EM-3 residents provide direct patient care as well as overseeing the care given by medical students and junior residents in emergency medicine, internal medicine, surgery and Ob/Gyn. They direct all medical, surgical, trauma and pediatric resuscitations. The attending physician is present during all resuscitations and intervenes only as required to ensure optimal patient care. Following the initial resuscitation the EM-3 and attending discuss the case and develop a therapeutic strategy. The EM-3 year is one during which emergency department team management skills are developed. At both sites, the EM-3 resident is the team leader of his or her own clinical team which includes a junior resident, 2 nurses and an ED technician. The EM-3 is responsible for supervising medical students and junior residents, managing the flow of patients assigned to the team, directing all major medical and traumatic resuscitations, as well as seeing patients. Primarily, the EM-3 discusses the management and final disposition of all patients on his or her team with an attending physician in a timely fashion.
Clinical Responsibilities
- Direct all aspects of patient care including all pediatric and adult medical and trauma resuscitations.
- Screen all initial ECG's of emergency department patients.
- Accept calls from private physicians referring patients to the ED.
- Participate with the charge RN in immediate assessment and triage of patients who arrive by ambulance.
- Conduct ED work rounds with the charge attending to manage overall ED flow.
- Call consultants as needed.
Supervisory Responsibilities
- Manage emergency department operations under the supervision of the charge attending physician, including, overall patient flow, cases being seen by each resident, and triage of patients waiting to be seen.
- Assess emergency department readiness (e.g. adequate staff, supplies, monitors, and stretchers) to ensure that patient needs are being met.
- Work with the charge nurse to deal with factors that impede the swift transfer of admitted patients to in-hospital teams.
- Hear and supervise cases presented by medical students and junior residents, and then present these cases directly to the attending.
Teaching
- Attend at least 75% of emergency department weekly conference, trauma conference, journal club and grand rounds.
- Clinical teaching while on duty in emergency department.
- Prepare and deliver a morbidity and mortality conference under the supervision of the residency director.
- Prepare and lead a Journal club.
- Prepare and delivers a core content lecture, under supervision of faculty advisor and associate residency director.
- Prepare mini-conferences and board review questions and answers assigned. (See sections on mini-conferences and core content board review.)
Administration
- Participate in departmental committee (clinical site leadership committee, CQI, strategic initiatives), or hospital committee such as CME, GME, ethics, pharmacy etc.
Research
- Complete scholarly activity project. (see research curriculum)
- Prepare and lead a journal club under the supervision of the research director.
- Attend journal club and present summaries of assigned articles including method papers. Learn research methodology, statistical analysis, and critical assessment of them medical literature.
- Participate in ongoing research projects while on duty in the emergency department.
