Regions
ED - First Year
Educational Objectives: Develop competency
to practice in any emergency department environment. This is accomplished by
graduated responsibility and is done under the supervision of attending staff.
Description of clinical experiences: All patients in the ED are triaged
into a resuscitation area, acute area, or intermediate acute area. The ultimate
patient care responsibility is the staff physician’s. Residents have the
opportunity to see all types of patients. They are supervised by attending
staff and have graduated responsibility. Critically ill patients are assigned
two codes depending on severity. A code blue needs a team physician response
to a critical patient such as during a cardiac arrest. A code red needs an
immediate individual physician response. Examples would include acute pain
syndromes, acute dyspnea, and acute CVA.
PGY-1:
The resident sees acute, stable patients with non-life threatening problems
under supervision by faculty or Senior (PGY-3) resident. The resident’s
primary responsibility in the department is to gain facility with patient
care and procedures under senior resident and faculty supervision. During
the first few months in the Emergency Center, the resident is designated
to evaluate both patients with acute stable or quasi-stable medical problems
with potential life threats (Code Reds). The residents are supervised by
the faculty or senior residents. When the resident has achieved a level
of procedural competency with these cases, then during the last 1-2 months
in the department the resident may assume the role of the PGY-2 resident.
The PGY-1 resident has no assigned supervisory responsibility.
Evaluation process: Residents receive written evaluations after completing
rotations to the ED. They are evaluated on their knowledge base, facility to
perform procedural skills as appropriate for their level of training and professional
attitudes. Residents are responsible for keeping track of all procedures performed.
These logbooks are reviewed at least twice a year by the Program Director.
Annual oral examinations, the national in-service examination, and case presentations
at conference are also used to evaluate residents.
Feedback mechanisms: . Immediate feedback is provided by the faculty
on duty in the Emergency department. Such feedback is considered most important
in the resident’s education. Several times during the year residents meet
with their preceptors. In addition, the Program Director meets with each resident
twice each year to review the department’s evaluation of the resident.
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