» Family Medicine Residency

For Prospective Residents

PGYI Intensive Care Unit
Olive View-UCLA Medical Center

Goals

By the end of the ICU rotation, the resident will have demonstrated the knowledge, attitudes and skills necessary to work as a member of the multidisciplinary team providing care to critically ill patients

Objectives

Patient Care and Medical Knowledge

Residents will:

  1. Assess critically ill patients
  2. Stabilize critically ill patients
  3. Participate actively in the care of critical illnesses, including:
    1. Asthma, chronic bronchitis, emphysema and respiratory failure
    2. Acute respiratory distress syndrome
    3. Acute cardiac ischemia
    4. Arrhythmias
    5. Cardiogenic shock
    6. Sepsis
    7. Pulmonary edema
    8. GI bleeding
    9. Drug overdoses
    10. Pulmonary embolism
    11. Encephalopathy (vascular, traumatic, infectious and metabolic) and coma
    12. Diabetic ketoacidosis and hyperosmolar nonketotic coma
    13. Renal failure
  4. Perform, order or request consultation for interventions and tests appropriate to the ICU setting, including:
    1. Mechanical ventilation
    2. Echocardiogram
    3. Cardiac catheterization
    4. External and internal transvenous pacemaker use
    5. Lung ventilation-perfusion scans and pulmonary angiography
    6. Plural and lung biopsies
    7. Bronchoscopy and bronchoalveolar lavage
    8. Hemodialysis
    9. Gastrointestinal endoscopy
    10. Computerized tomography and magnetic resonance imaging of the head, chest, and abdomen
  5. Perform procedures, including:
    1. Endotracheal intubation
    2. Central venous catheterization
    3. Cardiac defibrillation
    4. Arterial line placement
    5. Thoracentesis
    6. Paracentesis
    7. Lumber puncture
  6. Interpret laboratory tests, imaging and bedside monitoring, including:
    1. Oximetry and arterial blood gases
    2. Serum electrolytes, calcium, magnesium, and phosphorus
    3. Coagulation parameters including: INR, PTT, D-dimer and platelets
    4. White blood cells counts and differentials
    5. Hemoglobin and hematocrit
    6. Chest x-rays
    7. Electrocardiograms and rhythm strips
    8. Swan-Ganz catheter monitoring

Practiced-Based Learning and Improvement

  1. Be able to use the Internet to access current literature about medical problems encountered in the intensive care unit setting
  2. Be able to critically evaluate literature about critical care
  3. Be able to work well in the context of the Intensive Care Unit Team
  4. Be able to implement changes in patient care based on new information obtained from Attending Rounds, clinical experience, review of the literature and other sources

Interpersonal Communication Skills

  1. Communicate effectively with patients
    1. Able to communicate in a manner understandable to the patient and the family of a patient with a critical medical condition regarding the underlying disease, treatment plan and prognosis
    2. Able to listen to and address the concerns of patients and their families
  2. Communicate effectively with colleagues
    1. Able to work efficiently in the context of Intensive Care Unit Team in a county hospital
    2. Able to clearly communicate patient sign-out, both when giving and receiving sign-out
    3. Able to work efficiently with the support staff in the care of the critically ill patient

Professionalism

  1. Demonstrate cultural competency
  2. Demonstrate the ability to act in the best interests of the patients
    1. Respect for confidentiality
    2. Respect for patient autonomy
  3. Be professional in all aspects of patient care
    1. Accepts personal responsibility for patients
    2. Accepts feedback in all aspects of care, including the six core competencies
    3. Timeliness
    4. Appropriate attire

Systems-Based Practice

  1. Demonstrate understanding of the care of the critically ill patient in the context of the current healthcare system in a county facility
  2. Coordinate care with ancillary services to improve the healthcare of the patient
  3. Assist patients and their families in dealing with the medical condition or disease

Logistics

Contacts

Soma Wali, MD

Rotation Director
ICU/Medicine Wards
2B-182
Olive View Medical Center
14445 Olive View Drive
Sylmar, CA 91342
(818) 364-3251
swali@dhs.co.la.ca.us

Gus Chavez
Mark DeVany
Department of Medicine
(818) 364-3205

Additional Information

Location: Olive View Medical Center
14445 Olive View Drive
Sylmar, CA 91342

*** Contact the Senior Resident (contact Chief Resident's office for name and pager of the Senior Resident) the day before this rotation to receive sign-out on your patients and to confirm rounding time.

Continuity Clinic: 2 clinics / rotation

Call Schedule: q3d. The call schedule is available from Olive View Chief Residents or online.

Educational Half Day: - You are not excused from ICU to attend EHD.

There is an orientation to Olive View at the beginning of each block.