUESTP, medicine Switch dates Clinic Vacations CEX Email

  12. Misc. stuff, cont Days Off Jeopardy schedule (“safety net” for urgencies) How to take Step III Dictations paycheck at UH, meal money at the VA, don’t squirrel away charts Meeting with Dr. Walsh

  13. Misc., Medical records Typical daily schedule 7:15 (7:30)-8 Preround 7:30 Tuesday Grand Rounds 8-10 Work Rounds 10-11 Morning Report (residents M,W,F; interns Th) (9-10 VA) 11-12 Attending Rounds* 12-1 Noon Conference (M&M- Th UH, Wd VA) 1-2 X-ray rounds 2-3 Attending Rounds* 4-5 Chief Rounds; Tu, Th What are “pre-rounds” Leave/Sickness Feelings/expectations Help Program

  14. Misc. • www.Mednav.net • Procedure documentation • CD ROM • Learning Objectives • Evaluations • Core Library • Intern Orientation Handbook

  15. What is internship? • Internship ... • "A Recent Graduate Undergoing Supervised Practical Training" • Webster • )A Profound Life-Changing/Shaping Experience • )The Beginning of Professional Enculturation • as a Physician ... • )Where You Will Experience a Broad Range of Physical and Emotional Stressors ... • )And See a Range of the Best and Worst Aspects • of Medicine

  16. Expectations of the Best Interns *Perform Thorough Histories & Physicals And Provide Attentive Follow-up of Your Patients *Be Curious; Regularly Ask: “WHY?” *Be Respectful of Patients … They are THE Work *Know Your Limitations; Ask for Help *Avoid Cynicism & Negativism … They are Infectious Diseases that will Fatigue You *Maintain/Cultivate Your Sense of Humor *Maintain/Cultivate Your “Flexibility” *Develop Effective Time Management and Teamwork Skills What Are Attributes of the Best Docs?

  17. Take Home Points *You NEVER have to be Alone *We will Provide Some Free Food *Aspire to those Attributes of the Best Physicians *Yes, the Schedule will may require revision *Focus on: H & P's and Attentive Patient Follow-up Knowing Where Your Limits Are Asking “Why?” *Expect to Work Hard ... AND HAVE FUN!

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