Date Issued: 07/23/2010
Prior Revision Date: 09/05/2008
Date Reviewed and Revised: 07/29/2010
Department: Internal Medicine
Faculty Coordinator: Donald Schwartz, M.D. / Jerry Barker, M.D.
Hospital: Texas Health Presbyterian Hospital Dallas
Periods offered: All
Length: 4 weeks
Max no. of residents: 1
First Day Contact: Radiation/Oncology faculty member you have chosen to rotate with
First Day Time: Contact faculty member a week prior to rotation
First Day Place: Contact faculty member a week prior to rotation
Requirements: 7:30 a.m to 6:00 p.m. Monday thru Friday
Vacation: 1 qweek either the first week or last week of the month
I. Course Description:
Resident will be working one-on-one with a Radiologist/Oncologist. At the most there will be one resident rotating with the team. The resident will be exposed to a wide variety of oncological disease and radiation thereapy modalities.
II. Course Goals and Objectives: (based on ACGME competencies for resident
Residents are expected to provide care that is compassionate, appropriate and
effective for the promotion of health, prevention of illness, treatment of disease
and at the end of life.
- Gather accurate, essential information from all sources, including medical
interviews, physical examinations, medical records and diagnostic/therapeutic
procedures. Examples: Residents will review the chart and take a careful history from patients prior to radiation therapy sessions.
- Make informed recommendations about preventive, diagnostic and therapeutic
options and interventions based on clinical judgment, scientific
evidence, and patient preference. Examples: Residents will learn when radiation therapy is indicated and which modalities are appropriate in a variety of different malignancies.
- Develop, negotiate and implement effective patient management plans and
integration of patient care.
Residents are expected to demonstrate knowledge of established and evolving
biomedical, clinical and social sciences, and to apply their knowledge
to patient care and education.
- Apply an open-minded, analytical approach to acquiring new knowledge.
- Access and critically evaluate current medical information and scientific
evidence. Examples: Resident should demonstrate skills in accessing medical informaion regarding current radiation treatment recommendations for specific malignancies.
- Develop clinically applicable knowledge of the basic and clinical sciences
that underlie the practice of radiation oncology. Examples: Resident should undersant the basic principles of physics pertaining to radiation treatment.
- Apply this knowledge to clinical problem-solving, clinical decision-making,
and critical thinking. Examples: Resident will learn when radiation therapy is indicated.
Practice-Based Learning and Improvement:
Residents are expected to be able to use scientific evidence and methods to
investigate, evaluate, and improve patient care practices:
- Identify areas for improvement and implement strategies to enhance knowledge,
skills, attitudes and processes of care. Examples: Resident when lacking knowledge should demonstrate an active pursuit of the literature to obtain the knowledge needed to evaluate and treat a patient.
- Analyze and evaluate practice experiences and implement strategies to continually
improve the quality of patient practice. Examples: Demonstrate knowledge regarding the importance of assessing for adverse effects of radiation therapy and trying to provide symptom relief.
- Develop and maintain a willingness to learn from errors and use errors to
improve the system or processes of care.
- Use information technology or other available methodologies to access and
manage information, support patient care decisions and enhance both patient
and physician education. Example: Residents will use the electronic health record during this rotation to review and document patient care interaction.
Interpersonal and Communication Skills:
Residents are expected to demonstrate interpersonal and communication skills
that enable them to establish and maintain professional relationships with patients,
families and other members of health care teams.
- Provide effective and professional consultation to other physicians and
health care professionals and sustain therapeutic and ethically sound professional
relationships with patients, their families, and colleagues. Examples:
Resident should demonstrate ability to communicate with the consulting physician in a clear and effective manner regarding their patient.
- Use effective listening, nonverbal, questioning, and narrative skills to
communicate the patients. Examples: Resident should demonstrate above skills in all circumstances surrounding the care of a patient with malignancy.
- Interact with consultants in a respectful, appropriate manner.
- Maintain comprehensive, timely, and legible medical records.
Residents are expected to demonstrate behaviors that reflect a commitment to
continuous professional development, ethical practice, an understanding and
sensitivity to diversity and a responsible attitude toward their patients, their
profession, and society.
- Demonstrate respect, compassion, integrity, and altruism in relationships
with patients, families, and colleagues.
- Demonstrate sensitivity and responsiveness to the gender, age, culture,
religion, sexual preference, socioeconomic status, beliefs, behaviors and
disabilities of patients and professional colleagues.
- Adhere to principles of confidentiality, scientific/academic integrity,
and informed consent.
- Recognize and identify deficiencies in peer performance.
Residents are expected to demonstrate both an understanding of the contexts
and systems in which health care is provided, and the ability to apply this
knowledge to improve and optimize health care.
- Understand, access and utilize the resources, providers and systems necessary
to provide optimal care. Examples: Demonstrate timely consulting for psychological support, spiritual support, dietary support, and social support in the patients with malignancy.
- Understand the limitations and opportunities inherent in various practice
types and delivery systems, and develop strategies to optimize care for the
individual patient. Examples: Resident should be able to organize all of the consultants involved in the patient's care and deliver an efficient and effective treatment plan.
- Apply evidence-based, cost-conscious strategies to prevention, diagnosis,
and disease management. Examples: Resident should demonstrate use of evidence-based medicine in screening patients for cancer.
- Collaborate with other members of the health care team to assist patients
in dealing effectively with complex systems and to improve systematic processes
III. Methods of instruction:
- Didactic (schedule, topic, faculty)
Daily residents conference 12:00-1:00 p.m. - IM Training Room
Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds -
IM Training Room
Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar