Welcome Letter and Community Attending Expectations (updated 3/2025)

Important Links/emails:

Feedback: online here (this link can also be found by following the QR code in the Team Room) or via email at feedback.madres@fammed.wisc.edu (if urgent action needed can also be given directly to Jensena Carlson (jensena.carlson@fammed.wisc.edu, 715-379-6148))

Procedure Card: https://uwmadison.co1.qualtrics.com/jfe/form/SV_beaSucVFosYnVM9 

Provider Availability Google Doc - Please call/email Jensi with questions and feedback, this is in gamma testing.  

How to Access the Meriter Mother-Baby Sharepoint drive and QR Codes for 2020 Learning Modules 

UW Paging 101 - how to set your availability status 

For signing resident notes:

o   Use “attest in encounter” or “attest”

o   Double check the dates on the note to be sure they have been updated (there is a reminder in the resident note but this is an ongoing issue)

o   Use an attestation phrase on day of discharge that includes the time spent

Rounding reminder: Don’t expect resident on Wed/Sat/Sun but they might contact you if available

o   There is continued open discussion about residency goals for rounding continuity, active teaching, etc

o   Should not ask residents to sign a note to you if you didn’t round with them

Other reminders:

• Residents do not cover newborns overnight for any group.  Please do not ask them to follow up on newborns at night

For UW DFMCH:

What is the situation on Mag Privileges?

Once your IV insulin/magnesium/anti-hypertensive privileges have been approved, you can co-manage patients with OB (OB consult is required). Due to the varied experience with insulin and magnesium amongst us, there are several ways this could look. As experience, trust, and confidence grows, you may find yourself shifting from one approach to the next. Key themes across each approach: clear communication with OB regarding experience/comfort and expectation of roles and responsibilities.

1. FM manages labor course with OB managing insulin/mag/ant-hypertensives. A good starting point to gain experience while ensuring patient continuity for you and our residents.

2. FM manages labor and insulin/mag/anti-hypertensives. In this scenario, the FM attending has prior experience with the IV medication being administered and, in discussion with the OB attending, is comfortable placing orders, conducting q4hr mag checks, and maintaining open communication with the OB consult.

3. I’m certain there will be addtl approaches we discover. This list is not exhaustive.

This past week, we had an example of each approach. The residents involved expressed their appreciation for the experience and have offered to speak at a future faculty meeting. The patients, too, valued having a familiar and trusted face throughout their hospitalization.

An FM and OB working group has drafted a Co-management Protocol. This protocol (with a May 2, 2022 roll out) is a suggested (not required) outline of resident and attending roles/responsibilities for IV Anti-hypertensives/Mag. The protocol is meant to serve as a tool to assist both FM and OB residents and faculty as we navigate new waters. We will develop a QR code/link to gather feedback about the process; we expect to evaluate the protocol in Nov/Dec 2022 and identify areas for improvement.