| Notes from Dr. Wrenn |
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Wrenn’s Notes 3-12 We are trialing a Fast Track experience in the VPEC area that will be an internal moonlighting possibility for people with licenses. Therefore it will be available for second and third years. You have to have a GME moonlighting form filled out. Contrary to popular opinion, the decision about whether to admit a patient to Obs or Inpatient is not an auto-default to Obs. There are criteria on the Admit field that will automatically default to Inpatient. For those who don’t fit those criteria, you should use your judgment and the knowledge that most people we admit end up staying longer than 23 hours. There are obvious people who fit well into the Observation group: N/V/dehydration that is uncomplicated, uncomplicated asthma that fails a walk test, a pyelonephritis with N/V that is otherwise uncomplicated, all CPU patients, and occassional cellulitis patients. It is important to think carefully because there is a potential for lost income on patients we get wrong. On March 19, we will be asking you to fill out the ACGME Resident Survey. We need you to do this as soon as you can because they only give us a 2 week interval to get at least a 70% response rate. Please fill it out when you are rested, though, because the questions can be a little tricky and your honest correct answers are critical. Thanks to all of you for your recruiting efforts this year. We had 966 applications for 12 spots. We interviewed 138 people. We heard nothing from applicants other than how nice you all were… except for Pfeffer! Seriously, this is an important thing for the residency and I cannot thank you enough for showing up and contributing to the process. On Tuesday, April 3 we are holding our annual curriculum and residency retreat here in the conference room. We will discuss curriculum and other issues as well as things you want to bring up. I want as many people to come as possible. In particular, I want the current seniors to be there because they have an important perspective. Please try to be there and bring your issues with you. The goal is to try to make this a better residency. If you are planning an away rotation in an elective month, the university now requires us to give 6 months notice to get these approved. The Guyana trips may not require this, but just ask Seth Wright to be sure. For next year Nicole needs to know pretty soon so she can start to plan for your schedules. We need to have you put down a supervisor with their address and contact information as well as Goals and Objectives for the elective. I met today with some leaders of the Cards fellowship. Apparently relations are at an all-time low. We are going to be meeting with them to explore a number of ways to improve our working relationship. One immediate thing to do, however, is to make it clear when you are calling: 1)To admit someone versus 2) really wanting a consultation about other issues (arrhythmias or a new murmur). Most of the time we will be doing #1 (no puns intended here!). Make sure you as a resident are on track with the Attending about this and don’t dance around when you talk to the Fellows. Attendings need to make this clear to residents as well. |
