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Clinical Expectations / Team Designs

Clinical Expectations / Team Designs. Kendall Rogers. What are you wondering about?. Dealing with other services, disputes Gold/Silver Team Structures, admitting cycles, Supervision and mid-level roles Attending responsibilities, PALS . Progression. Initial Clinical FTE

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Clinical Expectations / Team Designs

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  1. Clinical Expectations / Team Designs Kendall Rogers

  2. What are you wondering about? • Dealing with other services, disputes • Gold/Silver • Team Structures, admitting cycles, • Supervision and mid-level roles • Attending responsibilities, PALS

  3. Progression • Initial Clinical FTE • Adding Quality FTE • Adding Education FTE

  4. Vacation • If you are .7 to .85 clinical, vacation is built into your schedule – you must take 21 days during the year unless you make arrangements for more clinical

  5. Supervising • Medical Student Oversight • Sub-Interns • Resident Oversight • Call Day • Procedures • Special Trainees • Mid-Level Oversight

  6. Resident Teams • Call Cycle • Team Structures

  7. Attending’s Role on the Wards • Coach • Mentor • Educator

  8. PALS Calls • Service to the state/Use it yourself! • Establish what service cannot be done there • Confirm with specialists • Ensure appropriate service and level of care • Ask for agreement to accept patient back • Calling back on day of transfer • Transfers due to patient preference • Sometimes just calling for advice

  9. Rounding Day Structure • Starting time • Running list with CM • Rounds • Educational Sessions • When resident/intern is off • Covering patients • Checking out to OCD

  10. Tips on Wards • Learn who you need to know • Call other attendings for recs • Transfers should be attending to attending

  11. Call Days • Being available • Get involved when overwhelmed • Take student and do admission • Day Call – round in evening • Night Call – rounds at 6:30

  12. Documentation and Coding • Turn in coded patient list each day • H&Ps and DC Summaries should be signed within 48 hrs, be sure residents finalize them • Progress notes should be signed within 24 hrs • MRANs should be done on all patients unless dictated by upper level resident

  13. Courses for the Wards • TED Workshops • How People Learn • How to Be an Effective Inpatient Attending • Constructive Feedback: Developing Skills & Overcoming Barriers • Teaching on the Wards: Strategies for Success • Other Courses • PBL Facilitation Education (Tutor Training) • The Art of Lecturing & Making Presentations

  14. Resident Expectations • R3 • R2 • R1

  15. Student Expectations • Phase II • Sub-Intern

  16. Evaluations • Medical Students • Residents • Your evaluations

  17. Service Agreements • Find them on the wiki, help to decide where patients should be admitted

  18. Gold/Silver Team • Admitting Times • Caps • Overflow

  19. Process Improvement • Stop and fix things • Make a list

  20. Wiki and Online

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