Learning Goals and Objectives

• To develop skills, knowledge, and behaviors in the areas of core competencies outlined by the ACGME: patient care, medical knowledge, practice-based learning and improvement, interpersonal communication skills, professionalism, and systems-based practice. ( https://depts.washington.edu/hmcpcc/files/RRC_Core_Competencies_for_Clinics.pdf).
• To build confidence in managing a broad range of outpatient medical conditions.
• To provide culturally-competent care that is compassionate and effective for the treatment of health problems and the promotion of health; exemplify the highest standards of respect, compassion, integrity, and sensitivity to cultural differences.
• To identify and treat mental illness in patients from different cultures, particularly those who have experienced violence and upheaval.
• To be an advocate for your patients and their communities.
• To build longitudinal relationships with a panel of patients and coordinate their care with other clinical providers and staff.
• To understand the causes for medical non-adherence and develop strategies to address them.
• To learn how to identify and use cultural mediators, including interpreters, to improve health in groups from different cultural, economic and linguistic backgrounds; gain insight into different medical belief systems, and learn how to bridge gaps between allopathic medicine and alternative systems to provide effective care.
• To gain an appreciation of the culture, history and community structure of major immigrant and refugee groups in King County.

Expectations

• You are responsible for knowing your clinic schedule.  As there are occasional scheduling errors, please check www.amion.com in advance.
• Alert us at least six week prior any changes or cancellations in your clinic schedule.  We are a small clinic and last minute schedule changes place enormous stress on our patients and staff to reschedule your panel.
  • Step 1: Get approval from the residency office.  Contact Kelli Corning. Click here for the change of schedule form.
  • Step 2: Contact the IMC:  Genji Terasaki, Anita Leake, (RN3), and Bennett Harris (business operations).  Click here to e-mail all three.

  No schedule changes will be permitted with less than six weeks notice, excepting illness, last minute job interviews, and family emergencies. For last minute absences, including getting pulled for risk, call Anita Leake (744-6941) and your attending (provider room, 744-3161) to sign out your patients. 

• The number of patients seen by an intern will typically be 3-5 per half day session, 5-6 patients for R2s, and 6-8 patients for R3s.
• Write clinic notes within 24 hours.
• Develop a system for tracking your patients and the studies that you order.
• If you will away from clinic for an extend period of time (vacation, WWAMI, Medic One, etc.), sign out your patients with active problems to your attending or fellow residents.  See the checklist.
• Please attend pre-clinic conference from 1 to 1:30pm on your scheduled clinic days.  Senior residents are expected to give 1-2 pre-clinic conferences per year during clinic block.

If you have any questions, please ask!  Alert us with any concerns or problems as they arise.

09/24/08