Medical Resident

Education

Graduate of a medical school in the United States or Canada accredited by LCME or a graduate of an osteopathic medical school accredited by AOA; or a graduate of a medical school outside of the United States and Canada with a currently valid ECFMG certification or full unrestricted license to practice medicine in a US licensing jurisdiction; or graduate of medical schools outside the United States who have completed a Fifth Pathway program provided by an LCME-accredited medical school.

Experience

No prior post graduate training required

Skills

• Substantial interpersonal skills required to effectively interact with staff, physicians, patients, and family members.
• Ability to work under varying degrees of stress and the ability to adjust to changes in the work environment. Work is of medium to heavy physical demand, walking and standing most of the time.

Licensures, Certifications

Current Basic Life Support and Advanced Cardiac Life Support Certifications

Physical Requirements

• Ability to sit, stand, concentrate and pay close attention to detail

Working Conditions

• Normal patient care environment.
• Frequently exposed to moderately adverse working conditions due to performance of certain patient care activities. Exposure to communicable diseases.

Conditions of Employment

Possess Citizenship, Green Card, or J-1 Trainee visa sponsorship.

Principal Duties and Responsibilities

Inpatient Medicine (General Medicine Ward Service)

The intern will learn to assume the role of the primary physician by being the primary presenter of the patient, the primary order writer and consult caller, the person to whom all nursing inquiries are referred, and by being the physician who knows the patient best. The intern will learn to have with them patient vital signs, medicine and doses, labs, x-ray and other test results.

Rounds: The intern will be expected to pre-round on their patients prior to rounds at 8:30 am each day, as well as re-evaluate any patient admitted to them more than two hours previously. Work rounds with the residents and attending will begin promptly at 8:30 a.m. Interns will have prepared for work rounds by having reviewed the chart for vitals, notes, nursing medication list, consults and events during the night, and by having examined the patient that morning. They will practice establishing a care plan for the day during work rounds and follow through with the plan during the day. Each intern must be present for Work Rounds daily and be prepared to give a thorough, but succinct oral presentation on each new patient admitted to his/her service. These presentations are not read from the chart. At the time of the presentation, the results of labs, tests and current medications should be known to the intern.

The intern will have two weeks of night float during the academic year. During his/her call, the intern is responsible for the management of admissions assigned to him/her, as well as the care of urgent problems that develop in patients followed by other ward team members. The intern must carefully document any diagnostic or therapeutic interventions undertaken on such patients (i.e., cross-coverage note), and verbally inform the appropriate intern the next day.

The intern must accomplish the initial evaluation of all assigned patients as soon as possible following admission. This evaluation includes:

• History
• Physical Examination
• Discussion with resident
• Initial Orders/Treatment Plan

The intern is responsible for maintaining the inpatient record in a timely, organized, and complete fashion.

• An up-to-date problem lists
• Laboratory data
• Problem oriented progress note

-Changes in plan

-Refinement of differential diagnoses as new info is avail.

-Acknowledgement of consultant opinion

A procedure note will be written promptly for every invasive procedure. The note should specify that informed consent was obtained, and possible risks explained to the patient, type of anesthesia, approach used, findings, occurrence, or lack of complications, etc. The intern will also record this information in his/her personal procedure logbook and have the physician supervising the procedure sign the page.

ICU Rotation

The intern will be expected to pre-round on their patients prior to rounds at 8:30 am each day, as well as re-evaluate any patient admitted to them more than two hours previously. Interns will have prepared for rounds by having reviewed the chart for vitals, notes, nursing medication list, consults and events during the night, and by having examined the patient that morning. They will practice establishing a care plan for the day during work rounds and follow through with the plan during the day. Each intern must be present for Attending Rounds daily and be prepared to give a thorough, but succinct oral presentation on each new patient admitted to his/her service. These presentations are not read from the chart. At the time of the presentation, the results of labs, tests and current medications should be known to the intern.

Outpatient Clinic

All categorical Internal Medicine residents will be responsible for the coordination of medical care for an assigned panel of patients in the GBMA Clinical Office (Pavilion-East -203) every six weeks during their core continuity clinic rotation. The intern will be the designated Primary Care Physician for their patients and are expected to establish an ongoing clinical relationship with those patients.

As the designated Primary Care Physician (PCP), the intern should:

• Regularly follow the patient at appropriate intervals for their medical problems.
• Respond to telephone calls from patients and document those encounters in the patient's file.
• Check your EPIC in-basket at least twice daily for lab and other test results.
• Arrange for a colleague to cover your ambulatory patients during vacations, critical care months, or other approved absences.
• Make appropriate referrals to specialists and follow-up on any such consultations.
• Maintain patient's chart according to following standards:

- Maintain and update a problem list, medication list, and preventive care flow sheet.

- Write detailed and well-organized office notes that clearly reflect your medical diagnosis and therapeutic plan.

All categorical interns will be assigned to a Continuity Clinic throughout the year.

The intern's clinic session is supervised by an on-site internal medicine faculty preceptor whose only responsibility during the session is to the direction, supervision, and teaching of the residents in the clinic. Interns present each patient to the faculty preceptor and the resident and faculty jointly discuss the case and develop a management plan. The preceptor may choose to see or examine the patient with the intern to confirm or elicit further history or physical examination information.

The faculty preceptor completes a note that includes summary comments that revise or confirm the findings of the intern's history/physical examination and medical decision-making. The preceptor is ultimately responsible for the quality of care rendered to all patients.

Academic Responsibilities

Interns are expected to participate in the presentation of conferences and must attend at least 80% of conferences when not on ICU or external rotations.

• Noon Conferences
• Medical Grand Rounds
• Chief of Service Rounds
• Clinical Reasoning Conferences
• Simulation Sessions

Interns are expected to establish an explicit habit of lifelong learning.

Pay Range

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.