Resident Clinic Experience: Opportunities and Challenges for PGY-2 and PGY-3
Explore the dynamic world of a Resident Clinic for PGY-2 and PGY-3 trainees, filled with valuable learning, ownership potential, team activities, and data-driven improvements. Discover the transition from OR to clinic practice, orientation goals, challenges faced, and the key role this experience plays in shaping future physicians' careers.
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Presentation Transcript
Resident Clinic PGY 2, 3 Two Sessions/week (1 full day) 6 Month Average Monday E/M Encounters Vasx 2.3 Cysto 9.3 Other Proc 2 52 Thursday 52 4.5 6 2
Clinic Opportunity Potential for ownership/continuity Team activity (Nursing, MAs) Breadth of cases Embedded Skills Effective Charting Coding Procedures with Awake patients **Translation to practice from 3.5 days in OR to 3.5 days in clinic
Clinic Challenges EPIC-facing Creation of work Data follow-up Not indexed like cases- how to objectify experience? Distraction, burnout AAMC/UCSF Study 2016 Most care is outpatient, but even in PC residency, only 1-1.5 days/week in clinic **54% of PC residents want to stay in it after residency Find hospital/in house more interesting
Orientation Goals Valuable learning Increase patient exposure Create work habits to minimize drudgery Instill confidence Measure indicators
Orientation Walk-through Orient to patient experience, nurse offices, radiology, supplies and storage Review Scheduling and Templates Expectations for disposition, test review, communication, specialty consultation, OR posting Patient flow in clinic AM Huddle, team identification, radiology coordination, order sets **Policy on Orders Documentation Coding-E/M, modifiers, audit, demystify Dr Sands Margie Speight Standardize Clean cloning .phrase use
Orientation Procedures History, exam, consent, prep, post instructions Same-day visits Coordination with access/nursing
Clinic Conclusions Clinic is opportunity for ownership/longitudinal care Data-driven improvement (timeliness, productivity, patient experience) Engaged Leadership Care Coordination Team-based Care Toolbox for efficient management
