faculty

Weekdays (7:30-530)

0730 – Check in with UL residents on med/peds/ob ideally before 0830 – see any sick patients and any discharging patients prior to rounds starting

0930 – Rounds

1000 – ICU multidisciplinary rounds if we have any patients in ICU

End of Rounds: Teaching per Medicine page

Afternoons – be available for support with questions, new admissions, etc.  Presence in the hospital is much appreciated but is not required at all times

1715 – Night float teaching.

Feedback for R1 and R2 on Thursday afternoon.

Feedback for R3 on Friday.

Overnight (5:30 - 7:30)

Most call coverage will be via telephone.

You must be readily available to come in (ie no call from Copper Mountain).

Discuss all admissions with the upper level resident  

Discuss any patients seen in the ED who the resident wants to discharge to home.  Be available to speak with the ED doctor.

Be willing to come in whenever residents feel that the level of work is unsafe/overwhelming or a patient is unstable and the residents need help with management (even if they don’t ask for help, you may discern that they want to ask for help).

Come in as soon as possible for all ICU admissions.

Discuss all OB triages with the upper level resident the first six months, and the intern the second six months.

Be present and supervising for all deliveries and come in for all OB labors not going well.

Consider coming in and hanging out for multips in active labor so you don’t miss a rapid delivery.

Weekends

Round with residents at 8 AM on Weekends

Begin promptly to avoid exceeding resident work hour limits. 

Usually start with pediatrician and after that prioritize sign-out for residents who’ve been in the hospital all night so they can get out and not violate duty hours. 

General Clinic:

If possible, please check in with each resident at the start of each attending session.  Ask them if they have any needs prior to starting patient care.  After that, please attempt to review charts as they see patients and offer thoughts or assistance proactively. 

There should never be more than four residents per one faculty preceptor.   In the first three months of the resident’s intern year, there should generally be two faculty preceptors to assist the new interns. For the first six months of their intern year we must see ALL intern patients with them.

Faculty should be available in clinic to discuss any questions that arise and to see any patients that residents have questions about. Please try to review resident documentation, once complete, and give feedback as appropriate.

We need to be willing to see any patient that the resident seems uncomfortable or requests assistance with. 

All patients requiring hospitalization should be seen and documented on before they go to the hospital to be admitted (if at all possible).   Please call the hospital attending to sign out the patient directly (attending-to-attending).

OB:  We need to sign and review all NSTs.  We need to hear about and document on ALL obstetrical patients.  This should include a brief review of their obstetrical chart, history, risk factors, and problem list.  

Procedures

We need to be present, review the indication/technique, and document ALL procedures in clinic that require written consent (skin biopsies, circumcisions, etc).

Medicare

All Medicare patients who are billed at a level 4 (99214, 99204) or above, MUST be seen by a faculty physician in order for appropriate charges to go out and revenue collected.  We do not always know the level of service that will be billed, so please make every attempt to see ALL Medicare patients before they leave the clinic.  Please feel free to remind residents of this requirement as they often forget.

For every resident we need to hear about and document attestation on all patients, regardless of level of visit.   This can happen after the patient has left the building.  

Most psychiatric consultation patients can be seen independently of the FMC attending, but we may be asked to precept on comorbid medical issues or to prescribe controlled substances.