PGY-1 UCMC Mercy Medicine Rotation

Overview

The Inpatient General Medicine Service at Mercy Hospital is a clinical rotation that provides house officers exposure to the diagnosis and treatment of a broad spectrum of medical disease.  This rotation is intended to provide the exposure, clinical knowledge, skills, and professional attitudes needed to care for patients.  The medical team consists of a supervising attending physician, a resident, one intern, and medical student.  PGY-1 residents spend two months on this service.

patient care

Interns, under the supervision of a resident and attending, are expected to

  • do initial evaluations of patients as they are admitted from clinic, the emergency room, directly from home or transferred from other hospitals
  • provide ongoing care to these admissions until the patient's appropriate disposition is implemented
  • document the admission appropriately including a discharge summary.  48 hour discharge summaries are documented by interns. 

medical knowledge

Interns will learn about the diagnosis, evaluation and treatment of the following major disease categories:

Acute Abdominal Pain,  Asthma , Atrial Fibrillation, Chronic Obstructive Pulmonary Disease,Congestive Heart failure, Coma, Diabetes, Diarrhea, Delirium and Dementia, Diverticulitis,  Electrolyte Abnormalities: Diagnosis and Management,  Endocarditis, Fever of Unknown Origin, Hepatitis,  Intestinal Obstruction and Ischemia, Meningitis, Nephrolithiasis, Pancreatitis, Renal Failure, Sickle Cell Disease, Sleep Apnea, Syncope / Falls, Tuberculosis, Pneumonia, Valvular Heart Disease, Venous Thromboembolism

Interpersonal and Communications skills

Interns are expected to demonstrate skills to communicate effectively with

  • patients from a wide variety of ethnic, racial and socioeconomic backgrounds, and their families
  • staff, senior residents and attendings
  • medical students

professionalism

Interns are expected to demonstrate professional behavior such as timeliness, responsibility in follow through, compassionate patient care, and to provide professional role modeling to medical students.  Interns are expected to attend all teaching activities, and to follow a syllabus for self-directed learning that is distributed to housestaff at the beginning of their rotation on the Mercy Inpatient General Medicine Service. 

General Syllabus