Saturday, January 15, 2011
Friday, January 14, 2011
Saturday, January 8, 2011
Friday, January 7, 2011
Residents Council Roger Williams Medical Center
The Graduate Medical Education (GME) Residents Council was created to provide a forum for representation of ACGME Residency programs at Roger Williams Medical Center. Residents of the ACGME programs and Fellows are invited to be a part of the Resident Council. The Internal Medicine Residents in each year vote for the peer who they feel would best represent the needs, goals and objectives of the program. The PGY-1 year is represented by both Preliminary and Categorical Housestaff. Fellows are encouraged to do the same.
The President of the Residents Council is voted in by his/her peers. The chief resident (4th year) and two PGY-2 + President, three PGY-2, three PGY-1 (1 prelim, 1 categorical) make up the Resident Council.
The Residents Council meets monthly to discuss issues, relaying concerns or suggest ways to improve the way things are currently done.
Following this monthly meeting (which typically occurs just prior to our Monthly Housestaff Meeting with the Program Director) the President of the Resident Council and Chief Resident share their ideas with all of the Residents and ask for others opinions or concerns. Concerns from residents are brought to the attention of the Resident council by electing to be present at a meeting, email or placing a note in our anonymous suggestion box.
The Housestaff and Resident Council then discuss their concerns at the Housestaff Meeting. Concerns which cannot be immediately addressed and require further discussion are brought to the attention of the Graduate Medical Education Committee which is represented by the following:
* Chief Medical Resident (4th Year)
* President of the Resident Council
* Third Year Resident
The monthly Housestaff Meeting and GMEC meetings provide a forum for Resident Council members to act as liaisons or advocates for positive change within the ACGME programs. The Resident Council Meetings are open to all Housestaff and fellows of the ACGME Programs.
Our Mission is to:
Represent the interests of residents and fellows in decisions either GMEC or Hospital Administration make on behalf of the GME Training Programs.
Advocate for Housestaff and fellows on issues which are important to the Housestaff and Fellows as a whole and concerns which affect the care we provide our patients.
Serve as a means of communication between Housestaff, Fellows and GME
Provide proposals and means of communicating the shared ideas in order to enhance the resident/fellows education and life in such a way that there is balance to education and service.
Ways to voice your concerns:
* Come to a Resident Council Meeting
* Send an email to: rwmcresidentcouncil@gmail.com
* Complete and submit a suggestion into the box in the Resident Lounge
* Fill in the Form Below
The President of the Residents Council is voted in by his/her peers. The chief resident (4th year) and two PGY-2 + President, three PGY-2, three PGY-1 (1 prelim, 1 categorical) make up the Resident Council.
The Residents Council meets monthly to discuss issues, relaying concerns or suggest ways to improve the way things are currently done.
Following this monthly meeting (which typically occurs just prior to our Monthly Housestaff Meeting with the Program Director) the President of the Resident Council and Chief Resident share their ideas with all of the Residents and ask for others opinions or concerns. Concerns from residents are brought to the attention of the Resident council by electing to be present at a meeting, email or placing a note in our anonymous suggestion box.
The Housestaff and Resident Council then discuss their concerns at the Housestaff Meeting. Concerns which cannot be immediately addressed and require further discussion are brought to the attention of the Graduate Medical Education Committee which is represented by the following:
* Chief Medical Resident (4th Year)
* President of the Resident Council
* Third Year Resident
The monthly Housestaff Meeting and GMEC meetings provide a forum for Resident Council members to act as liaisons or advocates for positive change within the ACGME programs. The Resident Council Meetings are open to all Housestaff and fellows of the ACGME Programs.
Our Mission is to:
Represent the interests of residents and fellows in decisions either GMEC or Hospital Administration make on behalf of the GME Training Programs.
Advocate for Housestaff and fellows on issues which are important to the Housestaff and Fellows as a whole and concerns which affect the care we provide our patients.
Serve as a means of communication between Housestaff, Fellows and GME
Provide proposals and means of communicating the shared ideas in order to enhance the resident/fellows education and life in such a way that there is balance to education and service.
Ways to voice your concerns:
* Come to a Resident Council Meeting
* Send an email to: rwmcresidentcouncil@gmail.com
* Complete and submit a suggestion into the box in the Resident Lounge
* Fill in the Form Below
Monday, January 3, 2011
For Pioneering Hospitalists, 2011 Starts with a New Designation :: Article
For Pioneering Hospitalists, 2011 Starts with a New Designation :: Article
First recognition of Focused Practice in Hospital Medicine (FPHM) from the American Board of Hospital Medicine (ABIM)
First recognition of Focused Practice in Hospital Medicine (FPHM) from the American Board of Hospital Medicine (ABIM)
Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
From: The Hospitalist, January 2011
http://www.the-hospitalist.org/details/article/972751/Turn_to_ACGME_for_Transfer_Resident_Supervision_Rules.html
Hospitalist-run, nonresident-covered medical services help solve duty-hour restrictions
by Dr. Hospitalist
DR. HOSPITALIST
I have doubts: Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
Srikanth Seethala, MD
Pittsburgh
Dr. Hospitalist responds: Several thoughts came to my mind when I read your question. What did you mean by the term “bouncing”? When you refer to “nonteaching service,” are you referring to the cohort of inpatients in your teaching hospital cared for by attending physicians without the involvement of trainees? Of course, the most obvious question is what is causing your “doubt”?
As you may know, all U.S. postgraduate physician training programs are governed by the rules and standards set forth by the Accreditation Council for Graduate Medical Education (ACGME). You can find all of ACGME’s rules online at www.acgme.org. Regardless of whether you are a trainee or an attending physician, the ACGME expects the same interpretation and enforcement of their standards.
Our general medical service is divided into the resident-covered service and a separate, nonresident-covered service. Resident-covered service means IM residents are involved in the care of the patient under the supervision of an attending physician. No residents are involved in patient care on the nonresident-covered service. The development of our nonresident-covered service was clearly a product of ACGME duty-hour standards, which were originally enacted in 2003 and recently revised.
Our IM program has the same number of residents that we did before the new rules were put in place. Before 2003, we did not have a nonresident-covered medical service because we had a sufficient number of residents to care for all patients on our medical service. We found that the 2003 standards restricted the number of hours our residents could work in our hospital, so despite no change in the size of our medical service or the number of residents, we found ourselves without sufficient numbers of residents to meet the clinical demand. To meet this demand, we developed a hospitalist-run, nonresident-covered medical service.
Ask Dr. Hospitalist
Do you have a problem or concern that you’d like Dr. Hospitalist to address? E-mail your questions to drhospit@wiley.com.
We discussed a number of issues during the planning stages of our new service:
* How many hospitalist full-time equivalents (FTEs) would we need to staff this service?
* Would we have hospitalists physically in the hospital 24/7 or take call from outside the hospital?
* How much would it cost?
* Do we have two groups of hospitalist staff, one for the resident-covered service and a separate one for the nonresident-covered service? Or do we maintain one cohort of hospitalists and ask the staff to work on both the resident- and nonresident-covered services?
* Do we ask our hospitalists to rotate month by month or week by week, separately on the resident- and then the nonresident-covered service? Or do we ask hospitalists to see both patients on any given day?
* Do we geographically cohort our resident-covered patients on floors separate from our nonresident-covered patients?
The new rules fueled a lot of discussion between educators and trainees. Your question about the transfer of patients between resident- and nonresident-covered services does not surprise me. Some training programs tried to minimize the necessary number of attending level staff in the hospital by allowing trainees to “cross-cover,” or essentially care for patients on the nonresident-covered service, when the attending staff was not present in the hospital. It is my understanding that trainees are never allowed to cross-cover patients on the nonresident-covered service.
To my knowledge, however, there are no rules against transferring patients from the nonresident-covered service to the resident-covered service, or vice versa. TH
http://www.the-hospitalist.org/details/article/972751/Turn_to_ACGME_for_Transfer_Resident_Supervision_Rules.html
Hospitalist-run, nonresident-covered medical services help solve duty-hour restrictions
by Dr. Hospitalist
DR. HOSPITALIST
I have doubts: Are there any guidelines about “bouncing” patients between teaching and nonteaching services in a teaching hospital?
Srikanth Seethala, MD
Pittsburgh
Dr. Hospitalist responds: Several thoughts came to my mind when I read your question. What did you mean by the term “bouncing”? When you refer to “nonteaching service,” are you referring to the cohort of inpatients in your teaching hospital cared for by attending physicians without the involvement of trainees? Of course, the most obvious question is what is causing your “doubt”?
As you may know, all U.S. postgraduate physician training programs are governed by the rules and standards set forth by the Accreditation Council for Graduate Medical Education (ACGME). You can find all of ACGME’s rules online at www.acgme.org. Regardless of whether you are a trainee or an attending physician, the ACGME expects the same interpretation and enforcement of their standards.
Our general medical service is divided into the resident-covered service and a separate, nonresident-covered service. Resident-covered service means IM residents are involved in the care of the patient under the supervision of an attending physician. No residents are involved in patient care on the nonresident-covered service. The development of our nonresident-covered service was clearly a product of ACGME duty-hour standards, which were originally enacted in 2003 and recently revised.
Our IM program has the same number of residents that we did before the new rules were put in place. Before 2003, we did not have a nonresident-covered medical service because we had a sufficient number of residents to care for all patients on our medical service. We found that the 2003 standards restricted the number of hours our residents could work in our hospital, so despite no change in the size of our medical service or the number of residents, we found ourselves without sufficient numbers of residents to meet the clinical demand. To meet this demand, we developed a hospitalist-run, nonresident-covered medical service.
Ask Dr. Hospitalist
Do you have a problem or concern that you’d like Dr. Hospitalist to address? E-mail your questions to drhospit@wiley.com.
We discussed a number of issues during the planning stages of our new service:
* How many hospitalist full-time equivalents (FTEs) would we need to staff this service?
* Would we have hospitalists physically in the hospital 24/7 or take call from outside the hospital?
* How much would it cost?
* Do we have two groups of hospitalist staff, one for the resident-covered service and a separate one for the nonresident-covered service? Or do we maintain one cohort of hospitalists and ask the staff to work on both the resident- and nonresident-covered services?
* Do we ask our hospitalists to rotate month by month or week by week, separately on the resident- and then the nonresident-covered service? Or do we ask hospitalists to see both patients on any given day?
* Do we geographically cohort our resident-covered patients on floors separate from our nonresident-covered patients?
The new rules fueled a lot of discussion between educators and trainees. Your question about the transfer of patients between resident- and nonresident-covered services does not surprise me. Some training programs tried to minimize the necessary number of attending level staff in the hospital by allowing trainees to “cross-cover,” or essentially care for patients on the nonresident-covered service, when the attending staff was not present in the hospital. It is my understanding that trainees are never allowed to cross-cover patients on the nonresident-covered service.
To my knowledge, however, there are no rules against transferring patients from the nonresident-covered service to the resident-covered service, or vice versa. TH
Sunday, January 2, 2011
Saturday, January 1, 2011
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