Emergency
Medical Services
Educational Objectives: The
goal of this rotation is to develop in the resident the knowledge and skills
necessary to understand the operation of a fully integrated functional EMS system.
Description of clinical experiences: First
hand observation of the EMS system is provided by 40 hours (five
8 hour shifts) of "Ride-along" with the paramedic units.
Residents do 2 to 4 system ride alongs (of variable lengths) with
the Medical Director or their designee during the month rotation.
While they are not required to ride along on the local helicopter,
the residents are provided an opportunity to do so. Residents participate
in the formal and informal teaching of the paramedics by skill testing,
skill workshops, tape review, and other methods coordinated by EMS.
During the EMS rotation, the resident participates in the regulatory,
advisory, and administrative committees that provide input to the
Medical Director and EMS Program. Residents are exposed to the CQI
program by participating in a review of incident reports and run
report sessions. If scheduled during their rotation, residents participate
in Mass Casualty Incident (MCI) exercises as scheduled. Residents
review prearrival instructions and call prioritization by visiting
the EMS Communication Center and Medical Resource Control Center
(MRCC) (1 four hour session in each). Also, residents will have the
opportunity to participate in a 2 hour emergency medical dispatch
tape review. Each resident is required to design an EMS system on
paper prior to the end of the rotation. Residents will be involved
in scene responses as directed by Medical Directors.
Description of didactic experiences: All
residents participate in the mandatory EMS orientation presented
at the start of the residency by the Medical Director or designee.
EMS guidelines and direction are discussed during tutorials with
the Medical Director or designee(s) during the EMS month. Residents
review the role of the local air ambulance service with meetings
with the air ambulance medical director. Residents are provided with
a reading list that they must complete during the month. Prior to
the completion of the rotation, the resident designs an EMS system
on paper.
Evaluation and Feedback process: Residents
will receive ongoing verbal evaluation and feedback during the EMS
rotation. They will also receive a formal written evaluation at the
end of the EMS rotation which will include the evaluation of the
resident’s knowledge and understanding of the following: The
principles of EMS systems operation; The principles of prehospital
triage; The principles of disaster management; The educational requirements
and skill levels of various EMS providers; The principles of Emergency
Medical dispatch; The medico-legal principles relating to EMS;
The principles of EMS research; Principles
and operations of an emergency air medical transport system; The
principles of prehospital continuous quality improvement methodology;
The principles of prehospital critical incident stress debriefing
(CISD). In addition, residents will be evaluated on their knowledge
and understanding of EMS issues, on their yearly oral exams, and
on their annual in-service exam. All evaluations will be reviewed
by the Program Director and discussed with the residents at the time
of their formal evaluations twice a year
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