Brookdale Dept. of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai

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IMPORTANT NOTE FOR STUDENTS!! 
Pharmacy students who need clearance to rotate at Mount Sinai Hospital should reach out to VolunteerDept@mountsinai.org 8 weeks before their start date in order to receive the necessary clearance paperwork and instructions. Please identify yourself as a pharmacy student who will be interning and include a PDF copy of your resume in your email. Students will need to be medically cleared by Mount Sinai’s Employee Health Services so the Volunteer Department recommends gathering documentation your immunization records, including documentation of a flu shot for the current season, to help expedite this part of the process.

IT IS RECOMMENDED FOR THE STUDENT TO HAVE AN IPAD IN ORDER TO HAVE ELECTRONIC MEDICAL RECORD ACCESS REMOTELY
Click here for step by step instructions: MOUNT SINAI HOSPITAL MEDICAL INSTRUCTIONS FOR STUDENTS 

Location: Mount Sinai Hospital
1 Gustave L. Levy Place New York, NY

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Learning contract

Overview of Geriatrics Rotation
Resident Learning Contract
​CPP 5414 APPE General Inpatient Care Syllabus
CPP 5415 APPE Focused Inpatient Care Syllabus

How to Maximize Your Experience at Mount Sinai Hospital

  1. Ask questions! Don’t be afraid to ask questions. This is a teaching and learning experience. 
  2. If you don’t know the answer, do not guess or make one up. Tell the provider that you will look it up and get back to them! 
  3. PREPARE! Review old therapeutic notes or portions of textbooks, especially Pharmacotherapy
  4. PREPARE for work rounds. This usually requires about 1 hour depending on the # and complexity of patients on the service. Take this time to review what has happened to your pt since you left the unit and also to catch up on new admissions.
  5. PARTICIPATE during rounds. Don’t just stand at the back of the group. You are here to contribute to the care of the patients. This is a good time to view manifestations of disease and see a pts response to therapy
  6. LISTEN! It is so important to be a good listener. You will make many interventions and recommendations if you listen well.
  7. Eat a good breakfast! And make sure you eat lunch. I don’t want you to pass out during the day because you are hypoglycemic.
  8. Take advantage of additional educational opportunities that are available. (ie. Grand rounds, procedures, surgeries, etc)
  9. Dress and act professionally. This will reflect positively on your profession, me, your school and most importantly, yourself.
  10. Maintain patient confidentiality. Don’t discuss pts in public places (ie.elevator, halls)
  11. Do not let yourself fall behind. 
  12. Do not view patients as just an “assignment.” You are caring for a human being. Everyday you will learn something new. Scrutinize each medication and ask yourself if you know what it’s for. 
  13. Work Smart! This means planning ahead and making sure your assignments are completed effectively and on time. This does not mean you have to work long hours. Time Management is key!
*Adapted from Boh, L. Pharmacy Practice Manual: A Guide to the Clinical Experience. 2001.

Assessment

Case Presentation Evaluation Form
Journal Club Evaluation Form
Final Rotation Evaluation Form

Final cases

Final Case Format
Patient Case #1 (EXAMPLE)

What to do on a daily basis

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DO THIS FOR EVERY PATIENT!
  1. CrCl
  2. Antibiotics-start/stop date/dose/freq/renally dosed? You should be able to tell me, “this patient is on vanco 1g iv q12h day 4 of 10.
  3. Warfarin-INRS, dose, how long have they been on each dose, make a chart, drug interactions, if new patient-counseling with book
  4. SQ Heparin-check to make sure each patient (as long as there are no CI) is on SQ Heparin for DVT prophylaxis. Q12 or Q8H
  5. Enoxaparin-indication, dose, renal dosing
  6. PPI-check to see if there is a true indication-GERD, PUD, NSAID induced ulcers, on high dose NSAIDS. STRESS ULCER PROPHYLAXIS IS NOT TRUE INDICATION on a general medicine floor
  7. Allergies-what is the nature of the allergy?
  8. Insulin-every patient with glucose >180 mg/dL on admission should be on a basal bolus regimen: Lantus HS and Novolog with meals

Use this form to track your patients!

Use this form to track your interventions!

Please join my Facebook Group: ​SJU Geriatric Inpatient Clerkship-CPP 5403/05