Intermediate Care Unit Rotation

PG-1 Transitional

 

Goals

 

  1. Increase proficiency in the performance of medical history and physical examination skills
  2. Increase proficiency in the formulation of differential diagnosis for patients and initiation of treatment in patients presenting with acute and subacute critical illness

 

Objectives

 

  1. Demonstrate performance a complete medical history and physical examination to an attending physician
  2. Perform a history and physical examination on each patient who presents to the Intermediate Care Unit Medical service
  3. Document a history and physical examination on each patient admitted to the medical service on Intermediate care.
  4. Discuss the differential diagnosis for each new problem on each patient on a daily basis with the attending rounder or surrogate
  5. Demonstrate a basic understanding of the following concepts:

a.                  Use of the mechanical ventilator – settings, indications

b.                  Acute respiratory failure

c.                  shock

  1. Deliver one oral presentation per week to the Intermediate Care Unit team about a topic related to current patient care
  2. Assist with performance of the following procedures performed by attending physician or physician assistant:

a.                  Central IV

b.                  Thoracentesis

c.                  Other procedures as directed by attending rounder

  1. Demonstrate the ability to perform the following procedures and document on procedure log:

a.                  peripheral IV insertion

b.                  NGT insertion

c.                  Radial artery ABG

d.                  phlebotomy

  1. Evaluate these goals and objectives, and make recommendations for changes at the end of the month

 

 

 

 

 

 

 

Schedule – Monday through Friday, and on two Sundays

 

7AM                   see patients

730 AM             round with team

930 AM             morning report

noon                   noon conference

??                       review chest xrays with attending MD

1-4 PM               write notes

4:30                   sign out

 

 

Evaluations

 

1.                  MiniCEX - 2

2.                  Monthly attending evaluation

3.                  PA evaluation

4.                  RN evaluation