U.C. Davis has their Southern California satellite located at our facility led by Dr. Cowgill, including a nephrology/urology/hemodialysis service and a cardiologist. We work closely with the two board-certified internal medicine specialists and the cardiologist who run these programs.
Journals and books are available in the Specialists' office, and computer databases are also available throughout the hospital.
Extra experience: If the extern has completed all responsibilities, he/she is expected to observe IM appointments and/or procedures going on throughout the day.
New consult appointments: Externs are expected to sign up for two new consult appointments daily on the appointment schedule posted in the rounds room. If there are not enough new consults available, they should substitute these requirements with recheck appointments. Once the extern has observed appointments for an appropriate period of time, they may be asked to start new appointments for the specialists or residents (TPR, history). The extern is not responsible for completing the exam sheet unless asked to do so by that specialist. The extern should follow the patients seen in these appointments through any procedures that occur through the day (ultrasound, scoping, etc.). If this patient is hospitalized, the extern should soap this patient through the duration of hospitalization. If the patient needs discharges, the extern is responsible for finishing discharges at least 3 hours prior to discharge and letting the resident know the discharges are complete. The resident will go over the discharges with the extern.
Evening rounds with the resident: Externs are expected to present the two cases they are responsible for to the resident. The resident will go over the exams for these patients with the extern.