VCU Internal Medicine Training Program
Urgent Care in the ACC Resident Clinic
Revision Date:6/30/09
Revised by: Chris Hayes, MD, MS
Learning Objectives
How Learning Objectives are Met
Required Reading/Resources
Expectations
Evaluation
Contact
Resident Schedule
Printable version of the Urgent Care curriculum (pdf)
Learning Objectives
At the end of the rotation, residents will be able to:
- Patient Care:
- Provide urgent care in the ambulatory setting
- Identify emergent versus non-emergent medical conditions and implement an appropriate plan of care in the ambulatory setting
- Order appropriate laboratory, radiographic and other studies as indicated to provide appropriate management and diagnostic testing in the ambulatory setting
- Medical Knowledge:
- Recognize and be able to compile a differential diagnosis and appropriately manage common complaints and presentations in the ambulatory care setting
- Learn to interpret laboratories and radiographic studies in a clinical setting
- Practice-Based Learning and Improvement:
- Utilize available resources to make timely and appropriate diagnostic and management decisions in the emergency room setting
- Implement focused exams and appropriate triage of acute medical problems in the ambulatory setting
- Interpersonal and Communication Skills:
- Efficiently communicate and utilize consultative services for appropriate and complete patient care
- Effectively communicate medical problems, interventions and therapies to patients and their families to increase awareness and compliance
- Professionalism:
- Demonstrate respect and compassion through interactions with colleagues, patients and their families
- Clearly communicate clinical questions, medical problems and interventions to consultation services to facilitate continuity of patient care
- Systems-Based Practice:
- Become familiar with primary care career options and systems-based practice in a clinic setting
- Learn to effectively communicate with consultative, in-patient and ambulatory services to provide focused and appropriate care
How Learning Objectives are met:
- Supervision of focused history and physical examinations to facilitate efficient care and management of patients in the ambulatory setting
- Attending-facilitated discussions with residents regarding patient presentation and management issues to provide proficiency in differential diagnosis and management of acute and chronic medical problems
Required Reading/Resources:
- JAMA Rational Clinical Exam Series
- General Internal Medicine Board Review
- Telephone Medicine
Forms
- Primary Care on-call telephone log sheet (pdf)
- Primary Care on-call telephone log sheet (MS Word, editable fields in gray)
- ACGME Telephone Triage Checklist
- Primary Care On-Call Guidelines
Expectations:
- ACC Urgent PGY-3 Guidelines (pdf)
- Attendance and punctuality for all patient care activities
- Completion of patient documentation prior to end of shift
- Discuss presentation and proposed management of every patient evaluated with an ACC Ambulatory Care Attending
- Evaluate patients triaged and referred from the Emergency Room for acute issues that do not require hospital admission
Evaluation:
- Residents will be evaluated by Attendings on www.newinnov.com
Contact:
- Contact: Dr. Bennett Lee
Title: Assistant Professor, Division of General Medicine
Phone: 828-5162
Pager: 3449
Email: blee3@mcvh-vcu.edu
Resident schedule:
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
|
| AM | Faculty Urgent | Faculty Urgent | Faculty Urgent | Faculty Urgent | Faculty Urgent |
| PM | Resident Urgent | Resident Urgent/ Core Lecture |
Resident Urgent | Resident Urgent | Resident Urgent |
Residents are required to continue to attend their regularly scheduled continuity clinic |
|||||
- Continuity Clinics During the Urgent Care Month
- Residents will continue to have their regularly scheduled continuity clinic during the Urgent Care Block
- Morning Session
- Residents will rotate on the Faculty side of the ACC Primary Care Clinic
- Appointments will be 30 minutes in length with clinic time from 9:00AM to Noon
- In general they should present to Attendings on the faculty side
- Afternoon Session
- Residents will rotate on the Resident side of the ACC Primary Care Clinic
- Appointments will be 30 minutes in length with clinic time from 1:00PM to 4:00PM
- Patients will be presented to the Resident side Attendings
- The 1:00PM and 3:00PM Appointments will be reserved for patient referred from the Emergency Room/Medical Admitting Resident for Primary Care Clinic Follow Up. The Triage Nursing Staff will be notified by phone of all ER referrals. Pertinent documentation from the ER will be FAXED to the Triage Nurses Station
- The Urgent Resident will be responsible for completing Narcotic refills on a daily basis based on the new ACC Primary Care Narcotics Policy and med refill program. All charts for patients with a medicine refill appointment will be pulled by the filing staff two days prior to their appointment. The Urgent Resident will write a one-month prescription for the appropriate narcotic based on the Pain Management Medication Flow Sheet. The medical records, signed prescriptions will then be locked by pharmacy and distributed in a medicine refill appointment by the pharmacists. Narcotic Refill charts will need to be addressed on a daily basis.
