Emergency Medicine PA Resident Goals and Objectives

Emergency Medicine PA Resident Goals and Objectives Overall Goals: • Gain the necessary experience and knowledge to practice medicine in a variety of clinical settings. • Learn the fundamentals of Emergency Medicine. • Develop an understanding and demonstrate the qualities and characteristics of being a competent, capable and compassionate Physician Assistant. Educational Goal: Develop the fundamental skills of the practice of emergency medicine that includes, but is not limited, by the following overall objectives. Overall Objectives: 1. Perform an appropriate focused history and physical exam 2. Demonstrate an ability to create, verbalize and document an appropriate differential of consequence. 3. Develop and implement basic treatment plans through admission or discharge. 4. Contribute to the health care team integrating well with supervising PAs, residents, faculty and nursing staff. 5. Gain experience with the management of critically ill and moderately ill patients 6. Demonstrate an ability to manage Emergency Department patients in time sensitive manner Specific Educational Objectives: 1) Demonstrate skill in “Data Gathering” that includes but not limited to: a) Perform an appropriate focused history and physical exam b) Perform clear verbal and written patient presentations that adequately reflect the patient’s condition, including acuity, disease state. c) Participate in the appropriate ordering and interpretation of ancillary tests. Participate with senior residents, staff and faculty in the essential and accurate information collection from all available sources d) Demonstrate an appreciation of continuous data gathering on patients who present to the emergency department e) Demonstrates an ability to identify all key elements in the patient’s history, physical or other data sources that indicate a need for further investigation(‘the red flag”). f) Understands the importance of obtaining the patient’s explicit agenda for coming to the Emergency Department 2) Demonstrate skill in “Problem Solving” that includes but not limited to: a) Generate an appropriate and relevant differential of consequence for an undifferentiated patient b) Under the supervision of the health care team determine the additional data elements required to make efficient patient management decisions c) Under the supervision of the health care team generate an expanded differential of consequence including the consideration of possible atypical presentations d) Notifies Attending Physician of any significant changes in patient condition 3) Demonstrate skill in “Patient Management” that includes but not limited to: a) Create a basic treatment plan based on the differential of consequence b) Apply basic knowledge of pathophysiology in justifying patient care decisions. c) Under the guidance of the health care team, promptly recognize and institute appropriate emergency stabilization of the unstable patient d) Understands the need to determine from each patient, the patient’s explicit agenda in creating a management plan e) With the guidance of the attending or PA, create a management plan that addresses all the key elements of the patient’s history, physical and other data sources that warrant further attention. 4) Demonstrate a “Medical Knowledge” appropriate for level of training that includes but not limited to: a) Demonstrates a basic fund of medical knowledge b) Describe basic disease processes as they relate to the patients under their care. 5) Demonstrate technical proficiency in “Procedural Skills” consistent with level of training that includes but not limited to: a) Demonstrates understanding of informed consent. b) Provides clear and supportive information to patients and families regarding the need for procedural intervention c) Suturing, lumbar puncture, splinting, I/D abscess, venipuncture, intubation, central line placement, Emergency Ultrasound. 6) Demonstrate skill in “Efficiency” of care that includes but not limited to: a) Effectively manages 1.5 patients per hour b) Demonstrates an ability to provide medical screening examinations of patients who are waiting for an evaluation room. c) Demonstrates an ability to prioritize tasks appropriately 7) Demonstrate appropriate “Interpersonal and Communication Skills” that includes but not limited to: a) Demonstrates effective information exchange with patients, their families, and professional associates b) Shows an appreciation of appropriate conflict resolution skills c) Works effectively with others in the health care team d) Demonstrates an appropriate sensitivity in negotiating with individuals from a variety of cultures, backgrounds, education, and ethnicity. e) Discuss treatment options with patients allowing patient to voice concerns, suggestions, and preferences. 8) Demonstrate appropriate “Professionalism” skills that includes but not limited to: a) Introduces self to patient and/or family b) Respectful of patient’s privacy and confidentiality c) Demonstrates respect, compassion, and integrity d) Demonstrates a willingness to incorporate patient preferences during the ED and post ED course. e) Adheres to the Dress Code f) Maintains equanimity while in the ED 9) Demonstrate skill in proper “Documentation” that includes but not limited to: a) Medical record is complete and appropriate b) Documentation reflects patient condition and is consistent with the final disposition. c) Documents progress notes every 2 hours and procedure notes when applicable. 10) Demonstrate an understanding of a “Systems-Based Practice” that includes but not limited to: a) Understands basic resources available for care of the emergency department patient b) Recognizes the importance of resource allocation and cost as they relate to patients, the hospital and other services, 11) Demonstrate an awareness of the importance of “Practice Based Learning and Improvement” that includes but not limited to: a) Uses appropriate information resources (ie, texts, online web sites, etc.) for care of patients b) Demonstrates an interest in learning and willingness to investigate literature and other resources. c) Seeks out instruction and incorporates new learning and feedback in the care of patients Educational Expectations: 1. Exposure and experience in the initial evaluation of an undifferentiated patient population 2. Exposure and experience in the development of appropriate treatment plans 3. Exposure and experience in resuscitation efforts 4. Participate in the care of critically ill or injured adult and pediatric patients under the direction of attending faculty, PA or resident 5. Experience in (but not limited to) the following procedures under direct supervision by faculty or PA: a. maintaining cervical stabilization b. venous access c. arterial access d. lumbar puncture e. intubation f. foley catheter insertion g. thoracentesis h. arthrocentesis i. paracentesis j. laceration repair k. splinting techniques l. incision and drainage Description of clinical experiences: The PA resident will rotate in the emergency department as a full member of the service. The resident will have exposure to a wide variety of ill and injured patients. The resident will be responsible for the initial evaluation of patients presenting to the ED under the supervision of the EM attending. Facilities and Resources: The PA Resident will have access to a wide variety of facilities and resources including (but not limited to): medical records (computerized and library), EM library (multiple EM texts, computers), on-line web data (Up-to-date, MD Consult, Medline, full-text journals, Micromedex etc), Harrison Medical Library, showers and the hospital cafeteria. Duties and Responsibilities include: 1. Obtaining appropriately detailed patient histories 2. Performing physical examinations of the patient 3. Performing all necessary procedures, diagnostic and therapeutic, under supervision of the faculty or PA 4. Reviewing all laboratory values and diagnostic studies 5. Developing a differential of consequence and an appropriate management plan for each patient 6. Demonstrating efficient implementation of treatment resulting in timely disposition. 7. Providing clear and concise documentation that adequately reflects patient condition and ED course 8. Creation of complete and relevant discharge instructions. 9. Demonstrating professional interactions with faculty, staff, colleagues and consultants 10. Supervision of senior medical students The resident will devise a diagnostic and clinical instruction and management plan that will be reviewed by the EM attending. Shifts will be eight to twelve hours in length. Description of didactic experiences: Daily morning rounds will begin with a short presentation by the attending faculty member, which may include a clinical topic, a review of a journal article or an administrative topic. Formal resident conferences, including Grand Rounds, occur each Friday morning from 7:00 to 11:00 AM. All residents in the ED are relieved from clinical duties by faculty members in order to allow them to attend conferences. Conference is mandatory. Evaluation process: Several evaluation mechanisms will be used including, but not limited to: Faculty Review Procedure Logs Patient Logs Chart Reviews Quarterly Review At the end of each quarter or each block, written evaluations will be completed with input from faculty members. Other means used in the evaluation process will include semi-annual oral examinations and yearly in-service examinations. Feedback mechanisms: All evaluations will be reviewed by the resident in both the semi-annual meetings with his/her appointed faculty advisor and the quarterly meetings with the residency director. Have the service directors for all rotations outside the Emergency Department at the primary institution reviewed and agreed to the rotations as described? YES .

Load more