Our GME Priorities
Our GME priorities remain focused on your Safety, your Wellbeing & your Education
Incidents of bias or mistreatment directed towards patients, learners, or others should be reported immediately to your PD or GME leadership
Reach out to your PD or GME leadership with any concerns not otherwise reflected
MUST CALL
Timely notification following patient admission or consult
Significant hemodynamic instability requiring intervention or code
Upgrade in level of care (i.e. floor to icu; heightened level of patient monitoring)
Unplanned surgery or invasive procedure (i.e. intubation. central line placement)
New onset neurologic finding
Unanticipated change in code status or unexpected death
Change in condition that would result in procedure cancellation within 8 hrs
Patient planning to leave AMA or refusal of treatment that could lead to harm
Medication or treatment errors
Patient or caretaker request
MUST PRESENT
In addition to standard presentation elements, residents MUST PRESENT and highlight these elements verbally to the preceptor:
All vital signs, including fetal heart tones/rate in OB, or chart open during presentation
Abnormal physical exam findings or new abnormal diagnostic findings (ECG, rads, etc.)
High risk conditions or high-risk medications – i.e., anticoagulation, active immunosuppression, complex cardiac history, HIV, congenital anomalies or failure to thrive in peds, concern for self or other harm
Reflect with every patient encounter:
Are there any red flags?
Has the worst case been ruled out?
What doesn’t fit?
What serious diagnosis could be missed?
MUST SEE
After precepting, the supervising attending physician MUST personally SEE and evaluate the patient if:
Considering admission, transfer to a higher level of care, or procedure cancellation within next 24 hrs
AMA or declining to go to ER or higher level of care
Patient with high risk conditions for which there is still an uncertain diagnosis after presentation
Any resident request for in-person attending evaluation (in setting of primary care exception)
Reflect with every patient encounter:
Are there any red flags?
Has the worst case been ruled out?
What doesn’t fit?
What serious diagnosis could be missed?
