EMERGENCY MEDICINE RESIDENCY PROGRAM MANUAL

EMERGENCY MEDICINE RESIDENCY PROGRAM MANUAL

2018 ? 2019

TABLE OF CONTENTS

Program Mission & Education Statement.............................................................1 Program Personnel ..................................................................................................2 Program Faculty ......................................................................................................2 EM Residents / Contact Numbers ............................Error! Bookmark not defined. Accreditation Council of Graduate Medical Education (ACGME) ...................4 Recruitment, Eligibility & Selection ......................................................................4

Recruitment................................................................................................................................. 4 Eligibility .................................................................................................................................... 5 Selection...................................................................................................................................... 7

Examinations, Licensure & Certification ..............................................................8

USMLE ....................................................................................................................................... 8 Licensure..................................................................................................................................... 9 Certifications............................................................................................................................... 9 American Board of Emergency Medicine Requirements ........................................................... 9 Procedure logs:.......................................................................................................................... 10

? The nine categories and minimum numbers .................................................................. 10 ? What procedures should be documented? ...................................................................... 12 ? What information should be documented?..................................................................... 12 ? In-Service Examination.................................................................................................. 12

Program Curriculum .............................................................................................13 AdventHealth East Orlando......................................Error! Bookmark not defined.

Internal Medicine ...................................................................................................................... 15 Neurosciences ........................................................................................................................... 15 Oncology................................................................................................................................... 15 Rehabilitation ............................................................................................................................ 16 Psychiatry.................................................................................................................................. 16 Women's medicine .................................................................................................................... 16 Obstetrics and Pediatrics........................................................................................................... 16

Major Teaching Facilities......................................................................................18 Experiential Curriculum:......................................................................................19 IMPLEMENTATION ...........................................................................................21

The First Year: .......................................................................................................................... 21 The Second Year:...................................................................................................................... 22 The Third Year:......................................................................................................................... 23

Curriculum .............................................................................................................25

ADMINISTRATION ................................................................................................................ 25 ANESTHESIA Medicine.......................................................................................................... 30 CRITICAL CARE UNIT ? Pediatric........................................................................................ 33 EM-I .......................................................................................................................................... 37 PEDIATRIC EM....................................................................................................................... 41 EM-II......................................................................................................................................... 46 EM-III ....................................................................................................................................... 50 BEHAVIORAL MEDICINE .................................................................................................... 54

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EMS .......................................................................................................................................... 56 INFECTIOUS DISEASE.......................................................................................................... 59 Internal Medicine ...................................................................................................................... 62 MEDICAL INTENSIVE CARE UNIT .................................................................................... 65 NEUROSURGICAL CRITICAL CARE.................................................................................. 68 OBSTETRICS/GYNECOLOGY.............................................................................................. 71 OPHTHALMOLOGY .............................................................................................................. 76 ORAL & MAXILLOFACIAL SURGERY .............................................................................. 79 PEDIATRIC INTENSIVE CARE UNIT.................................................................................. 82 RADIOLOGY SERVICE ......................................................................................................... 91 RESEARCH.............................................................................................................................. 94 ORTHOPEDIC TRAUMA ....................................................................................................... 97 SELECTIVE ........................................................................................................................... 101 GENERAL SURGERY .......................................................................................................... 104 TRAUMA SERVICE.............................................................................................................. 107 TRAUMA CRITICAL CARE ................................................................................................ 111 TOXICOLOGY ...................................................................................................................... 114 Ultrasound............................................................................................................................... 118

Ultrasound Rotation Evaluation.......................................................................................... 138 CLINICAL COMPETENCY EVALUATION ? ED Ultrasound Program ........................ 140

Block Rotations ....................................................................................................142

Block Rotation Schedule......................................................................................................... 142 EM-1 ....................................................................................................................................... 142 EM-2 ....................................................................................................................................... 142 EM-3 ....................................................................................................................................... 142 Block Rotation Locations ....................................................................................................... 142 Selectives & Electives: ........................................................................................................... 143 End of Academic Year Schedule: ........................................................................................... 143

Evidence Based Medicine ....................................................................................144 RESEARCH/SCHOLARLY ACTIVITIES CURRICULUM .........................145

GOAL ..................................................................................................................................... 145 OBJECTIVES ......................................................................................................................... 145 PROCESS ............................................................................................................................... 145 REQUIREMENTS.................................................................................................................. 145 EVALUATION....................................................................................................................... 146 REQUIRED READING/RESOURCES ................................................................................. 146 RECOMMENDED READING/RESOURCES ...................................................................... 146 INSTITUTIONAL REVIEW BOARD (IRB) CERTIFICATION ......................................... 147

COMPLIANCE REQUIREMENTS................................................................................... 147 IMPORTANT REMINDERS ................................................................................................. 147 FOR RESEARCH OR PUBLISHABLE PROJECTS ............................................................ 147 BASIC REQUIREMENTS FOR RESEARCH PROJECTS .................................................. 148 Timeline .................................................................................................................................. 148

PGY-1: ................................................................................................................................ 148 PGY-2 ................................................................................................................................. 149 PGY-3 ................................................................................................................................. 149

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Research Award: ..................................................................................................................... 149 Scholarly Achievement Award ............................................................................................... 149

National/Regional Poster Presentation ..............................................................149 EM Conferences and Teaching Rounds.............................................................150

Conference Attendance ........................................................................................................... 150

EM Resident Conferences ...................................................................................150

EM Case Conference .............................................................................................................. 150 PICU Case Presentation Conference ...................................................................................... 150 Core Lecture............................................................................................................................ 151 Trauma Case Conference ........................................................................................................ 151 Senior Grand Rounds .............................................................................................................. 151 Emergency Medicine Reviews ............................................................................................... 151

JOURNAL CLUB ................................................................................................151

Introduction:............................................................................................................................ 151 Goals ....................................................................................................................................... 152 Choosing an Article ................................................................................................................ 152 Possible Conclusions from Journal Club ................................................................................ 152

EVIDENCE BASED MEDICINE CONFERENCE .........................................152

Purpose.................................................................................................................................... 152 Format ..................................................................................................................................... 153

Evaluations Process..............................................................................................153

ACGME Core Competencies.................................................................................................. 153 Resident Performance ............................................................................................................. 155 Faculty Teaching..................................................................................................................... 155 Other Evaluations of Residents............................................................................................... 156 Confidentiality Process ........................................................................................................... 156

Scholarly Activity Check List: ............................................................................156 Supervision Policy ................................................................................................157

PGY-1 ..................................................................................................................................... 158 PGY-2 ..................................................................................................................................... 158 PGY-3 ..................................................................................................................................... 158

Chief Resident Duties...........................................................................................158 Chief Resident Responsibilities...........................................................................159 Patient Charting Responsibilities .......................................................................160

Charting................................................................................................................................... 160 Delinquent Charts ................................................................................................................... 160 Medical Records ..................................................................................................................... 160 Confidentiality ........................................................................................................................ 161

Faculty Mentors ...................................................................................................161 Policy Statement on Safe Handover of Patients ................................................161 Clinical Competency Committee:.......................................................................164

CCC Policy ............................................................................................................................. 164 Academic Advancement ......................................................................................................... 166 Academic Probation................................................................................................................ 168

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Chain of Command Issues ...................................................................................................... 168

Dismissal, Non-Renewal & Grievance ...............................................................169 Program Evaluation Committee: .......................................................................169

PEC Policy .............................................................................................................................. 169

Professional Relationships...................................................................................171

Patient Care ............................................................................................................................. 171 Nursing Staff ........................................................................................................................... 171 Pharmacy Staff........................................................................................................................ 172 Resident Interaction with Medical Students ........................................................................... 172

Continuity of Care/Night Call Activities ...........................................................172

Continuity ............................................................................................................................... 172

Call Duties: ...........................................................................................................173

Night Call................................................................................................................................ 173 On-Call duties for EM residents ............................................................................................. 173 At-Home Call.......................................................................................................................... 174 On-Call Guidelines: ................................................................................................................ 174

Duty Hours............................................................................................................174

Duty Hours -- Emergency Medicine rotations:....................................................................... 174 Duty Hours -- Non-Emergency Department Rotations: ......................................................... 175

Other Policies........................................................................................................175

Disaster Plan (Hurricane)........................................................................................................ 175 Initial Preparations .............................................................................................................. 176 Notification of Disaster (Hurricane) Warning .................................................................... 176 After the Disaster ................................................................................................................ 176 Command Center ................................................................................................................ 177 Phone Numbers ................................................................................................................... 177 Team Assignments.............................................................................................................. 177

Dress and Grooming:...........................................................................................177

Work Environment.................................................................................................................. 178 Leave....................................................................................................................................... 178 Program-specific guidelines.................................................................................................... 178 Moonlighting........................................................................................................................... 179

Stress, Fatigue and Impairment: ........................................................................179

Prevention ............................................................................................................................... 181 Recognition ............................................................................................................................. 181 Resident Self-Care .................................................................................................................. 182 Departmental Response .......................................................................................................... 182

General Information ............................................................................................184

Ink Stamps .............................................................................................................................. 184 Resident File Access ............................................................................................................... 184 Resident Loan Deferment ....................................................................................................... 184 Resident Workspace, Lockers & Mailboxes........................................................................... 185 EM Resident Follow- Up Procedure....................................................................................... 185 R-1 RULES OF THE ROAD .................................................................................................... 187 R-2 R ULES OF THE ROAD................................................................................................. 194

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