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Guidelines
for Promotion
| Purpose |
| We
anticipate every resident who enters the program will
graduate three
years later; however, satisfactory performance is needed
each year
for continuation in the
program and/or advancement to the next level. |
| Background |
|
| References |
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| Responsibilities |
PGY-1 to PGY-2
- Satisfactory 6 mo performance evaluations from the
residency director.
- Completion of departmental and hospital chart audit
requirements as determined by QI Director.
- Completion of departmental and hospital charting
in an appropriate timeframe.
- Completion of all first year rotations with acceptable
evaluations.
- Completion of ACLS and ATLS provider course.
- Satisfactory conference attendance ( >75% total;
up to 5% may be review of video).
- Adequate progress on resident project as determined
by program director and research director (written
proposal and timeline for completion)
- Completion of at least 20 follow-up encounters
- Dictation of at least 20 critical cases
- Procedure log documentation minimum of following
procedures (may include procedure lab)
- Intubations 30
- Cardioversion/Defib 3
- Chest tubes 3
- Lumbar puncture 5
- Cricothyrotomy 1
- Pericardiocentesis 1
- Peritoneal lavage 1
- Dislocation reduction 10
- Cardiac pacing 2
- Vaginal delivery 10
- Central venous access 10
- Bedside ultrasound 20
- Conscious sedation 5
- Documentation of participation in resuscitations:
- Adult medical 10
- Adult trauma 5
- Pediatric medical 2
- Pediatric trauma 1
- Completion of sexual offense training, which includes review of materials, observation of one exam, discussion with SANE director, and written exam.
- Pass USMLE III examination
- Completion of procedure lab
- Completion of assigned core content exams
- Completion of oral exams
- Completion of inservice exam
- Practices in a safe, expedient manner, well versed
in initial evaluations and common ED complaints as
determined by the residency director with input from
the promotions committee.
- Performs in a professional manner as determined
by the residency director with input from the promotions
committee.
- Demonstrates a level of confidence and clinical
competence to progress to a less supervised role as
determined by the residency director with input from
the Promotions Committee.
- Completes 3 EMS ride alongs.
- Completes 8 tutorials.
- Completes rotation, faculty, program, and institutional
evaluations and administrative tasks in a timely fashion.
PGY-2 to PGY-3
- Satisfactory 6 mo performance evaluations from the
residency director
- Completion of departmental and hospital chart audit
requirements as determined by QI Director.
- Completion of departmental and hospital charting
in an appropriate timeframe.
- Completion of all second year rotations with acceptable
evaluations.
- Completion of PALS provider course.
- Satisfactory conference attendance ( >75% total
up to 5% may be review of video).
- Adequate progress on resident project as determined
by program director and research director
- Completion of 40 follow up encounterss (total PGY-1
and 2).
- Dictation of 50 critical cases (total PGY-1 and
2).
- Total (PGY-1 and 2) procedure log documentation
minimum of following procedures (may include procedure
lab)
- Intubations 40
- Cardioversion/Defib 6
- Chest tubes 8
- Lumbar puncture 10
- Cricothyrotomy 2
- Pericardiocentesis 2
- Peritoneal lavage 2
- Dislocation reduction 10
- Cardiac pacing 4
- Vaginal delivery 10
- Central venous access 15
- Bedside ultrasound 50
- Conscious sedation 10
- Documentation of participation in resuscitations
(total PGY-1 and 2):
- Adult medical 20
- Adult trauma (TTA) 10
- Peds medical 5
- Peds trauma (TTA) 3
- Completion of procedure lab
- Completion of assigned core content exams
- Takes oral exam and passes at least one station
- Takes inservice exam
- Able to act independently with a wide variety of
patients, with expeditious, directed evaluations and
work-ups as determined by the residency director with
input from the Promotions Committee.
- Demonstrates a level of confidence and clinical
competence to progress to a supervisory role as determined
by the residency director with input from the promotions
committee.
- Performs in a professional manner as determined
by the residency director with input from the promotions
committee.
- Completes assigned run reports or other EMT or paramedic
sessions.
- Completes rotation, faculty, program, and institutional
evaluations and administrative tasks in a timely fashion.
Graduation from Residency
- Satisfactory 6 mo performance evaluations from the
residency director
- Completion of departmental and hospital chart audit
requirements as determined by QI Director
- Completion of departmental and hospital charting
in an appropriate timeframe.
- Completion of all third year rotations with acceptable
evaluations.
- Satisfactory conference attendance ( >75% total
up to 5% may be review of video).
- Passes oral exams
- Completes resident project as determined by program
and research director.
- Completion of 60 follow up encounters (total PGY1,2,3).
- Dictation of 80 critical cases (total PGY1,2,3).
- Total (PGY1,2,3) procedure log documentation minimum
of following procedures (may include procedure lab):
- Intubations 50
- Cardioversion/Defib 10
- Chest tubes 10
- Lumbar puncture 15
- Cricothyrotomy 3
- Pericardiocentesis 3
- Peritoneal lavage 3
- Dislocation reduction 10
- Cardiac pacing 6
- Vaginal delivery 10
- Central venous access 20
- Bedside ultrasound 100
- Conscious sedation 15
- Documentation of participation in resuscitations
total (PGY1,2,3):
- Adult medical 45
- Adult trauma (TTA) 35
- Peds medical 15
- Peds trauma (TTA) 10
- Completion of procedure lab.
- Completion of assigned core content exams.
- Completes assigned talks.
- Takes inservice exam.
- Able to independently manage all aspects of the
ED including patient care, patient flow, teaching,
personnel with a wide variety of patients, with expeditious,
directed evaluations and work-ups as determined by
the residency director with input from the promotions
committee.
- Performs in a professional manner as determined
by the residency director with input from the promotions
committee.
- Completes assigned teaching requirements.
- Passes EKG examination.
- Completes rotation, faculty, program, and institutional
evaluations and administrative tasks in a timely fashion.
|
| Policy |
|
| Procedures |
| Resident progress
will be monitored at the 6-month
evaluation. |
| Date Last Updated |
| May 10, 2006 |
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