Post on 15-Jan-2015
description
transcript
ACMC EM Resident Road
Map
Daniel V. Girzadas Jr., MD
What’s Your Goal for 6-2013?
Become a stellar Emergency Physician
Have a good shot at the practice you want
Think Ahead!Best to have a plan
First 6 months
Get used to being here Work hard on off-
service rotations Develop good
conference habits (stay over 80% attendance)
First 6 months
Develop daily/weekly reading habits
Follow work duty rules Document every
procedure and resuscitation you do!
READ
AIDET (approach to doctor-patient interactions)
Address Introduce Diagnosis Explain plan of action (time, pain, food,
potty) Thank
Physician to Physcian Communication: AIDET
Address Introduce yourself/ your attending/patient Diagnosis Explain plan of action and what you need
(then verify) Thank
Position Yourself for the next level
Community: Efficiency and Interpersonal Skills
Academic: Resident Project/s Fellowship: Do projects in that area of
focus
Problems? Talk with Dr’s. Girzadas, Lovell,
Carlson, Urumov or C. Kulstad. Your mentors Don’t keep it to yourself Don’t stress too much about stuff
What’s Your Goal for 6-2013?
It is not Far Away!
Timeline of Residency
Highlight key areas 6 and 12 month blocks
First 6 months
Get used to being here Work hard on off-
service rotations Develop good
conference habits (stay over 80% attendance)
First 6 months
Develop daily/weekly reading habits
Follow work duty rules Document every
procedure and resuscitation you do!
Read as much as you can! On the spot Guided by patient encounters Scheduled readings for Study Guide EMtests Lecture preparation
How to Increase your Knowledge
Work hard in the ED and on off-service rotations.
Pester the attendings with frequent questions.
You will get burned. But think about it and read about it so it doesn’t happen again.
How to Increase your Knowledge
Listen and learn from others’ mistakes.
If you have discomfort with a certain type of case, that’s the one you should take.
First 6 months
Help us recruit new residents Don’t worry too much about speed (1-1.2
pph) More important to make sure plan of
treatment and disposition are getting done. ECC moonlighting
First January Evaluation
Most interns have some trepidation You are usually doing better than you
think!
Read
PGY1 Second half
All the stuff I said already plus: Define your resident project Take the in-training exam seriously Oral Boards exam in April Help us recruit new residents Make your schedule for next year
EM1 Second Half
Winters are tough here Stay positive Get enough sleep Get some exercise
AIDET (approach to doctor-patient interactions)
Address Introduce Diagnosis Explain plan of action (time, pain, food,
potty) Thank
What Can You Do?
Maintain current relationships Develop new relationships Have some fun Nurture a respect for your patients Nurture a passion for EM
Problems? Talk with Dr’s. Girzadas, Lovell,
Carlson, Urumov or C. Kulstad. Your mentors Any attending Don’t keep it among your peers or to
just yourself.
End of PGY1 Evaluations
Attendings are stingy with high scores Pig Lab
Read
PGY2 Year
Continue reading and conference habits Work on efficiency Maintain your compassion Interpersonal skills Trauma rotation
PGY2 Year
Get working on you resident project Chiefs are chosen in the spring Other leadership positions can be
developed such as EM Resident Director of Pediatrics
Resident Project Start early. Talk to Dr. Erik Kulstad or any
attending about potential projects. Choose something that’s doable Be alert for cool cases and pictures or
clinical questions you develop.
How to increase your experience
Doctor to room 4A Stat or Code 44! Always say yes if the nurses ask for
help. See as many kids as possible,
especially seek out resuscitations.
How to increase your experience
Be a procedure hound. Utilize ultrasound to guide
procedures Utilize the advanced airway cart Document all procedures in
EValue
PGY2 Year
EM2’s and EM’s get some supplemental money to go to a conference.
Many try to go as a group.
Read
PGY 3 Year
Read and go to conference with purpose now
Finish your resident project Take step 3 Start interviewing for jobs in
late fall Consider outside moonlighting Help us recruit new residents
Read
Summary Think about what you want to
accomplish in the next three years. Focus on Patient Care, Reading,
Productivity and Communication. You’ll be a Stellar Emergency
Physician!