PGY-3
Third
year residents are in charge until May 1st at which
time, the second year residents will assume the
senior resident role whenever they are on duty.
The
resident is responsible for the clinical and administrative
direction of the department under the supervision
of the attending faculty. The resident is responsible
for supervising medical students and residents from
other services. He/she has the opportunity to direct
trauma resuscitations when assigned to the Trauma
Service. All medical and pediatric resuscitations
brought to Regions ED are also directed by the senior
resident.
Under the supervision of the attending faculty, the
senior resident will be responsible for maintaining
patient flow, supervising/directing paramedic calls
and handling any administrative problems that may
arise during the shift.
The third year resident assigned
to the ED is responsible for obtaining the ultrasound
examination and providing back-up for the second
year resident in charge of the airway in all trauma
activations.
PGY-2
The resident is responsible for the evaluation
and treatment of all stable patients and
unstable or arrested medical patients who are placed
in the resuscitation area. The resident does not
have
responsibility for supervising medical students or
residents from other services. PGY-2 residents will
have the opportunity to consult on paramedic cases
which require physician involvement. In these situations,
the resident will have each call supervised by a
senior resident or attending faculty. The PGY-2 resident
handles all transfer calls in conjunction with faculty
or senior resident supervision. PGY-2 residents
participate in pediatric and trauma resuscitations
as requested by the senior emergency medicine resident.
The PGY-2 resident is in charge of airway
management for all trauma activations.
PGY-1
The resident evaluates stable patients with
no life-threatening problem under the
supervision of attending faculty or PGY-3 residents.
The senior emergency medicine resident may delegate
procedures to the PGY-1 in unstable medical and pediatric
patients. During the last months of the year, PGY-1
residents
will evaluate patients with potential life-threats
who are hemodynamically stable and are
placed in the resuscitation area. The PGY-1 resident
has no supervisory responsibilities.
Summary:
- Administrative Departmental Issues =
Senior Resident or Faculty
- Supervision
of ED = Senior Resident with Faculty Supervision
- Transfer
Calls = Supervised Junior Resident
- MRCC = Supervised
Junior Resident, or Senior Resident
- Code Blue or
TTA = Senior Resident
- Code Red = Junior Resident
with Faculty and Senior EM-3 Supervision
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