Welcome Dr. Richard Walsh –Chair, Department of Medicine –Chief of Medicine, UH Dr. Louis Rice –Vice Chair for VA –Chief of Medicine, VA Dr. Bruce Berger –Chair, Intern Selection Committee

Keith Armitage, MD Program Director Susan Kirsh,MD Associate Program Director –VA, Ambulatory Sarah Augustine Assistant Program Director VA Inpatient Klara Papp, PhD Education Specialist Dan Wolpaw, MD Primary Care Program Advisor Program Leaders/Administration Deena Berger Administrative Coordination for Educational Programs Marymay Maxwell VA Housestaff Office Barbara Bonfiglio UH Housestaff Office –Notary –Historian –Copy machine queen

Most Importantly: Chief Residents Jay Finigan –VA Keith Petras –Ambulatory Noah Jones –UH Q 4 month rotation UH31250 VA Ambulatory 31529

Intern Orientation Schedule

The ‘curriculum’ of Internship The goal- gain clinical competence in the care of adult patients (ACGME Competencies) –“the patient is the curriculum” –General medicine and specialty wards; ICU and ambulatory rotations –Noon conference Other conferences –Attending rounds; walk rounds –Morning report –Grand Rounds –Reading

Ambulatory Block 8-9 am conference EBM on Friday am VA specialty clinics “Selectives in the pm” Procedure CD-ROM

Research and Elective Time No “assigned” elective Be available 8-5, M-F; let the Chief Resident know about other time away Dr. Walsh, Dr. Rice, Program Directors and Chief Residents can assist in picking elective and research mentors

Annual Events Intern Mini-retreat- October –Getting feedback on the program Intraining Exam- October Holiday Party Bronson Day/ Intern Educational Retreat Spring Dinner – May 22, 2003 End of the Year Picnic- June 13, 2003 End of Internship- June 23, 2003

Evaluation and Feedback: Getting and giving “Self feedback” Electronic and written- Attending feedback Evaluation File Evaluate your resident and attending! On-going feedback about the way things are going Semi-annual review

Faculty Mentors All categorical interns must pick a mentor by 1/1/03 At least one meeting Dr. Walsh, Dr. Rice, Program Directors and Chief Residents can help select mentors

Misc. Stuff Rotation schedules- GUESTP, medicine Switch dates Clinic Vacations CEX

Misc. stuff, cont Days Off Jeopardy schedule (“safety net” for urgencies) How to take Step III Dictations paycheck at UH, meal money at the VA, don’t squirrel away charts Meeting with Dr. Walsh

Misc., Medical records Typical daily schedule 7:15 (7:30)-8Preround 7:30 TuesdayGrand Rounds 8-10Work Rounds 10-11Morning Report (residents M,W,F; interns Th) (9-10 VA) 11-12Attending Rounds* 12-1Noon Conference (M&M- Th UH, Wd VA) 1-2X-ray rounds 2-3Attending Rounds* 4-5Chief Rounds; Tu, Th What are “pre-rounds” Leave/Sickness Feelings/expectations Help Program

Misc. –Procedure documentation »CD ROM –Learning Objectives –Evaluations Core Library Intern Orientation Handbook

What is internship? Internship... "A Recent Graduate Undergoing Supervised Practical Training" Webster ) A Profound Life-Changing/Shaping Experience ) The Beginning of Professional Enculturation as a Physician... ) Where You Will Experience a Broad Range of Physical and Emotional Stressors... ) And See a Range of the Best and Worst Aspects of Medicine

Expectations of the Best Interns * Perform Thorough Histories & Physicals And Provide Attentive Follow-up of Your Patients * Be Curious; Regularly Ask: “WHY?” * Be Respectful of Patients … They are THE Work * Know Your Limitations; Ask for Help * Avoid Cynicism & Negativism … They are Infectious Diseases that will Fatigue You * Maintain/Cultivate Your Sense of Humor * Maintain/Cultivate Your “Flexibility” * Develop Effective Time Management and Teamwork Skills What Are Attributes of the Best Docs?

Take Home Points * You NEVER have to be Alone * We will Provide Some Free Food * Aspire to those Attributes of the Best Physicians * Yes, the Schedule will may require revision * Focus on: H & P's and Attentive Patient Follow-up Knowing Where Your Limits Are Asking “Why?” * Expect to Work Hard... AND HAVE FUN!