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Tutorial
Program
| Purpose |
| To
assess and ensure basic clinical skills for Emergency
Medicine residents
with emphasis on history, physical exam, and inter-personal
skills |
| Background |
| Each of the
G-1 residents will be observed for the evaluation
of up to 8 clinical scenarios as scheduled during the Anesthesia
rotation.
The scenarios
are listed below, and a separate form will be filled
out for each encounter.
Only
one criteria can be fulfilled by a single patient.
Any ED senior staff
physician may
supervise the evaluation. It is preferable that these
8 scenarios be
fulfilled, but not
essential. At least 3 tutorials should be done during
each scheduled
3-hour session. |
| References |
| There's a growing
body of literature to support direct
observation as a method for better evaluation of clinical
performance
of house
staff. Historically, evaluations are based on behaviors
rather than
work-ups. This
educational program would offer the opportunity to
evaluate resident's
performance
directly, offer opportunity to teach one-on-one, and
provide direct
feedback to
residents on their progress.
Revised program offers a less formal approach to bedside
observation.
It is
resident-directed and as such, will allow better utilization
of staff
and resident time.
Hopefully, that will also improve the educational value.
This particular
system will
also allow any staff physician to be involved in the
tutorial program.
Emphasis
should be placed on basic physical exam and interview
skills, as well
as inter-
personal relations. It also identifies specific cases
that should be
assessed. |
| Responsibilities |
| The
resident will identify a patient based on their chief
complaint as reported on OLLIE and/or nursing sheet
as a candidate
for evaluation.
Prior to seeing this patient, the resident will obtain
the appropriate
form from the
physician workroom. The resident will then notify the
faculty of this
case. The
faculty will be present during the initial interview
and examination
of the patient.
After the encounter, the faculty and resident will
discuss the history,
physical exam,
and treatment plan. The staff will take the opportunity
to do any education
regarding
both the clinical skills and also specific pathophysiology
for the
case. Immediate
verbal feedback will be provided, as well as written
feedback on the
form. These
forms will then be returned to the ED office. The Program
Assistant
collates these
forms and provides summary statements at the end of
each month to the
resident,
their preceptor, and the residency director. |
| Policy |
|
| Procedures |
|
| Date Last Updated |
| June 23, 2006 |
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