YOUR ROLE: Role of the G1 or student or PA in the ED
Both the core and advanced Emergency Medicine rotations at HCMC are
4 week sub-internships. The G1and G2 residents, PAs and students
are the primary medical providers (PMPs) of the emergency department (ED). It is your responsibility to evaluate and manage patients in
an
assigned area in consultation with the ED supervisors. This includes conducting
the H and P, performing procedures, interpreting diagnostic tests and
determining diagnoses, therapies, dispositions and follow-up plans on your
patients. Not least among these duties is documenting the patient’s ED
visit.
As PMPs you are expected to perform professionally and responsibly.
This includes being prompt and prepared to provide patient care at the beginning
of each shift. You will be responsible for the care of our patients which
we all take very seriously at HCMC. We feel that our environment is very
conducive to your success in this role. If at any time you need help supervision
will be close at hand in the form of an ED attending and or Senior resident (pit
boss). The flip side of this responsibility is opportunity! All
patients other than those in the stabilization room are available for your care
as are all the procedures requisite to their management. We hope you will
take away as much experience as you can possibly fit into a single rotation.
As course director I have tried to remain true to the principle that the
student should have the same role in their patient's care as the first year
residents rotating in the department. There are three exceptions to this
rule.
- All orders placed into Epic need to be
electronically cosigned or "unpended" by a pit boss (senior
resident) or attending
- Students do not provide direct care as part of the Stabilization room team but
function in the role of Stab Room
Recorder.
- Students are excused from patient care to attend lectures on Tuesday and Thursday mornings.
If requested you will be assigned a specific staff member to be a mentor during your
rotation. This means that you will work with this
faculty member at least 3 times during your rotation. This should allow at least
one member of our staff to know you well enough to provide input towards a letter
of recommendation at the end
of your rotation should you desire one. If you are going to want a letter
be sure to identify yourself and this desire to your mentor when you first work
with them. Also of note is that all students who rotate in the Emergency
Medicine Department at HCMC are invited to interview with us for residency.
Out state students should be sure to let our student and residency
coordinators know if you would like to interview during your rotation so that
one can be scheduled.
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