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Ward Objectives

Page history last edited by Kendall Rogers 10 years, 1 month ago

Introduction

 

The University of New Mexico Department Of Internal Medicine is dedicated to providing an excellent education for its resident physicians.  Each graduate of this training program should possess the knowledge and skills to practice as a general internist in both the inpatient and ambulatory settings.  Graduates should also have the necessary foundations to enter a fellowship program and/or academic medicine.   In order to achieve these goals, the Department has set the following objectives:

 

Program Goals and Objectives

 

Each resident will acquire competence in the six areas listed below to the level expected of a new practitioner.  The program will define the specific knowledge, skills, behaviors, and attitudes required, and will provide educational experiences as needed in order for residents to demonstrate the following:

1.         Deliver patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health;

2.         Possess medical knowledge about established and evolving biomedical, clinical, and cognate sciences, as well as the application of this knowledge to patient care;

3.         Develop practice-based learning and improvement that involves the investigation and evaluation of care for their patients, the appraisal and assimilation of scientific evidence, and improvements in patient care;

4.         Employ interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and other health professionals;

5.         Demonstrate professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to patients of diverse backgrounds;

6.         Develop systems-based practice, as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.

 

The purpose of this curriculum is to provide a resource guide for residents in Internal Medicine.  The individual rotation curricula include lists of goals and objectives that should guide the resident in the learning process during the rotation.  Expectations for supervision and evaluation are included as well as a reading list.  For residents who are looking to expand their knowledge base in a particular area, the curricula will provide a guide to the important diagnostic and management skills needed by the general internist.

 

There are several important aspects of medicine for which no individual rotation exists.  A reading list for each of these areas is provided in Appendix A.  These include:

Clinical epidemiology

Preventive medicine and health promotion

Medical humanities, ethics, and legal issues

Cultural and community health and individual stress

 

Educational Goals and Objectives of the UNM Internal Medicine Program with Respect To the ABIM Competencies for the Major Required Rotations

 

INPATIENT MEDICINE

 

R1 year:

1.         Patient Care

            Interns should be able to independently gather data and obtain a complete history and physical exam for each patient, formulate a problem list with appropriate diagnostic and treatment plans for each problem with the supervision of their resident.

2.         Medical Knowledge

            Interns must be able to utilize the knowledge they attained in medical school to accomplish appropriate patient care of their hospitalized patients with respect to common medical problems.

3.         Practice-Based Learning and Improvement

            Interns must demonstrate the ability to evaluate their patient care, incorporate feedback of their resident and mentors to improve their patient care.  In order to appropriately assess the efficacy of their care for inpatients, they are expected to learn from autopsies, M&M conferences, and CPC on specific patients.

4.         Interpersonal and Communication Skills

            Interns, as the primary caregiver for the inpatient, must be able to demonstrate effective communication with the patient, the patient’s family, and with other healthcare professionals involved in their patients’ care. 

5.         Professionalism

            Interns, in the inpatient setting, must demonstrate high ethical principles and cultural sensitivity.  They must be attentive to specific intern expectations such as promptness in history and physical dictation as well as timely dictation of discharge summaries.

6.         Systems-Based Practice

            Interns must demonstrate that they can effectively coordinate resources in the system to provide optimal care for their patients, such as appropriate and timely interaction with discharge planners, social workers, and community resources in order to establish appropriate discharge for their patients.

 

R2 Year:

            R2s in the inpatient setting must be able to demonstrate the above competencies of the intern, as well as:

1.         Patient Care

            Demonstrate skills in leadership and supervision of interns who are providing the primary care for inpatients, and be able to coordinate the activities of several interns and medical students in an effort to maximize the treatment of inpatient problems and promotion of health.

2.         Medical Knowledge

            Second year residents in the inpatient setting must demonstrate the ability to understand more complex medical problems and a more sophisticated utilization of their medical knowledge in the care of their patients.  Additionally, they must be able to assess the literature and provide evidence-based medical knowledge for the treatment of inpatients.

3.         Practice-Based Learning and Improvement

            Second year residents must be able to demonstrate that they are able to apply medical knowledge not only to the treatment of a small group of patients but to the large team patients which they oversee, and be able to access medical literature in order to do so.

4.         Interpersonal and Communication Skills

            R2s must be able to demonstrate not only effective communication skills with patients and their families, but be able to interact with other services that require consultation for their patients or evaluation of patients for transfer to medicine.  They must also be able to interact effectively with the attending of record.

5.         Professionalism

            Second year residents must model a high level of professionalism, including ethical principles and sensitivity to diverse patients, for the team.  They must demonstrate professionalism in interacting with other healthcare professionals, both within the internal medicine service and on other services.

6.         Systems-Based Practice

            R2s must be able to effectively coordinate discharge planning for their inpatient medical team.

 

R3 Year:

The competencies as presented for second year residents should be achieved as stated above; as well, third year residents are expected to demonstrate a deeper base of medical knowledge and application to patient care.  R3s should be able to perform more independently than R2s, referable to patient care, medical knowledge, practice-based learning, and systems-based learning.  Finally, R3s in the inpatient setting are expected to function as arbitrators among medical services as to transfer within the Department of Medicine or transfer from other services to the Internal Medicine team.  They are also expected to advise on the appropriateness of admissions from the emergency department as well as ambulatory care clinics.

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