The EM-2 residents perform an initial evaluation of ill and injured patients. They are expected to institute initial treatment and diagnostic plans independently. They present their findings in a clear and concise manner and articulate a comprehensive diagnostic and therapeutic plan. They perform the majority of critical interventions, such as intubations, and manage the majority of critically ill patients. EM-2s focus on the essential EM art and skill of multi-tasking and learning to care for multiple sick and injured patients simultaneously.
Clinical Responsibilities
- Perform a complaint directed work-up of emergency department patients.
- Establish a differential diagnosis for each patient chief complaint, reflecting the emergency medicine approach to problem solving.
- Evaluate and treat patients independently; perform the indicated work-up prior to presentation to the EM-3 or attending.
- Manage multiple patients simultaneously.
- Present comprehensive treatment and disposition plans.
- Demonstrate cost-effective laboratory and ancillary test ordering.
- Be able to give the rationale for, and complications of, any emergency department procedure undertaken.
- Assume a "team captain" role in moderate trauma and cardiac arrest patients when the EM-3 is unavailable. Demonstrate effective skills in leading the team during resuscitations.
Supervisory Responsibilities
- Provide clinical supervision to EM-1's and medical students in the performance of minor procedures.
Teaching
- Attend at least 75% of emergency department weekly conference, trauma conference, journal club and grand rounds.
- Develop and deliver 2 case conferences under the supervision of his/her faculty advisor
- Present the pre-hospital and ED management of trauma case at the Joint EM/Surgery conference as requested.
- Teach EM-1's and medical students from the Columbia University College of Physicians or other medical schools.
- Prepare mini-conferences and Board Review questions and answers as assigned. (See sections on mini-conferences and core content board review for detail.)
Administration
- Become aware of basic policies and procedures governing patient care in the emergency department.
Research
- Attend journal club and present summaries of assigned articles including method papers. Learn research methodology, statistical analysis, and critical assessment of the medical literature.
- Participate in ongoing research projects while on duty in the emergency department.
- Complete planning and begin implementation of a scholarly activity project (see Research section).
