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



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ANESTHESIA

Dr.______________________________,


You are assigned to Anesthesia for the month of____________________.
Orientation: Report to the Anesthesia Office on at West Jefferson
Schedule: (Monday through Friday from your first scheduled case until your last scheduled case. Usually 6:15am to 6pm
Responsibilities: Sign out your anesthesia equipment box and readings with Stephanie and Dr. Boyd prior to starting the rotation. All schedule request changes must be accompanied by an approval letter from the program director.
Conference: You are to attend conference and journal club.
Extras: All procedures must be recorded and turned in at the end of the month.

 
Learning Modules:   The following Learning Modules must be completed by the end of your rotation:  Emergency Intubations and the Difficult Airway.  Each module has an open book post-test (the questions at the end of the module) in residency partner or you can email your answers to Kathy Whittington.




Evaluations: Global Rotation evaluation
Supervision: All intubations, rapid sequence inductions and associated procedures are supervised by anesthesia faculty and CRNA’s.
Meals: The resident’s responsibility.
West Jefferson Medical Center - Anesthesia Rotation

GOALS and OBJECTIVES

What follows are the goals and objectives for the West Jefferson Anesthesia rotation, that will range from a 2 week to 1 month rotation, as assigned by the Program Director. The rotation will take place at the West Jefferson Medical Center. The year of training may include PGY 1-5.



OBJECTIVES:

To gain the greatest possible mastery of: airway management, placement and the interpretation of non-invasive and invasive monitors, clinical pharmacology and physiology relevant to the administration of as types of anesthesia, techniques of providing general and regional anesthesia.



GOALS:

Residents will participate in the evaluation and management of patients admitted for surgery. Residents will function as a member of the anesthesiology team and assist with the direct management of patients undergoing anesthesia

The clinical and didactic experiences used to meet those objectives include evaluation of pre operative patients, post operative patients, intubation and management of general anesthesia, along with bedside teaching. This rotation experience is part of the greater emergency medicine curriculum, including weekly didactics concerning airway management and topics relating to anesthesia (part of the overall didactic curriculum).

The feedback mechanisms and methods used to evaluate the performance of the resident include an end of rotation global evaluation. Immediate feedback may also be given to the resident, and any significant problems will be discussed during the rotation with the LSU EM administration.

The resources and facilities in the institution that will be available to each resident include computer access to Up To Date and the LSU Library services, including current texts in anesthesia and emergency medicine. The residents will have access to the resources of the hospital including medical texts, medical records, doctor’s lounge and cafeteria.

The clinical experiences, duties and responsibilities the resident will have on the rotation: Residents will act as a part of the Anesthesia team in a community hospital under the supervision of a staff physician. 

The relationship that will exist between emergency medicine residents and faculty on the service:  The overall goals of resident education and patient care will govern the relationship between faculty and residents. Residents will receive 24 hour supervision while on the rotation. All patient care and medical charts will be reviewed and signed by the faculty prior to patient discharge.

Duty hours for this rotation will not exceed an average of 80hrs/week, do not include call, and will include 1 in 7 days off.

This rotation summary has been reviewed and agreed to by the service director and LSU Program Director.




CHABERT Medicine Wards


Dr._________________,


You are assigned to Leonard J. Chabert Medical Center for the month _____________.
Orientation: Report for 8:00 a.m. on the first day of the month to the Department of Medicine. You will be brought to Classroom 2, 2nd floor, for orientation. Dr. Thomas Ferguson is the Director (985-873-1207).
Schedule: Daily rounds and in house call not to exceed Duty Hour policy
Housing: One bedroom furnished apartments are available for your use. All the apartments have been recently refurnished. Kitchen utensils are furnished; there are sheets on the bed, and a limited number of towels available in each apartment. You are responsible for leaving housing in good condition with sheets and towels washed when you leave. You are encouraged to make use of the apartment, particularly when you are post-call.
Directions: See attached map and driving directions. The hospital is located at 1978 Industrial Blvd. The hospital directions include a warning to be careful as this entrance has two lanes of traffic and other vehicles cross in front of each other without realizing it. They think it is two-way traffic. To be sure to arrive in time, allow an hour and a half travel time the first time you make the trip.
For assistance along the way, call Maddy Pitre (985-873-1265) of Liz Ferguson (985-873-1207)
Conference: You are required to attend conference and journal club. You will be released from your duties at 6am after signing out your patients to the nurse practitioner on conference days to be able to come in for conference. Please remind the faculty and other team members that your conference day is on Wednesdays and Journal Club is the second Thursday of each month.
Extras: All procedures must be recorded and turned in at the end of the month.
Supervision: Internal Medicine faculty
Evaluations: Composite evaluation at the end of the rotation

LSU Emergency Medicine Residency Program--Chabert Medicine Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the Chabert Medicine rotation, that will range from a 2 week to 1 month rotation, as assigned by the Program Director. The rotation will take place at the Chabert Hospital. The year of training is assigned in the PGY1 year but may include PGY 1-5.
OBJECTIVES:

Gain expertise in the management of adult medical emergencies. Learn the priorities and procedures medicine wards. Become an integral part of the Medicine team.


GOALS:

The educational goals include gaining knowledge about initial management and inpatient care of medicine ward patients

Participate in daily teaching rounds

Evaluate Medicine patients in the Emergency Department

Participate in Procedures.

Participate in the routine care of Medicine patients

Participate in consults to the Medicine Service

Follow inpatients through discharge, including discharge planning


The clinical and didactic experiences used to meet those objectives included daily patient care of MEDICINE patients, along with bedside teaching. The rotating resident is encouraged to attend lectures pertaining to the care of the MEDICINE patient. This rotation experience is part of the greater emergency medicine curriculum, also including weekly didactics (part of the overall didactic curriculum).
The feedback mechanisms and methods used to evaluate the performance of the resident include an end of rotation global evaluation. Immediate feedback may also be given to the resident, and any significant problems will be discussed during the rotation with the LSU EM administration.
The resources and facilities in the institution that will be available to each resident include computer access to Up To Date and the LSU Library services, including current texts in MEDICINE and emergency medicine. The residents will have access to the resources of the hospital including call rooms, the LSU Medical Library, Hospital medical texts, medical records and the cafeteria.
The clinical experiences, duties and responsibilities the resident will have on the rotation: Residents will act as a part of the MEDICINE team under the supervision of a staff physician. The residents will participate in the initial management and care of MEDICINE patients.
The relationship that will exist between emergency medicine residents and faculty on the service: The overall goals of resident education and patient care will govern the relationship between faculty and residents. Residents will receive 24 hour supervision while on the rotation. All patient care and medical charts will be reviewed and signed by the MEDICINE faculty daily and prior to patient discharge.
Duty hours for this rotation will not exceed an average of 80hrs/week, call not longer than 24 consecutive hours and will include 1 in 7 days off.
This rotation summary has been reviewed and agreed to by the service director and LSU Program Director.


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