Emergency Medicine Residency Handbook 2009 Edition table of contents chapter page
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CONFERENCE CONTACTSICU-monthly Conference Leaders: Dr Jennifer Martin (jennm1031@gmail.com) and Dr Kaedrea Jackson (kaedreaj@yahoo.com) Faculty Advisor: Dr DeSouza, Dr Rios Date of First Conference: 6/24/09 (Backster/Rubano) M&M-monthly Conference Leaders: Dr Trushar Naik (tnaik1@yahoo.com) and Dr Brijal Patel (lajirb@gmail.com) Faculty Advisor: Dr Rios Date of First Conference: 6/24/09 (Cobb/Nemes) Trauma-bimonthly Conference Leaders: Dr Jamie Edelstein (jamieedelstein@hotmail.com) and Dr Teresa Bowen-Spinelli (tbspinelli@gmail.com) Faculty Advisor: Dr Baron Date of First Conference: 7/22/09 (Dr. O'Neill scheduled for 5/27/09) Adult Journal Conference-bimonthly Conference Leaders: Dr Joshua Schechter (joshschecht@gmail.com) and Dr Keith Tsang (ktsang.em@gmail.com) Faculty Advisor: Dr Sinert Date of First Conference: 7/1/09 (Auerbach/Natal)
Conference Leaders: Dr Amir Estephan (amir.estephan@downstate.edu), Dr Brenda Natal (brenda.natal@gmail.com) Faculty Advisor: Dr Tejani Date of First Conference: 6/17/09 (Lira/Barrett) Peds Case Conference-monthly Conference Leaders: Dr Elizabeth Rubano( liz_1599@yahoo.com) and Dr Christopher Johnson (cjohnson79@gmail.com) Faculty Advisor: Dr Shah Date of First Conference: 6/17/09 (Tsang) Evidence Based Medicine-monthly Conference Leaders: Dr Michael Yee (michael.yee@hsc.stonybrook.edu), Dr Chaiya Laoteppitaks ( laoteppitaks@gmail.com), Dr Eric Suess (eric.morris.suess@gmail.com) Faculty Advisor: Dr Paladino, Dr. Lanigan Date of First Conference: 6/10/09 (Jackson/Holder) Core Content-monthly Conference Leader: Dr Andrew Miller (taqwa1@gmail.com) Faculty Advisor: Dr Rios Date of First Conference: 7/1/09 (Daphnis/Yee) MORNING REPORT Morning report gives the opportunity to discuss interesting cases that present to the ED in a relatively formalized manner. It is an excellent educational forum for the residents and faculty and a time for a brief discussion of both core topics in emergency medicine as well as evolving medical therapies. Faculty Liaison: Dr. Chris Doty pager: 917.760.2005 Time and Place: Morning report is to be held following morning rounds on Mondays, Tuesdays, Thursdays, and Fridays in a location designated by the attending physician (usually adult or pediatric trauma bay in CCT). Structure:
The purpose of the exercise is to provide the presenter an opportunity to present a case that he/she was personally involved with and to educate his/her colleagues. The objective of the presenter is to extract the most essential Emergency Medicine teaching points and convey these to the group. In order to accomplish this goal, we have decided to initiate some guidelines to follow in preparing your morning report:
WEDNESDAY CONFERENCE The Wednesday conference is the traditional EM academic conference that attempts to cover the core topics in emergency medicine over approximately a two-year period. Conference for EM residents will be held each Wednesday in the department conference room from 7am – 12pm, unless otherwise noted. The schedule will be published monthly by Education Chief. The conference is composed of various didactic lectures covering the core curriculum of emergency medicine, specialized case discussions pertaining to pediatrics, the MICU and trauma, journal club, a morbidity and mortality conference, an annual CPC competition, and monthly grand rounds. The following is a brief description of the various conference topics and policies and procedures related to Wednesday conference. Each topic has a resident coordinator and questions about specific topics should be directed to that person or the Education Chief resident.
Junior residents (PGY 1 and PGY 2) will have the majority of Tuesday PM shifts off to enable their attendance at conference. Residents have to report to the clinical area immediately after conference. Senior residents may be scheduled for one Tuesday overnight, one Wednesday AM and/or Wednesday PM shifts as coverage dictates. The scheduling chief resident may have the residents scheduled for shortened shifts after conference as coverage dictates. Senior shifts scheduled 11AM – 7PM and Junior shifts scheduled 7AM-7PM begin at 12 Noon. The following are the updated requirements for conference attendance that take into account resident work hours and current ACGME and NY State guidelines. If you have any questions as to whether or not you need to attend conference please contact me as soon as possible.
Every effort will be made to allow residents maximum conference attendance without compromising patient care. Off-service Rotations: For non-KCH sites and off-service rotations, please refer to the Clinical Responsibilities section of this handbook under the specific rotation heading for specific schedule information. In general, on the non-ED off-service rotations during the first two years residents will act as full members of the off-service clinical staff and have similar clinic and call schedules. For all off-service rotations at KCHC, excluding the SICU rotation, the resident is expected to attend conference for at least 2 hours – this is a required part of education and should be excused by the off-service team. ED CONFERENCE ATTENDANCE POLICY In an effort to give the residents more autonomy, we are instituting a new attendance policy for conference. It is a national benchmark that every EM resident must be present for 70% of the Wednesday conferences that we sponsor. (35% for EM/IM residents) With that thought in mind, we would like to leave it up to you, the residents, to make sure that you are making this RRC requirement. Therefore, the directors will not be worried about your reasons for missing conference. It is your responsibility to be there. The attendance statistics will be posted on the conference room door on or around the first of every month. You must be there for the full 5 hours to get credit for the day if you are not scheduled to work that day or the night before. If you leave early or come late outside of the current handbook policy on Wednesday conference attendance, you will not get credit for that conference day. Realize that this 70% of conferences includes everything. (Sick day, I worked overnight, my car got towed, my Granny was in town, I was on vacation, my dog ate my metrocard..EVERYTHING.) If you come more than 5 minutes late, it will be recorded. If you are late 3 times, it will count as one full missed day of conference. It is your responsibility to keep track of your conference attendance and know how close you are to that 70% level. This number can be reviewed with a residency director at your 6 month evaluation meeting or you can make an appointment with a director to discuss this at any time. If by some terrible chance of luck, graduating residents are below your required 70% (35%), they will have to attend conference during their elective or during July to make the minimum requirement in order to graduate the program. The 70% ( or 35% for EM/IMs) RRC conference attendance requirement is not negotiable and you can not graduate from ANY EM residency with out fulfilling it. PRESENTATION PREPERATION POLICY In a never-ending quest to improve the quality of our residency and our educational conference, the Program Directors have developed the following resident requirements for conference presentations.
Resident lectures are clearly a huge part of the educational component of the residency. Furthermore, presenting in our conference is an opportunity for growth as an educator for each resident. For these reasons, it is imperative that these lectures are polished and reviewed by faculty preceptors prior to Wednesday conference. It has been a long-standing policy that residents will forward any lecture or presentations to be given in Wednesday or EM/IM Combined conference many days ahead of time to the conference coordinator, faculty coordinator or faculty advisors. This is critical in order to have your slides reviewed and incorporate feedback into your presentation.
A period of 1 week should provide ample time for feedback and adjustment. This not only is key to assure a high yield presentation, but also a great way to learn not only about the topic but also, about how to lecture. Unfortunately, when this does not happen, the quality of the resultant lectures are below the standard of we all expect. This is unfair to the presenter, the fellow residents and the faculty. Since this is important and prior compliance has been poor, we have added an incentive for compliance. Residents are required to submit their preliminary presentation to a faculty member/conference preceptor 7 days prior to the presentation date. Any resident who has not complied with the lecture review policy will be asked to create an education project with one of the Program Directors for the educational files of the program.
We realize that you may have other obligations the month before or the month of your presentation. Therefore, you will need to plan ahead to make sure you have adequate time to prepare your presentation and have it submitted for review 1 week (7 days) prior to your presentation. The yearly schedule of presentations is published on the residency bulletin board and can also usually be found below Drs. Nichol’s and Khaldun’s "signature" on their emails. Please stay on top of your presentations and feel free to ask any of the Residency Directors for help with your preparation. We are here to help you. Please email the Program Directors with any questions. -- Presenter Schedule 2009-2010 Updated 5/11/09
ICU CONFERENCE Contact Persons: Drs. Ian deSouza and Claritza Rios Cell: (917) 903-1765/(917) 693-4429 E-mail: juicemd@yahoo.com/claritza@gmail.com
M & M will be held monthly in the ED conference room. One 2nd year and one 3rd year resident will be responsible for researching the cases as well as a brief discussion (2-3 slides maximum) after the case is presented on salient aspects relating to the case. Presentation slides must be submitted to the M&M conference attending for review no later than one week prior to presenting. Charts to be reviewed for the conference will be divided among the presenting residents and can be obtained from either King’s County or Downstate Emergency Department Cases. Cases should be discovered and selected by the presenting residents prior to the month they present and ideally be involved in the patients’ initial care. Cases should be selected for adverse outcome as well as to highlight differing management strategies and/or systems based problems. In addition to reviewing cases for CQI/QA and education purposes, 1 to 2 interesting cases may be discussed in detail. If possible, the EM resident who initially cared for the patient in the ED will be responsible for presenting the case at M&M, however recent cases which are selected as worthwhile may be assigned to the presenters of the month. The presenting resident will be responsible for notification of residents and any attendings involved in the cases will be notified by the conference director prior to the presentation, so they may be present to add details to enhance the discussion. Presentation slides must be submitted for review to the M&M conference attending no later than a week prior to presenting. Cases not presented in detail will be typed up and discussed to highlight Q/A issues as time permits. Questions about the conference should be directed to the M&M conference attending or the resident coordinator. The schedule for M&M and resident presenters will be posted and distributed by the educational chief resident. TRAUMA CONFERENCE The Kings County Hospital Trauma Conference is scheduled bi-monthly. Attendings, residents, medical students, and any interested staff involved in the care of trauma patients are encouraged to attend. Trauma topics are presented as case based discussions with review of the relevant literature. In addition, guest speakers with expertise in trauma are invited to lecture throughout the year. The schedule for trauma conference will be posted and distributed by the education chief resident. All resident lectures must be reviewed by the Trauma Conference attending, Dr. Bonny Baron, at least one week prior to each conference. PEDIATRIC CONFERENCE Faculty Liaison: Dr Shah Resident Coordinators: Dr Elizabeth Rubano( liz_1599@yahoo.com) and Dr Christopher Johnson (cjohnson79@gmail.com) This monthly conference features an interesting case from the Pediatric Emergency Department at Kings County Hospital. Each month a second year resident will be assigned a case for presentation. The presenting resident will be responsible for reviewing the case history, preparing a written summation of the case. The resident will be expected to review the pertinent primary literature, prepare an outline of the appropriate case management, and distribute at least one journal article on the subject at the conference. The resident coordinator will collect and assign cases each month. He/She will attempt to regularly supplement our case presentation with an expert in the field. Questions should be directed to the pediatric conference attending or resident coordinator The schedule for pediatric conference and resident presenters will be posted and distributed by the education chief resident. The case must be reviewed first by the senior resident. Dr. Shah must review the presentation 1 week prior to the conference. Do NOT email her the presentation the night before! ADULT JOURNAL CLUB Coordinators: Residents: Dr Joshua Schechter (joshschecht@gmail.com) and Dr Keith Tsang (ktsang.em@gmail.com) Faculty: Dr. Sinert
Journal Club is an integral part of residency training. We have developed a model of journal club based upon the principles of evidence-based medicine. Goals:
Choosing an Article:
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