Location: Inpatient - General Medical
Floors, Intensive Care Units
Outpatient - Ambulatory Care Clinics, Private Offices
ACLS - American Heart
Association
Faculty: Generalists
and Specialty Faculty
Peers
(i.e. upper level residents)
Other Health Personnel
(i.e. nursing)
Schedule:
Days N/A
Nights N/A
Links to Curricular Area: General Internal
Medicine, Critical Care Medicine, Pulmonary Medicine, Cardiology,
Gastroenterology, Neurology, Hematology/Oncology, Nephrology,
Rheumatology, Dermatology, Ambulatory Care Clinic, Ambulatory
Medicine Rotation, Mortality and Morbidity Conference and Rheumatology.
Primary Goals: Residents will learn the indications,
contraindications and complications of procedural skills used
commonly in the practice of General Internal Medicine. They will
demonstrate competence in the performance of these procedures
and in the interpretation of electrocardiograms.
Resources: Critical Care Medicine Manual, Clinicians
Pocket Reference, UTMCK Graduate Medical Education (use of
audiovisuals and teaching mannequins), New Innovations software,
prepared educational packets from various specialties.
Method of Resident Evaluation: The attending
physician will be responsible for supervision and evaluation of
the procedure performance. The attending physician must certify
procedures utilizing New Innovations software before they will
be entered into the resident’s procedure log. Residents
will be required to perform a minimum number of procedures under
direct supervision of a qualified supervisor. When they have demonstrated
competency, they will be allowed to supervise others who are performing
the procedure. The resident’s procedure log will be maintained
in file form in the Department of Medicine and will be available
for resident or attending review.
Method of Venue Evaluation: The resident will
complete a survey at the end of the PGY-2 year addressing availability
of procedures, adequacy of instruction and feedback. They will
have the opportunity to make suggestions for change.
Feedback: The attending physician will be responsible
for providing feedback to the resident immediately following the
procedure.
Other: Each skill must be supervised by
the appropriate attending physician and/or a resident who has
been certified to supervise the procedural skill. A procedural
note should be formulated using Procedure Recorder software or
New Innovations whenever possible. This data is transmitted to
the Department of Medicine and placed in the individual’s
procedure file. For other procedures, a note should be dictated
with description of the procedure performed, indications, attending
physician name and date. A copy of this note should be sent to
the Department of Medicine. All complications should be addressed
with the attending physician and significant complications should
be included for discussion in the morbidity and mortality conference.
Residents will demonstrate
competence in the interpretation of electrocardiograms by successfully
completing the assigned packets during the cardiology rotation.
Advanced Cardiac Life Support certification will document competence
in critical life saving procedures.
The University of Tennessee Graduate School of Medicine Department of Medicine
