Here and Not Here
When you are sick you need to inform: Name at least 3 places
What is chief resident, residency office, rotation supervisor, FMMS (if you have office hours)
Who is responsible for discharge summaries
What is day resident(s)
7:00 am prompt
What is the time that morning report starts
The form that should be completed when you have time off from residency
What is the "time away form"- 2 forms from GME - one is for holiday, one is for personal day.
This is the expected time of chart completion for residents to send charts to preceptors.
What is max of 24-48 hours
Within 30 minutes of the office and why?
What is where you should be when on a self study day during a rotation
What is so you can be part of emergency back up call
Name 2 responsibilities of the buddy system
What is 1. manage lab/diagnostic reports on your buddy's patients, 2. manage phone notes, monitor desktop and refill requests/forms for your buddy's patients, 3. cover your buddy's nursing home, prenatal and home visit patient for acute needs and continuity visit if not accomplished by buddy
Please describe the CAP policy for admissions to RWJ service. Describe mechanism for transfer to NTS service.
Currently, Cap is at 12 for all patients. When at cap, take information from ER doctor and call NTS attending with admission/patient details. CAP does not apply to Maternity Care patients or newborns, Rutgers students, bounce backs within 24 hours.
What do you do when you get back lab results on patients
What is: discuss with preceptor, inform the patient and document that you have informed the patient.
What numbers are YOU required to document - name 2.
What is: 1. Peds ED visits (75 minimum) Goal number for Pediatrics is 250 pt encounters, minimum 75 floor, 75 ED,
2. 40 Newborn encounters. SCM will record your floor/newborn encounters IF YOU enter yourself as care provider.
3. 40 Deliveries
4. 5 pap smears
List 2 duty hour violations Bonus question: When can duty hours be legitimately violated?
What is less than 10 hours between shifts, average of greater than 80 hour work week over 4 weeks, shift of greater than 30 hours, lack of 24 hour period off per week averaged over 4 weeks. Bonus answer: Continuity deliveries, end of life care
For electives you need to complete at least 2 items. They are:
What is Goals and Objectives for elective rotation, Completed Elective rotation request form. Both must be submitted to the residency office 90 days in advance of elective. (PGY3 Away elective requires a different process -start 6 months)
You are now a third year and are looking for a job (yes there is life after residency). How do you go about getting time off for interviews
What is contact Lillian and arrange for interview on day you do not have office or hospital responsibilities. You have 3 half days for interview time away. You may take additional time for interviews during your practice management rotation. You are required to be at FMMS for 7 sessions during practice management3 . The rest may be used for interview purposes. You do have additional curricular responsibilities which may be done offsite
EVERY 24 hours do this - describe 2 actions
Check RWJMS email and respond appropriately, check centricity desktop
The person (s) to whom admission notes should be routed. Identify 3
What is attending on call, attending on service, PMD, care coordinator/team triage nurse, service team.
How many sick days do you get per year and what happens if you exceed them?
What is 6 days. You may need to extend your residency. ( you have 4 personal days). contract gives 12, but ABFM states can only be away from residency 30 days per year. Thus: 20 days vacation, 4 personal days and 6 sick days = 30 days
Name the 6 acgme competencies that your evaluations are assessed upon
What is What is Patient Care, Medical Knowledge, Practice Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, System Based Practice
List 3 criteria for passage of rotations
What is attendance >80% at rotations, completion of Rosh Review assignment, satisfactory rotation evaluation by rotation supervisor, completion of rotation evaluation by resident, completion of rotation specific activities (community med activities, OB delivery documentation, etc)
Name 2 required Rutgers-RWJMS institutional training modules. Describe the consequence for not completing!
What are: Mandatory Compliance Training, Clinical Patient Safety/Loss prevention(elmexchange), Ethics Armor, Respiratory Protection and CITI (done during EBM course)
Also - annual checklist for: medical student G&O,learning environment & professionalism, supervision and conflict of interest, clerkship specific G&O - found in New Innov.
PER MIKE KELLY - if not done, then no one in program gets approved for away rotations
These are 3 schedules that are important to check regularly
What is
1. amion contains call and office -
2. Centricity FMMS office schedule,
3. conference schedule,
4. longitudinal schedule (if schedule conflict?)
Recite 3 facts about comp days
What is 1. must notify residency within 10 days for alternate day off (*). 2. comp day is only for "actual day"(working >4 hrs) of Rutgers recognized holiday, 3. comp day should be taken within the same rotation it is credited to (exception FMS- RWJ, RWJNS), 4. comp days should not be taken on days with scheduled office or hospital hours 5. pay is given only if a comp day cannot be scheduled in 3 months/end of year.
Name 5 things to document in New Innovations.com
What is rotation evaluations, duty hours, lecture attendance, lecture evaluations, evaluations of faculty, staff, program, patients seen - loggers (WH, Sports med, geri, ED discharge, home visit and NH), procedure log and deliveries(continuity and non continuity -RWJ and Capital)
What minimum numbers are required for graduation. List 5
MINIMUMS: continuity clinic: 40 wk/yr, 1650 visit: 165< age 10, 165>age60. adult in-pt: 750//peds in-pt: 250 total (75 floor, 75 ED) ICU: 15 or one month//ED: 250 or 2 month//Geri: 125 or 1 month//peds out-pt: 250 or 2 month//Newborn: 40 OB: 40 deliveries-10 continuity CARE PROVIDER STATUS!!!
Name 3 rules that residents should follow when precepting
PGY1 precept after history and after exam for the first 3-6 months. PGY1 should not see medicare patients in their first 6 months of residency All medicare and medicaid 99214 and higher E&M codes need to be seen by the preceptor. PGY1&2 prescriptions should be done in the precepting room All PGY1&2 patient encounters need to be precepted in real time. PGY3 residents may see straightforward patients without in office precepting if cleared in the September evaluation meeting.
These are 5 of the many things that should be "checked on" in the EMR besides writing your note.
What is: 1. check off meaningful use area. 2. print out patient instructions. 3. make sure patient is risk stratified. 4. make sure patient has pcp listed. 5. make sure the preventive services are checked off appropriately. 6. billing form completed. 7. preceptor attestation completed correctly