|
Residents:
All HO1s in the Emergency Department are treated equally in terms of schedule,
responsibilities and authority. HO1 house officers see patients primarily (not
consult with medical students) and present all patients to an attending. HO1
residents should see one patient at a time, present to the attending
immediately, and develop a plan of care.
HO2 Emergency Medicine residents
primarily care for the most ill or injured patients who arrive at the Emergency
Department and are informed whenever such patients arrive. They also assist in
maintaining patient flow by seeing patients not seen by students or interns.
HO2 residents may consult other specialty residents. HO 2 residents should see
several patients and then present them to the attending for guidance after the
initial steps have been initiated.
HO3 residents in Emergency
Medicine should begin to take more of a role in managing the ED while still
having primary responsibility for a wide variety of patients in the ED. HO2s
and HO3s manage all Level I traumas with the trauma team and supervise or manage
all cases needing the resuscitation room. They are responsible for answering
Medical Control Emergency Physician (MCEP). HO 3 residents should see multiple
patients and present them when they are ready for disposition, need help with
the plan or have any questions or concerns
Progressive Responsibility:
The HO3’s still present to attendings in the ED. However, as described above
they have much more freedom to manage their patients before presenting. In
addition, the HO3’s help the attending triage incoming ambulances, triage
patients to monitored beds, facilitate flow of patients in the ED and supervise
procedures being done by more junior residents. To further facilitate HO3s
supervising and teaching skills, each resident does teaching/supervisory shifts,
during which time they do not see their own patients, but focus instead on
teaching the students and interns. |
