First Day Recommendations, Department of Medicine in the Medical School at the University of Minnesota

Set Expectations

• Inform each of your team members of their roles and your expectations of them. 
• Refer to the Website Rotation Descriptions www.medres.umn.edu for goals and learning objectives for the month; direct your team to look at it if they haven’t seen it. 
• Inform your team of your specific preferences:  When you want to round?  What do you prefer to hear during oral presentations?

Prepare the team to both receive and give feedback. 
See Feedback Handout for more information/tips.

Get organized
When do your residents have clinic?  When do you have clinic?  What days do your students have lectures?  Everyone (except faculty) must take one day off per week.  Consider creating a calendar. 

Prioritize Educational Time
You must conduct interactive learning for 1/2 hour to one hour each day.  Examples include:  bedside rounds, EKGs, CXRs, peripheral smears, mini-lectures on a topic, review of an article, etc. 

• Combining teaching and management rounds are acceptable if: 
• there is a single physician of record for most or all patients on the teaching service, and
• that attending physician of record is also the teaching physician conducting teaching for those same patients, and
• the total time spent in combined inpatient rounds must exceed by a minimum of 4 1/2 hours per week the time required to supervise the care of the patients..."

Updated: 12/20/06