Rotation Goals and Objectives

  1. General Description
    1. Family Physicians commonly care for patients with gastrointestinal complaints and disorders. Family Physicians actual practices may vary to the extent that they provide care and procedural options for their patients. This portion of the curriculum is designed to provide residents with the skills and expertise expected of family physicians with active practices involving this area. This rotation will provide a concentrated experience in the care of patients with gastrointestinal disorders and will be the intensive experience in this area.
    2. The resident will be precepted by a faculty member specializing in Gastroenterology. The resident will work alongside the gastroenterologist. The resident will be on a one to one basis with the gastroenterologist so didactic material is delivered to the resident on an informal basis throughout the rotation. The resident is expected to keep a log of procedures performed. Assigned readings are also a part of the learning process.
    3. Residents are expected to follow their patients in the Family Medicine Center during this rotation.
    4. Level - PGY 2, 3 and 4 year
    5. Location - GI is both an office based rotation in the office of faculty gastroenterologists on staff at Renown Regional Medical Center and St. Mary's Regional Medical Center. There will also be experience seeing patients with the gastroenterologist at both hospitals.
    6. Duration - one 2 week block
    7. GI is a full time rotation.
    8. Four half days per week will be spent in the Family Medicine Center
    9. Participation in the Family Medicine call pool is required during this rotation
    10. Work hour form submission is required at the completion of this rotation during work hour submission months.
    11. 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 knowledge, skills and competencies acquired during this rotation will be evaluated by a Family Medicine attending as the resident provides care to patients in the Family Medicine Center.
      4. 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 history taking for patients with gastrointestinal complaints and disorders
    2. Performance of complete physical examination for patients with gastrointestinal complaints and disorders
    3. The evaluation and treatment of common gastrointestinal disorders including gastro-esophageal reflux disease, dyspepsia, ulcer disease, diarrhea, constipation, inflammatory bowel disease, irritable bowel syndrome, hemorrhoidal disease, gastrointestinal bleeding, gastrointestinal cancers, biliary tract disease, liver disease
    4. Develop an understanding of the utility of consultative services for gastrointestinal patients.
    5. Develop an understanding of what multidisciplinary services are useful to gastrointestinal patients
  3. Medical Knowledge skills to be mastered
    1. An increasing knowledge base to care for the breadth of disorders of gastrointestinal patients will be achieved. Specific topics to be mastered include:
      1. Screening recommendations for gastrointestinal diseases-especially colon cancer
      2. The normal anatomy and physiology of the gastrointestinal system
      3. An understanding of the Pathophysiology, presentation, physical findings, laboratory findings and treatments of the common GI disorders listed above.
  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 with the hospitals implementation of their electronic health record
      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 and orders, educating patients and families about treatment plans and prognosis, and interactions with patients, families, support 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 become aware of the available resources in our community as well as to the limitations of the resources in our community that our available to patients with gastrointestinal disorders.

Revision: May 5, 2018 by Richard D. Williams, MD