pgy1 house officer orientation week 2015 - ko...

PGY1 House Officer

Orientation Week 2015 Monday 23rd November to Friday 27th November

Middlemore Hospital

2015

Counties Manukau Health – Middlemore Hospital,

RMO Welcome

Dear newly-qualified doctors,

It is with great pleasure that I welcome you to a most noble profession and to Counties Manukau Health.

As you progress through one of the most challenging transitions in your clinical lives, the transition from

undergraduate study to professional practice, we at Counties Manukau Health intend to support you every

step of the way. Our post-graduate year one (PGY1) Orientation programme is but the first display of our

commitment to your learning and development.

This year's PGY1 Orientation programme has been developed by individuals who have been 'in your shoes'

in the recent past and has been enriched by the contribution of our current PGY1 house officers. It is the

culmination of months of planning, hours of hard work and the dedication of a team who have gone to

great lengths to address your educational needs.

As would be expected of the District Health Board which houses the Ko Awatea Centre for Health System

Improvement and Innovation, we have infused the principles of innovation and improvement into the

development of our PGY1 Orientation programme in order to deliver you an Orientation Week that is

informative, educative and most of all, enjoyable.

Dr Keerthi Kumar

Prevocational Medical Education Fellow 2015

Counties Manukau Health


A warm welcome to you all:

Our PGY1 House Officers for 2015/2016

Zanazir ALEXANDER

Molly ANDERSON

Sebastian ANG

Nicola ATKINSON

Ramya BALACHANDRAN

Gannin BELL

Maria BRAND

Thomas BRICKLAND

Samuel BURRIDGE

William CAUGHEY

Ying Tai CHEE

Jessica CHOW

Emily COLE

Jayana DEVATHASAN

Shavonne DUFFY

Halo FAIUMU

Atua ASAFO

Mikaela GARLAND

Ilze JACOBS

Jiyeon KWON

Young Hwan LEE

Rodania LEVI

Angela LIM

Jin Xin LIN

Anna Yu LUO

Gabriella MARTI

Jessica NIMMO

Joshua PERRETT

Ashwin RAJAN

Janine RAYEN

Antonia RESTALL

Elisabeth RIORDAN

Saleimoa SAMI

Ahalya SATHIYASELVAN

Nessie SHARPE

Gajan SRIKUMAR

Natasha SMITH

Samantha STEVENSON

Olivia STUBBERSFIELD

Mei-Yen TOH

Senitila TUTONE

Henry WATSON

Hayley WONG

Venus WONG

Weisi XIA

Meng-Chin YEN

Renee YETTON


Counties Manukau Health’s Vision and Values To work effectively as a new member of the team that is Counties Manukau Health (CMH), it is vital that

you understand Counties Manukau Health’s (CMH’s) strategic goal and values.

Vision CMH’s strategic goal is centred on achieving health equity for our

community. The title of CMH’s strategic plan for 2015-2020,

‘Healthy Together’, encapsulates CMH’s vision.

To achieve its strategic goal, CMH will focus on the following:

Healthy Services – safe, high quality equitable care

Healthy Communities – partnership with communities in order to provide integrated care

Healthy People, Whānau & Families – fostering health literacy by involving whānau in everyday care

Values In order to provide our patients with safe and equitable care it is important to imbibe CMH’s values and

integrate them into our interactions with patients and colleagues. CMH’s values, which are simple yet

profound, are as follows:

Valuing everyone –Making everyone feel welcome and valued

Kind - Caring for other people's wellbeing

Together - Including everyone as part of the team

Excellent – Providing safe and professional care and always improving


Orientation Week Timetable (Day 1)

MONDAY 23rd NOVEMBER

7:30 am to 7:50 am

8:00 am to 9:15 am

9:30 am to 10:00 am

(Ko Awatea Room 106)

10:00 am to 10:30 am

10:30 am to 11:00 am

11:00 am to 11:20 am

11:20 am to 11:30 am

11:30 am to 12:00 am

12:00 pm to 12:30 pm

12:30 pm to 12:45 pm

12:45 pm to 13:00 pm

1:00 pm to 2:00 pm

2:00pm to 4:30 pm

4:30 pm

Registration

Pōwhiri at Nga Whetumarama Marae

Welcome Addresses:

Chief Medical Officer, Dr Gloria Johnson

Director of Hospital Services, Phillip Balmer

Deputy Chief Medical Officer, Dr David Hughes

RMO Support Unit

Morning Tea

RMO Welcome

Prevocational Medical Education Fellow 2015 , Dr Keerthi Kumar

First Year at Counties

PGY1 House Officer, Dr Annabel Dekker

PGY1 House Officer Dr Elliot Page

Māori Health: A RMO perspective

Ko Awatea Clinical Fellow, Dr Marinus Stowers

Pacific Health: A RMO perspective

Psychiatry Registrar, Dr Staverton Kautoke

Northern Regional Clinical Pathways

Introduction to CMH Pharmacy Services

Nisha Bangs, Clinical Pharmacist

Lunch

Hospital Orientation

Wrap up


Hospital Orientation (Monday 23rd November, 2:00pm to 4:30pm)

The MMH campus is extensive. As a new house officer, finding locations within it can be overwhelming

especially if you have never worked here before. To maximise your retention of important areas within the

MMH campus, you will be oriented to locations that will be particularly relevant to you as a PGY1 house

officer. Our current PGY1 house officers have been consulted to determine the ‘Top 20’ locations that all

house officers new to MMH must know.

During Monday afternoon, in addition to physical locations, you will be orientated to key services within

CMH. They include: Allied Health, our Acute and Post-Acute Care (APAC) Team, Bereavement Care,

Infection Control, Occupational Health, our OutPatient IntraVenous Antibiotics (OPIVA) service and VTE

prevention.

To ensure you derive the most benefit out of the hospital orientation you will be in teams with colleagues

who will (mostly) be working in the same specialty as you. The teams for the Hospital Orientation session

are given below.

Team ‘G’ Jayana Devathasan Young Hwan Lee Jin Xin Lin Anna Yu Luo Antonia Restall Elisabeth Riordan Ahalya Sathiyaselvan Henry Watson Team Gen Med William Caughey Mikaela Garland Jiyeon Kwon Joshua Perrett Saleimoa Bill Sami Nessie Sharpe Natasha Smith Weisi Xia

Team Gen Surg Molly Anderson Ramya Balachandran Maria Brand Jessica Nimmo Janine Rayen Gajan Srikumar Olivia Stubbersfield Senitila Tutone Team Geris Zanazir Alexander Samuel Burridge Ying Tai Chee Atua Asafo Mei-Yen Toh Hayley Wong Meng-Chin Yen

Team Ortho Sebastian Ang Nicola Atkinson Halo Faiumu Ilze Jacobs Angela Lim Ashwin Rajan Samantha Stevenson Venus Wong Team ‘P’ Shavonne Duffy Emily Cole Gannin Bell Renee Yetton Gabriella Marti Jessica Chow


Orientation Week Timetable (Day 2-4)

TUESDAY 24th NOVEMBER

8:00 am to 4:30 pm SKILLshop (CTEC and Ko Awatea)

WEDNESDAY 25th NOVEMBER

8:00 am to 5:00 pm SKILLshop

6:00 pm to 8:00 pm PGY1 Celebration Dinner (Ko Awatea, Main Lecture Theatre)

THURSDAY 26th NOVEMBER

8:00 am to 1:00 pm SKILLshop (CTEC and Ko Awatea)

1:00 pm to 1:30 pm Lunch

1:30 pm to 5:00 pm Prescribing Workshop (Computer Lab 1 and 2, Ko Awatea)

SKILLshop

From Day 2 to Day 4 of Orientation Week, a ‘skills’ workshop (SKILLshop) will be held. SKILLshop will focus

on both practical and administrative skills required during your first year as a house officer, with an

emphasis on hospital-specific operational information. During SKILLshop you will be rotating, in teams,

through various teaching stations located in the Clinical Teaching Education Centre (CTEC) and Ko Awatea.

Your teams are below and the SKILLshop timetable is provided on the following 3 pages.

Team A Sebastian Ang Nicola Atkinson Ying Tai Chee Jayana Devathasan Ilze Jacobs Jin Xin Lin Anna Yu Luo Janine Rayen Antonia Restall Elisabeth Riordan Ahalya Sathiyaselvan Nessie Sharpe Henry Watson Hayley Wong Renee Yetton

Team B Zanazir Alexander Samuel Burridge William Caughey Atua Asafo Mikaela Garland Jiyeon Kwon Young Hwan Lee Angela Lim Joshua Perrett Ashwin Rajan Saleimoa Sami Natasha Smith Mei-Yen Toh Venus Wong Weisi Xia

Team C Molly Anderson Ramya Balachandran Gannin Bell Maria Brand Jessica Chow Emily Cole Shavonne Duffy Halo Faiumu Gabriella Marti Jessica Nimmo Gajan Srikumar Samantha Stevenson Olivia Stubbersfield Senitila Tutone Meng-Chin Yen

SKILLshop – Day 1 (Tuesday 24th November)

Team A Team B Team C

0800h - 0830h Level 7 ACLS refresher AI2DET

(CTEC, Seminar Rm 2) Lumbar Puncture (CTEC, Sim Rm 4)

0830h - 0900h (CTEC, Seminar Rm 1) House Officer Tasks 101 0900h - 0930h

(CTEC, Seminar Rm 2)

0930h - 1000h

Morning Tea

1000h - 1030h

Morning Tea House Officer Tasks 101

1030h - 1100h

Lumbar Puncture (CTEC, Sim Rm 4) (CTEC Seminar Rm 2)

1100h - 1130h 1130h - 1200h 1200h -1230h

Lunch

1230h - 1300h Lunch Joint Aspiration (CTEC, Sim Rm 2)

1300h - 1330h Lumbar Puncture (CTEC, Sim Rm 4) Ward Emergency Simulation - Scenario 1 1330h - 1400h

(CTEC, Meeting Rm 1 & Sim Rm 1) Urinary Catheterisation (CTEC, Sim Rm 3)

1400h -1430h 1430h - 1500h Joint Aspiration (CTEC, Sim Rm 2) Urinary Catheterisation (CTEC, Sim Rm 3) Ward Emergency Simulation - Scenario 1

1500h - 1530h

(CTEC, Meeting Rm 1 & Sim Rm 1)

1530h -1600h Urinary Catheterisation (CTEC, Sim Rm 3) Joint Aspiration (CTEC, Sim Rm 2) 1600h - 1630h


SKILLshop – Day 2 (Wednesday 25th November)


0800h - 0830h AI2DET (Ko Awatea Rm 103) Level 7 ACLS refresher AI2DET (Ko Awatea Rm 103)

0830h - 0900h

(CTEC, Seminar Rm 1) Handovers (Ko Awatea Rm 103)

0900h - 0930h Computer Training

0930h - 1000h (Pink Palace)

Certification (Ko Awatea Rm 103)

1000h - 1030h

1030h -1100h

Morning Tea

1100h - 1130h

Ward Emergency Simulation - Scenario 2

1130h - 1200h

(CTEC, Meeting Rm 2 & Sim 4)

1200h -1230h 1230h - 1300h

Lunch

1300h - 1330h 1330h - 1400h Ward Emergency Simulation - Scenario 1 Ward Emergency Simulation - Scenario 2 Computer Training

1400h -1430h (CTEC, Meeting Rm 1 & Sim Rm 1) (CTEC, Meeting Rm 2 & Sim 4) (Pink Palace)

1430h - 1500h 1500h - 1530h Afternoon Tea

1530h -1600h Ward Emergency Simulation - Scenario 2 Handovers (Ko Awatea Rm 103) 1600h - 1630h (CTEC, Meeting Rm 2 & Sim 4)

1630h - 1700h


SKILLshop – Day 3 (Thursday 26th November)


0800h - 0830h

Level 7 ACLS refresher

0830h - 0900h House Officer Tasks 101 Certification (Ko Awatea Rm 102) (CTEC, Seminar Rm 1)

0900h - 0930h (Ko Awatea Rm 101)

0930h - 1000h

1000h - 1030h Certification (Ko Awatea Rm 102) Computer Training

1030h - 1100h

(Pink Palace)

1100 - 1130h Morning Tea

1130h - 1200h Handovers (Ko Awatea Rm 101)

1200h -1230h

1230h - 1300h

1300h - 1330h

Lunch

Prescribing Workshop (Thursday 26th November)

This year (following consultation with MMH house officers present and past, clinical pharmacists and

medication safety specialist pharmacists), a prescribing workshop has been developed to help you

prescribe safely at CMH. The timetable for the Prescribing Workshop is as follows:

Team ‘Medical’ Team ‘Surgical’ 1330h - 1400h

General Prescribing (Ko Awatea Computer Lab 1)

1400h -1430h General Prescribing (Ko Awatea Computer Lab 1) 1430h - 1500h

1500h - 1530h 1530h -1600h Afternoon Tea

1600h - 1630h Anticoagulant Prescribing

(Ko Awatea Rm 101) Paediatric Prescribing (Ko Awatea Rm 102)

1630h - 1700h Paediatric Prescribing (Ko Awatea Rm 102)

Anticoagulant Prescribing (Ko Awatea Rm 101)

You will be in the following groups for the prescribing workshop:

Team ‘Medical’ Zanazir Alexander Samuel Burridge William Caughey Ying Tai Chee Jayana Devathasan Shavonne Duffy Atua Asafo Mikaela Garland Jiyeon Kwon Jin Xin Lin Anna Yu Luo Joshua Perrett Antonia Restall Elisabeth Riordan Saleimoa Sami Nessie Sharpe Natasha Smith Mei-Yen Toh Henry Watson Hayley Wong Weisi Xia Meng-Chin Yen Renee Yetton

Team ‘Surgical’ Molly Anderson Sebastian Ang Nicola Atkinson Ramya Balachandran Gannin Bell Maria Brand Jessica Chow Emily Cole Halo Faiumu Ilze Jacobs Young Lee Angela Lim Gabriella Marti Jessica Nimmo Ashwin Rajan Janine Rayen Ahalya Sathiyaselvan Gajan Srikumar Samantha Stevenson Olivia Stubbersfield Senitila Tutone Venus Wong

Orientation Week Timetable (Day 5)

FRIDAY 27th NOVEMBER

8:00 am to 9:45 am Morning with Teams

10:00 am to 11:00 am Medicolegal Matters

(Ko Awatea Room 107) Legal Advisor, Brigid Mills

11:00 am to 11:30 am Talk by Coroner Katharine Greig

11:30 am to 12:00 pm Introduction to Prevocational Educational Supervisors

Dr Lou Finnel

Dr Linda Huggins

12:00 pm to 12:10 pm Clinical Coding

12:10 pm to 1: 00 pm Lunch

1:00 pm to 1:30 pm The Electronic Discharge Summary (EDS)

Chief Resident (General Medicine), Dr Chester Holt-Quick

1:30 pm to 2:00 pm Prescribing Intravenous (IV) Fluids

Research Fellow, Dr Sanjeev Krishna

2:00 pm to 2:30pm The Northern Regional Alliance (NRA)

2:30 pm to 3:00pm Q & A session

3:00 pm to 3:30 pm Resident Doctors’ Association (RDA)

3:30 pm Closing


PGY1 Orientation Week and ePort

As a PGY1 house officer you are expected by the Medical Council of New Zealand (MCNZ) to record your learning during PGY1 (and PGY2) on an e-portfolio called e-Port. E-port is where you will:

Tick off the 373 learning outcomes of the New Zealand Curriculum Framework for Prevocational Medical Training (NZCF), which are to be completed during your PGY1 and PGY2 years.

Record attendance at weekly hospital-wide and departmental teaching sessions as part of your Continuing Professional Development (CPD)

Upload a scanned copy of an ACLS course completed within 12 months of applying for general scope (for your cohort this application will occur in October 2016)

A list of the ePort learning outcomes (under ‘Skills Log’ tab on ePort) covered during Orientation week and information on how to correctly upload your Level 7 ACLS refresher certificate (obtained during Orientation week are given below).

ACLS It is highly recommended that you upload a scanned copy of your Level 7 ACLS refresher certificate

promptly after you have received it. In order to upload this certificate onto ePort you will need to create a

CPD, upload your certificate and then check the tick-box near the bottom of the page which states ‘This

CPD relates to ACLS’. Once your ACLS certificate has been successfully uploaded a green tick will appear

next to ‘ACLS’ on your ePort homepage.

Please make a point of filing your ACLS refresher certificate in a safe place for future reference.

ePort Skills Log At the end of Orientation week you will able to tick off 30 learning outcomes on ePort. A list of learning

outcomes, covered during Orientation Week, is given below according to the sections on ePort.

Section: Professionalism

Complete required medico-legal documentation appropriately

Comply with the legal requirements in patient care, for example Mental Health Act 1992, Privacy Act 1993, death certification, coronial legislation

Comply with the Code of Health and Disability Services Consumers' Rights 1996

Section: Communication

Comply with policies regarding information technology, for example, passwords, email and internet

Use electronic patient records to optimise patient care where available


Use electronic resources appropriately in patient care, for example decision support systems, electronic access to results, completion of discharge summaries, and referencing pharmacopoeia

Comply with legal/institutional requirements for health records

Facilitate appropriate coding and classification by accurate documentation

Accurately document drug prescription and administration

Comply with organisational policies regarding timely and accurate documentation

Section: Clinical Management

Use methods to minimise transmission of infection between patients

Document patient allergies in every case

Identify the medications most commonly involved in prescribing and administration errors

Prescribe and administer medications safely

Provide adverse drug reaction reporting

Prescribe safely for women who are pregnant or breastfeeding

When prescribing, take account of the interactions and actions, indications and contraindications, monitoring requirements and potential adverse effects of each medication used

Deliver advanced cardiac life support (ACLS) at a level 7 standard

Effectively use semi-automatic and automatic defibrillators

Implement basic airway management, ventilatory and circulatory support

Identify patients requiring immediate resuscitation and when and how to call for help

Develop, implement, evaluate and maintain an individualised patient management plan for fluid, electrolyte and blood product use

Section: Procedures and Interventions

Explain the indications and contraindications for common procedures

Apply the principles of informed consent in day-to-day clinical practice

Identify the circumstances that require informed consent to be obtained by a more senior clinician

Provide a full explanation of a procedure to a patient when undertaking that procedure

Arrange appropriate equipment and describe its use

Prepare and position the patient appropriately

Recognise the indications for local, regional or general anaesthesia

Interpret results and evaluate outcomes of treatment

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