R2 Goals and Objectives

Research Family Medicine Residency Program 

Office Block Rotation

Description & ExpectedCompetencies

 

ROTATION DESCRIPTION:

 

The office rotation consists of a total of 12 weeks in the Family Medicine office.  This is divided into one 4-week period spent solely in the office (GTFC) in the R1 year and two 2-week periods in the R2 and R3 years.  This rotation is designed to offer the residents a longitudinal experience in the outpatient care setting while developing their medical knowledge, interpersonal skills in patient interviewing and communication.  Time management, phone triage and follow-up and charting efficiency are all skills to be developed and mentored during this rotation. The resident is expected to address and communicate all lab results, phone messages and medication refill requests generated during this rotation in a timely and appropriate manner (as per the clinic policy) while maintaining their own continuity patients.

 The residents should utilize a progressively increasing knowledge and skill set during this rotation.  Patients can be either new or established patients of our outpatient practice.

 

EXPECTED COMPETENCIES:

 

•R2 YEAR (Faculty in charge – Dr. Arabindoo, MD)

 

 The goals and objectives of the office block during the R2 year aretwofold. The first will be an introduction to population health as it applies to the resident’s continuity panel of patients and their chronic care management. The second will be to enhance their medical knowledge in the commonly seen acute and chronic conditions seen in the primary care office.

 

I.                Introduction to population health registry –

The resident on R-2 office should meet with Ms. Teresa Gaines, LPN, patient care coordinator at GTFC to obtain their registry of panel of patients with their quality metrics at the beginning of the rotation. The resident should utilize data from this registry to coordinatea care plan in conjunction with Ms. Gaines to facilitate progress of these patients towards meeting their quality metrics during this block. This care plan will be shared with Dr. Arabindoo.

 

II.             Patient care

 

 

PATIENT CARE& PROCEDURAL SKILLS:Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. 

     1.   Perform a competent and thorough examination.

     2.   Prioritize duties and complete in a timely and organized manner such as following up on test results and phone calls

     3.   Obtain essential and accurate pt. information in history taking.

     4.   Order pertinent labs, x-rays and other tests in patient’s diagnostic evaluation.

     5.   Performs procedures with informed consent, appropriate oversight and complete documentation.  (e.g. suturing, toe nail removal etc.)

 

MEDICAL KNOWLEDGE:Residents must demonstrate knowledge about established and evolving biomedical, clinical and cognate sciences and the application of this knowledge to patient care. 

     1.   Apply medical knowledge in disease management of acute or chronic problems. The residents are expected to read at least 5 of the articles listed under the ‘Longitudinal  

           Curriculum’ tab pertaining to common conditions seen in primary care. These articles will be discussed with Dr. Arabindoo.

     2.   Develop an appropriate and thorough differential diagnosis

     3.   Interpret common lab (e.g. blood tests) and radiology tests accurately such as, CXR, UA, wet mount, EKG, tympanogram, pulse oximetry, etc.

 

PRACTICE-BASED LEARNING AND IMPROVEMENT:Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence and improve their patient care practices.

     1.   Facilitate the learning of students (e.g. medical and pharmacy students) as a mentor and model.

     2.   Use information technology to access patient data and improve patient care.

     3.   Utilize and maintain the medical record accurately (EMR, etc.)

 

INTERPERSONAL AND COMMUNICATION SKILLS:Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaching with patients, their patients’ families and professional associates.

     1.   Counsel pt. accurately re: indications for medical procedures and treatment

     2.   Communicates a thorough and organized pt. summary to faculty

     3.   Accurately document medical information, including integration of plan discussed with faculty.

 

PROFESSIONALISM:Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diverse patient population.

     1.   Demonstrate respect and sensitivity for health related beliefs when working with all patients including those with diverse backgrounds and cultures.

     2.   Display accountability for pt. care decisions and direct actions such as time management, documentation and pt. care follow up.

     3.   Display a professional appearance, demeanor and communication in the medical setting.

     4.   Demonstrate reliability, honesty, integrity and respect such as timeliness, truthfulness, ethical practice and civility in the medical setting.

 

SYSTEMS-BASED PRACTICE:

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

     1.   Able to identify resources for patient information, medical literature and patient care protocols throughout the health care system.

     2.   Create patient care plans within the limits of individual patient’s resources, physician and hospital reimbursement systems.

     3.   Uses correct office coding and documentation for reimbursement.

     4.   Maintain a safe pt. care environment, including recognizing medical knowledge, pt. care and systems limitations.

     5.   Advocate for individual and community health.

 

All competencies are not equal.  Lack of competency in patient safety or professionalism will result in remediation through corrective action.

 

EVALUATIONS: 

Evaluations will be completed by faculty who work closely with the resident during their rotation.  The expected graduation of physician skills is reflected in a different evaluation for each year level.

 

 

                                                                                                                        Revised KKA Jan. 11, 2021