ED Administration
Institution: Regions Hospital
Duration in Months: 1 Month (shared w/ Tox)
Year in Training: EM2
Educational objectives:
1. Discuss career development issues in academic Emergency Medicine. Understand specialty and subspecialty certification.
2. Demonstrate a familiarity with the JCAHO standards.
3. Demonstrate an understanding of the peer review process.
4. Discuss issues of Emergency Department structure within hospital administration.
5. Discuss how Emergency Medicine relates to managed health care.
6. Discuss the medical legal aspects of Emergency Medicine including consent, commitment, reporting, malpractice and risk management.
7. Discuss components of effective discharge planning: discharge, admission criteria, observation status including chest pain observation, and use of transitional care nursing homes.
8. Discuss and understand medical staff issues of structure, licensing, credentialing and disciplinary policies.
9. Discuss and demonstrate an understanding of the various medical organizations within organized Emergency Medicine and their functions.
10. Discuss issues of practice management including benefits, billing and reimbursement, and contracts.
11. Demonstrate in the clinical environment appropriate leadership ability; use persuasion, influence and interpersonal skills and effective patient/physician communications to deal with hostile encounters and grief reactions.
12. Discuss wellness issues in Emergency Medicine including stress management, work scheduling and physician impairment.
13. Demonstrate an ability to use computers to retrieve information from medical data bases.
14. Discuss the use of outcomes research to evaluate the quality and effectiveness of emergency care.
15. Discuss the curricula available through the ACEP Management Academy, the ACPE Graduate Program in Medical Management, the Master of Medical Management programs in contrast to the MBA, MHA, and MMA degrees.
Description of clinical experiences:
No clinical duties.
Description of didactic experiences:
Resident will attend weekly Emergency Medicine conferences.
The Emergency Medicine conference series covers specific medical, legal, and administrative issues. Specific topics include:
- Quality improvement
- Risk management
- Wellness issues (stress management, physician impairment, work scheduling)
- Dealing with the difficult encounters (hostile, grief, violent)
- Documentation (Billing and Medical-legal)
- Effective discharge planning
- Careers in Emergency Medicine
Evaluation process:
The responsible faculty for the Administrative component of the Administration month evaluates the resident on the rotation. The evaluation is based on the resident's knowledge of the textbook and general participation in the rotation. The Department head completes a written evaluation at the end of the rotation.
Feedback mechanisms:
Residents meet with their preceptors every two months or more frequently as needed. In addition, the Program Director meets with each resident twice each year to review the departments' evaluation of the resident. More immediate feedback is provided by the faculty on duty in the Emergency Department should interpersonal skills and effective patient/physician communication be a problem. QI case concerns, risk management cases and complaints are presented to the Emergency Medicine resident for input. Documentation concerns are directed to the individual resident by their preceptor, program director or quality improvement director.
