The Emergency Medicine curriculum of the Memorial Hospital Family Medicine Residency consists of structured skills training, didactics and clinical experiences in the care of patients of all ages with acute illnesses and injuries in the emergency care setting. This experience spans 2 blocks (typically one block in PGY1 and one block in PGY3,) with a minimum of 200 hours of clinical training. The clinical training occurs in Memorial Hospital‘s Emergency Department.
- At the completion of the Emergency Medicine Curriculum, the resident will have an understanding of Emergency Care Services in a community hospital setting, which will facilitate appropriate interactions with Emergency Medicine Physicians in their future practice.
- At the completion of the curriculum, the resident will have the knowledge and skills in the areas of acute illnesses and injuries in the emergency care setting pertinent to the practice of Family Medicine.
While caring for patients in the Emergency Department, the resident:
- is able to perform an appropriate history and physical examination. (PC)
- presents clinical findings to the supervising physician with an appropriate broad differential diagnosis. (MK)
- interprets data related to the Emergency Department patient and initiates management decisions under close supervision of an Emergency Room attending physician. (PC)
- accurately shares medical information with patients and families and assesses the patient’s comprehension of the information. (ICS)
- demonstrates sensitivity and responsiveness to a diverse patient population, including patients with diversity of gender, age, culture, race, religion, disabilities and sexual orientation. (P)
- is able to perform primary and secondary surveys in the assessment of trauma patients and assist in the stabilization of trauma patients. (PC)
- interprets data related to the emergency department patient and carries out management decisions with supervision of an Emergency Room attending physician as needed. (PC)
- incorporates diverse sources of information into effective communication and relationship building with patients. (ICS)
- analyzes current medical literature related to patient care and is able to convey this information to peers and attending physicians. (PBLI)
- demonstrates a commitment to ethical principles pertaining to the provision or withholding of clinical care, confidentiality of patient information and informed consent. (P)
The resident must continue to meet usual residency obligations to his/her Family Medicine Center population including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital and rounding in the nursing home. The resident is expected to attend noon conferences and abide by duty-hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete the electronic evaluation form provided by the program.
There are no specific procedural requirements for this rotation. However, there are many opportunities every day for procedures with excellent preceptor guidance. Procedures typically performed by residents on this rotation include:
- Skin laceration repair/suturing
- Joint aspiration/injection
- Cast/splint application
- Endotracheal intubation
- Lumbar puncture
- Bedside ultrasound
- BLS Course: Offered during orientation and all PGY-1 residents are required to pass. Residents must subsequently recertify as needed.
- ACLS: Offered during orientation and all PGY-1 residents are required to pass. Residents must subsequently recertify as needed.
- PALS: Offered during orientation and all PGY-1 residents are required to pass. Residents must subsequently recertify as needed.
- ALSO: Offered during the first academic year and all PGY-1 residents are required to pass.
- Didactic Sessions: The noon conference curriculum consists of dedicated Emergency Medicine lectures throughout the span of three years of training.
- Patient Care-Emergency Medicine Rotation: Prior to the commencement of the rotation, the resident will plan their rotation schedule with the Associate Director assigned to the Emergency Medicine rotation. A copy of the schedule will be provided to the resident and to the Emergency Department. The resident is required to complete 2 blocks with a minimum of 200 hours, which the Associate Director will keep track of. The Emergency Department is staffed at all times by Emergency Medicine Department Physicians. Residents work under these staff physicians’ supervision. Residents will staff patient visits before patients are discharged or admitted and procedures are supervised unless the resident has previously demonstrated competency.
- Self-directed learning – longitudinal: Utilizing resources listed in this document, Family Medicine faculty, Emergency Medicine Medical Staff and patient care experiences.
- BLS, ACLS, PALS and ALSO Course Manuals
- Pfenninger and Fowler’s Procedures for Primary Care Textbook
- UpToDate as available through the Memorial Hospital Library website
- Memorial Medical Library
Methods of Evaluation
Performance-based evaluation methods include:
- Rotation evaluations will be filled out by Emergency Medicine staff physicians following each rotational block (see below and found electronically)
- Procedure log and evaluations