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



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CHILDREN’S HOSPITAL


Dr.__________________________,


You are assigned to Children’s Hospital ED for the month of_________________.
 

Orientation: Dr. Mangat, the head of the LSU Pediatrics Emergency Medicine Division, will orient you to the ER on the first weekday of the month.  It will be held at 8am in Administration Conference Room B on the first floor of Children’s Hospital.  If you have any questions for Dr. Mangat, it’s best to contact her by email: rmanga@lsuhsc.edu.

 

Orientation: No formal orientation. Dr. Druby Hebert is the Director (896-9229). The ER # is 896-9474 and the main # is 899-9511.

 
Schedule: If you do not receive an email from the Peds Chief resident two weeks before starting your rotation, you should page Dr. Durant 423-3213 or Dr. Laroux 423-3232.  Their office number is 896-9329.  You will work approximately 15 shifts in a month. Please do not schedule a shift during conference or Journal club: each Wed 7a11a or the 2nd Thurs each month 7a10p. You can view your shift schedule at http://www.amion.com. The password is “lsupeds”. If you have any questions or requests, you can call us at (504) 896-9329
Directions: Children’s Hospital is located in Uptown New Orleans, near Audubon Park and Tulane University. Take Henry Clay Avenue off St. Charles Avenue and Magazine Street toward the river and Children’s Hospital will be on the right as you approach the Mississippi River. The address is 200 Henry Clay Avenue.
Conference: You are required to attend conference.

   


            Learning Modules:  You must complete the following learning modules and take the post-test within 2 weeks of completing the rotation.  You may complete them as early as you like and the tests are open book.  You must achieve 80% to get credit for completing the modules.  The learning modules can be found under the Home Study link on the LSUEM residency page.  The tests will be available on ResidencyPartner, but you can also email your answers to Kathy Whittington (klwhit@lsuhsc.edu)  if you have trouble accessing RP.

 

Modules:   1.  The Crying Infant        2.  Abdominal Pain                                       

 

Responsibilities: Daily management of pediatric ED patients.

 

Lab System (CERNER):  You will be assigned a unique username for the cerner lab computers; come by the Chief Resident’s office to pick up a form to sign for the lab department.  The Chief’s office is at Children’s Hospital in the Ambulatory Care Center on the 2nd floor – room 2304.

 

Directions: The main ED is located on the first floor of the hospital, follow signs from Tchoupitoulas St. to the ED.  You can park in any of the spaces behind the hospital except for the parent spots near the ED.  The chief residents also have gate cards to allow you to park behind the gate arm near the ED entrance.

 

Conference: You are expected to attend EM conference during this rotation.  We also have morning report from 8-9am every weekday, except Wednesday, and we have noon conference from 12-1pm every Monday, Tuesday, & Thursday.  Attendance to morning report and noon conference is optional.

 

Extras: All procedures must be recorded during this rotation.

 

Supervision: You will work side by side with staff pediatricians and residents.

 

Evaluations: You should receive an evaluation form from your program coordinator.  You can give it to one of our EM faculty at the end of the rotation.

  


Meals: We do not provide meal tickets for residents on ER rotations, but Children’s Hospital has a discount for residents.  Residents pay $1.50 for the first $4.00 worth of food, then dollar for dollar after that.  All you need to do is tell the cashier that you are a resident & have your ID card handy.

  

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LSU Emergency Medicine Residency Program

Children’s Hospital Pediatric Emergency Department Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the CHILDRENS’ Pediatric ED 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 CHILDRENS’ Hospital in the Pediatric ED. The year of training may include PGY 1-5.
The educational objectives of the CHILDRENS’ Pediatric ED rotation are to:


  1. Gain expertise in the recognition and management of pediatric emergencies.




  1. Gain expertise in pediatric resuscitation, including Pediatric Advanced Life Support, emergent intubation, fluid administration, and drug dosages.




  1. Become familiar with the management of non-emergent pediatric conditions which commonly present to the Emergency Department.




  1. Gain expertise in the performance of routine procedures such as venipuncture and arterial puncture.




  1. Become familiar with pediatric medication dosages.

The clinical and didactic experiences used to meet those objectives included daily patient care in the CHILDRENS’ Pediatric ED, along with bedside teaching. The rotating resident is encouraged to attend lectures available at CHILDRENS’ pertaining to the care of the pediatric patient. This rotation experience is part of the greater pediatric emergency medicine curriculum, also including PALS provider and instructor certification and 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 pediatrics and emergency medicine. There is a rent free, secure apartment available during the rotation for resident use. The residents will have access to the resources of the hospital including medical texts, medical records and cafeteria.
The clinical experiences, duties and responsibilities the resident will have on the rotation: Residents will act as a part of the Emergency Medicine team in a community pediatric hospital under the supervision of a staff physician. The residents will participate in the initial management of emergency department patients, to include pediatric trauma and general medical 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 ED faculty prior to patient discharge.
Duty hours for this rotation will not exceed an average of 60hrs/week, 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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