Issue 1 of Our Healing Arts now released!
/Our Healing Arts is a humanities magazine featuring the writings, artwork and talents of residents, faculty and staff from the program.
Read MoreAnnouncements
/What to log in MedHub :
- procedures: for numbers needed see the procedure curriculum on the website - it varies depending on the procedure. *this is how deliveries are tracked*
- underserved continuity site: e.g. Crossroad, Cincinnati Health Network (McMicken), GSFC, Equitas, etc (Counts toward your total of 1700 ambulatory continuity visits)
- FMC patients when working off a faculty member's schedule or in FMS: i.e. 1-on-1 sessions or patients you steal but do not change the patient to your schedule or FMS visits. (All can count toward your total of 1700 ambulatory continuity visits)
- Home visits: These are the visits to FMC patients but in their homes. Please log so that you meet the ACGME requirement of completing the minimum number of home visits and Dr Goroncy can give you a level of independence (allowing you to see pts on your own and staff by phone). Email Dr Goroncy with any questions.
What do I need to log on Med Hub?
You MUST log the patients age range and gender.
The option is there to log the initials, which you are encouraged to do. The initials can be helpful for you so you can review and see if you had logged everyone.
Tracking patient encounters: Updated with the new ACGME Requirements (effective July 1, 2023)
1. What about patient outside of continuity patients (ie those encounters NOT logged on MedHub)?
CCHMC (inpatient and ED rotations): You do not need to log these patients. However, we do need total number of patient encounters for CCHMC inpatient at Main Campus, at Liberty Campus, and in ED (but not on Outpatient peds). When on these rotations, please complete an encounter spreadsheet or run an Epic Report at CCHMC (instructions here). At the end of the block, submit the total number of encounters to Dr. Rich & Holly. Goal: 100 patients total with at least 50 from each setting (hospital and ED)
UCMC ED and TCH ED: Similar to the above, you will need to submit the number of patient encounters from each rotation. Goal: 125 patient encounters.
Geri: You will need to submit patient encounters for the block rotation (R1 year). Since residents are at multiple sites, there will not be an easy way to run a report. You may want to track on your phone by inputting the number of patients seen at the end of shift. Additionally, you will need to track older adult patient encounters when on surgery, ortho, cardiology and gynecology. You may NOT include encounters from FMC or other continuity sites, inpatient rotations or ED rotations. Goal: 125 patient encounters.
OB: deliveries must be logged as a procedure in MedHub. It is a good idea to track which patients have continuity status with. Goal: 20 vaginal deliveries and 10 continuity deliveries (present at 3 prenatal visits, delivery and postpartum visit).
Tracking is NOT needed for: ICU, newborn, outpatient peds. We track your FMC continuity visits and TCH hospital visits for you.
2. What counts as a patient encounter?
If you cared for the patient that day. In general, if you left a note on the patient (progress note, dc summary, called to see pt at bedside note, accept note, etc), then you may count the patient. You can have multiple encounters on the same patient. If someone is admitted for 3 days and you saw the patient and wrote a note each day, then that would be 3 encounters. You can only count 1 encounter per day.
3. What data do you need in the patient encounter report?
Just the total number of encounters on that rotation. No patient identifying information should be included.
4. How can I find out how many encounters I have documented so far?
Let’s say you are returning to CCHMC or the ED and want to check in your total patient encounter report, email Holly. She keeps a master spreadsheet with all the numbers for all the rotations listed above!
Nominate someone for the Shine Award.
The Shine Award is given each month in recognition of individuals who model exemplary or extraordinary team work! Consider nominating a resident, faculty or staff member. Anyone can nominate. See the list of previous awardees - an AMAZING group!
Resources for fighting racism and becoming an anti-racist: “While now is a time for grief and anger, it is also a time for resolve.”
Resources for Engaging in Anti-Racism Work and Practicing Solidarity
White Coats for Black Lives
June 5, 2020
We are Living in a Racist Pandemic - American Psychological Association
An online portal to help families, individuals, and communities talk about racism and commit to being antiracist.
Your Black Colleagues May Look Like They’re Okay – Chances are They’re Not
If You See Something, Do Something Instead of Calling the Cops
Resources for Black, Indigenous and People of Color (BIPOC) to Engage in Self-Care
Resources for getting informed
“Dear Bruh. A Eulogy. A Baptism. A Call to Action.” By Ya’Ke Smith (Moody College of Communication, UT Austin)
Tragic Death of George Floyd Reveals Continuing Problem of Police Violence
Talking about race: The National Museum of African American History & Culture
Resources for starting to take action
The Color of Change: Sign a Petition to End Violent Policing Against Black People
Sign up for newsletters, donate and/or get involved with organizations like the NAACP Legal Defense Fund, ACLU, Southern Poverty Law Center, Black Futures Lab, Campaign Zero, Ohio Justice & Policy Center, White Coats for Black Lives
CALENDARS, SCHEDULES, AND WEBSITES, OH MY!
Conference schedules (including noon conference location), inpatient and maternity care faculty call schedules, centering pregnancy schedule, general residency calendar, jeopardy schedule, etc…are ALL on a residency google calendar. Be sure to check it out!
These are all linked to our fancy Gmail account (tchucfm) so they are real-time and will always be current as long as the person responsible for the calendar keeps it updated. This means that you do NOT have to email or call if you have a question about who’s on what’s on where.
Don't know how to check the google calendar? Please email Megan Rich.
Want to add your New Innovations Calendar to a google calendar? Follow these instructions!
Activate New Innovations Google Calendar: Review Handout
Add the link to your google calendar: Instructions (Select: "Add Using a Link")
Resident Impairment and Duty Hours
/Recognizing impairment is an important skill to develop for all physicians. If you recognize yourself becoming impaired due to fatigue, stress, work load, or other medical or psychiatric reasons, please report this immediately to your supervisor. Remember, impairment is all about your safety and the safety of your patients. Impairment means much more than simply duty hours and you can be fully compliant with duty hours and still be impaired.
Wellness Resources
The websites below are great resources for free wellness screenings, as well as how to obtain resources to deal with specific issues!
Linder Center of Hope Physician Mental Health Program: (513) 536-0311
In association with Tri-Health, Mercy Health, TCH, CCHMC, the VA, and St Elizabeth, Lindner Center of Hope is providing a private, rapid access service for residents in need of help. This is private and confidential. Services provided:
24/7 availability for crisis situations
5 day per week outpatient diagnostic assessment and treatment provision or referral
Psychiatrist and psychologist are available on a daily basis.
TCH Employee Assistance Program
Call LifeMatters® toll-free anytime: 1-800-634-6433 throughout North America
Ohio Physician Health Program: 614- 841-9690
Facilitates the health and wellness of healthcare professionals in order to enhance patient care and safety.
The Happy MD: 206-430-1905
Focuses on the treatment and prevention of physician burnout.
Raising Concerns
To discuss concerns, you may contact any of the following:
Dr. Rich (cell: (517) 256-7044) or Dr. Spata ((425) 591-6008)
Your Advisor
If you feel that those choices have not or will not be effective in addressing your concern, please contact the following to discuss confidentially:
Jennifer Ianni, GME Director, 618-606-1143 (Cell)
John Schroder, MD, DIO, 513-919-8811 (Cell)
Melissa Bosse, GME Manager 513-560-0612 (Cell)
Tina Bray, Administrative Assistant: she’ll be there to greet you when you open the doors of the GME office and can connect you to the right person for your concern.
Michael Jennings, MD, Vice President, and Chief Clinical Officer-513-585-2258
The ACGME also has an ombudsperson to report concerns: http://www.acgme.org/Residents-and-Fellows/Report- an-Issue/Office-of-the-Ombudsman
If your concern is related to discrimination, micro-aggression(s), or otherwise related to diversity, equity and inclusion, call the DEI Hotline at 1- 800-398-1496. Concerns expressed through this hotline will be handled with care and the amount of discretion requested by the caller.
Post Call Transportation
/Transportation services are available for all physicians-in-training (residents, rotators, acting interns and medical students) who have completed an on-call shift at The Christ Hospital and judge themselves to be impaired from sleep deprivation or are told by a colleague that they are impaired.
The Christ Hospital Office of Graduate Medical Education provides transportation from TCH for all residents. Return service is also provided back to TCH so the physicians are able to pick up their vehicles the following day. The service is provided 24 hours a day, seven days a week.
You can arrange this yourself by ordering an Uber home (and back to work the following day) and submit your receipts to the GME office. You can always call the office of Safety & Security for other transportation resources: 585-2222.
Transportation services are provided by Towne Taxi (761-7710). Vouchers for this service can be obtained by calling the Office of Safety and Security at ext. 5-2222.
If you have any questions about this service, please call the GME office at ext. 5-4079.
Helpful Phone Numbers
GME Office Main: 513-585-4079
Employee Health: 513-585-4555
Human Resources: 513-263-1500
TCHHN Compliance Hotline: 1-800-398-1496
Safety and Security: 513-585-2222 (Fatigue-call or visit safety and security to secure a cab ride home)
Patient and Guest Services: 513-585-1200
National Suicide Prevention Lifeline: 800-273-TALK
Announcements
/It Help! Some instructions on common problems
Wireless: How to get set-up with the TCH-BYOD
Select TCH-BYOD from Wireless list
Login using the same login as you use for Epic.
In order to log onto Citrix on your personal computer (Mac and Windows):
Download Citrix Receiver:
Close and reopen your browser
Go to: https://myapps.thechristhospital.com
Note for Mac Users: Although Citrix works in Safari, the screen will be inside of the browser reducing the screen space. Consider using Chrome instead.
Setting up TCH Email on your iOS
TCH Email: https://www.evernote.com/l/ABk3hED8QGZE1Z7wFYfjwxEIZWX68klRErU
UC Email: https://www.evernote.com/l/ABmCDdlQF3ZKFYZmoyqm8sbvOYv0KL4o_Wg
Epic Haiku and Canto Instructions
For the iPhone download Epic Haiku and the iPad download Canto. The setup instructions will be the same for both.
Access settings (Open Settings on your iphone or ipad, scroll down to Haiku or to Canto) after downloading the app
Make sure HTTPS: is turned to ON
Server: soapproxyprod.thechristhospital.com
Path: haiku
Then log on with your citrix username and password.