PRESBYTERIAN URGENT CARE - ROTATION INFORMATION

Year: PGY3

Rotation contact information: 

• David Phelps, MD email:  dphelps@phs.org

Important notes about this rotation: ON WEDNESDAY AM'S OF THIS ROTATION, YOU ARE SCHEDULED AT NORTH VALLEY TO WORK WITH THE FOCUS CLINIC. THIS IS A REQUIRED PART OF THIS ROTATION. PLEASE CONTACT CHARITY BISHOP AND SHERRY WEITZEN IF YOU CANNOT ATTEND FOCUS, AS WELL AS DOLORES, AS SOON AS POSSIBLE.

Any day that is not scheduled when you receive your final schedule from Presbyterian will be considered an Admin Time: Clinic/Scholarly/QI Projects

There is one person who does the scheduling for all of the Presbyterian Urgent Cares. She does her best to send the schedules in a timely fashion, but has to fit our residents in to shifts that exist.  She is often not able to create your schedules until about 1-2 weeks prior to start.

Location: Varies

Pre-requisites:

Description of rotation:

Urgent care at Presbyterian is a unique opportunity to experience another system and get exposure to more musculoskeletal concerns, procedures, laceration repair, and other things we don't often get to see in clinic or in our inpatient services.  Dr. Phelps is an invested and amazing teacher.

Process and contact for sick days:

Please contact Dr. Phelps and, as always Dolores.

Schedule:  

Patient Logs:

Important: We created a logbook in new innovations for peds urgent care visits- what we need you to do is enter the date you saw pts <18 and the number of them you saw that day

go to logger->logbooks->"add new entry" for Pres urgent care pediatric visits. Please do this, we need to capture those visits.

Misc tips:

Food: most locations don't have food available, bring food and also a water bottle that you can refill 

EMR: We understand that you won't have EPIC access, we found that it just took too long to sign up and get trained up, so the supervising physicians will help you with notes. This doesn't mean though that they think you are a med student or anything! They just don't want you to have to spend a huge amount of time learning an EMR that may not be useful for you. 

Parking: there are no locations that require a parking pass, just don't park in patient parking 

Badge: please do wear the badge you get  

Description:

_______

-Presbyterian Hospital Required Training -  You do not need to repeat this step if you did this for Adolescent Medicine.   

• Urine Drug Screening - Dolores Garcia will have screening paperwork for you to take the Testing Facility (see below)
•  Quest Diagnostics

                         8900 San Mateo NE

                         Albuquerque, NM 87113-2459

                         Hours of Operation: 7am-6pm Mon-Fri

                         Phone:  505-449-3246

• Compliance Clinical Required Rotation Forms and Training Modules - You can review them on the links below
•  https://www.phs.org/providers/resources/training-education/Pages/medical-clinical-rotations.aspx 
• http://unmfm.pbworks.com/w/browse/#view=ViewFolder&param=Presbyterian%20Paperwork  

Rotation Goals:

• To become more comfortable with the management of mild to moderate injury and illness
• Gain familiarity with services offered in an urgent care to help understand what can be handled outside of emergency rooms and what equipment is needed
• Gain more exposure to an outside medical system (Presbyterian) 

Additional Resources

A highly recommended book (purchase gives you electronic access as well). Recommended for anyone who will be seeing walk-ins in their future: "Minor Emergencies"

Curious about what the most common presenting complaints, diagnoses and types of prescriptions written are at an urgent care?  This presentation has interesting graphs. It's a bit old but still likely representative. http://www.jucm.com/pdf/JUCM_Urgent_Care_Chart_Research.pdf