Department of Psychiatry and Human Behavior
Memorial Hospital of Rhode Island
Revised: 7/1/2009
Family Medicine – Inpatient
Overview of Rotation
Goals:
 Evaluate and manage adult medical patients in the inpatient setting
 Gain expertise in managing patients with multiple medical problems
 Identify situations when consultation with a specialist is appropriate
 Incorporate a biopsychosocial approach to the care of hospitalized patients
 Gain proficiency in attending to continuity of care issues in hospitalized
patients
Objectives:
Patient Care
 Perform efficient and accurate history and physicals on hospitalized patients
 Provide concise and accurate case presentations, with appropriate differential
diagnosis, to the supervising attending physician and or/senior resident
 Demonstrate critical thinking and develop appropriate treatment plans in
conjunction with attending physicians, team, consultants, patient and family
 Demonstrate accurate documentation in the medical record
 Consistently follow-up on details pertaining to patient care
 Evaluate and manage acute changes in status in hospitalized patients
 Demonstrate attention to psychosocial issues affecting medical care
 Demonstrate attention to appropriate discharge planning and follow-up
Medical Knowledge
 Develop progressive improvement in knowledge regarding the assessment
and management of adult medical problems. These include cardiovascular,
pulmonary, neurological, gastrointestinal, rheumatologic, infectious,
nephrologic, endocrinologic, and hemalologic conditions.
 Develop ability to accurately interpret and respond to EKGs, chest x-rays,
ABGs and commonly ordered laboratory results.
Professionalism
 Demonstrate respectful and professional interactions with patients, families
and all members of the health care team
 Incorporate bioethical principles and cultural awareness into the management
of critically ill patients
Interpersonal Communication
 Demonstrate effective, patient-centered communication with patient and
families
 Demonstrate the ability to effectively and accurately communicate with
members of the health care team via both verbal and written methods
 Demonstrate growing ability to deliver bad news to patients and families, with
the assistance of an attending physician.
 Communicate with the patient’s primary care physician regarding the
management of the patient
Practice-based learning
 Identify strengths and deficiencies in own knowledge and expertise and utilize
resources to improve learning in the inpatient setting.
 Demonstrates skills in accessing EBM resources to answer clinical questions
and improve patient care
 Senior residents demonstrate ability to supervise and teach junior residents
and medical students regarding the medical care of hospitalized patients
Systems-based practice
 Demonstrate skill in working with multiple allied health professionals including
nurses, social workers, physical therapists, speech therapists, nutritionists,
respiratory therapists, continuing care nurses.
 Demonstrate proficiency in the use of hospital computer access for patient
information, including emergency room information, laboratory data and
radiology
 Senior residents demonstrate ability to coordinate care of complex patients
using all available resources.
Learning Activities:
(see individual rotation descriptions for details)
GOLD TEAM
- 8 weeks in the first year
- 8 weeks in the second year
- 4 weeks in the third year
RED TEAM
- 8 weeks in the first year
- 4 weeks in the third year
CARDIOLOGY/CCU
- 4 weeks in the first year
ICU
- 4 weeks in the second year
Assessment:
 Verbal feedback during and at end of rotation from supervising senior
residents and attending physicians
 End of rotation evaluations from senior residents and attending physicians
 Procedure logs