Faculty Chair: Danielle Fitzsimmons-Pattison MD
Faculty Co-Chair: Amanda Provencio MD
Additional Contacts:
Dickie Romero MD
Emergency Medicine Fellow
ACGME Program Requirements (see IV.C.)
IV.C.3.g) Residents must have at least 100 hours (or one month) of experience with the care of acutely ill children in the hospital and/or emergency setting. (Core) IV.C.3.g).
(1) This experience should include a minimum of 50 inpatient encounters with children. (Detail) IV.C.3.g).
(2) This experience should include a minimum of 50 emergency department patient encounters with children. (Detail)
IV.C.3.k) Residents must have at least 100 hours of emergency department experience and at least 125 patient encounters dedicated to the care of acutely ill or injured adults in an emergency department setting. (Core)
Goal:
Family medicine providers often serve as frontline responders in various health care setting including rural communities and clinic. This rotation offers learning opportunities to manage emergent situations that may arise in future practice providing them with the ability to be able to manage a diverse range of acute conditions and adaptability under high pressure scenarios, improve time sensitive decision making based on evidence-based medicine and foster interprofessional collaborations. Additionally, they will have exposure to the diversity in our community populations and develop strategies to address social determinants and health equity to optimize overall well-being and healthcare outcomes. .
Expectations for Residents and Faculty (if beyond those outlined in resident manual):
Residents:
Utilizing the 2+2 Model the resident is expected to attend 40 hours (to include didactics) per week for the two-week period. Residents are encouraged to adjust their time to diversify their experience during this time including afternoon, evening, and weekends.
Failure to meet these expectations may lead to course incompletion, and any unexcused absences will be considered unprofessional and may result in remedial measures.
Faculty:
Emergency room physicians, and mid-level providers will provide precepting during the actual emergency rotation. The preceptors are expected to allow the resident to participate and perform relevant procedures. Preceptors are expected to allow time for resident education and questions. Sometimes due to the emergent nature of a particular case, the resident teaching may need to occur after the actual event.
Deliverables (if applicable): Not Applicable
Competency-Based Education
ACGME Program Requirements (see IV.B.)
| Objective (competencies) | Educational Strategies | Assessments |
| Each resident will, by the end of the rotation, develop skills in rapid accurate patient assessment, with recognition of life-threatening conditions and effective strategies for immediate stabilization and initial management of critically ill patients.(PC, MK) | Direct care of patients under the supervision of attending. Interaction with Interprofessional team discussion. | End of rotation evaluation with direct observation and feedback |
| Each resident will gain experience in diagnosing and treating a broad spectrum of acute medical conditions commonly encountered in the emergency room, such as respiratory distress, cardiovascular emergencies, neurological emergencies, trauma, infectious diseases, and psychiatric crises. (PC, MK,) | Direct care of patients under the supervision of attending. Interaction with Interprofessional team discussion. | End of rotation evaluation with direct observation and feedback |
| Each resident will develop skills through communication and interprofessional collaboration with emergency department staff, specialists, and other healthcare providers. Residents practice effective and empathetic communication with patients and their families in high-stress situations. (ICS, Prof, SBP) | Direct care of patients under the supervision of attending. Interaction with interprofessional team discussion. | End of rotation evaluation with direct observation and feedback |
| Develop competence in performing essential emergency procedures, such as but not limited to wound management, fracture reduction, incision and drainage, central line placement, and lumbar puncture(PC, MK) | Direct patient care under supervision of attending with ability to assist and perform procedures. | End of rotation evaluation with direct observation and feedback |
| Recognize and address ethical dilemmas commonly encountered in the emergency room, demonstrating cultural competency and sensitivity in managing diverse patient populations.(SBP,PC, ICS) | Direct patient care including interaction with team members including social workers and psychiatric consults telehealth or in person. | End of rotation evaluation with direct observation and feedback |
| Understand the structure and functioning of the emergency department, its role within the broader healthcare system, and the importance of efficient patient flow and resource utilization. (SPB, Prof) | Interactions with attending and calling consults, requesting hospital admissions. | End of rotation evaluation with direct observation and feedback |
Educational Resources
Readings:
Websites
The American Board of Emergency Medicine http://www.abem.org
The American College of Emergency Physicians http://www.acep.org
The Centers for Disease Control http://www.cdc.gov
The Centers for Disease Control- Emergency Preparedness and Response http://emergency.cdc.gov/
SNMFMRP Curriculum 