SIU School of Medicine

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Division of General Internal Medicine

SJH Hospitalist Service

CONTACT INFORMATION

Contact the Senior Resident for your assigned team one day before your rotation starts.

Supervisor:
Christine Todd, MD

Nurses:
Annette 544-6464 x 44007
Audra 544-6464 x 44001

EDUCATIONAL PURPOSE

In this rotation, residents will improve their competency level in the management of inpatients. This will include not only patients from the SIU clinic, but patients admitted to the hosptialist service. Communication and continuity skills will be stressed, in addition to issues revolving around patient management.

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 section.

Conferences

Monday Conference 1200 Mon D229 Memorial
Grand Rounds 0800 Tue MMC E-72/Wedeberg Conference Center
Board Review 1200 Wed SJH Bunn Aud
Ambulatory Conference 1200 Thur D228/D229/C401 Memorial
Journal Club 1200 Fri D443 Memorial
Report 1100*
(11:30 T
Sept – June) M, T, W, Th
SJH 8th Floor Conf. Room (July – August)
D443 MMC (Sept – June)

Rounds:

M,W,Th,Fr 0830 Daily morning report, 8S conference room
Tuesdays, 0800 Grand Rounds, 0900 Daily morning reports, 8S conference room
M,W,Th,F 1045 Sign out rounds, 8S conference room
Tuesdays 1130 sign out rounds, 8S conference room
MIX OF DISEASES, PATIENT CHARACTERISTCS and TYPES OF CLINICAL ENCOUNTERS

Hospitalist Core Diseases

Acute Coronary Syndrome
Acute Renal Failure
EtOH/Drug Withdrawl
Cardiac Dysrhymias
Cellulitis
Stroke
COPD
Pneumonia
Delerium
GI Bleed
CHF
DKA
Perioperative Evaluations
Sepsis
UTI
DVT/PE

Hospitalist Core Systems Issues

Family Meetings
QI
Equitable Allocations of Resources
Ethics
Evidence Based Medicine
Leadership
Palliative Care
Patient Education
Patient Safety
Adverse Drug Reactions
Professionalism
Interdisciplinary Care
Discharge Planning

PROCEDURES

Thoracentesis
Chest X ray interp
EKG interp
Paracentesis
LP
Venous Access

SERVICES

The Hospitalist service offers inpatient care and consultative care for inpatients. We admit patients from the SIU roster, usassigned patients from the ER, transfer patients from outlying hospitals and patients cared for by Springfield community physicians.

READING LIST

Hospital Medicine, Wachter et al.
Cecil’s Textbook of Medicine
Harrison’s Textbook of Medicine
New England Journal of Medicine
Annals of Internal Medicine

PATHOLOGIC MATERIAL

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

OTHER EDUCATIONAL RESOURCES

Up To Date online service
Patient Case Conference with Billing and Coding Staff, Monthly

METHOD OF EVALUATION

Resident evaluation by standard performance evaluation form, direct observation, and written examination. Resident feedback by written evaluation and face-to-face meeting. Program and faculty evaluation by standard performance evaluation form.

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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