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!