Resident Handbook - UC Davis Health System

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3. Interpretation of urine microscopic4. Chronic catheter management5. Prostate screening protocols6. VasectomyOUR PARTNERSHIP IN LEARNINGLearning and teaching represents a partnership that is dynamic and challenging. Every personhas their own background experiences, their “best” way to learn, and their “style” of teaching.At one moment the resident may be the learner, and at the next the teacher. Different teachersmay have very different (and equally successful) methods for managing a particular clinicalproblem. As a result, clear communication on needs and expectations will help the process alongsubstantially. The full time and volunteer faculty teach because they want to, and the residentsare here to develop in three short years the skills necessary to launch a successful career.II. Clinical Rotations and ExperiencesADVANCED LIFE SUPPORT TRAININGResidents are required to maintain certification in NRP and PALS, CardiopulmonaryResuscitation (Basic Life Support) and Advanced Cardiac Life Support (ACLS) all of which arecompleted during orientation. Re-certifications are required at the end of the R-2 year and canbe taken at Mercy (Plan ahead for this). Advanced Trauma Life Support (ATLS) is an excellentintensive course, which is required for any resident who is licensed and who wishes to moonlightat a rural/remote ED in California. ATLS courses are available but often hard to schedule, soplanning ahead is very important. The residency program will pay for the course registration,but all other costs are the resident’s. Finally, ALSO courses are provided through the UC DavisNetwork, and all residents are encouraged to attend. Beginning in 2011, all PGY1 residents willbe required to attend.A. Service GoalsBEHAVIORAL SCIENCE CURRICULUMThe primary objective of the Behavioral Science Curriculum is to help Family PracticeResidents more fully develop the skills and the knowledge base needed to intervenemeaningfully and efficiently in the mental health issues of patients. A large percentageof patients seeking ambulatory care have a psychosocial or cultural issue of significancethat if unrecognized or mismanaged seriously impairs the effectiveness of the physician’scare. Residents are expected to achieve the full set of Behavioral Science and PsychiatryCompetencies through this curriculum (See also Residency Goals and Competencies).Page 26 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
B. Service DescriptionC. DutiesA two-week rotation occurs in the first year, and includes a variety of elements ofbehavioral medicine, psychiatry and psychopharmacology. Two half-days per month areallocated for to an ongoing “special clinic” devoted to psychiatry which occursthroughout the year and residents will rotate individually through this clinic at the MercyFamily Health Center (viz., FPC). In addition to the specific first year curriculum and thespecial clinic, behavioral science is integrated into the entire three-year experience at theFPC, in lectures, hospital rounds, clinic “shadowing”, “curbside” consulting, and whenrequested, through elective experiences. During the first year, periodic site visits may beconducted to vital community agencies and mental health programs. This will provideresidents with practice in networking within a mental health community and will providethem with referral and consultation resources. Some aspects of behavioral health trainingcan be best implemented in an experiential manner including Counseling Skills Training,Interviewing Skills Training, Relaxation and Stress Management (for both residents andsignificant others), psychological testing and behavioral science precepting.During the first year rotation, the Resident will spend face-to-face time with mentalhealth professionals and patients in relevant facilities and agencies, and will undergo thevarious experiential training activities, as described above. Each Resident will have theopportunity to observe and experience the paradigm differences and similarities betweenthe mental health field and the medical arenas to which they have become accustomed.Orientation to a range of mental health disciplines (e.g., psychiatry, clinical psychology,marriage and family therapy, etc.) will typically take place. Residents will also serve asobservers or co-therapists, as indicated, in psychotherapy and counseling sessions.Whenever possible, this will encompass a range of therapeutic modalities, includingindividual, group, couples, and family, depending upon the availability of cases andresources. Every effort will be made to orient Residents to community referral resourcesand relevant mental health legal issues.Residents will be given the opportunity to sit in with and assist practicing psychiatrists asthey meet with patients in community settings. This will not only provide valuable rolemodeling, but will provide practical and focused training in the use of psychotropicmedication. Integration of Behavioral Science with general clinic-based outpatientmedicine will occur during the rotation (and also during the second and third years oftraining) through precepting in which Behavioral Science faculty will see patients alongwith Residents during typical clinic visits. During the course of the first year rotation, theResident will have regular contact with the Behavioral Science Coordinator who willprovide supervision and will help the Resident process and integrate his/her experiencesin therapy, intakes and with other professionals and agencies. Each Resident will beevaluated by the Behavioral Science Coordinator with respect to his/her competencies inthis domain. Each mental health professional with whom the Resident came into contactduring the rotation will also have an opportunity to provide feedback about the Resident.The Resident will also be given feedback and an oral review during a closure sessionwith the Behavioral Science Coordinator.Page 27 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc
Page 1 and 2: Resident HandbookMercy Redding Fami
Page 3 and 4: PEDIATRICS/OB......................
Page 5 and 6: MASTER SCHEDULE:...................
Page 7 and 8: Resident HandbookMercy Redding Fami
Page 9 and 10: efore the start of the rotation tha
Page 11 and 12: Cardiology Competencies - PGY3Cogni
Page 13 and 14: Understand and describe Home care a
Page 15 and 16: Page 15 of 1532. OBRA "87 & "94 Reg
Page 17 and 18: Skills1. Monitor interpretation for
Page 19 and 20: Page 19 of 153Skills1. Diagnosis an
Page 21 and 22: 1. Management of well child care2.
Page 23 and 24: 3. Lab interpretation of joint flui
Page 25: 5. Hemorrhoid I & D6. Fluid and Ele
Page 29 and 30: C. DutiesAttendance at the cardiolo
Page 31 and 32: Dermatology Clinic (C1 and C2 - MFH
Page 33 and 34: Vasectomy Clinic (C1 - FPI)Resident
Page 35 and 36: ability to maximize their health/he
Page 37 and 38: hospital care of common ENT conditi
Page 39 and 40: viii. Resident may be responsible f
Page 41 and 42: Rawlings or Dr. Bland so we can mak
Page 43 and 44: for EM occur once a month(on the th
Page 45 and 46: Emergency Medicine Rotation Require
Page 47 and 48: HOME VISITSEach resident is to make
Page 49 and 50: Practice preceptors who rotate onto
Page 51 and 52: A. Service GoalsAs a second and thi
Page 53 and 54: attending re: the patient’s statu
Page 55 and 56: Attending duties:• Be the attendi
Page 57 and 58: 11-15: the night shift resident rou
Page 59 and 60: ED, and admitted, must be discussed
Page 61 and 62: D. Service Guidelines: OBSTETRICS S
Page 63 and 64: OPHTHALMOLOGYA. Service GoalsThe go
Page 65 and 66: CLIA testing & LunchEpisiotomy Trai
Page 67 and 68: 10) Concussion11) Athlete’s heart
Page 69 and 70: Significant training continues duri
Page 71 and 72: . Hospital Leadership TrainingResid
Page 73 and 74: • Health systems training• Prac
Page 75 and 76: Alternative Scholarly Activities:1.
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B. Service DescriptionC. DutiesThe
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• Summarize areas of needed impro
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as physicians, but especially inter
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CHIEF RESIDENTS:The Chief Residents
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. If the goal is not met as determi
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• Complete, or provide evidence o
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Grounds for Disciplinary Action:Gro
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Appeal:include the reasons supporti
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MFHC conducts a health center evalu
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UNFINISHED BUSINESS:NEW BUSINESSDEP
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must protect itself from possible s
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MEDICAL STAFF BYLAWS / RULES AND RE
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other educational items as approved
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o Schedule II drugs may be written
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GYNECOLOGY PROCEDURE LISTPROCEDURES
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Breast FNA 0 5Wound Debridement 2 2
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Addressing Patients’ Perceptions:
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Reportable Diseases and Conditions:
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admission (e.g., circumstances may
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service for which the vacation is g
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(i.e. Medicare, Medi-Cal, etc.) req
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Call Expectations and Supervision R
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Page 121 of 153WORK HOURSResidency
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IV: ADDENDUM: Mercy Family Health C
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3. Privacy: Knock before entering i
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All new warfarin patients will be g
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MANAGEMENT OF SIGNIFICANTLY ELEVATE
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Beef liver Garbanzo beans SeaweedBr
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c. When C1 reviews lab and finds an
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Colposcopy Clinics (C2 - MFHC and S
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pertinent information. Dr. DeVlamin
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3. Perform a surgical “time out
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• If in doubt, contact the Reside
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Immediate feedback (Formative Evalu
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Please note: If you have more than
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chart holder that corresponding to
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1. According to the ACGME program r
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6. FPS resident if not the only sen
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Resident Handbook - UC Davis Health System

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