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RotationsVeterans Affairs Medical Center – Pulmonary and Critical Care ServiceVAMC ContactsAdministrative: Team StructureAttending Physician Student responsibilities and activitiesThe team on which students work has several responsibilities. First, the team assists in the management of all medical intensive care unit patients in the hospital. This includes daily rounds with all of the medicine teams in the morning as well as additional work that needs to be done during the rest of the day. Students are expected to be on rounds each day and, depending on the preferences of the fellow and resident, may have the opportunity to write daily notes and assist in other areas of management. Second, the team provides pulmonary consultation services to the difference medical and surgical services in the hospital. Students are expected to see and evaluate many of these consult patients. The mix of ICU and pulmonary work will vary from month to month based on how busy the ICU service is and how many consults the team receives. This rotation tends to be ideal for that student wishing to get a bit more ICU exposure than might be seen at the other sites. In addition to this clinical work, students will gain experience reading pulmonary function tests and will have the opportunity to observe bronchoscopies and cardiopulmonary exercise tests. Students will go to the outpatient pulmonary clinic on Tuesday afternoons where they will shadow one of the Pulmonary and Critical Care attending physicians. Students receive teaching from both the fellow and attending physician as part of the daily work on the team. The typical day begins at 7:30 AM with ICU rounds and continues until the team’s responsibilities have been completed in the afternoon or early evening. Where to meet the teamPlease contact the Housestaff Coordinator, Karen Lathorp prior to the start of your rotation to check on the status of your computer access. Karen Lathorp If you already have an ID badge and active computer access for the VA Medical Center, you may report to the team room on the 4th floor of the Seattle VAMC (Building 100 Room 4D-178) at 7:15AM. If no one is there, call the operator and ask them to page the pulmonary fellow or the pulmonary attending physician and they can help you locate the team. If you do not have an ID badge and/or computer access, you must obtain these prior to beginning your work and meeting the team. You should report to the Chief Medical Resident's office (Building 100 / Room 6B-110B, Phone: 206-764-2534) by 8AM of your first day. You will then be taken to a CPRS training class where you will obtain your computer access codes and also receive information about getting your VA ID badge. To get a VA ID badge, you must bring TWO forms of photo ID. A Husky card or expired VA badges are not considered a valid ID but active hospital IDs from the UWMC or HMC are okay, as are a valid driver's license and passport. If there are any problems, please contact Karen Lathorp at the information provided above. Once you have completed your computer training and obtained your access codes and ID badge, you can meet the team. At this time of the morning, they will typically be rounding in the MICU on the 4th floor. If they are not there, then you can look for them in their team room (4D-178) or you can page the pulmonary fellow or attending on call for help finding their current location. Driving DirectionsThe VA Medical Center is located at 1660 South Columbian Way, south of downtown Seattle. For directions to the VA Medical Center from the UW Medical Center, go to MapQuest. Conference Schedule
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| Day/Time | Conference | Location |
|---|---|---|
| Thursday 12:15PM | Seattle Area Chest Grand Round | HMC R&T Building |
| Thursday 1:30PM | Respiratory & Critical Care Conference | HMC R&T Building |
| Thursday 2:30PM | Pulmonary Student Seminar | HMC 9EH-74 |
Attendance at the following conferences is highly encouraged but at the discretion of the attending and fellow based on team and student workload
| Day/Time | Conference | Location |
|---|---|---|
| M,T,W,F 10:00AM | Morning Report | 4B-102 |
| M, every other W 12:30PM | Lunchtime Lectures | 4B-102 |
| Tuesday 11:15AM | Chief of Medicine Rounds | BB-108 |
| Thursday 8:00AM | Department of Medicine Grand Rounds (by video feed) | 4B-102 |
| Wednesday 1:00PM | Tumor Board | BD-152 |
| Friday 1:30PM | Pathology Conference | BD-152 |