GIM Selective

Acute GIM team, staffed with GIM staff physician as well as Clinical Assistant. Patient load 18-22, ranging from non-acute to acute.

This rotation provides residents with the opportunity to work in the preceptorship model, working very closely with the attending physician while caring for an acute in-patient team. The R3 will be responsible for managing at least half of the patient list, focusing primarily on the more acute patients present on the team. The rotation also allows the resident to enhance their collaboration skills while working with a clinical assistant and pharmacist.

The team pager will be carried by R3 unless not on site.

Staff is responsible for rounding on all patients (Both acute and non-acute).

There is no call expectation for R3, but they have the opportunity to join their attending for evening call once a week should they so desire.

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager Level, PGY3 is Educator Level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We use the following In-Training Evaluation Report (ITER):

• Community GIM

Entrustable Professional Activities (EPAs)

This rotation is done during Core of the Discipline and is an ideal learning environment for the following EPAs:

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

• CD5: Performing the procedures of Internal Medicine

  • E.g. Central Lines, Joint arthrocentesis, Lumbar puncture, Paracentesis, Thoracentesis

• CD6: Assessing capacity for medical decision-making

• CD7: Discussing serious and/or complex aspects of care with patients, families, and caregivers

  • futility of care; breaking bad news;

• CD8: Caring for patients who have experienced a patient safety incident (adverse event)

• CD9: Caring for patients at the end of life

• CD10: Implementing health promotion strategies in patients with or at risk for disease

  • e.g. Diabetes counselling, Vascular risk reduction, Smoking cessation in Asthma/COPD

• Continued use of FD7: Identifying personal learning needs while caring for patients and addressing those needs which will be assessed with TP7

Principal Teaching Physician (PGME)

Dr. Vasile Captan

captan@ualberta.ca

GIM RAH Site Administrator

rahgimed@ualberta.ca

Information regarding your upcoming Sturgeon rotation is attached.

The following is a message from Sturgeon administration:

"We have a new physician lounge and location at the SCH.  It is now room 2-2052 and access is only gained by ID cards.  Please ensure that all residents/students contact me to get their ID’s activated."  

Call stipends are to be sent to mednim@ualberta.ca for submission.

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager Level, PGY3 is Educator Level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We use the following In-Training Evaluation Report (ITER):

• Community GIM

Entrustable Professional Activities (EPAs)

This rotation is done during Core of the Discipline and is an ideal learning environment for the following EPAs:

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

• CD5: Performing the procedures of Internal Medicine

  • E.g. Central Lines, Joint arthrocentesis, Lumbar puncture, Paracentesis, Thoracentesis

• CD6: Assessing capacity for medical decision-making

• CD7: Discussing serious and/or complex aspects of care with patients, families, and caregivers

  • futility of care; breaking bad news;

• CD8: Caring for patients who have experienced a patient safety incident (adverse event)

• CD9: Caring for patients at the end of life

• CD10: Implementing health promotion strategies in patients with or at risk for disease

  • e.g. Diabetes counselling, Vascular risk reduction, Smoking cessation in Asthma/COPD

• Continued use of FD7: Identifying personal learning needs while caring for patients and addressing those needs which will be assessed with TP7

Sturgeon Rotation Supervisor

Dr. Ryan Choudhury

rchoudhu@ualberta.ca

Administrative Assistant

Janice Medwid

 janice.medwid@albertahealthservices.ca

Phone:  780.418.8295 Fax:  780.418.8142