Night Float (PGY-2)

Description of Rotation or Educational Experience

This is a two-week rotation at Henry Ford Hospital and is designed to develop independence and efficient evaluation of new patients and acute problems as well as advanced managed care learning and reduce traditional call obligations.

Patient Care

Goal

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. Residents are expected to:

Competencies

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Independently evaluate new admissions and assess acute problems
• Independently implement and assess treatment plans
• Monitor and adjust ongoing therapy
• Supervisor first year residents and medical students

Medical Knowledge

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

• This rotation fulfills family medicine-specific training and educational requirements in Adult Medicine, Inpatient Care, and Human Behavior and Mental Health.

Objectives

By the end of the rotation the resident is expected to be able to:

• Demonstrate a full range of medical knowledge in the management of patients on in-patient service during the over night period.

Practice- Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :

Competencies

• Identify strengths, deficiencies and limits in one’s knowledge and expertise;
• Identify and perform appropriate learning activities
• Incorporate formative evaluation feedback into daily practice
• Use information technology to optimize learning

Objectives

By the end of the rotation the resident is expected to be able to:

• Manage patients with reduced staffing and ancillary support

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Coordinate patient care within the health care system relevant to their clinical specialty
• Incorporate considerations of cost awareness and risk-benefit analysis in patient care

Objectives

By the end of the rotation the resident is expected to be able to:

• Obtain assistance and guidance at the appropriate time

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Compassion, integrity, and respect for others
• Accountability to patients, society, and the profession

Objectives

By the end of the rotation the resident is expected to be able to:

• Explore personal limitations and determine knowledge deficits

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with physicians, other health professionals, and health related agencies
• Work effectively as a member of leader of a health care team or other professional group

Objectives

By the end of the rotation the resident is expected to be able to:

• Learn to effectively lead a small team during times of reduced staffing and ancillary support

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lecture
• Direct role-modeling and observation
• Firsthand experience

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Residents are expected to perform autonomously, however the attending physicians is updated and available throughout the night float

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.

Resources and people residents have identified as useful, and encourage new rotators to become familiar with:

• Up-to-Date
• Google
• Clinical pharmacology
• AAFP Monographs
• Staff/residents
• Stanford
• Procedure books
• Feris handbook
• PDA & Epocrates
• Sign-out sheet