Regions
ED - Third 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-3:
The resident is in charge of the clinical, supervisory, EMS and administrative
activities in the Emergency Center. Some of these responsibilities may
be delegated, but the accountability remains with the PGY-3 resident. The
PGY-3 resident has the option of taking critical cases that they have had
insufficient experience to manage. The PGY-3 resident will have patient
care responsibilities but these will be a second priority to patient flow,
supervision of students and housestaff, administrative problems, patient
transfer calls and EMS base station demands.
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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