Residents must meet once a year with their faculty advisors to review their evaluations, discuss their research project, present their procedure books, and generally give feedback regarding their experiences and performance in the residency. An evaluation must be filled out, signed and placed in the Resident file following each meeting,
HO I year –twice a year, HO II year at six months HO III year at six months HO IV year at six months`
All house officers will meet with the Residency Program Director to review goals, procedures and future direction annually. Faculty advisor assignments for all residents are listed every year.
Procedure and Patient Experience Documentation
Each resident must document patient experiences and procedures during residency. The program must be able to demonstrate to its accrediting agency that you receive adequate experience. You will also be asked to document your experience for future employers. This is considered part of your residency portfolio and will be reviewed quarterly by the program director.
Residents without documentation of patient care experience will not be allowed to proceed to next house officer level or graduate from the residency program. The residency director will not certify your competence for your future employers if you have not documented adequate competency in emergency medicine procedures.
Typical procedures that requiring minimal representation in procedure logs include intravenous access, foley catheter placement, nasogastric tube placement, gastric lavage, extremity splinting, simple suturing, simple incision and drainage, institution of mechanical ventilation. Typical procedures requiring maximal representation include chest tubes, intubation rapid sequence intubations, pediatric and adult sedation, central line placement, cricothyroidotomy, throracotomy, fracture/dislocation reduction, urethrogram, cystogram, complex lacerations, complex incision and drainage, intravenous pacemaker placements, trauma resuscitation, cardiac arrest resuscitation, complex medical resuscitation, rape examinations, obstetrical deliveries, and foreign body removal. Supervision and instruction of procedures should be documented on the web based worksheet (Residency Partner).
Procedures And Resuscitations –ACGME goals Numbers include both patient care and laboratory simulations
Adult medical resuscitation
Adult trauma resuscitation
ED Bedside ultrasound
Central venous access
Pediatric medical resuscitation
Pediatric trauma resuscitation
The primary responsibility for the determination of procedural competency rests with the program director and the faculty. The RRC accredits programs, and does not certify or credential individuals. ACGME2007
# See ultrasound guidelines below.
The ACEP policy statement recommends that an emergency physician receive didactic training and hands-on experience to become proficient in bedside emergency ultrasound. There are six commonly recognized "primary applications" for bedside emergency ultrasound. These applications, and the minimum number of training exams ACEP recommends for proficiency are outlined below:
FAST (Focused Abdominal Sonography in Trauma)
The ACEP guidelines further state that in order for a training scan to count towards credentialing, the findings of the scan must be confirmed by direct supervision, over-read of saved images, other confirmatory testing (ultrasound, CT, MRI, etc.), or clinical outcome. These must be documented on residency partner.