SIU School of Medicine

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Division of General Internal Medicine

MMC General Medicine Team

CONTACT INFORMATION

Contact senior resident for your assigned team one day in advance of starting rotation.

Supervisor: Alan Deckard, MD
MMC – C402

Faculty: Alan Deckard, MD

EDUCATIONAL PURPOSE

Residents will develop their competency level in the following areas:

• Inpatient management of medical patients with acute illnesses
• General Medical Consultations on inpatients and outpatients
• Outpatient management of medical patients with acute and subacute illnesses

TEACHING METHODS

Residents:

Evaluate and manage patients admitted to the hospital with supervision by attending physician. Residents write initial H&P, daily orders, progress and procedure notes, and the discharge for each patient. Please refer to the Intern Guidelines for Ward Medicine document at the end of this session.

Conferences:

Monday Conference 12:00 Monday D229 Memorial
Grand Rounds 8:00 Tuesday MMC E-72 / Wedeberg Conference Center
Board Review 12:00 Wednesday SJH Bunn Auditorium
Ambulatory Conference 12:00 Thursday D228/D229/C401 Memorial
Journal Club 12:00 Friday D443 Memorial
Report 11:00* M, T, W, Thu SJH 8th Floor Conference Room (July – August)
D443 MMC (September – June)
* 11:30 Tuesdays (September – June)

Rounds:

Daily with attending physicians – per monthly schedule at MMC (see Sample Schedule). Morning rounds are 8:00-10:00 am. Check in rounds daily to person on call. Sign out rounds at 1:00 pm directly after noon conference, at the venue of noon conference.


MIX OF DISEASES, PATIENT CHARACTERISTICS AND TYPES OF CLINICAL ENCOUNTERS

Common Conditions/Inpatient:

Diabetic ketoacidosis Urinary stones
Chest pain Anemia
COPD Peritonitis
GI Bleeding Diverticular diseases
Stroke Fluid and electrolyte abnormalities
Congestive heart failure Hypovolemia
Abdominal pain Pneumonia
Jaundice COPY/Asthma
UTI/Pyelo HIV
Diagnosis and management of cancer Acute abdominal pain
Renal insufficiency Hypothyroidism

Common Conditions/Outpatient:

Upper respiratory infection Low back pain
Pneumonia Headache
COPD Edema
Asthma Nausea/vomiting
Chest pain/angina Diarrhea
Abdominal pain Urinary tract infection
Dyspepsia Congestive heart failure
Dermatitis Hypertension
Benign skin lesions Preoperative consultation

PROCEDURES

Paracentesis Central line placement
Thoracentesis Pap smear/pelvic examination
Joint aspiration Skin punch biopsy
Lumbar puncture Ventilator management
Bone marrow aspiration and biopsy Parenteral nutrition

SERVICES

• Inpatient management of medical patients with acute illnesses
• General Medical Consultations on inpatients and outpatients
• Outpatient management of medical patients with acute and subacute illnesses

READING LIST

Textbooks:

The Washington Manual
Harrison’s Principles of Internal Medicine
Hurst’s The Heart
Cecil’s Textbook of Medicine
Williams’ Hematology
Sanford’s Guide to Antimicrobial Therapy
Primary Care Medicine

Journals:

Annals of Internal Medicine
New England Journal of Medicine

PATHOLOGICAL MATERIAL

Reviewed on a case by case basis with attending physician and pathologist where appropriate to patient care.

METHOD OF EVALUATION

Faculty complete resident evaluation forms for each resident at the end of the rotation. Residents complete rotation and faculty evaluation forms t the end of rotation.

LEVEL OF SUPERVISION BY FACULTY

Residents with little experience in the skills needed will observe and practice physical exam skills under direct supervision of attending physicians, while those with more experience will work with patients in concert with attending physicians.

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