Internal Medicine — Rotation Detail
MTU at Adan
Tutors

Eisa Almaraqi
MBBCh, KBIM
MBBCh, KBIM
Hussam Elgusain
MRCP (UK), FRCP (Edin)
MRCP (UK), FRCP (Edin)

Fahad Aldebous
MD , KBIM
MD , KBIM
Mohammad Jassim AlAli
KBIM, MRCP(UK)
KBIM, MRCP(UK)

Farh Ahmed Elhassan Mohamed
MBBCh, MD, SMSB
MBBCh, MD, SMSB
MTU ROTATION GUIDE IN ADAN HOSPITAL
First of all, welcome to MTU Rotation in Adan. You will be assigned to a side from the beginning of the rotation.
- Daily Rounds:
• Daily rounds will be assigned to Consultant/Senior/R5 from the beginning
of the month. The daily round schedule is done by the rotation coordinator.
• Round will start at 9:30 unless otherwise specified on the WhatsApp group.
• The patient's list and distribution of cases to the juniors will be done by
R3/R4 level; or R2 level if registrar is not available.
• The distribution of cases will be based on the complexity as appropriate.
• Maximum active cases assigned to an Assistant Registrar’s level is 5.
• Maximum active cases assigned to Trainees is 4.
• In case each junior reaches the maximum number of cases, extra cases
should be seen by registrars.
• In special circumstances due to shortage, residents might be asked to
cover higher number of cases. Or they might be asked to switch sides. - Daily Work Roles and Responsibilities
• R1-R2:
o Patients assigned for the resident must be seen and examined prior to rounds.
Results of recent lab tests/radiographic studies and medications should be
reviewed daily, as well as reviewing their files prior to the round.
o Patient assessment should be documented on our electronic system Sapphire.
o The care plan from the previous day should be reviewed to see if it has been
accomplished.
o Formulate your own management plan for each patient to discuss with the
senior residents.
o Update the team on the WhatsApp group.
o Handover Notes (for upcoming residents) and SBAR sheet should be done for
cases that require follow up by the on-call team (endorse verbally also).
o Allocated to write medical reports.
• R3-R4:
o The residents are expected to lead the rounds daily.
o Responsible for tracking and reviewing the junior’s progress notes as well as
adding appropriate notes if required.
o Review all cases with the juniors prior to the round, in order to provide initial
management plans, and to prepare for the senior round.
o Take the opportunity to provide teaching to the juniors.
o Review discharge summary prepared by the juniors, as well as discharge
medications, discharge instructions, and follow up plan.
o Review any handover/SBAR sheet or transfer of service notes written by
juniors.
o Supervision of juniors can be divided between registrars.
o Allocated to cover INR clinic.
• R5 Same as R3-R4 in addition:
o Acting senior registrar with the same responsibilities and duties, under the
supervision of clinical tutors.
o Discharging ICU patients to the medical ward.
o Allocated to cover Triage and Pre-Operative Clinics.
o Allocated to write mortality reports. - On-call Work Roles and Responsibilities
• On-call starts from 8:00 am until the next morning 7:59 am.
• On-call duties may be internally distributed by responsibility, location, and
time (maximum 2 shifts); however, residents are expected to be available
throughout the 24-hour period in case of emergency.
• Residents should always respond professionally to any calls from nurses,
emergency physicians and other colleagues throughout their entire official
on-call coverage hours.
• Follow KBIM Oncall Policy for details
• Assistant registrars (R1/R2):
o Expected to cover ward calls and supervise trainees during on calls. At
least 2 Assistant registrars should be covering ward calls with the trainees
in any shift.
o Expected to clerk all new admissions to the medical wards by
documenting admissions notes, reviewing investigations, and carrying out
plans written by admitting doctors. As well as updating the team on the
WhatsApp group or verbally for any pending issues or investigation.
o Documenting and following orders during the evening round.
o Following up on SBAR patients in the ward.
o R1 residents are allowed to assess cases in the observation room under
direct supervision of registrars.
o R2 residents in the core stage are expected to perform duties as acting
registrar with supervision of his senior (R3/R4/R5/Senior).
• Registrars (R3/R4)
o Responsible for receiving and evaluating consults from the casualty.
o Formulate and complete the management plan for each patient.
o Supervise Assistant registrars and Trainees, and attend to sick patients in
the ward if needed.
o Lead the code blue in the medical ward.
• Senior registrar (R5)
o Should attend to new admissions, especially patients who are deemed to
be critically ill.
o See all consults during on-call (urgent and non-urgent), including in the
new OBGYN WCH building (covered by Senior registrars OR Registrars).
o Lead the evening round held by the consultant on-call.
• Post Call Rounds:
o Post call rounds are done when on-call ends on holidays/weekends.
o All Night Shift team members (including subspeciality residents) are
expected to attend to help facilitate the rounds. - Weekend Rounds:
• Weekend rounds schedule will be arranged by the Rotation coordinator in
the beginning of the rotation.
• Weekend round in Adan consists of Round Day (seeing all patients) and
SBAR Day (seeing only sick or pending discharge patients – maximum 4
patients from each side). - Sick/Emergency/Vacation Leaves:
• All sick leaves and excuses should be uploaded to the KBIM website.
• Permissions should be taken from your tutors prior.
• Follow KBIM Leave Policy. - Morning meetings:
• Morning meetings are held at IM building 5th floor opposite the ward
entrance.
• Attendance is mandatory in the morning meeting. Participation in active
discussion is expected from all levels of residents. Regular attendance and
participation will be reflected on your end-of rotation evaluation.
• Attendance is signed through our electronic system starting at 7:30.
• Expected attendance of at least 80%.
• During Post-call morning meetings, 2 to 3 cases admitted during the on-
call (or prior on-calls if interesting cases) will be presented by assistant
registrars (R1/R2), and moderated by registrars (R3/R4) or senior
registrars (R5). PowerPoint is optional. - Hospital based lectures
• Hospital based lectures are done every Tuesday.
• Schedules regarding the date, time and tutor will be provided.
• Held in the same place as the morning meeting. - Bedside teaching:
• Done on a weekly basis (R1/R2 on Sunday, R3/R4 on Monday, R5 on
Thursday).
• Schedule will be provided for date and tutor (might change).
• It is the responsibility of the resident to contact the clinical tutor assigned.