General Medicine Rotation
- Enhance the knowledge of the podiatric resident in the area of General Medicine.
- To gain an appreciation of the complexity of various medical conditions commonly encountered in the general patient population and their potential implications in a podiatric surgical patient.
Upon completion of the rotation, the resident should be able to:
- Perform a comprehensive history and physical examination.
- Recognize common medical conditions/ailments (cardiac disease, respiratory disorders, renal dysfunction) and appreciate their potential implications in elective surgical patients.
- Order and interpret an EKG including the recognition of common cardiac arrhythmias.
- Order and recognize abnormal clinical laboratory values.
- Diagnose acute or chronic gout, pseudogout and related conditions.
- Manage a diabetic patient including the provision of insulin coverage.
- Demonstrate knowledge in fluid management and electrolyte balance
- Perform a comprehensive work-up in a patient with a fever of unknown origin.
- Diagnose and medically treat a patient with thromboembolic disease (DVT, PE).
- Recognize an immunocompromised patient and understand the risk for potential transmission of such diseases.
- Recognize the need for a sub-specialty consultation.
- The podiatric surgical residents are expected to perform and record one full H & P each week, write what they think are appropriate and complete admission orders and a progress note for each day the patient remains and a brief discharge summary.
- The podiatric surgical residents are expected to meet their intern at whatever time the intern begins their personal rounds (usually somewhere between 6:00 & 8:00 AM), attend the resident work rounds and the teaching rounds with the attending.
- Noon Conferences are OPTIONAL, depending on the relevance of the topic to the Podiatrist's future practice.
- The podiatric surgical resident should attend the ACC/HCC with their intern unless there is a conflict with podiatric responsibilities. (Wednesday AM and every other Thursday AM).
- At the end of each week the podiatric surgical resident is expected to turn in to Linda Ulaszewski an evaluation of the week, answering the following questions:
- What was particularly helpful this week?
- What suggestions do you have to improve this experience?
- This will be a one-month block rotation on the service of Internal Medicine. The resident is responsible for reporting to the attending physician in order to ensure a proper assignment.
- The resident will be responsible for completing all duties assigned.
- The resident is expected to take initiative to complete appropriate reading materials in order to achieve the objectives outlined above and involve themselves in the core of patients with fluid & electrolyte imbalance, diabetes mellitus, thromboembolic disease & those who are immuno compromised.
- The Director of General Medicine or designee will complete an evaluation on each resident. All residents will be expected to complete an evaluation of the rotation.
- Bates, B. A Guide to Physical Examination and History Taking. 5th ed. Chapters 5. 8. 9. 11. 1991.
- Taking Control of Diabetes. Initial Management of Glycemia in Type2 DM - NESM. October 24, 2002.
- How to Read Chest X-rays. Medical Journal/Australia. Chest Imaging: indicators & interpretations. May 19, 1997, pg 79.
- Drug Prescribing for the Elderly. Using Medications Appropriately in Older Adults. American Family Physicians. November 15, 2002.
- Principles of Drug Therapy in Older Patients: rational drug prescribing. Clinical Geriatric Med. August 18, 2002, pgs. 577-592.
- Conn's Current Dx & Rx and/or Gorall's Primary Care Medicine } Easy General Medicine Text
- Harrison's Text of Medicine and/or Up-to-Date } Detailed General Medicine Text
- Reference for Preoperative Clearance
- EKG text - Rapid Interpretation of EKG's } Orange