You are assigned to the Trauma ICU for the month of_____________________.
Schedule: Contact the LSU Surgery chief resident 2-3 weeks prior to your rotation to receive your schedule and /or submit a schedule request. All schedule requests should be directed to the Chief Residents. The maximum continuous duty period for residents is 24 hours, after which the resident may no longer assume responsibility for new patients, but may stay inhouse for transfer of care or conference for up to six hours. Each resident must have 1 day in 7 free of all duties. Any duty hour violation must be reported immediately to your program director or anonymously to the Duty Hour hotline: 599-1161.
Responsibilities:Function as part of the Trauma ICU team and the Trauma Team. Conference: You are required to attend EM conference and Journal Club. Please remind you staff the day before each event.
Extras: All procedures must be recorded in NewInnovations.
Supervision: Provided by LSU Surgery faculty and senior level residents.
Evaluations: Compiled by LSU faculty and senior level residents at the completion of the rotation and submitted via New Innovations.
Meals: available at in Resident Lounge.
LSU Emergency Medicine Residency Program
Trauma ICU Rotation GOALS and OBJECTIVES What follows are the goals and objectives for the MCLANO Surgery rotation, that will range from a 2 week to 1 month rotation, as assigned by the Program Director. The rotation will take place at the LSU Public Hospital. The year of training is assigned in the PGY2 year.
OBJECTIVES: Gain expertise in the management of surgical emergencies. Learn the priorities and procedures of trauma resuscitation. Become an integral part of the trauma team and respond to all trauma resuscitations along with junior, senior and staff surgeons. Gain exposure to OR sterile techniques and surgical techniques.
Participate in daily teaching rounds
Evaluate Trauma and Surgical patients in the Emergency Department
Participate in Surgical Procedures, both in the OR and on the floor
Participate in the routine care of Surgical patients
Follow inpatient surgical patients through discharge, including discharge planning
The clinical and didactic experiences used to meet those objectives included daily patient care of the MCLANO Surgical Service Patients, along with bedside teaching. The rotating resident is encouraged to attend lectures available at MCLANO pertaining to the care of the surgery patient. This rotation experience is part of the greater emergency medicine curriculum, also including weekly didactics (part of the overall didactic curriculum).
The feedback mechanisms and methods used to evaluate the performance of the resident include an end of rotation global evaluation. Immediate feedback may also be given to the resident, and any significant problems will be discussed during the rotation with the LSU EM administration.
The resources and facilities in the institution that will be available to each resident include computer access to Up To Date and the LSU Library services, including current texts in surgery and emergency medicine. The residents will have access to the resources of the hospital including call rooms, the LSU Medical Library, Hospital medical texts, medical records and the cafeteria.
The clinical experiences, duties and responsibilities the resident will have on the rotation: Residents will act as a part of the Surgery team under the supervision of a staff physician. The residents will participate in the initial management of surgery patients, to include pediatric and adult trauma and general surgery patients.
The relationship that will exist between emergency medicine residents and faculty on the service: The overall goals of resident education and patient care will govern the relationship between faculty and residents. Residents will receive 24 hour supervision while on the rotation. All patient care and medical charts will be reviewed and signed by the Surgery faculty daily and prior to patient discharge.
Duty hours for this rotation will not exceed an average of 80hrs/week, call not longer than 24 consecutive hours and will include 1 in 7 days off.
This rotation summary has been reviewed and agreed to by the service director and LSU Program Director.
Specific Competency Based Goals & Objectives:
While in the TICU, the resident will demonstrates skill in “Data Gathering” that includes appropriate focused history and physical exam and ordering and interpretation of ancillary tests (* PC, MK, ICS, PR)
While in the TICU, the resident will demonstrates skill in “Problem Solving” that includes appropriate and complete differential diagnosis for an undifferentiated patient. Appropriate organization of data collection in relation to patient management decisions. (* PC, MK, PBL)
While in the TICU, the resident will demonstrates skill in “Patient Management” that includes a basic treatment plans and timely recognition and appropriate emergency stabilization of the unstable patients. (* PC, MK, SBP)
While in the TICU, the resident will demonstrate skill in “Medical Knowledge” appropriate for level of training that demonstrates a basic fund of medical knowledge and the ability to seek the scientific basis for their patient care decisions (*MK, PBL)
While in the TICU, the resident will demonstrates technical proficiency in “Procedural Skills” consistent with level of training that includes supervised intubations, central venous access, chest tubes and trauma resuscitations. (*PC)
While in the TICU, the resident will demonstrate appropriate “Interpersonal and Communication Skills” that includes effective information exchange with patients, their families, and professional associates. Demonstrates appropriate conflict resolution skills. (*ICS, PR)
While in the TICU, the resident will demonstrate appropriate “Professionalism” that includes introduces self to patient and/or family. Respectful of patient’s privacy and confidentiality (*PR)
While in the TICU, the resident will demonstrates an understanding of a “Systems-Based Practice” that includes understanding basic resources available for care of the TICU patient. Utilizes the consultation process appropriately. Assists in appropriate bed triage decisions. Assists in appropriate step-down and transfer decisions. (*SBP, PC)
While in the TICU, the resident will demonstrate “Practice Based Learning and Improvement”skills that includes use of appropriate information resources (ie, texts, online web sites, etc.) for care of patient (* PBL, PC)
(* denotes core competency area:PC-Patient Care, MK-Medical Knowledge, ICS-Interpersonal and Communication skills, PR-Professionalism, SBP-Systems Based Practice, PBL-Practice Based Learning and Improvement).