Emergency Medicine Residency Handbook 2009 Edition table of contents chapter page

4.SUNY Downstate / Kings County Emergency Medicine Website

To get to the department home page, start at www.downstate.edu. Then use the left sided navigation and click Education > Residency Programs > Emergency Medicine.

URL: www.downstate.edu/emergency_medicine

Our webpage strives to be an electronic repository of information during your residency. Use the left sided navigation bar to get to different areas within the site.

All clinical and academic schedules (Schedules) can be found online. In addition, there are many resident-oriented resources catalogued on the site. Go to the Resident Resources section for more links and information.

A copy of the Residency Handbook is available online. It is in the Resident Resources section.
Many of the online resources are password protected. The password is always “suny”.

5.Clinical Information Systems

You will have a training session for the clinical information systems used at Kings County Hospital and SUNY Downstate. The product used at Kings County is CPR/MISYS. The product used at SUNY Downstate is the TSystem.

6.Internet Access at Kings County Hospital

Every resident is authorized to have Internet access at Kings County Hospital. You will receive a username and password, which will be prompted when you attempt to access most sites outside of the Kings County Intranet. Internet access through Kings County is limited without a username and password. Restrict your browsing to clinically relevant domains. Completely close your web browser windows when you are finished, as your Internet activity is monitored. Without a password, you should still be able to access your Downstate, Yahoo, Hotmail, and Gmail e-mail accounts and most clinically relevant sites.

7.Internet Access at SUNY Downstate Hospital

Every resident is authorized to have Internet access at SUNY Downstate Hospital. There is no username or password required to get online, however some sites are blocked by the firewall. Again, please restrict your browsing to clinically relevant domains.

8.Email Account

All residents need to maintain at least one e-mail account and keep Ms. Lane up to date with that address. Your e-mail address should be used for membership to the SUNY EM Yahoo! Group (a mailing list) and you should check it on a regular basis for departmental communications.

9.Online Educational Resources

The Downstate Library website serves as a portal to a host of medical journals (Serials List) and a variety of evidence based-medicine resources (EBM Resources).

For access from Kings County or home, most Downstate library resources will prompt you for a username and password. Your username is your full name as printed on your Downstate ID and your password being the 16-digit number immediately below your name (not the Lib#).

10.Computers

In addition to the computers in the clinical areas, there are computers in the resident’s lounge/trailer with the Microsoft Office suite and Internet access.

11.Handhelds

Faculty and residents use a variety of personal digital assistants (PDA’s). Feel free to ask individuals about their thoughts on what they use.

12.Website/Technology Development

We are looking for help in further development of our website and electronic resources. Any resident with interest in medical informatics is encouraged to contact our Medical Informatics Director, Dr. Peter Peacock.

13.Miscellaneous

There is a slide maker and scanner in Dr. Sinert’s office that residents may use for presentation preparation. A digital camera for departmental photos is kept in Dr. Doty’s office.

SCHEDULES

MONTHLY SCHEDULES

KCH ED/Peds ED:
The Scheduling Chief Resident is responsible for the making and distribution of the monthly KCH ED schedule. He/she is the most important person with respect to the intricacies of the daily schedule and is the first person to approach with scheduling questions and requests. The Scheduling Chief Resident must approve all schedule changes. Late requests will not be honored. Requests are a consideration, NOT guarantees. Exceptions are to be discussed in advance with residency directors and chief resident.

Considerations for schedule requests:

• 
  All requests for health and educational leave will be granted first.
  
• 
  If going away, request travel days as well as days away off.
  
• 
  There is a limit of three separate requests per month. They will be honored on a priority basis, so choose your top choice carefully. There will be a maximum of 3 days off in a row depending on coverage. If any request for greater than 3 days is received it will be disregarded unless it has been approved by the residency directors. The only exceptions are academic meetings and conferences.
  
• 
  Note that the schedule historically goes through revisions in the first weeks of the month, so check it frequently. Once revised, the new copy will be posted on the bulletin boards in the ED Administrative area and one in the clinical area.
  
• 
  Please check the schedule, even if you requested certain days off. Requests are not guaranteed, but every effort will be made to honor them.
  

Nights

All residents will work 40-50% night shifts in the KCH ED and 50-60% nights in the Peds ED. Every effort will be made to group the night shifts together.

Weekends

All attempts will be made to give residents at least one Saturday and one Sunday off per clinical rotation – scheduling permitting.

Distribution of shifts

• 
  The ratio of shifts in each clinical area will be grossly equal across PGY level. Coverage may dictate that this balance varies somewhat.
  
• 
  PGY 3 and PGY 4 residents will do KCH Pediatric and Adult shifts during the same month. Junior residents will have month long rotations in Pediatric EM at KCH.
  

Special Shifts and Wednesday Conference

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.

KCH
Tuesday Shift	Wednesday Shift	Attend Conference
Off	3PM-11PM	7AM-Noon
Off	11PM-7AM	7AM-11AM
Off	7PM-7AM	Off
7AM-3PM	3PM-11PM	7AM-Noon
7AM-3PM	11PM-7AM	7AM-Noon
7AM-7PM	7AM-7PM	7AM-Noon
7AM-7PM	7PM-7AM	Off
9AM-9PM	Off	7AM-Noon
11AM-11PM	Off	9AM-Noon
11AM-11PM	11AM-11PM	9AM-Noon
11AM-11PM	7PM-7AM	Off
3PM-11PM	Off	9AM-Noon
3PM-11PM	3PM-11PM	10AM-Noon
3PM-11PM	11PM-7AM	9AM-Noon
7PM-7AM	Off	7AM-9AM
7PM-7AM	7PM-7AM	Off
11PM-7AM	11PM-7AM	7AM-9AM
11PM-7AM	Off	7AM-9AM
UHB
Tuesday Shift	Wednesday Shift	Attend Conference
7AM-5PM	Off	7AM-Noon
7AM-5PM	12PM-7PM	7AM-Noon
7AM-5PM	3PM-11PM	7AM-Noon
7AM-5PM	11PM-7AM	7AM-Noon
11AM-9PM	Off	7AM-Noon
11AM-9PM	12PM-7PM	7AM-Noon
11AM-9PM	3PM-11PM	9AM-Noon
11AM-9PM	11PM-7AM	7AM-Noon
1PM-11PM	Off	9AM-Noon
1PM-11PM	12PM-7PM	9AM-Noon
1PM-11PM	11PM-7AM	9AM-Noon
11PM-7AM	Off	7AM-9AM
11PM-7AM	11PM-7AM	7AM-9AM
BROOKDALE
Tuesday Shift	Wednesday Shift	Attend Conference
7AM-7PM	Off	7AM-Noon
7AM-7PM	7PM-7AM	Off
7PM-7AM	Off	Off
7PM-7AM	7PM-7AM	Off
11AM-11PM	Off	9AM-Noon
11AM-11PM	7PM-7AM	Off
11AM-11PM	11AM-11PM	Off
STATEN ISLAND
Tuesday Shift	Wednesday Shift	Attend Conference
7AM-5PM	Off	7AM-Noon
7AM-7PM	Off	7AM-Noon
7AM-7PM	7AM-7PM	Off
9AM-9PM	Off	7AM-Noon
11AM-9PM	Off	7AM-Noon
11AM-9PM	1PM-11PM	Off
11AM-11PM	Off	9AM-Noon
11AM-11PM	11AM-11PM	Off
1PM-11PM	Off	9AM-Noon
VA
8AM-8PM	Off	7AM-Noon
8AM-8PM	1PM-8PM	8AM-Noon