1. The resident will acquire experience in the management of common emergency problems and procedures.
2. The resident will confidently manage with calmness, self-control and good judgment a large volume of patients in a timely fashion.
3. The resident will develop skills in stabilizing seriously ill or traumatized patients.
4. The resident will provide appropriate bio-psychosocial care of the patient and his/her family.

Knowledge:

1. Performance of history and physical in ER setting.
2. Development of short-term management plans including appropriate disposition.
3. Learning to use diagnostic and lab tests in an efficient and cost-effective manner.
4. Understand triage, criteria for hospital admission and follow-up.

Assessment and Management:

1. Acute life threatening Conditions (cardiovascular, neurologic, toxicologic, respiratory distress, etc.)
2. Trauma
3. Limb injury care & referral
4. Shock
5. Infectious disease emergencies, including meningitis
6. Psychiatric emergencies
7. Burns
8. Metabolic disorders
9. Victims of violence
10. Grief counseling

Procedures:

1. Suturing including anesthetic techniques
2. Lumbar puncture
3. Stabilizing, splinting sprains and fractures, dislocation reductions
4. Airway securing procedures
5. Removal of foreign bodies
6. Vascular access or monitoring techniques.
7. Diagnostic/therapeutic procedures – paracentesis, arthrocentesis, thoracentesis
8. Indication and interpretation: electrocardiograms, x-ray imaging, laboratory studies, monitors
9. Slit lamp and ophthalmic burr

• The resident will be exposed to various urgent and emergent patient encounters.

• A 4-week block is required, in addition to the PGY1 longitudinal Emergency Medicine experience.
• 40 hours/week – a mix of evening, weekend hours. Late nights and early mornings are the busiest.
• Meet with Dr. Schaadt – early on in the rotation for schedule review and to discuss case report.
• Focus on trauma, critical management and procedures.
• ACLS required.
• ATLS strongly encouraged.

• Several questions from the Internal Medicine and clinical set problems will be related to patients in emergent care situations. The resident should complete exam questions on www.familypractice.com

• Emergency Department Library
• Various websites including www.uptodate.com (Up-to-date)
• www.edconsult.com (MD Consult)
• www.embbs.com (The Emergency Medicine and Primary Care Home Page)
• www.abem.org (The American Board of Emergency Medicine Home Page);
• www.acep.org (The American College of Emergency Physicians Home Page)
• www.aafp.org (American Academy of Family Physician Home Page
• www.acc.org (American College of Cardiology)
• Electro-cardiogram books, such as Dubin, Mariott
• QFPC Faculty Physicians, Tom Miller, MD
• Blessing Hospital Emergency Department – Mark Schaadt, MD

• Satisfactory completion of the rotation is determined by the Program Director in consultation with the Emergency department-attending physicians.