Fourth year course information by site
8210 - Acting Internship: Family Medicine - Henry Ford Health Service
Required for Year 4.
Objectives:
I. Communication Skills - Interns play a key role in communicating aspects of patient care to patients, families and healthcare providers. A. Communicate effectively with patients and family members B. Recognize verbal and non-verbal clues of a patients' mental and physical health. C. Summarize for the patient and/or family the reason for admission and rationale for clinical plan. D. Initiate a conversation with a patient about advance directives. E. Demonstrate the ability to clearly and concisely present oral and written patient summaries to members of the health care team.
II. Coordination of Care - Interns play a central role in coordinating patient care. This involves communication between the patient and his/her family, colleagues, and other hospital personnel. Appropriate; management and coordination is essential to ensure optimal patient care. A. Prioritize tasks for daily patient care in order to effectively utilize time. B. Appropriately utilize consultants C. Effectively coordinate with physician and non-physician members of the health care team D. Identify on-call housestaff and cross-coverage schedules among housestaff E. Communicate oral and written transfer of patient care responsibilities to other housestaff F. Demonstrate proficiency in coordinating a comprehensive, longitudinal patient care plan. G Communicate the plan with outpatient health care provider; arranging for follow-up when appropriate. H. Coordinate care plan utilizing community resources when necessary.
III. Information Management - Interns face an extraordinary challenge in managing large amounts of clinical information relevant to a patients hospital admission. Accurate and timely acquisition, documentation and transfer of clinical information are necessary for safe and efficient hospital practice. A. Be able to access the clinical information system in use at their hospital. B. Understand how panic values are communicated from the hospital laboratory to the responsible team member C. Use a systematic method to track clinical/laboratory/radiologic data. D. Be aware of patient confidentiality regulations governing medical records and clinical information. E. Understand the importance of precision and clarity when prescribing medications. F. Document in an organized and efficient manner G. Use electronic or paper reference to access evident based medicine to solve clinical problems
IV. Procedures - The subinternship presents an opportunity to gain experience with procedures that are commonly performed by interns and residents. The subintern should be able to: A. Describe indications, contraindications, risks and benefits of each of the following procedures: Venipuncture, Intravenous catheter insertion, Intravenous catheter insertion, Arterial blood sampling, Nasogastric tube placement, Lumbar puncture, Urethral catheter insertion, Intramuscular and subcutaneous injections, Bag and Mask placement and utilization, Other procedures that are service appropriate B. Recognize clinical situations where one or more procedures are indicated. C. Effectively explain the rational, risks and benefits for the procedure in language that is understandable by the patient and/or his/her family. D. Obtain and document informed consent, if necessary E. Recognize limitations of skill or proficiency in performing one of the above procedures. F. Recognize potential procedure related risks for the operator and the need for universal precautions. G. Personally perform, with direct supervision, the above procedures, when possible. H. Write a procedure note. I. Ensure that samples obtained are properly prepared for laboratory processing. J. Teach procedure skills to a third year medical student, when appropriate.
Recommended Reading Material: To be provided
Length: 1 Month
Evaluation: Written
Category: Acting Internship
EMR System: EPIC
8210 - Acting Internship: Family Medicine - Beaumont Wayne
Required for Year 4.
Objectives:
I. Communication Skills - Interns play a key role in communicating aspects of patient care to patients, families and healthcare providers. A. Communicate effectively with patients and family members B. Recognize verbal and non-verbal clues of a patients' mental and physical health. C. Summarize for the patient and/or family the reason for admission and rationale for clinical plan. D. Initiate a conversation with a patient about advance directives. E. Demonstrate the ability to clearly and concisely present oral and written patient summaries to members of the health care team.
II. Coordination of Care - Interns play a central role in coordinating patient care. This involves communication between the patient and his/her family, colleagues, and other hospital personnel. Appropriate; management and coordination is essential to ensure optimal patient care. A. Prioritize tasks for daily patient care in order to effectively utilize time. B. Appropriately utilize consultants C. Effectively coordinate with physician and non-physician members of the health care team D. Identify on-call housestaff and cross-coverage schedules among housestaff E. Communicate oral and written transfer of patient care responsibilities to other housestaff F. Demonstrate proficiency in coordinating a comprehensive, longitudinal patient care plan. G Communicate the plan with outpatient health care provider; arranging for follow-up when appropriate. H. Coordinate care plan utilizing community resources when necessary.
III. Information Management - Interns face an extraordinary challenge in managing large amounts of clinical information relevant to a patients hospital admission. Accurate and timely acquisition, documentation and transfer of clinical information are necessary for safe and efficient hospital practice. A. Be able to access the clinical information system in use at their hospital. B. Understand how panic values are communicated from the hospital laboratory to the responsible team member C. Use a systematic method to track clinical/laboratory/radiologic data. D. Be aware of patient confidentiality regulations governing medical records and clinical information. E. Understand the importance of precision and clarity when prescribing medications. F. Document in an organized and efficient manner G. Use electronic or paper reference to access evident based medicine to solve clinical problems
IV. Procedures - The subinternship presents an opportunity to gain experience with procedures that are commonly performed by interns and residents. The subintern should be able to: A. Describe indications, contraindications, risks and benefits of each of the following procedures: Venipuncture, Intravenous catheter insertion, Intravenous catheter insertion, Arterial blood sampling, Nasogastric tube placement, Lumbar puncture, Urethral catheter insertion, Intramuscular and subcutaneous injections, Bag and Mask placement and utilization, Other procedures that are service appropriate B. Recognize clinical situations where one or more procedures are indicated. C. Effectively explain the rational, risks and benefits for the procedure in language that is understandable by the patient and/or his/her family. D. Obtain and document informed consent, if necessary E. Recognize limitations of skill or proficiency in performing one of the above procedures. F. Recognize potential procedure related risks for the operator and the need for universal precautions. G. Personally perform, with direct supervision, the above procedures, when possible. H. Write a procedure note. I. Ensure that samples obtained are properly prepared for laboratory processing. J. Teach procedure skills to a third year medical student, when appropriate.
Recommended Reading Material: To be provided
Length: 1 Month
Evaluation: Written
Category: Acting Internship
EMR System: Hospital Dependent
8210 - Acting Internship: Family Medicine - St Mary Mercy Hospital/Livonia
Required for Year 4.
Objectives:
I. Communication Skills - Interns play a key role in communicating aspects of patient care to patients, families and healthcare providers. A. Communicate effectively with patients and family members B. Recognize verbal and non-verbal clues of a patients' mental and physical health. C. Summarize for the patient and/or family the reason for admission and rationale for clinical plan. D. Initiate a conversation with a patient about advance directives. E. Demonstrate the ability to clearly and concisely present oral and written patient summaries to members of the health care team.
II. Coordination of Care - Interns play a central role in coordinating patient care. This involves communication between the patient and his/her family, colleagues, and other hospital personnel. Appropriate; management and coordination is essential to ensure optimal patient care. A. Prioritize tasks for daily patient care in order to effectively utilize time. B. Appropriately utilize consultants C. Effectively coordinate with physician and non-physician members of the health care team D. Identify on-call housestaff and cross-coverage schedules among housestaff E. Communicate oral and written transfer of patient care responsibilities to other housestaff F. Demonstrate proficiency in coordinating a comprehensive, longitudinal patient care plan. G Communicate the plan with outpatient health care provider; arranging for follow-up when appropriate. H. Coordinate care plan utilizing community resources when necessary.
III. Information Management - Interns face an extraordinary challenge in managing large amounts of clinical information relevant to a patients hospital admission. Accurate and timely acquisition, documentation and transfer of clinical information are necessary for safe and efficient hospital practice. A. Be able to access the clinical information system in use at their hospital. B. Understand how panic values are communicated from the hospital laboratory to the responsible team member C. Use a systematic method to track clinical/laboratory/radiologic data. D. Be aware of patient confidentiality regulations governing medical records and clinical information. E. Understand the importance of precision and clarity when prescribing medications. F. Document in an organized and efficient manner G. Use electronic or paper reference to access evident based medicine to solve clinical problems
IV. Procedures - The subinternship presents an opportunity to gain experience with procedures that are commonly performed by interns and residents. The subintern should be able to: A. Describe indications, contraindications, risks and benefits of each of the following procedures: Venipuncture, Intravenous catheter insertion, Intravenous catheter insertion, Arterial blood sampling, Nasogastric tube placement, Lumbar puncture, Urethral catheter insertion, Intramuscular and subcutaneous injections, Bag and Mask placement and utilization, Other procedures that are service appropriate B. Recognize clinical situations where one or more procedures are indicated. C. Effectively explain the rational, risks and benefits for the procedure in language that is understandable by the patient and/or his/her family. D. Obtain and document informed consent, if necessary E. Recognize limitations of skill or proficiency in performing one of the above procedures. F. Recognize potential procedure related risks for the operator and the need for universal precautions. G. Personally perform, with direct supervision, the above procedures, when possible. H. Write a procedure note. I. Ensure that samples obtained are properly prepared for laboratory processing. J. Teach procedure skills to a third year medical student, when appropriate.
Recommended Reading Material: To be provided
Length: 1 Month
Evaluation: Written
Category: Acting Internship
EMR System: EPIC
8210 - Acting Internship: Family Medicine - Crittenton Hospital
Required for Year 4.
Objectives:
I. Communication Skills - Interns play a key role in communicating aspects of patient care to patients, families and healthcare providers. A. Communicate effectively with patients and family members B. Recognize verbal and non-verbal clues of a patients' mental and physical health. C. Summarize for the patient and/or family the reason for admission and rationale for clinical plan. D. Initiate a conversation with a patient about advance directives. E. Demonstrate the ability to clearly and concisely present oral and written patient summaries to members of the health care team.
II. Coordination of Care - Interns play a central role in coordinating patient care. This involves communication between the patient and his/her family, colleagues, and other hospital personnel. Appropriate; management and coordination is essential to ensure optimal patient care. A. Prioritize tasks for daily patient care in order to effectively utilize time. B. Appropriately utilize consultants C. Effectively coordinate with physician and non-physician members of the health care team D. Identify on-call housestaff and cross-coverage schedules among housestaff E. Communicate oral and written transfer of patient care responsibilities to other housestaff F. Demonstrate proficiency in coordinating a comprehensive, longitudinal patient care plan. G Communicate the plan with outpatient health care provider; arranging for follow-up when appropriate. H. Coordinate care plan utilizing community resources when necessary.
III. Information Management - Interns face an extraordinary challenge in managing large amounts of clinical information relevant to a patients hospital admission. Accurate and timely acquisition, documentation and transfer of clinical information are necessary for safe and efficient hospital practice. A. Be able to access the clinical information system in use at their hospital. B. Understand how panic values are communicated from the hospital laboratory to the responsible team member C. Use a systematic method to track clinical/laboratory/radiologic data. D. Be aware of patient confidentiality regulations governing medical records and clinical information. E. Understand the importance of precision and clarity when prescribing medications. F. Document in an organized and efficient manner G. Use electronic or paper reference to access evident based medicine to solve clinical problems
IV. Procedures - The subinternship presents an opportunity to gain experience with procedures that are commonly performed by interns and residents. The subintern should be able to: A. Describe indications, contraindications, risks and benefits of each of the following procedures: Venipuncture, Intravenous catheter insertion, Intravenous catheter insertion, Arterial blood sampling, Nasogastric tube placement, Lumbar puncture, Urethral catheter insertion, Intramuscular and subcutaneous injections, Bag and Mask placement and utilization, Other procedures that are service appropriate B. Recognize clinical situations where one or more procedures are indicated. C. Effectively explain the rational, risks and benefits for the procedure in language that is understandable by the patient and/or his/her family. D. Obtain and document informed consent, if necessary E. Recognize limitations of skill or proficiency in performing one of the above procedures. F. Recognize potential procedure related risks for the operator and the need for universal precautions. G. Personally perform, with direct supervision, the above procedures, when possible. H. Write a procedure note. I. Ensure that samples obtained are properly prepared for laboratory processing. J. Teach procedure skills to a third year medical student, when appropriate.
Recommended Reading Material: To be provided
Length: 1 Month
Evaluation: Written
Category: Acting Internship
EMR System: Hospital Dependent