Teaching on FMIS
The Inpatient Director, hospitalists, and health center faculty round with residents both formally and informally at the bedside in an effort to provide point-of-care teaching. Our experienced family medicine hospitalists admit 1200 patients yearly.
Allison Hargreaves, MD
While on FMIS residents cover many of these patients, receiving intensive teaching from the full-time hospitalist faculty, several of whom have been awarded "Inpatient Teacher of the Year" by the residents. Resident teams also have the opportunity to round with health center faculty and community attendings broadening their exposure to different styles of inpatient medical care.
Morning Report occurs every morning after signout and is facilitated by hospitalist and health center faculty. Cases are presented and differential diagnoses, management plans, and other patient care issues are discussed.
Didactics and discussions occur most mornings and cover a number of subjects. Several conferences each month are devoted to the subject competencies put forth by the Society of Hospital Medicine. Visiting lecturers from cardiology, neurology, pharmacy, and nutrition services also provide teaching during this protected time.
The ability to access and use technology to efficiently retrieve relevant information is key to providing high-quality, evidence-based medical care. All residents receive PDAs fully loaded with custom and commercial medical software for which technological support is available. The hospitalist service now subscribes to SALAR, an electronic medical record on which residents are being trained. Meditech allows for electronic access to lab results and studies, while Imagecast provides radiologic images immediately after x-rays and CT scans are completed.
Residents have a locked conference room on South 6 where they sign out in the morning and evening and have didactics. Three computers and a printer are located in this room for access to e-mail, internet-based resources, Meditech, and Imagecast. This space is also for relaxation and includes a recliner couch, television, refrigerator, and microwave. Residents have made this room their own with a wall of photos and quotes and other additions over the years. It is not unusual for family medicine residents rotating on other services to come by the conference room to visit with colleagues. There are also two call rooms on the floor for the intern and senior on the nightfloat or on-call team.
We are proud of our Family Medicine Inpatient Service for the outstanding teaching provided, the variety of disease pathologies presented, the quality medical care bestowed on our patients with the help of a collegial multidisciplinary team approach, and the growth and development experienced by our residents throughout their three years on the service. For more information about FMIS, please feel free to contact the director by e-mail. We look forward to hearing from you!