Getting most out of Residency

Download Getting most out of Residency

Post on 15-Jan-2015

485 views

Category:

Documents

2 download

Embed Size (px)

DESCRIPTION

 

TRANSCRIPT

<ul><li> 1. ACMC EM Resident Road Map Daniel V. Girzadas Jr., MD </li> <li> 2. Whats Your Goal for 6-2013? <ul><li>Become a stellar Emergency Physician </li></ul><ul><li>Have a good shot at the practice you want </li></ul></li> <li> 3. Think Ahead! <ul><li>Best to have a plan </li></ul></li> <li> 4. First 6 months <ul><li>Get used to being here </li></ul><ul><li>Work hard on off-service rotations </li></ul><ul><li>Develop good conference habits (stay over 80% attendance) </li></ul></li> <li> 5. First 6 months <ul><li>Develop daily/weekly reading habits </li></ul><ul><li>Follow work duty rules </li></ul><ul><li>Document every procedure and resuscitation you do! </li></ul></li> <li> 6. READ </li> <li> 7. AIDET (approach to doctor-patient interactions) <ul><li>Address </li></ul><ul><li>Introduce </li></ul><ul><li>Diagnosis </li></ul><ul><li>Explain plan of action (time, pain, food, potty) </li></ul><ul><li>Thank </li></ul></li> <li> 8. Physician to Physcian Communication: AIDET <ul><li>Address </li></ul><ul><li>Introduce yourself/ your attending/patient </li></ul><ul><li>Diagnosis </li></ul><ul><li>Explain plan of action and what you need (then verify) </li></ul><ul><li>Thank </li></ul></li> <li> 9. Position Yourself for the next level <ul><li>Community: Efficiency and Interpersonal Skills </li></ul><ul><li>Academic: Resident Project/s </li></ul><ul><li>Fellowship: Do projects in that area of focus </li></ul></li> <li> 10. Problems? <ul><li>Talk with Drs. Girzadas, Lovell, Carlson, Urumov or C. Kulstad. </li></ul><ul><li>Your mentors </li></ul><ul><li>Dont keep it to yourself </li></ul><ul><li>Dont stress too much about stuff </li></ul></li> <li> 11. </li> <li> 12. Whats Your Goal for 6-2013? It is not Far Away! </li> <li> 13. Timeline of Residency <ul><li>Highlight key areas </li></ul><ul><li>6 and 12 month blocks </li></ul></li> <li> 14. First 6 months <ul><li>Get used to being here </li></ul><ul><li>Work hard on off-service rotations </li></ul><ul><li>Develop good conference habits (stay over 80% attendance) </li></ul></li> <li> 15. First 6 months <ul><li>Develop daily/weekly reading habits </li></ul><ul><li>Follow work duty rules </li></ul><ul><li>Document every procedure and resuscitation you do! </li></ul></li> <li> 16. Read as much as you can! <ul><li>On the spot </li></ul><ul><li>Guided by patient encounters </li></ul><ul><li>Scheduled readings for Study Guide </li></ul><ul><li>EMtests </li></ul><ul><li>Lecture preparation </li></ul></li> <li> 17. How to Increase your Knowledge <ul><li>Work hard in the ED and on off-service rotations. </li></ul><ul><li>Pester the attendings with frequent questions. </li></ul><ul><li>You will get burned. But think about it and read about it so it doesnt happen again. </li></ul></li> <li> 18. How to Increase your Knowledge <ul><li>Listen and learn from others mistakes. </li></ul><ul><li>If you have discomfort with a certain type of case, thats the one you should take. </li></ul></li> <li> 19. First 6 months <ul><li>Help us recruit new residents </li></ul><ul><li>Dont worry too much about speed (1-1.2 pph) </li></ul><ul><li>More important to make sure plan of treatment and disposition are getting done. </li></ul><ul><li>ECC moonlighting </li></ul></li> <li> 20. First January Evaluation <ul><li>Most interns have some trepidation </li></ul><ul><li>You are usually doing better than you think! </li></ul></li> <li> 21. Read </li> <li> 22. PGY1 Second half <ul><li>All the stuff I said already plus: </li></ul><ul><li>Define your resident project </li></ul><ul><li>Take the in-training exam seriously </li></ul><ul><li>Oral Boards exam in April </li></ul><ul><li>Help us recruit new residents </li></ul><ul><li>Make your schedule for next year </li></ul></li> <li> 23. EM1 Second Half <ul><li>Winters are tough here </li></ul><ul><li>Stay positive </li></ul><ul><li>Get enough sleep </li></ul><ul><li>Get some exercise </li></ul></li> <li> 24. AIDET (approach to doctor-patient interactions) <ul><li>Address </li></ul><ul><li>Introduce </li></ul><ul><li>Diagnosis </li></ul><ul><li>Explain plan of action (time, pain, food, potty) </li></ul><ul><li>Thank </li></ul></li> <li> 25. What Can You Do? <ul><li>Maintain current relationships </li></ul><ul><li>Develop new relationships </li></ul><ul><li>Have some fun </li></ul><ul><li>Nurture a respect for your patients </li></ul><ul><li>Nurture a passion for EM </li></ul></li> <li> 26. Problems? <ul><li>Talk with Drs. Girzadas, Lovell, Carlson, Urumov or C. Kulstad. </li></ul><ul><li>Your mentors </li></ul><ul><li>Any attending </li></ul><ul><li>Dont keep it among your peers or to just yourself. </li></ul></li> <li> 27. End of PGY1 Evaluations <ul><li>Attendings are stingy with high scores </li></ul><ul><li>Pig Lab </li></ul></li> <li> 28. Read </li> <li> 29. PGY2 Year <ul><li>Continue reading and conference habits </li></ul><ul><li>Work on efficiency </li></ul><ul><li>Maintain your compassion </li></ul><ul><li>Interpersonal skills </li></ul><ul><li>Trauma rotation </li></ul></li> <li> 30. PGY2 Year <ul><li>Get working on you resident project </li></ul><ul><li>Chiefs are chosen in the spring </li></ul><ul><li>Other leadership positions can be developed such as EM Resident Director of Pediatrics </li></ul></li> <li> 31. Resident Project <ul><li>Start early. </li></ul><ul><li>Talk to Dr. Erik Kulstad or any attending about potential projects. </li></ul><ul><li>Choose something thats doable </li></ul><ul><li>Be alert for cool cases and pictures or clinical questions you develop. </li></ul></li> <li> 32. How to increase your experience <ul><li>Doctor to room 4A Stat or Code 44! </li></ul><ul><li>Always say yes if the nurses ask for help. </li></ul><ul><li>See as many kids as possible, especially seek out resuscitations. </li></ul></li> <li> 33. How to increase your experience <ul><li>Be a procedure hound. </li></ul><ul><li>Utilize ultrasound to guide procedures </li></ul><ul><li>Utilize the advanced airway cart </li></ul><ul><li>Document all procedures in EValue </li></ul></li> <li> 34. PGY2 Year <ul><li>EM2s and EMs get some supplemental money to go to a conference. </li></ul><ul><li>Many try to go as a group. </li></ul></li> <li> 35. Read </li> <li> 36. PGY 3 Year <ul><li>Read and go to conference with purpose now </li></ul><ul><li>Finish your resident project </li></ul><ul><li>Take step 3 </li></ul><ul><li>Start interviewing for jobs in late fall </li></ul><ul><li>Consider outside moonlighting </li></ul><ul><li>Help us recruit new residents </li></ul></li> <li> 37. Read </li> <li> 38. Summary <ul><li>Think about what you want to accomplish in the next three years. </li></ul><ul><li>Focus on Patient Care, Reading, Productivity and Communication. </li></ul><ul><li>Youll be a Stellar Emergency Physician! </li></ul></li> <li> 39. </li> </ul>