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

“Prepared For the Worst ~ Providing the Best”

INTRODUCTION

Welcome to the LSU Emergency Medicine Residency Program. This LSU EM Policies To Supplement LSUHSC House Officer Manual & Rotation Guide is meant to augment the LSUHSC School of Medicine, Office of Graduate Medical Education, House Officer Manual. The House Officer Manual is updated each year and is available on the LSUSHC website at:

A hard copy of this manual is available in the emergency medicine offices and online at the LSU EM yahoo website. http://health.groups.yahoo.com/group/LSUEM/

POLICIES – ACGME

ACGME Core Competencies

Core Competencies

1. 
   Patient Care
   
2. 
   Medical Knowledge
   
3. 
   Practice Based Learning
   
4. 
   Interpersonal & Communication Skills 
   
5. 
   Professionalism
   
6. 
   Systems Based Practice
   

What are the measurable competency objectives for each year of training?

How are these objectives measured?

How are deficiencies remediated?

Deficiencies in specific areas do not necessarily mean that the resident is held back in progressing to the next year; however, plans must be in place to achieve the required competencies.

Chief Complaint Competency - The RRC expects that programs will assess the competency of residents to handle key chief complaints in emergency medicine. At the time of program review, the program will demonstrate how it assesses resident competency for 3 chief complaints over the course of the training program. The program can use a variety of tools including direct observation, check-lists, simulations, etc.

Procedural Competency – 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.

The RRC expects programs to assess the competency of residents to perform key index procedures. At the time of program review, the program will need to demonstrate how it assesses competency of residents for 3 procedures.

Selected index procedures should consequentially impact patient care, and ideally facilitate competency assessment initiatives across disciplines.

One of the selected procedures must be ED bedside ultrasound (PR V.B.2.b; appendix 1)

Core Competencies & LSU EM

1. 
   Patient Care: Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
   

Among other things, residents are expected to:

1. 
   Gather accurate, essential information in a timely manner.
   
2. 
   Generate an appropriate differential diagnosis.
   
3. 
   Implement an effective patient management plan.
   
4. 
   Competently perform the diagnostic and therapeutic procedures and emergency stabilization.
   
5. 
   Prioritize and stabilize multiple patients and perform other responsibilities simultaneously.
   
6. 
   Provide health care services aimed at preventing health problems or maintaining health.
   
7. 
   Work with health care professionals to provide patient-focused care.
   

1. 
   Identify life threatening conditions, the most likely diagnosis, synthesize acquired patient data, and identify how and when to access current medical information.
   
2. 
   Properly sequence critical actions for patient care and generate a differential diagnosis for an undifferentiated patient.
   
3. 
   Complete disposition of patients using available resources.
   

1. 
   Analyze and assess their practice experience and perform practice-based improvement.
   
2. 
   Locate, appraise and utilize scientific evidence related to their patient’s health problems.
   
3. 
   Apply knowledge of study design and statistical methods to critically appraise the medical literature.
   
4. 
   Utilize information technology to enhance their education and improve patient care.
   
5. 
   Facilitate the learning of students and other health care professionals.
   

1. 
   Develop an effective therapeutic relationship with patients and their families, with respect for diversity and cultural, ethnic, spiritual. Emotional and age-specific differences.
   
2. 
   Demonstrate effective participation in and leadership of the health care team.
   
3. 
   Develop effective written communication skills.
   
4. 
   Demonstrate the ability to handle situations unique to the practice of emergency medicine.
   
5. 
   Effectively communicate with out-of-hospital personnel as well as non-medical personnel.
   

1. 
   Treats patients/family/staff/paraprofessional personnel with respect.
   
2. 
   Protects staff/family/patient’s interests/confidentiality.
   
3. 
   Demonstrates sensitivity to patient’s pain, emotional state and gender/ethnicity issues.
   
4. 
   Able to discuss death honestly, sensitivity, patiently and compassionately.
   
5. 
   Unconditional positive regard for the patient, family, staff and consultants.
   
6. 
   Accepts responsibility/accountability.
   
7. 
   Openness and responsiveness to the comments of other team members, patients, families and peers.
   

1. 
   Understand access, appropriately utilize and evaluate the effectiveness of the resources, providers and systems necessary to provide optimal emergency care.
   
2. 
   Understand different medical practice models and delivery systems and how to best utilize them to care of the individual patient.
   
3. 
   Practice cost-effective health care and resource allocation that does not compromise quality of care.
   
4. 
   Advocate for facilitates patients’ advancement through the health care system.