Internal Medicine

Center

IM Residency Ambulatory Care

The Internal Medicine Center serves as a critical resource for the community by providing patients of all backgrounds and needs the primary care they need to pursue their own best health.

 

The IMC is certified as a Level 3 Patient Centered Medical Home

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News

 

Video for New Interns and Residents posted

Before seeing the first patient, and after basic EPIC training, we recommend all incoming interns and residents to view this video created by 2017 outgoing residents. You will learn smart phrases that organize and create a high quality note and work flows that will make you more efficient from day one. This resource is also recommended for all clinicians seeing patients in the IMC. There is even a primer on macros and billing. Find the video here.

Resident-led Inter-professional Team Launches Heart Failure Clinic in the IMC

In January 2017 a resident team  initiated disease based visits in the IMC for patients with a diagnosis of heart failure. The goal is to move this population forward in their use of current HF protocol and to reduce hospital readmissions.

 

During the visit, patients are seen by the pharmacist, behavioral health and the managing resident. Visits are prepped using a special template that is added to the Care Coordination Note and the visit itself follows HF guidelines using a workflow and note template.  Use the PCMH menu item to access the HF Page.

Didactics

Didactics Sessions

8:00-8:30 AM

What are Didactic Sessions?

How should I Prepare for Didactic Sessions?

When and Where?

Didactic Cases are specially written to introduce you to the key elements of the diagnosis and treatment of 10-12 of the most common conditions you are likely to see in the Internal Medicine Center practice. The cases include a real life presentation for the condition with questions that lead you through all relevant issues of diagnosis and treatment. Links are provided to critical and current evidence-based guidelines

This page contains a calendar and links to access all cases. If you are the lead or back up presenter, be prepared to read the case and guide the group through answering the questions.

Even if you are not leading, work through all the questions ahead of the session using the guideline links provided.

Ready to see the Case? Click on the Case Name in the Calendar to Download a Case.

All Didactic Sessions are held in the Bullpen, or staffing area, in the IMC. Sessions start promptly at 8:00 so plan to be settled and ready to start  before then.

Leaders,  text your back up presenter if you know you will not be there on time.

August Didactic Schedule

September Didactic Schedule

October Didactic Schedule

Tues, Aug 1       IMC Didactic Case on Low Back Pain with ACP/APS Guidelines   Presenter: Nimrit Lotey   Back Up: Drew Dust

Thurs, Aug 3     IMC Didactic Case on Heart Failure     Presenter: Drew Dust     Back Up: Bahar Moftakhar

Tues, Aug 8       IMC Didactic Case on Preventative Medicine    Presenter: Brian Corwin   Back Up: Nimrit Lotey

Thurs, Aug 10   IMC Didactic Case on Hypertension with JNC 8 and ATP4 reviews   Presenter: Susanna Mathias  Back Up: Akshay Deotare

Tues, Aug 15      IMC Didactic Case on COPD with GOLD Guideline review     Presenter: Akshay Deotare  Back Up: Edward Pankey

Thurs, Aug 17     IMC Didactic Case on GERD     Presenter: Edward Pankey     Back Up: Meharsi Singh

Tues, Aug 22     IMC Didactic Case on Asthma with review of NHLBI Guidelines     Presenter: Meharsi Singh  Back Up: Yesha Patel

Thurs, Aug 24   IMC Didactic Case on Depression    Presenter: Bahar Moftakhar  Back Up: Brian Corwin

Tues, Aug 29     IMC  Case on Headache     Presenter: Yesha Patel  Back Up: Susanna Mathias

Thurs, Aug 31    IMC  Case on Irritable Bowel/ Fibromyalgia   Presenter: Edward Pankey   Back Up: Meharsi Singh

 

There are two additional learning experiences this month you should attend:

Wed, Aug 5      IMC Didactic Case on Diabetes   All residents should prep for participation.

  for patients for professionals research about hss contact us   patient stories   given a helping hand: emergency surgery for buerger's disease in november 2007, christopher manno began noticing that most of the fingers in his left hand were alternately turning white and cool and would only come back to normal by pinching and massaging them. Despite several diagnostic tests and a change of medication to help circulation, mr. viagra women hindi Manno’s condition worsened. By january 2008, three of his fingers were ice cold and beginning to take on a bluish hue. “within just a few days thereafter,” recalls mr. viagra women hindi Manno, “they became almost purple. ” his local rheumatologist insisted that he immediately, that same day, wednesday, january 9, 2008, see dr. viagra 10 mg lilly 4st fta Robert spiera, a rheumatological specialist at hospital for special surgery. “that afternoon i saw dr. viagra online Spiera and he was quite alarmed,” says mr. viagra pills for women Manno. “he arranged for me to have an emergency appointment that evening with dr. Robert hotchkiss, a hand surgeon of great repute. viagra for sale Dr. Spiera knew he could deal with such an aggressive symptom. ” what dr. Spiera had recognized in mr. Manno’s symptoms was an uncommon vascular condition known as buerger’s disease—a difficult disorder to diagnose that involves inflammation and clotting of arteries and veins of the hands and feet resulting in insufficient blood flow. viagra women hindi The disease causes pain in the affected areas, and ulcerations and gangrene are common complications, often resulting in the need for amputation of the involved extremity. As in the case of mr. viagra for the brain 2012 Manno, patients often describe the raynaud’s phenomenon of sensitivity of the hands and fingers to cold. buy viagra online Dr. Hotchkiss took one look at mr. Manno’s hand and, with crucial input about diagnostic imaging needs from hollis g. Potter, md, chief, magnetic resonance imaging, and radiologist douglas n. Viagra uk gp Mintz, md, he had mr. nationalityinworldhistory.net/bsh-buy-generic-viagra-online-jc/ Manno undergo both an mri and an mra (magnetic resonance angiography). “based on the results from those and other tests, he told me he wanted to operate friday morning or i would most definitely lose my fingers if not my entire hand to amputation,” says mr. Manno. “at this point, i put myself entirely in his trust. ” “mr. buy generic viagra Manno was about to lose his hand,” says dr. Hotchkiss. discount viagra generic best price “he had clotted the essential arterial supply from his wrist to all of his fingers and was facing amputation. Rob spiera recognized the problem and sent him over to me. I still remember the call. He said ‘can you see this guy today? Liquid viagra review ’at the time of surgery, he had no blood flow to his hand. We essentially replaced the entire arterial supply to his left hand and digits using bypass vein grafts from his forearm. http://floridalighttacklecharters.com/thq-viagra-generic-pills-kl/ At the end of the procedure, he had almost one hundred percent flow—a striking improvement. cheap viagra online Because dr. Viagra vs viagra vs viagra forum Spiera knew the gravity of the problem and acted immediately, we were able to save the hand. ” says mr. generic viagra online Manno, “if i had gone to any other doctor there’s a very good chance that i wouldn’t have a hand right now. next day delivery viagra uk  it was deem. viagra prescription needed Wed, Aug 19    IMC Pharmacy Didactic Case on Warfarin   All residents should prep for participation.

 

There is One Self Study Cases for the month of August. Be sure to download and review it on your own.

 

                        IMC Self Study Case on Atrial Fibrillation

Tues, Sept 5       IMC Didactic Case on Low Back Pain with ACP/APS Guidelines   Presenter: Jackie Kannan   Back Up: Katie Sheppard

Thurs, Sept 7     IMC Didactic Case on Heart Failure     Presenter: Raymond Mai     Back Up: Wei Wang

Tues, Sept 12     IMC Didactic Case on Preventative Medicine    Presenter: Wei Wang  Back Up: Jackie Kannan

Thurs, Sept 14   IMC Didactic Case on Hypertension with JNC 8 and ATP4 reviews   Presenter: Katie Sheppard/M. Zhang Back Up: Raymond Mai

Tues, Sept 19     IMC Didactic Case on COPD with GOLD Guideline review     Presenter: Jose Danguilan  Back Up: Edward Pankey

Thurs, Sept 21   IMC Didactic Case on GERD     Presenter: Edward Pankey     Back Up: Chris Muse

Tues, Sept 26    IMC Didactic Case on Asthma with review of NHLBI Guidelines     Presenter: Chris Muse  Back Up: Atharva Thakore

Thurs, Sept 28 IMC Didactic Case on Depression    Presenter: Atharva Thakore  Back Up: Myron Zhang

 

There are two additional learning experiences this month you should attend:

Wed, Sept 6      IMC Didactic Case on Diabetes   All residents should prep for participation.

Wed, Sept 20   IMC Pharmacy Didactic Case on Warfarin   All residents should prep for participation.

 

There are three Self Study Cases for the month of September. Be sure to download and review them on your own.

                         IMC Self Study Case on Headache

                          IMC Self Study Case on Irritable Bowel Syndrome/ Fibromyalgia

                          IMC Self Study Case on Atrial Fibrillation

Tues, Oct 3      IMC Didactic Case on Low Back Pain with ACP/APS Guidelines   Presenter: Nick Raspovic   Back Up: Kyle Unsdorfer

Thurs, Oct 5    IMC Didactic Case on Heart Failure     Presenter: Meharsi Singh     Back Up: Nick Raspovic

Tues, Oct 10   IMC Didactic Case on Preventative Medicine    Presenter: Leah Giacotto   Back Up: Kyle Unsdorfer

Thurs, Oct 12  IMC Didactic Case on Hypertension with JNC 8 and ATP4 reviews   Presenter: Amir Yeganeh  Back Up: Leah Giacotto

Tues, Oct 17    IMC Didactic Case on COPD with GOLD Guideline review     Presenter: Megan Bielawski  Back Up: Amir Yeganeh

Thurs, Oct 19 IMC Didactic Case on GERD     Presenter: Kyle Unsdorfer     Back Up: Meharsi Singh

Tues, Oct 24   IMC Didactic Case on Asthma with review of NHLBI Guidelines     Presenter: Meharsi Singh  Back Up: Nick Raspovic

Thurs, Oct 26 IMC Self Study Case on Didactic Case on Depression    Presenter: Amir Yeganeh    Back Up: Meharsi Singh

Tues, Oct 31    IMC Self Study Case on Headache     Presenter: Kyle Unsdorfer    Back Up: Megan Bielawski

 

There are two additional learning experiences this month you should attend:

Wed, Oct 4       IMC Didactic Case on Diabetes   All residents should prep for participation.

Wed, Oct 18     IMC Pharmacy Didactic Case on Warfarin   All residents should prep for participation.

 

There are Two Self Study Cases for the month of October. Be sure to download and review them on your own.

 

 

                          IMC Self Study Case on Irritable Bowel/ Fibromyalgia

                          IMC Self Study Case on Atrial Fibrillation

Ambulatory Skills

FIND SMARTPHRASES AND EFFICIENCY TIPS HERE TO IMPROVE YOUR CARE

USE CASE BASED LEARNING TO ADOPT AN EVIDENCE BASED APPROACH FOR COMMON CONDITIONS

Patient Centered Medical Home

BUILDING A NEW CARE MODEL FOR INTERNAL MEDICINE

Population Medicine

 

 

Population Medicine

We use care plans, planning huddles, practice reports to target care.

Heart Failure

IMC Clinic Initiative

Resource Page

v

Team

Team members communicate core goals of care and use back up behaviors to get them done.

 

Patient Engagement

We use new ways of effectively activating patients for their own disease management.

 

TALK TO US

If you would like to submit a short essay, ask for help, share a Smartphrase or offer a suggestion as to how we can make this site even more awesome, please send your comment to us here:

 

jonesrr@summahealth.org

 

The IMC is certified as a Level 3 Patient Centered Medical Home

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