Penn Family Medicine Residency

 

Intern Survival Guide

Page history last edited by john.molitoris@... 2 wks ago

A Resource for Residents on Inpatient Service and in Clinic

***(The text portion of the Wiki has moved to the Family Medicine Department's new Pulse site)***

 

Summary

This page is for links that might help interns during their rotations. Please feel free to add new links and edit existing ones.

 

I. Medicine

 

Adult ADHD (See Jasper/Goldberg Adult ADHD quiz-below)
Brandt-Daroff Exercises (Extinction exercises for Benign Positional Vertigo) http://www.disaboom.com/Health/vertigo/Printable/brandt-daroff-exercises.aspx
Dermatology Atlas (Look up lesions/rashes by type and description) http://www.dermatlas.com/derm/
Depression Questionarre (Zung Self-Scoring Depression Scale) http://healthnet.umassmed.edu/mhealth/ZungSelfRatedDepressionScale.pdf
Diet Reference (HUP specialized diets i.e. low sodium, low fat all the way to diets for liver disease, immunosuppression, etc.)
Driver's License Forms (Penn Dot Wesite Link; DL-180 normal driver's license form) http://www.dmv.state.pa.us/forms/driversLicenseForms.shtml 
Drug Assitance Programs (Rx coverage for patients without insurance) www.rxassist.org & www.needymeds.org (Also See Pulse "Pharmacy" Link)
Federally Qualified Health Centers (List of...) Philadelphia_Health_Centers.pdf
 
Food Stamp and Food Access information Food Stamp Hotline.pdf and Food Resources in Philadelphia.pdf
Framingham Risk Calculator (10 year risk for CHD, when LDL > 130 w/ no coronary equiv. and 2+ risk factors AND risk is > 20% then treat w/ statin
Guidelines (Penn's Guidelines from the Center for Evidence Based Practice) (see below also for National Guideline Clearinghouse link) http://uphsxnet.uphs.upenn.edu/cep/index.html 
Headache Classification (International Headache Society Website) http://ihs-classification.org/en/
Jasper/Goldberg Adult ADD Screen http://psychcentral.com/addquiz.htm
Mediterranean Diet (Mayo clinic pt instructions based on AHA reccomendations) http://www.mayoclinic.com/health/mediterranean-diet/CL00011
MD Calc (Port scrore, Ranson's Criteria, Framingham, Sanfrancisco Syncope, APACHE, Cockroff-Gault GFR, etc.) www.mdcalc.com
MIDAS Questionarre (Migraine disability score used in guiding treatment of migraine) http://www.achenet.org/tools/migraine/index.asp
Mini Mental Status Exam http://www.chcr.brown.edu/MMSE.PDF
National Guideline Clearinghouse (Guidelines Galore: JNC 7, AHA CHF classification, COPD Gold Guidelines, etc.) http://www.guideline.gov/
Natural/Supplemental Medication Pharmacopia (Verify USP Certification for supplemental meds) www.naturaldatabase.com
NH Compare (Compare any nursing home facility to state and national performance averages) http://www.medicare.gov/NHCompare
Opioid Dosage Converter (calculate equivalent doses of different opioid medications) http://www.globalrph.com/narcoticonv.htm
Osteoporosis Risk Calculator http://www.shef.ac.uk/FRAX/
PECO forms (Info for phsycians and application for a better option--"reduced restoration") PECO reduced restoration.doc
Physical Therapy (exercise handouts under "specific conditions") http://www.med.umich.edu/1libr/sma/sma_index.htm; (can get Penn Ortho's PT handouts)--check the Pulse page, under "FORMS"      tab in left-hand column; (shows exercises as videos online) www.cyberpt.com;
Pill Identifier (Identify unknown pills by shape, color, imprint) http://www.drugs.com/pill_identification.html
Procedures Consult (simulator instruction on performing procedures i.e. central line, NG tube placement, ABG's) http://app.proceduresconsult.com/Learner/Default.aspx (5 month trial, starting 7/08)
Radiology Protocol Reference ("How to" on which patients needs/can get contrast, etc. for various studies)
Referral Resources (Specialty Clinics/Services)
Steroid Conversion Calculator (convert from hydrocortisone to prednisone, etc.) http://www.globalrph.com/corticocalc.htm
Surgical Clearance for Cardiac Patient (page number 12 of the PDF is the main algorithm) AHA_ACC_2007_PreOp Guidelines.pdf
Thyroid Nodule Evalutation Thyroid Nodule Algorithm.pdf
USPSTF (United States Preventative Services Task Force) (evidence based guidelines for preventative health screening) http://www.ahrq.gov/clinic/USpstfix.htm
Warfarin Dose Adjustment (How to change dosing to meet your desired INR--see figures 2 and 3) http://www.aafp.org/afp/990201ap/635.html
     or (PFC practice Guidleines, see Coumadin Dosing) http://pennfm.pbwiki.com/General+PFC+policies+and+resources

 

 

II. Pediatrics

 

Bilirubin management calculator. www.bilitool.com

Newborn information (includes and excellent visual newborn exam) http://newborns.stanford.edu

Cap 4 Kids Resource Guide (Handouts/Community Resources for parenting tips, domestic violence, teen parents, incarcerated parents, etc.) http://www.cap4kids.org/philadelphia/index.html

Cancer Survivorship Guidelines (Long term follow-up guidelines for survivors of childhood cancer) www.survivorshipguidelines.org

Childhood Injury Counseling (age appropriate safety sheet for parents) http://www.aafp.org/afp/20061201/1864.html

Copeland Score for Childhood ADHD http://www.crossroadsschool.co.za/copeland.htm

Dermatology Atlas (Look up lesions/rashes by type and description) http://www.dermatlas.com/derm/

Family Doctor.org (Health information on common problems for kids + more) !Winner of the Mario DeMarco Seal of Approval! 

     http://familydoctor.org/online/famdocen/home.html

Newborn Screening-to obtain results of NBS from CHOP: (Call 267-426-5363)

Phila.Kids Immunization Registry https://kids.phila.gov/

Referral Resources (peds)(Specialty Clinics/Services/Research Studies)

Shots 2009 (immunization shedules) http://www.immunizationed.org/anypage.aspx?pagename=shotshome

Online Mendelian Inheritance in Man (online genetic syndrome database searchable by physical feature)

     http://www.ncbi.nlm.nih.gov/sites/entrez?db=OMIM

Bright Futures/AAP Well Child Care guidelines clinical practice site

     http://brightfutures.aap.org/clinical_practice.html 

 

III. OB/GYN

 

Bishop Score Bishop Score.doc

HUP OB website http://www.obgyn.upenn.edu

HUP OB pregnancy wheel program or Nicholson dating program (back calculate dates from OB U/S) http://www.obgyn.upenn.edu/res/pwheel.htm or Nicholson+OB+Dating+Program.mdb

Pap Smear Guidelines (for management of abnormal pap smears) http://www.asccp.org/consensus.shtml or http://www.asccp.org/pdfs/consensus/algorithms_cyto_07.pdf (flow chart)

 

 

IV. EPIC

 

Billing Guide (AAFP, Family Practice Management Pocket Guide to the Documentation Guidelines)

     billing guide 1.pdf billing guide 2.pdf

My Penn Health Activation Instructions  MPH Activation How-To.doc

Pre-Op Chart Routing to Surgery Surgery Routing Charts To The Pool.doc

 

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