R1 Objectives
Inpatient Medicine
R1s are assigned to Inpatient Medicine for 4 weeks with assigned call on the medicine service at SMH every fourth night. The R1 will stay no later than 11:00 pm on call nights.
Medical Knowledge
- Understand and participate in the management of common medical symptoms/conditions such as:
- Asthma
- Pneumonia
- COPD
- Hypertension
- Myocardial infarction and angina
- Heart failure and other cardiovascular conditions
- Anemia/blood coagulation disorders
- Gastrointestinal diseases
- Diabetes
- Thyroid disorders
- Collagen vascular disease
Patient Care
- Perform a complete adult history and physical examination. Formulate a differential diagnosis. Select and interpret appropriate laboratory tests, imaging studies or diagnostic procedures to investigate the differential diagnosis
- Correctly interpret electrocardiograms and cardiac monitoring data
- Participate in code situations
Interpersonal and Communication Skills
- Demonstrate the ability to effectively communicate with patients, families, staff, and other team members
- Participate actively as a member of the health care team
Professionalism
- Gain an appreciation of unfunded patients that must use the emergency room as their primary care clinic
- Demonstrate sensitivity to a patient’s culture, gender, age
- Incorporate the team concept in taking care of patients which includes the attending, students and nurses
Practice Based Learning
- Analyze the value of screening tests
- Gain a working knowledge of the admissions process
- Use the computerized medical record to gain access to needed patient information
System Based Practice
- Begin to understand the costs of tests ordered and how it will impact patient care
- Become aware of the costs of medications that are prescribed to patients
- Become aware of antibiotic resistance
Learning Resources
- Didactic Activities
- Interns are to attend: Medicine Attending Rounds every Monday, Wednesday, and Friday morning, Professor Rounds every Thursday morning, noon conference and 4 pm sign out rounds every weekday except clinic days, and Intern Morning Report every Thursday morning from 7:30-8:30. They will be expected to present a case in Intern Morning Report if their post-post-call day falls on a Thursday.
- Interns have access to Rodgers Library, which houses computers and reference books for medicine residents. In addition, UpToDate is available online hospital-wide.
- The interns’ best resources are each other and their upper-level residents; they are encouraged and expected to ask many questions and should feel free to admit ignorance.
Evaluations
- Faculty and resident colleagues are encouraged to provide direct verbal feedback so that resident performance can be commended or improved during the rotation
- Residents are evaluated via a Web-based evaluation system at MyEvaluations.com at the end of each rotation using a standardized evaluation form given to supervising MED attendings and upper-level residents. These evaluations are compiled for the resident's semi-annual review. Problems , , which appear to be of a more urgent nature, will be brought immediately to the attention of the resident and residency program director for discussion.
- Residents will receive a form at the end of each rotation via MyEvaluations.com soliciting feedback regarding the rotation, upper-level residents, and faculty. This information is shared anonymously and used for course/faculty improvement activities.
