Off-site Clinic Orientation for Internal Medicine Residents Orthopedics: Location: 1st Floor Subspecialty Clinic and 3rd Floor Surgical Suite Times: Monday 7am-12pm; 1pm-4pm Thursday 7am-12pm; 1pm-4pm Attending Supervision: Dr. DeTorre, Dr. Martel Contact: Dr. James DeTorre (James.Detorre@va.gov , or call 843-422-0563) In Clinic, you are responsible for seeing new consults and general orthopedic patients [you are not responsible for preoperative history and physical or postoperative follow-up] (1st floor Subspecialty clinic) Orthopedics Clinic typically sees 60 patients in clinic per day Responsibilities: Please be mindful that surgeons have a different mindset and they do not intend to be gruff – it is simply a different environment. **In return for the orthopedic clinic hosting us, we should be teaching them something about medicine (medicine reconciliation, chronic disease conditions, etc.) GYN: Cannon Street (from our Bee street garage, walk past the President street garage, then Location: some apartments and a bus stop, then there is a stone building called cannon place that you go into). Take elevator to 2nd floor and go to suite 201 on the left. Times: Monday 8am-12pm (Fylstra); Friday 1pm – 5pm (Carter) Attending Supervision: as above Contacts: Amanda Joley RN – Clinical Nurse Manager 876-6327 (Julie Colna RN – backup); Dr. Ashlyn Savage (Faculty) You will be responsible for seeing 4-6 new and/or return general GYN patients each half-day session. Each patient much be checked out to the attending. You will be working alongside GYN residents, but you will have your own panel to see – it is imperative that you contact our IM Chief Responsibilities: Resident as soon as possible if you have an emergency which prevents you from going to clinic on your appointed day. The GYN clinic is hosting us – we expect you to be a flexible team player during this rotation. Offer to help! Psychiatry: Location: IOP – 1 South near drink machines (enter from Doughty St) Wed 1pm – 5pm Times: The tentative schedule for the clinic will be: IM resident see one patient (new or follow-up) at 1:30 with supervision from Barth. Barth will have individual/private patients at 2:00/2:30/3:00 which can be shadowed by IM resident; they can also shadow MP resident or PhD psychologist depending on interest/number of residents. We meet for group supervision/didactics from 3:30 - 4:30. 3:30-4:00: group supervision with all team members where we will discuss patients and management (pharmacotherapy, psychotherapy) 4:00-4:30: didactics with rotating topics decided by group (based on clinical cases), presented in turn by each member of the team. Attending Supervision: Dr. Kelly Barth Contacts: Dr. Kelly Barth You will be evaluating and treating patients with chronic pain, mood Responsibilities: disorders, and substance abuse disorders alongside Dr. Martin and her team. Please be flexible and work together for the benefit of the patients. Pharmacotherapeutics: Location: UIM 8th floor RT Times: Thur 1pm-5pm Attending Supervision: Amy Thompson, PharmD Contacts: Amy Thompson, PharmD The resident will assist in the management of patients on chronic Responsibilities: anticoagulants, diabetes and polypharmacy. They will also counsel patients on smoking cessation and inhaler use. Preop clinic: Location: RT 5th Floor Times: Tues 8:30am – 12 pm; Thur 8:30am – 12pm Attending Supervision: Contacts: Fletcher Penney, MD Fletcher Penney, MD You will be evaluating patients prior to surgery to determine perioperative Responsibilities: cardiac risk, medication needs the day of surgery and other recommendations for the surgeon (including DVT prophylaxis). VA Dermatology clinic: Location: VA – 2nd floor near call room. Go through the creepy door to the conference room Times: Thur 8:30am-12pm; Fri 1pm – 5pm Attending Supervision: Richard Marchell, MD Contacts: Richard Marchell, MD Responsibilities: You will be evaluating patients with a variety of Dermatologic complaints. ENT: Location: Times: Tues AM (Halstead) 2nd Floor RT Tues AM (Schlosser) Sinus Center ( RT Room 191) across from the café Tues PM (Waters) 1600 Midtown Ave, Mt Pleasant 3rd floor Thurs AM – 2nd Floor RT Tues AM – Halstead voice and Schlosser sinus You will do half the month with Halstead and half with Schlosser Pay attention to the monthly clinic schedule- The bolded name will be the clinic you are expected to attend on any given week. Tues PM – Waters General ENT No Tues PM clinic on the 1st Tuesday of each month Tues PM clinic in East Cooper on the 2nd, 3rd, 4th, and 5th Tuesday of each month. Thur AM – Gen ENT Attending Supervision: Contact: Responsibilities: Dr. Lucinda Halstead Dr. Lucinda Halstead Anita Cheslek You will be assisting in the evaluation and management of patients with ENT and voice complaints. VA Sleep Clinic: Location: 1st Floor Subspecialty Clinic VA Times: Friday 1pm – 4:30pm Attending Supervision: Dr. Fitzgerald Drummond Contact: Dr. Drummond fitzgerald.drummond@va.gov Responsibilities: You will be evaluating patients with fatigue or sleep complaints and helping with the interpretation of sleep studies. Pulmonary: Location: Times: Mon PM – RT 5th floor Tues PM – Mt Pleasant MUSC building Wed PM – VA 1st Floor (Across from the ER) Thur PM – RT 5th Lal Mon 1-5pm RT Rismiller Tues 1-5pm Mt Pleasant *July and Aug 2015 only CF Clinic (Dr. Flume) Tues PM, RT5, 1-5pm *beginning in Sept 2015 Tanner Wed 1-5pm Strange Thurs 1 – 5pm RT ** These clinics will be canceled when the attending is on service. Chiefs will communicate this, but you may want to call ahead. Attending Supervision: Rissmiller, Tanner, Strange, Lal Contacts: Rissmiller, Tanner, Strange, Lal Rebecca Strickland You will be evaluating patients with pulmonary complaints, sleep disorders and helping with the interpretation of PFT’s. Responsibilities: For CF clinic with Dr. Flume: Diagnose CF in the adult patient Understand the multi-system complications Treat infections with appropriate antibiotic coverage Engage a multidisciplinary team to treat GI: Location: Wed PM – ART 2nd floor Thur PM Brock – ART 2nd floor Thurs PM INTERNS – VA 1st Floor (Across from ER) Times: Brock Thur 1-5pm Lodhia Wed 1-5pm Wilner (VA) Thursday 1 – 5pm Attending Supervision: Brock, Lodhia, Wilner Contacts: Brock, Lodhia,Wilner Responsibilities: You will be evaluating patients with GI complaints. Oncology: Location: Times: Wed AM – 3rd Floor HCC Cooper Pavilion Wed PM – 2nf Floor HCC Women’s Pavilion Shirai Wed 8:30am -12 pm Sherman Wed 1-5pm Attending Supervision: Shirai, Sherman Contacts: Shirai, Sherman Responsibilities: You will be evaluating patients with a variety of adult cancers. ID: Location: RT 7th Floor Times: Wed 1 – 5pm (INTERNS) Kilby Thur 1 – 5 pm Gnann Friday 1 – 5pm (INTERNS) Richey Attending Supervision: Gnann, Richey Contacts: Shawn Prioleau, Dr. Richey Responsibilities: You will be evaluating patients with a variety of infectious disease problems including HIV. Cardiology: Location: Times: ART – 1st Floor VA – 1st Floor EKG – VA 2nd floor Teaching Room Mon Taylor 1-5pm (ART) Tuesday 8:30am – 12pm (VA) Tuesday Usher 9am-12pm – 1st Floor ART Fri 10:30-12 EKG (VA) Attending Supervision: Dr. M. Taylor ART / Dr. G. Taylor, Dr. Gentzler VA/Dr. Fernandes EKG Contacts: Taylor Responsibilities: You will be evaluating patients with cardiac disease and interpreting EKG’s. Endocrinology Location: VA – 1st Floor Times: Mon 1-5pm Wednesday 1 – 5pm Attending Supervision: Luttrell, J Fernandes Contacts: Beth Gunnells, Dr. J. Fernandes Responsibilities: You will be evaluating patients with endocrine complaints. Rheumatology: Location: VA – 1st Floor Times: Tuesday 1-5pm Attending Supervision: Dr. J. Oates Contacts: Dr. J. Oates Responsibilities: You will be evaluating patients with rheumatology complaints. Nephrology: Location: DCI West Ashley – 46 B Markfield. South on Highway 17, turn left at IHOP – complex is on your left. Times: Thursday 1 – 5pm Attending Supervision: Dr. Ruth Campbell Contacts: Dr. Ruth Campbell; DCI phone: 766-2317 Responsibilities: You will assist Dr. Campbell with the care of patients during hemodialysis treatments. CXR: Location: 3rd Floor Main Hospital Radiology – Chest Reading Room Times: Monday 1-5pm Attending Supervision: Dr. Gordon Contacts: Dr. Stet Bickley Responsibilities: You will be reading CXR and working through a CXR case file. VA MOVEMENT DISORDERS: Location: Module 1A at VA. Doctor’s work room for this area is A133 Times: Wed morning: 9AM – 12 pm Attending Supervision: Dr. Hinson and Dr. Vaughan Contacts: Dr. Vanessa Hinson Responsibilities: 1. Evaluate patients with a new movement disorder, formulating differential diagnosis 2. Treat patients with Parkinson’s disease 3. Diagnose and treat patients with tremor 4. Treat patients with benign, familial tremor 5. Direct the interprofessional treatment of patients with movement disorders