Jay Vithalani MD PGY2.

95
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Welcome to
FM INPT
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Schedule

 6a-630p

 Come on time!

 8 patients per intern

 Rounds start 9a-930a

 Inter-disciplinary rounds

 Afternoon teachings

 Admissions
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Rounds

 Bedside rounds

 Bedside orders

 Nursing communication

 Closed loop communication

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Consults

 Send out consults early!

 Be polite

 Introduce yourself – name the attending.

 Reason and room number

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Notes

 Note Types

 Resident Notes
 Introductory statement

 E

 S

 P

 Note completion requirements

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Notes example

 Introductory statement: 65yo male admitted for community

acquired pneumonia in context of hx of ____

 #Sepsis/severe sepsis

 #Pneumonia: Likely community acquired

 Stable. CXR with RLL infiltrate. No fevers. WBC improving.

 Continue Ceftriaxone and Azithromycin – day __. Continue IVF.

Follow up on blood and sputum cx. Monitor VS.
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Admissions

 Admission note

 Basic admission requirements

 Don’t be afraid to call a senior/attending!

 Admission numbers
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Discharge planning

 Start discharge note on day of accepting new patient.

 Edit discharge note at least every 1-2 days.

 Participate in inter-disciplinary rounds.

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24 hour shifts

 Be prepared!

 Take rest when able.

 If not comfortable, talk to senior!

 Be efficient.

 What to expect? Admissions and floor calls.

 Familiarize yourself with PerfectServe in advance.

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 USE YOUR RESOURCES!

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 THANK YOU!