SANTA CLARA VALLEY MEDICAL CENTER

Santa Clara Valley Medical Center

Rotation Contacts and Scheduling Details

Rotation Director: Misha Amoils, MD Misha.Amoils@hhs.sccgov.org

Attendings: Amoils, Lalakea, Munoz, Saste, Shepard

Introduction

Santa Clara Valley Medical Center is located 25 minutes south of Stanford University, and is a county hospital facility. Rotations at this facility complement the residency experience by providing exposure to a culturally diverse, medically indigent population with a broad range of OTO/HNS pathology.

The R2 resident should review the R3 Research Rotation Goals and Objectives. The research plan must be completed during the R2 year.

Additional Required Conferences: o All VMC OTO/HNS Teaching Conferences: o OTO/HNS Radiology Conference, OTO/HNS Pathology Conference (each conference once monthly). o Monthly Stanford Faculty meetings (Chief Residents)

Weekly Schedule

Time Monday Tuesday Wednesday Thursday Friday

Clinic

OR

6:00-7:00 Rounds Rounds Rounds Rounds

8:00-9:00 Res Ed at Stanford All Day 6:00-18:00 Inpatient consults for R2 and R5 residents Rounds

8:00-12:00

12:00-16:00

Gen Clinic Saste Gen Clinic Gen Clinic Gen Clinic Gen Clinic

Gen Clinic Saste, Amoils Lalakea, Munoz Shepard, Munoz Saste Gen Clinic Gen Clinic Gen Clinic Gen Clinic

Amoils, Lalakea Amoils, Shepard Lalakea Munoz Amoils

12:00-13:00

8:30-17:30 OR Shepard (4th Saste)

7:30-17:30

OR Lalakea Radiology conference (Every 4th Thursday) Pathology conference (Every 2nd Thursday)

7:30 -17:30

OR Amoils

7:30 -17:30 7:30 -17:30

18:00-19:00

OR 1st, 3rd, 5th: Saste

Grand Rounds at Stanford OR Munoz

2nd resident to assist in OR M, T, W, Th, F afternoons at conclusion of clinic.

Rotation Specifics

1. Rounding: Residents are expected to round daily before O.R. and daily after clinic/OR. Residents are expected to round daily on weekends-generally beginning before noon. The chief resident is expected to teach junior residents while on rounds. 2. The attending on call should be phoned after rounds and given the patient update. Call other attendings as needed for specific patient issues. 3. The attending on call should be called about all admissions to the hospitals, all patients going to the operating room and all complicated evening or nighttime consults. 4. Consult patients should be seen and evaluated within ½ day of receiving the consult and discussed with the attending. Attending will sign off within 24 hours. 5. OR cases should be covered by the appropriate level residents with attending faculty present. Residents are expected to hand down cases as appropriate. Operative reports should be dictated/typed the day of the procedure. 6. Cases going on after 5 pm should be covered by the on-call resident if local to Valley, otherwise the appropriate level resident. If a senior level case is going on and no clinics are in process then a junior resident is encouraged to scrub in and assist with case. 7. Pre-ops should be reviewed the week prior. Residents are expected to know the patient information. 8. Residents are released from duty when the work is done with attention to resident work hours and patient care. 9. Chief residents are expected to attend the monthly Stanford faculty meetings.

Evaluation and Feedback

The Santa Clara Valley Medical Center faculty, and selected ancillary medical personnel will complete written evaluations at the end of the rotation. Selected clinic patients will evaluate the residents. Residents will be asked to evaluate each Faculty Member and the rotation. Daily feedback on physical findings, assessment, plan, and surgical technique will occur through clinical interactions.