First Year Fellows Endoscopy Course (July 28-29)

11-The On Call Call_2024

Pdf Summary

The document provides insights into the experiences and challenges faced by first-year GI fellows during on-call shifts, focusing on professionalism, patient care, and emergency situations. It includes case scenarios and guidelines for handling various aspects of patient management, such as colonoscopy preps, medication management, post-procedure care, and emergent vs urgent endoscopy. Key points covered include the importance of speed, accuracy, transparency, accessibility, and patient-centeredness in interactions with patients and healthcare teams. It also addresses different scenarios, such as dealing with prep questions, diabetic patients, vomiting during prep, and post-procedure pain. The text emphasizes the need for assessing patients thoroughly, making prompt decisions, and ensuring proper communication with attending physicians and other specialties in critical situations. It outlines indications for emergent procedures like endoscopy and ERCP, as well as post-procedure complications and appropriate responses. Overall, the document serves as a comprehensive guide for fellows to navigate on-call responsibilities effectively, provide quality care to patients, and handle emergency situations with professionalism and expertise.

Keywords

GI fellows

on-call shifts

professionalism

patient care

emergency situations

colonoscopy preps

medication management

post-procedure care

endoscopy

patient management