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PROJECTS


We believe that Emergency Medicine is far more than just showing up for a shift. As residents, we want you to be exposed to and familiar with a wide range of opportunities related to Emergency Medicine. We want you to have the skills to practice in the ED setting of your choice and to broaden your experience and choose experiences in academic emergency medicine, fellowships, or other opportunities. Through these projects, residents can establish one-on-one relationships with faculty and establish skills for self learning and continuing self- education

Research:  The faculty help our residents in devising meaningful research projects which can be completed and often presented or published within the time frame of the residency program. Research helps the resident become a critical thinker and reader of the medical literature.  Having done research enables a person to better understand the process of hypothesis testing and research projects give a working knowledge of statistical analysis. The requirements of the research project are that the resident develop with faculty guidance a hypothesis driven project which is then presented to the departmental research meeting for approval. Most projects will require HRRC approval as well. After completion of the project the resident must submit a written manuscript of publishable quality for their portfolio. The resident must also give an oral presentation at the NM ACEP Meeting or at another national EM meeting. Drs. Crandall (Research Director), Brillman, Weiss, Ernst, and Sklar are excellent sources for guidance.

Community: Our potential patient population is far greater than those who walk through our ED doors. We are much more effective if we can prevent the injury or illness, rather than treat it after the fact. We want our residents to get to know and to contribute to the community through a community project. This can take the form of education (through schools, churches, interest groups, etc.) service (providing health care in shelters, at community events, etc.) or through research (injury control, epidemiology, etc.) Resident community projects have lead to ongoing programs, career focus and research grants. The project should not involve the residency program or ED as the primary target audience. This project should take 20 hours of resident time as a minimum.
 

Quality Improvement: Because emergency physicians do not regularly see the ultimate outcomes of the patients they care for, a systematic evaluation process is crucial for assuring high quality emergency medical care. Emergency physicians must participate in this process independent of practice type or location. The QA projects should include development, implementation and assessment of a project to improve care, such as a clinical pathway, a patient satisfaction survey, or improvement of a recognized problem area. In addition to every resident completing a QA project, they also have feedback on their clinical performance provided by the chief resident. This feedback includes compliance with core measures, billing/coding, and other QA measures which are standard for the department.

 

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EVALUATIONS & EXAMINATIONS

 

Evaluations of both the individual resident by faculty and of the faculty and program by the residents occur at regular intervals throughout the year. Both types of evaluations are critical for the growth of the individual resident and the continued improvement of the program.

Resident Evaluations of the Program – these are all completely confidential/anonymous.
•   End of rotation evaluations that are done using “New Innovations”
•   Mid and End of year evaluations of the faculty, conference, rotations that are done at the residency
    retreats or using “New Innovations”
•   Informal feedback about the program is given during the monthly HOI or HO II/III lunches with the PD.
•   Conference topics are evaluated at the end of each conference.

Program Evaluations of Individual Residents
•   Residents are evaluated using “New Innovations” at the end of each rotation by faculty.
•   Residents are evaluated at the end of every ED shift and provided formative feedback. These cards are
    turned in by faculty and complied at the end of each month. Summary of these evaluations are provided
    via New Innovations at the end of the month.
•   Residents are evaluated by ED staff and patients twice a year using a 360 model.
•   Residents will be directly observed by a faculty member for 2-8 hours per year in the ED.
•   Residents meet with their advisor twice a year in the fall and spring for informal feedback.
•   Residents meet with the PD or APDs for mid and end of year formal evaluations. These are required for
    promotion/graduation. At the end of each of these evaluations the resident will be given a written copy of
    the evaluation to sign and return to the program coordinator. This evaluation will include action items
    with a timeline which must be completed. Failure to complete these items may result in academic probation.

Examinations: There are two formal examinations each year. A mid-year exam with multiple formats is given each spring. As part of this 4 hour exam, the resident works through mock “oral board” cases, reads X-rays and EKGs, performs focused EM procedures, and does a mock resuscitation on the human simulator. The residents take the national EM Inservice Exam each year.

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LEARNING TO TEACH


It is the expectation that every resident will develop essential teaching skills during residency. By the end of the residency it is expected that the resident will be able to: give a formal presentation, develop and present an M+M, teach a procedure at the bedside, use the microskills model to precept a junior resident or student, write learning objectives, and provide effective feedback. Optional skills include developing test questions, teaching with simulation, small group facilitation, and curriculum development. The teaching curriculum includes:

•   Formal presentation requirement – how to lecture
•   M+M presentation requirement – giving a case based presentation
•   HO III Seminar Series – microskills model, feedback
•   Clinical rotations – teaching a procedure
•   EMS rotation – paramedic lectures and testing
•   Toxicology rotation – formal lecture
•   Education Chief Resident – curriculum development, teaching with simulation, small group facilitation
•   Introduction to EM for the UNM SOM – small group teaching with medical students
•   Teacher and Educator Development Office – monthly courses offered free to residents on over 15
    different educational topics
•   Resident as Educator Course – Two day course for interested residents taught by GME office

Advisors:  Each resident chooses an advisor. The resident and advisor meet periodically to review evaluations, test results and other materials. Each resident meets with the residency or assistant residency director biannually to review resident progress.

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