The majority of the fellows time is spent sharing in the care of the medical inpatients on the Hospitalist Service. This includes the attending physicians and nurse practitioners who comprise the Hospitalist team. The Fellow will also be involved in the Family Medicine Residency Program's Internal Medicine Teaching Service.
The fellow will sharpen his/her teaching skills and learn to manage hospitalized patients in the context of a resident teaching service. Responsibilities will include: clinical education and supervision of house-staff, oversee all clinical and teaching activities during the rotation, and evaluate and provide feedback to residents and medical students.
One Month will be spent managing critically ill patients under the supervision of a board certified intensivist. During this time, the fellow will become experienced and competent in ventilator management and performing procedures including CVC lines, chest tubes, arterial lines, endotracheal incubation, etc.
For one full month the fellow will work one-on-one with dedicated cardiologists. The fellow's duties will include evaluation and treatment of new admissions and consults to the cardiology team, including patients in the emergency room. Time will also be set aside for EKG interpretation as well as discussion of common cardiac conditions including CHF, cardiac arrhythmia's, and acute coronary syndrome.
The final two months can be used on elective inpatient rotations including Neurology, Nephrology consults, Radiology and diagnostic evaluation, Gastroenterology, Infections Diseases, Palliative Care, Pain Management, and Pulmonology. All electives will be supervised by board certified specialists in each of the rotations offered.
Fellows will participate in an independent study program of selected topics in internal medicine. One hour of One-on-one didactic instruction on core material will be provided by faculty members of the Hospitalist team on a regular basis. Fellows will lead and participate in daily case rounds presented by the residents. The fellow will be responsible for presenting one journal review per month during the monthly Hospitalist meeting. Each fellow will complete a scholarly project related to hospital medicine. This may include presentation of a clinical case (Grand Rounds), a curriculum development project, a patient safety or quality improvement project, etc. In addition, one Family Medicine Morning Report meeting each month will be supervised. Weekly Grand rounds each Teusday afternoon are mandatory.
Fellows will participate in several committees. Examples include: patient safety committee, continuous process improvement committee, pharmacy and therapeutics committee, ethics committee, Critical Care Committee, etc.
Fellows would have the opportunity to identify with the lifestyle and practice of a nocturnist. Each fellow will take part in one month of academic year nocturnist responsibility. Hours of this service will be 7pm-7am.
A special outpatient clinic day once weekly for 5 hours has been established for the care of our hospitalist patients who do not have a primary care physician in the community. This weekly clinic day will ensure all hospitalist discharged patients have the appropriate follow up care, as well as the continuity of care and reinforcement of outpatient medical understanding that is vital to hospitalist physicians education and training. This clinic is located in our Family Medicine center and is associated with our Family Practice Residency program. The fellow will be overseen by one of our staff attending Physicians each week.