Family Medicine Hospital Service

Rotation Goals and Objectives

  1. General Description
    1. Family Physicians care for hospitalized patients. The amount care provided by family physicians to hospitalized patients varies considerably. Thsi portion of the curriculum is desgned to provide the skill necessary to be a family physician with active practices in this area. This rotation is to enhance the longitudinal FMC experience undertaken.
    2. The resident will be supervised by senior residents and attending family physicians on a daily and continual basis. The resident will be responsible for the comprehensive and complete inpatient care of all patients assigned to them. This includes all orders and appropriate documentation. The resident will be responsible for ensuring seamless transitions of care at the beginning and end of each scheduled shift.
    3. The resident will be responsible to help lead the team of junior residents and medical students and manage this teaching service
    4. Residents are expected to follow their patients in the Family Medicine Center during this rotation unless otherwise notified.
    5. Level: PGY 1, 2, 3 and 4 years
    6. Location: Renown Regional Medical Center, Saint Mary’s Regional Medical Center.
    7. Duration: Four week blocks, one to three times per year.
    8. Work hour form submission is required at the completion of this rotation.
    9. Evaluation of Rotation
      1. The evaluation of the resident on this rotation will be done by the completion of an evaluation form by the attending physicians at the end of the rotation.
      2. The resident will fill out a rotation evaluation for at the end of the rotation.
      3. The resident's performance on the American Board of Family Medicine In-Training examination will also be used to assess knowledge in this area.
  2. Patient Care skills to be mastered
    1. Performance of complete history taking
    2. Performance of complete physical examination
    3. Provision of comprehensive care to hsopitalized adults and children
    4. The evaluation and treatment of common problems for which children, pregnant women and adults present
    5. Recognition of the role of the family and other psychosocial factors in the care of these patients.
    6. Develop an understanding of what consultative services are useful to a hospitalized patient
  3. Medical Knowledge skills to be mastered
    1. An increasing knowledge base to care for the breadth of patients that Family Physicians care for.
      1. Specific medical topics should be reviewed and learned on a daily basis based on the diagnoses and disorders of patients currently being seen.
  4. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and attending physician in the context of their patients.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics as directed by the attending physician.
      4. Information technology will be utilized as the practice implement their electronic health records.
      5. The resident will also be evaluated on the steps they took during the rotation to improve their shortcomings.
  5. Interpersonal and Communication Skills
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will observe and be observed, taught and evaluated in the performance of obtaining patient histories, documenting histories, writing prescriptions, educating patients about treatment plans and prognosis, teaching medical students and other learners, and interactions with patients, families, office staff and physicians.
  6. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The attending physician will observe and assess the resident’s sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural, age, and gender differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families and colleagues with respect, understanding, sympathy and honesty
  7. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, and insurer in the health care environment
      3. The resident will gain an increasing understanding in the role of the hospital in the health care environment.
      4. Through the coordination of care for the hospitalized patients, the resident will become aware of the breadth of available resources in our community as well as to the limitations of the resources in our community. In this regard, the resident will be expected to work very closely with social workers and hospital case coordinators to assist in providing the best care available to our patients.

Updated: May 2, 2018 by Richard D. Williams, MD