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Swedish Medical CenterHematology/Oncology Outpatient Service
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| Locations | ||
| Pacific Medical Centers | Seattle Cancer Institute | Mehmet Fer |
| 1101 Madison | 1221 Madison | 1600 E Jefferson |
| Seattle, WA 98104 | Seattle, WA 98104 | Seattle, WA 98122 |
Facutly Contact
Christopher H. Smith, MD
Pacific Medical Centers
Director Medical Education
Address:
Pacific Medical Centers
1101 Madison Ste 301
Seattle, WA 98144
Phone:
(206) 505-1108
Email:
christophers@pacmed.org
Overall Educational Purpose
To expose senior residents to the outpatient aspects of clinical management
of patients with cancer.
Team Structure
One attending oncologist to one resident
Pricipal Teaching Methods
Participation in the outpatient care of oncology patients under the direction
of a teaching panel oncologist.
Educational Content
Mix of Diseases
The outpatients seen by the resident are either undergoing an outpatient
work-up for a suspected malignancy, or are receiving chemotherapy and/or
other care for outpatient treatment of an established malignancy.
Patient Characteristics
The patients are a broad spectrum of people; private pay patients, community
clinic patients, retired military and military dependents from a health
maintenance organization, and others referred to one of the four oncologists
who staff the outpatient hematology/oncology rotation.
Types of Clinical Encounters
The majority of the clinical time is spent in outpatient care, although
in some instances the residents accompany the attendings on their morning
and evening inpatient rounds.
Procedures
Residents may perform or assist with marrow aspiration or diagnostic or
therapeutic taps of effusions.
Services
The clinic practices are adjacent to Swedish Medical Center, which offers
a full range of diagnostic and therapeutic options.
Monday
Pacific Medical Centers 1101 Madison
8 AM-12 p.m.
Swedish Cancer Institute
1 p.m.-5 p.m.
Tuesday
Pacific Medical Centers 1101 Madison
8 AM-12 p.m.
Swedish Cancer Institute
1:20 p.m.-5 p.m.
Wednesday
Mehmet Fer, MD
8 AM-12 p.m.
Pacific Medical Centers
1 p.m.-5 p.m.
Thursday
University of Washington Conferences
8 AM-12 p.m.
Mehmet Fer, MD
1 p.m.-5 p.m.
Friday
Administrative
8 AM-12 p.m.
General Internal Medicine Clinic
1 p.m.-5 p.m.
Call and Weekend Responsibilities
None
Principle Educational Materials Used
Recommended Readings
The Swedish Medical Center First Hill Library, adjacent to the Department
of Medicine office, is open 10 hours a day, five days a week. Night access
can be arranged for acute needs. Copy machines and various online databases
are available including PubMed, Ovid, and Ebsco are available at no charge
to the attending physicians, residents, and students in the library. Included
in these databases are Medline and many full text journals.
Methods Used in Evaluating Resident and
Program Performance
At the end of the rotation, the resident is evaluated in writing and their
performance reviewed with them verbally by every attending and fellow
he or she has interacted with for a significant amount of time. The evaluator
rates the resident on a nine-point scale in each component of clinical
competence (i.e. patient care, medical knowledge, practice based learning
improvement, interpersonal and communication skills, professionalism,
system based learning, educational attitudes, leadership, overall clinical
competence).
The resident is given the opportunity to evaluate in writing the quality of the curriculum and the extent to which the educational goals and objectives of the rotation have been met. The resident also evaluates the teaching competence of each attending and fellow with whom s/he has interacted for a significant amount of time.
Explicit Lines of Responsibilitiy for Care
of Patients on this Service
The relationship between the senior resident and the oncology attending
is a direct one-to-one mentor-pupil relationship, with allocation of responsibility
appropriate to the resident’s level of clinical sophistication.
