Faculty Chair:
Stephanie Benson, MD
Contacts:
Thomas Nattakom, MD
Prasad Podila, MD
Required Experiences:
Memorial Medical Center
Digestive Disease Consultants of Las Cruces
Endoscopy Center of Las Cruces
Optional Experience:
ECHO Project Hepatitis C Clinics
GI Elective
Longitudinal Experiences:
Resident Continuity Clinics will provide longitudinal exposure to common gastrointestinal disorders and relevant procedures.
Weekly Schedule PGY2 or 3:
| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| Clinic | GI | Clinic | GI | GI | ||
| Clinic | GI | Didactcs | GI | Clinic |
Requirements:
AOA
Internal Medicine
The program must provide at least thirty-two weeks of clinical training in internal medicine disciplines, including at least eight weeks of general internal medicine experiences during the OGME-1 year. This requirement can be met by either inpatient internal medicine or inpatient family medicine service.
At a minimum internal medicine training must include:
- Twenty-four weeks of inpatient experience.
- Four weeks of training in critical care medicine.
- Didactic and clinical training.
Internal medicine training shall include exposure to the following disciplines, in either inpatient or outpatient settings:
- Allergy and immunology.
- Cardiology.
- Dermatology.
- Endocrinology.
- Gastroenterology.
- Hematology.
- Infectious diseases.
- Nephrology.
- Neurology.
- Oncology.
- Pulmonology.
- Rheumatology.
ACGME
There must be specific subspecialty curricula to address the breadth of patients seen in family medicine. (Core)
The program must ensure that every resident has exposure to a variety of medical and surgical subspecialties throughout the educational program. (Detail)
Description of Rotation or Educational Experience
GOALS
The goal of the GI rotation is to provide learning opportunities that will enable residents to develop or refine the knowledge, skills, and attitudes necessary to:
- Diagnose and treat GI conditions most commonly seen in Family Medicine, as well as those important but rare conditions needing specific care or referral.
- Perform a competent and relevant history and physical examination.
- Perform the diagnostic and therapeutic procedures necessary for adequate care in Family Medicine.
- Feel comfortable with the selection, indications, and contraindications of GI medications and treatments.
Expectations:
Residents:
Residents are expected to arrive to GI and continuity clinics on time and to dress and act in a professional manner. They are expected to contact the GI preceptors’ office prior to their first day on the rotation in order arrange the initial meeting time and location on day one of the rotation. It is expected that while at the preceptors’ office the residents will be respectful of the office space and personnel. The resident is responsible for maintaining a procedure log as well as completing assigned readings.
Faculty:
Family medicine faculty will provide precepting of gastrointestinal cases and procedures as seen in resident continuity clinics. Dr. Podila and Dr. Nattakom, and possibly other physicians in their practices, will provide precepting during the focused GI rotation. The faculty and preceptors are expected to allow the resident to participate in active patient care and procedures when appropriate. The preceptors should also provide time and allowance for explanation and teaching of GI conditions and their treatments.
Call:
There is no call specific to this rotation.
Patient Care
Goal
Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:
Competencies
Provide compassionate and culturally appropriate patient care that recognizes the effect of GI problems on the patient and emphasizes the importance of comprehensive preventative care. (Patient Care)
Objectives
In the appropriate setting, the resident should demonstrate the ability to independently perform or appropriately refer:
- History and physical examination appropriate for GI conditions
- Preventive Care related to GI conditions (colon cancer)
- Perform Anoscopy
- Counseling for dermatologic disorders
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:
Competencies
- Be proficient in the diagnosis and treatment of common dermatologic diseases and be adept at performing common dermatologic procedures. (Medical Knowledge)
Objectives
Know and apply basic and clinical knowledge in the following areas:
- GERD
- Infectious Hepatitis (A,B and C)
- Alcoholic Hepatitis
- Cirrhosis
- GI Bleeding
- Inflammatory bowel disease
- Irritable bowel disease
- Peptic ulcer disease
- Pancreatitis
- Diarrhea
- Gallbladder disease
- Jaundice
- Abdominal pain
Practice Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning.
Competencies
- Identify strengths, deficiencies and limits in one’s knowledge and expertise
- Locate, appraise and assimilate evidence from scientific studies related to their patients’ health problems
Objectives
- Demonstrate the ability to search for up-to-date knowledge of GI treatments and incorporate this knowledge into clinical practice.
- Complete assigned reading topics and apply learned material in the clinical setting
System Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.
Competencies
- Coordinate patient care within the health care system relevant to their clinical specialty
- Incorporate considerations of cost awareness and risk-benefit analysis in patient care
Objectives
- Make appropriate referrals to and coordinate care with Gastroenterologists for those conditions that fall out of the scope of family medicine or do not respond to that treatment which family physicians can provide
- Demonstrate cost effective care and diagnostic testing
Professionalism
Goal
Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:
Competencies
- Compassion, integrity, and respect for others
- Respect for patient privacy and autonomy
- Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation
Objectives
- Display sensitivity for patient privacy and autonomy during exams and procedures
- Engage in interviewing techniques which demonstrate cultural and social sensitivity
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:
Competencies
- Communicate effectively with physicians, other health professionals, and health related agencies
- Act in a consultative role to other physicians and health professionals
Objectives
- Communicate with specialists in a clear and concise manner that facilitates coordination of care
Teaching Methods
Residents will provide medical care to patients under the direct supervision of the attending physician. They will be supervised on all procedures performed. They will participate in weekly conferences. Residents will be assigned specific reading topics to be completed by the end of their month on the service.
Assessment Method (residents)
Direct observation with a ongoing global assessment based on the REDI system. All procedures will be recorded on New Innovations and independence for each procedure assessed using the REDI system. Evaluation from each of the community preceptors to be completed at the end of the rotation. Review of documentation by family medicine preceptors as part of continuity clinic supervision.
Assessment Method (Program Evaluation)
Residents will be provided with an evaluation of their experiences and given the opportunity to provide feedback of the rotation during their quarterly IEP assessments.
Level of Supervision
The resident is directly supervised by the attending physician during all procedures performed. An Attending will be available the entire time the resident is on the rotation. An Attending will be available at all times during continuity clinic visits.
Educational Resources
Readings
Week 1
Week 2
Week 3
Week 4
American Gastroenterological Association (AGA)
AGA Mobile Tools for iPhone and Android contains guidelines
Harvard Medical School Continuing Medical Education
SNMFMRP Curriculum 