To provide knowledge required by an intern in preparation for the medical board exam To provide skills necessary for optimum patient management and care.

To provide knowledge required by an intern in preparation for the medical board exam

To provide skills necessary for optimum patient management and care

To develop relationship skills with patients and colleague s

Composed of 20 consultants and 19 residents

Chair- Rosa Allyn Sy, M.D., FPSEM Training Officer- Ofelia Javellana, M.D.,

FPSN External Chief Resident- Frederick Ogbac,

M.D. Internal Chief Resident- Luz Margaret

Escueta, M.D.

Dra. Josierina Sarmiento, M.D., FPSN Dra. Ofelia Javellana, M.D., FPSN Dr. Joseph Parra, M.D., FPCMO

Medicine Ward- 5th floor ICU- 5th floor OPD- 2nd floor of annex building

2 weeks duration of rotation per subgroup

3 per subgroup Medicine Ward

5 days ICU

5 days OPD

5 days

2 per subgroup Medicine Ward

7-8 days OPD

7-8 days

Time-in: 7:45 A.M. Pre-duty 7:45 A.M.- 5:00 P.M. Duty 7:45 A.M.- 8:00 A.M. Post-duty 8:00 A.M.-12:00 PM

Sunday Monday Tuesday Wednesday

Thursday Friday Saturday

1-Ward2-OPD3-ICU

1-Ward2-OPD3-ICU

1-Ward2-OPD3-ICU

1-Ward2-OPD3-ICU

1-Ward2-OPD3-ICU

1-ICU2-Ward3-OPD

1-ICU2-Ward3-OPD

1-ICU2-Ward3-OPD

1-ICU2-Ward3-OPD

1-ICU2-Ward3-OPD

1-OPD2-ICU3-Ward

1-OPD2-ICU3-Ward

1-OPD2-ICU3-Ward

1-OPD2-ICU3-Ward

1-OPD2-ICU3-Ward

Sunday Monday Tuesday Wednesday

Thursday Friday Saturday

1 2 3 1 2 3 1

2 3 1 2 3 1 2

3

Interns will be assigned to patients admitted during the particular day that the intern is on duty

Patient’s clinical database Progress notes

Subjective data> symptoms and changes in symptoms, their appearance and disappearance, and their response to therapy

Objective data> changes in and new physical signs and laboratory findings and their response to therapy

Assessments Plan> diagnostic tests, therapeutic

interventions and instructions to the patient and nursing staff

Hypertension Acute coronary syndrome Heart failure Cerebrovascular disease Seizure disorder Meningitis Diabetes mellitus Thyroid disease Pneumonia

PTB COPD Bronchial asthma Viral hepatitis Pancreatitis Cholecystitis Gastroenteritis Peptic ulcer Liver cirrhosis

Hepatic encephalopathy Upper/lower GI bleeding UTI Acute and chronic renal failure Nephritic syndrome Viral exanthem RA/OA/gouty arthritis Hema/Onco

IV insertion ABG Skin testing IFC insertion NGT insertion Handwashing Asepsis technique

I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.

I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given to me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.

I will prevent disease whenever I can, for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all my fellow

human beings, those sound of mind and body as well as the infirm. If I do not violate this oath, may I enjoy life and art, respected while I live and remembered

with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

Thank you