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



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OLOL Pediatric ED


Dr.__________________________,


You are assigned to OLOL Hospital for the month:
Orientation: Orientation to the OLOL Hospital on the first day of the month.

 

Contact person at GME office: Leigh Salvant (leigh.salvan@ololrmc.com) 225-765-7730



Director of ED:  Dr. Steve Narang (snarang@pcsofbr.com)

Schedule requests: Joshua Regan (lsuregan@gmail.com)

 
Schedule: 15 shifts a month, 9a-7p and 7p-5a
Directions: I-10 west to Baton Rouge (73 miles), Exit 160 Essen Lane go left 0.5 miles, Right on Hennessy Blvd. OLOL: 5000 Hennessy Blvd
Conference: You are required to attend conference and journal club.

 
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.  Febrile Infant  (PGY2)   2.  ALTE (PGY4)   3.  Peds Tox (PGY4)
Extras: All procedures must be recorded and turned in at the end of the month.
Supervision: Provided by OLOL PER faculty.
Evaluations: Compiled and pooled from evaluations of the OLOL faculty.
Meals: Lunch is provided by OLOL Hospital.

 
LSU Emergency Medicine Residency Program



Our Lady of the Lake Pediatric Emergency Department Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the OLOL 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 OLOL Hospital in the Pediatric ED. The year of training may include PGY 1-5.
The educational objectives of the OLOL 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 OLOL Pediatric ED, along with bedside teaching. The rotating resident is encouraged to attend lectures available at OLOL 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.

OCHSNER ED

Dr._________________,



You are assigned to Ochsner Clinic Foundation the month of _____________.
Orientation: Report for 7:00 a.m. on the first day of the month to the Emergency department. Dr. Joseph Guarisco is the Director (842-4433). Prior to beginning your rotation, contact Reonda Victor of the Ochsner GME Department (842-4937) to schedule a time to get your ID and parking cards. You will be required to give a $10 refundable deposit for the cards. Detailed information concerning orientation and the rotation are in the Ochsner resident handbook you have been given.

Schedule: You will work 15 shifts per month; half of the scheduled residents will work 16 in months with 31 days. Each resident will be required to work one Friday-Saturday night shift each month.
Directions: Directions to the hospital are included in the Ochsner resident handbook.
Conference: You are required to attend conference and journal club.
Extras: All procedures must be recorded and turned in at the end of the month.
Supervision: Dr. Guarisco and staff physicians provide Supervision.
Evaluations: Compiled and pooled from evaluations by the staff physicians.


LSU Emergency Medicine Residency Program

Ochsner Clinic Foundation Hospital

Emergency Department Rotation
GOALS and OBJECTIVES
What follows are the goals and objectives for the Ochsner 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 Ochsner ED. The year of training may include PGY 1-5.
The educational goals and objectives for the Ochsner ED rotation are to provide residents with an opportunity to experience and learn about the initial evaluation and management of emergency patients in the community, health maintenance organization setting, including the following:


  1. Perform basic assessment of patients with a variety of moderate and major traumatic conditions.

  2. Formulate a differential diagnosis for patients with various kinds of traumatic conditions and mechanisms of injury.




  1. Order and interpret appropriate diagnostic laboratory and imaging studies for trauma patients.




  1. Competently perform minor procedures such as suturing of lacerations, incision and drainage of the abscesses, insertion of nasogastric tubes and urinary catheters, venipuncture, insertion of peripheral intravenous catheters, lumbar puncture, splinting of fractures and sprains, spinal immobilization.




  1. Demonstrate basic understanding of the principles of ACLS, PALS and ATLS resuscitation as applied to persons in cardio-respiratory arrest.




  1. Achieve ability to perform an adequate history and physical exam, prioritize conditions, and form a differential diagnosis in adults with acute and chronic medical problems of varying severity presenting to the ED for care.




  1. Learn proper methods for stabilization of patients with life threatening conditions such as sepsis, respiratory failure, acute MI, CHF, status epilepticus, status asthmaticus, cardiac arrhythmias, severe GI bleeds, and overdose.




  1. Learn to evaluate, diagnose and initiate any needed therapy for a variety of specific medical problems such as asthma, seizures, anemia, stroke, GI disorders, urinary tract infections, pneumonias, and other respiratory illness.




  1. Learn to evaluate and appropriately manage a variety of patient complaints such as chest pain, abdominal pain, dizziness, headache, syncope, etc.




  1. Learn to perform an adequate history and physical exam in female patients with gynecologic problems or problems related to early pregnancy including abdominal bleeding, infection, threatened abortion, and ectopic pregnancy.




  1. Learn to evaluate the pediatric patient in the emergency department, including fever of unknown origin and other common pediatric presenting complaints.




  1. Learn appropriate use of diagnostic lab and imaging studies for emergency patients and to have basic competence in their interpretations.




  1. Learn to use the following diagnostic aids: central venous pressures, pulse oximetry, arterial blood gases, EKG’s.




  1. Perform the following procedures with basic competency and to know indications and contraindications: venipuncture, starting an IV or heparin lock, arterial puncture, insertion of a Foley catheter, placement of a central venous line, thoracentesis, paracentesis, lumbar puncture, urinalysis with microscopic, wet prep of vaginal secretions.




  1. Become familiar with common medico-legal problems which present in emergency medical practice such as: consent, desertion, AMA, restraints, impaired patients, child or adult abuse or neglect.




  1. Be able to arrange appropriate follow-up for discharged patients and give adequate discharge instructions.




  1. Learn and use the available contributions of the Social Services Dept. to patient care in the ED and for discharge planning.




  1. Learn appropriate medical evaluation of mentally disturbed patients including techniques for restraint and control of violent patients.




  1. Learn about billing as it pertains to ED patients.




  1. Learn about transplant patients.




  1. Learn about geriatric presenting complaints.

The clinical and didactic experiences used to meet those objectives included daily patient care in the Ochsner ED, along with bedside teaching. This rotation experience is part of the greater emergency medicine curriculum, also including PALS/ACLS/ATLS 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 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 Emergency Medicine team in a community hospital under the supervision of a staff physician. The residents will participate in the initial management of emergency department patients, to include trauma, psychiatric, obgyn, pediatric 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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