Emergency Medicine (PGY-1)

Henry Ford Wyandotte

Description of Rotation or Educational Experience

This month is designed to expand knowledge and skill in the treatment of common emergency department presentations, their diagnosis and management; and to improve emergency clinical skills, including both diagnostic and therapeutic procedures.

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies:

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Perform an abbreviated history, focused physical examination, and obtain other pertinent history quickly and efficiently
• Act as first responders to EMS calls/Wyandotte Fire Department

Medical Knowledge

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

• This rotation fulfills family medicine-specific training and educational requirements in Adult Medicine and Emergency Care; serving as a structured educational experience that trains in the delivery of emergency care.

Objectives

By the end of the rotation the resident is expected to be able to:

• Describe the pathophysiology of the emergent patient to include shock, fluid imbalance, and cardiopulmonary resuscitation
• Rapidly triage patients presenting in the emergency department

Practice- Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :

Competencies

• Identify strengths, deficiencies and limits in one’s knowledge and expertise;
• Use information technology to optimize learning
• Participate in the education of patients, families, students, residents and other health professionals, as documented by evaluations of a resident’s teaching abilities by faculty and/or learners

Objectives

By the end of the rotation the resident is expected to be able to:

• Use laboratory tests appropriately

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Incorporate considerations of cost awareness and risk-benefit analysis in patient care
• Work in interprofessional teams to enhance patient safety and improve patient care quality

Objectives

By the end of the rotation the resident is expected to be able to:

• Provide appropriate consultation and/or referral

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Responsiveness to patient needs that supersedes self-interest
• Respect for patient privacy and autonomy

Objectives

By the end of the rotation the resident is expected to be able to:

• Display appropriate professional attitudes and behaviors in emergencies

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
• Communicate effectively with physicians, other health professionals, and health related agencies

Objectives

By the end of the rotation the resident is expected to be able to:

• Describe the psychosocial status of emergency department patients, in particular those issues related to alcohol and drug abuse
• Rapidly establish a patient-doctor relationship

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lecture
• Direct role-modeling and observation

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Real-time feedback during direct observation
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Directly by attending physicians

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.

Resources and people residents have identified as useful, and encourage new rotators to become familiar with:

• Attend the lectures 8am-12pm on Wednesdays
• Keep all procedure cards and get them filled/signed/submitted
• Make sure you get your evaluation completed
• Make contact with the attending/department chair