Orientation

Internal Medicine wards general expectations (updated 2024.8)

Resident/Intern wards orientation (updated 2024.8)

Swing and Night float expectations (updated 2024.8)

Recommended Reading

Diagnostic schemas

• Chest pain: 4+2+2 emergent/anatomic schema (CPSolver), Intern Bootcamp by Dr. Lukban

• Shortness of breath: Hypoxemia framework (Dr. Andre Mansoor), Hypoxemia thought train at bedside (CPSolver), Dyspnea pyramid (Dr.Wiese)

• Syncope: “WOMAN-321-PE” mnemonic

• AKI

• Hyponatremia: A physiologic approach (Core IM)

• Abdominal pain: Overview + Image-negative (CPSolver)

Management framework

• Acute heart failure (Core IM)

• COPD exacerbation: Intern Bootcamp by Dr. Yadav

• Sepsis

• Cellulitis: Cellulitis mimics (CCJM)

• Pneumonia

• Alcohol withdrawal

• Acute pancreatitis

• DKA

• Insulin for hospitalized patients

• Stroke response

Common Ward Problems

• PVC, NSVT and VTach (video)

Ward Skills

• Oral presentation: H&P of new patients, EAP format of followup patients

• Workflow: Chart review, Time management

• Discharge skills: Med-to-bed (HMC pharmacy FAQ and workflow), Disposition options (Core IM)

• Note: Progress note best practice, Discharge summary best practice