Louisiana state university health science center new orleans emergency medicine residency program policies to supplement lsuhsc house officer manual

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POLICIES – Section of EM

Mission Statement

The mission of LSUHSC-New Orleans Emergency Medicine Residency Program is to deliver superior patient care, foster medical education, promote research, and provide service to our community, the LSUHSC system and the specialty of emergency medicine.

Role of the Residency in the Emergency Department

All patient care in the Emergency Department of MCLNO is provided and supervised by the residents and faculty of the LSUHSC Emergency Medicine Residency Program. Emergency medicine teaching faculty from the LSUHSC Emergency Medicine Residency Program are on duty in the department at all times and review the care of every patient treated before that patient is discharged. The faculty provides supervision and teaching of residents, interns and students. All faculty are ABEM eligible or certified. Emergency medicine residents at the PGY 1,2,3, and 4 levels are assigned to the department each month. Emergency medicine residents perform several functions in the department under the supervision of the Emergency Medicine faculty including primary triage of all patients presenting for care, supervision of all patient care activities and teaching of interns from all services assigned to the emergency department and of medical students taking emergency medicine rotations, direction of resuscitation of critically ill or injured patients, arrangement for appropriate consultation, and direction of pre hospital care via radio communication.

The emergency medicine faculty of the residency program also fills the medical administrative positions in the department such as Director of the Emergency Department and the Director of the Fast Track. The faculty also performs the Quality Assurance and Peer Review functions of the Department.
Performance of procedures in the emergency department is supervised by senior residents and/or attending physicians.

EM Residency Applicants

Selection of residents for LSUHSC Emergency Medicine residency involves all members of the Section of Emergency Medicine. The program directors and chief residents perform the initial screening of applications received via ERAS. Candidates are then invited for an interview and are then interviewed by the program director, associate program director, at least one general faculty member and one chief resident. The applicants go to lunch with EM residents on the day of their interview and attend an informal gathering with the residents the night before their interview. The applicant’s interaction with our residents is the most important aspect of the interview process and is instrumental part in the recruitment of future residents.

Qualified applicants should at least be in their final year of medical school training and have successfully passed USMLE Step 1. USMLE Step 2 is encouraged but not required before interviewing but must be successfully completed to be ranked. A dean’s letter and at least 3 letters of recommendations are required. We participate in ERAS for all applicants. Applicants must be citizens of the United States or possess a green card or J-1 visa. We do not sponsor H-1b visas. Our resident’s appraisal of the applicant, along with our faculty’s impressions and assessments, combined with the applicant’s letters of recommendation, medical school dean’s letter, and personal statement makes up the file for each applicant. All files are then carefully reviewed by the program directors and chief residents, and a match list is compiled for the computerized national match of R-1's. Our residency program participates in the National Residency Matching Program (NRMP) and as such, is obligated to follow all rules and regulations set forth by the NRMP.

Residency Promotions

LSUHSC Emergency Medicine residents are evaluated each year in a formative and summative fashion. These evaluations, in-service exam scores and resident self reflections offer the basis for successful promotion from one year to the next. Residents that do not show appropriate improvement and progress based on a combination of formative and summative evaluations, in-service exam scores and maintenance of residency requirements are made to remediate for 3 month periods with subsequent re-evaluations by the Program Director at those times. The Program Director in conjunction with the resident’s advisor, offer residents focused feedback on their areas of weakness and residents are asked to seek daily feedback on their clinical performance in the Emergency Department. Once residents meet their residency requirements and address their weakness they are promoted to their appropriate class level. Residents who fail to meet the standards following remediation for 12 months are dismissed.

Satisfactory Academic Standing

Our residency program maintains a standard of satisfactory academic standing. The program director will assess your standing at minimum twice a year and will notify you if you are not meeting these minimum standards and assist you in formulating a remediation plan. The definition of satisfactory academic standing in our residency includes, but is not limited to the following:

  1. Pass monthly open-book CORD exams with a grade of 75 or above-- prior to scheduled deadline.

  2. Conference (didactic and non-didactic home study) and Journal Club attendance overall 70 percent or more (excluding vacation time)

  3. Carry out assigned lectures and journal clubs.

  4. Take and teach BLS, ACLS, PALS or any residency associated course when assigned.

  5. Meet all scheduling requirements of each monthly rotation.

  6. Complete all medical records in a timely fashion.

  7. Meet all ACGME and residency requirements for duty hours.

  8. Score at or above the national average for your level of training on the National In-Service examination.

  9. Complete and submit monthly evaluation forms prior to the 15th of next month.

  10. Maintain a procedure log which is updated at least quarterly.

  11. Abide by moonlighting policy in the Moonlighting Policy.

  12. Maintain a minimum performance level of “acceptable” based on monthly rotation evaluations.

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