Corry Memorial Hospital Internal Medicine Residency Program

Emergency Medicine Educational Goals and Objectives

EMERGENCY MEDICINE EDUCATIONAL GOALS and OBJECTIVES

Competency

PGY 3

Patient Care (PC)

The resident will demonstrate the ability to assess clinically ill patients and assess acuity level
The resident will demonstrate the ability to quickly determine immediate critical care interventions necessary to stabilize emergency patients
The resident will demonstrate the use of clinical information, paramedic information, medical records and information from other hospitals/emergency departments
The resident will demonstrate the use of clinical information gathered from history and physical exam, to develop patient’s acuity level and management plan
The resident will demonstrate appropriate disposition on a timely basis with patients on both high and low acuity problems
The resident will recognize and describe functional disorders and develop appropriate management/treatment disposition
The resident will demonstrate an understanding of appropriate use of medical/surgical consultants for patients presenting with a vast variety of clinical scenarios
The resident will show the ability to interview and assess patients in often difficult and stressful situations presented in the Emergency Department
The resident will demonstrate the ability to rapidly assess acuity level often based on very limited information due to altered mental status and/or poor patient cooperation
The resident will develop a knowledge and proficiency in critical care procedures to stabilize emergency patients including endotracheal intubation, central line placement, lumbar puncture, NG tube placement, Foley catheter placement, ABG draw, etc.
The resident will have the opportunity to perform minor surgical procedures including suturing, skin stapling, burn management, incision and drainage, and wound management/debridement
The resident will assimilate a variety of ancillary data to assist in developing patient management plan including laboratory testing, EKG, x-rays, ultrasound and computerized tomography
All procedures will be performed under the direction and supervision of the attending emergency physician
Perform initial evaluations limited to five minutes followed by a presentation with the supervising Emergency Department attending and develop a work-up treatment plan based on this assessment
Consult the appropriate service necessary for patients that require admission or further consultation
Complete medical records and documentation pertinent to this patient encounter

Medical Knowledge (MK)

Will demonstrate knowledge in the evaluation of a variety of x-rays and recognition of pathologic findings for but not limited to the following radiographs: chest, abdominal series, C-spine, pelvis, upper and lower extremities, and head CTs
The resident will demonstrate knowledge in basic orthopedic procedures
The resident will demonstrate knowledge in the basics of wound care management, disposition and appropriate follow-up
The resident will demonstrate an understanding and knowledge in basic Ophthalmologic and ENT procedures including slit lamp evaluation, foreign body removal, nasal packing, epistaxis control and emergency laryngoscopy.

Practice-Based Learning & Improvement (PBLI)

The resident will demonstrate the appropriate use of consultants to assist in developing management plan
The resident will demonstrate an understanding of the urgency for consultative follow-up or re-evaluation as part of an overall management plan

Interpersonal & Communication Skills (ICS)

The resident will demonstrate the ability to communicate effectively and succinctly with patients and family who have had no previous doctor/patient relationship with resident
Will develop trust and confidence of patient and family in limited time frame through professional sensitive interactions
Will discuss management plan and disposition with patient and family members and discuss any concerns to alleviate patient anxiety
Will review and discuss clinical/ancillary findings with patient and/or family prior to definitive disposition
Will demonstrate the ability to communicate effectively with emergency staff including nurses, medics, attending physicians, clerical staff, and consultants to develop a coordinated approach to efficient and effective patient care

Professionalism (P)

Interact professionally toward patients, families, colleagues, and all members of the health care team
Acceptance of professional responsibility as the primary care provider for patients under his/her care
Appreciation of the social context of illness
Demonstrates knowledge and application of the ethical concepts of confidentiality, consent, patient autonomy, and justice
Demonstrates integrity, altruism, and avoidance of conflict of interest
Demonstrates self-awareness to identify methods to manage personal and professional sources of stress and burnout

System-Based Practice (SBP)

The resident will show the ability to develop cost effective strategies, evaluating and man aging patients particularly those with low acuity levels
The resident will gather information from wide variety resources including friends, family, other physicians and hospitals, EMS personnel, co-workers and /or other nursing personnel

Corry Memorial Hospital Internal Medicine Residency Program

Emergency Medicine Educational Goals and Objectives

EMERGENCY MEDICINE EDUCATIONAL GOALS and OBJECTIVES

Corry Memorial Hospital

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