Emergency Medicine

Rotation Goals and Objectives

  1. General Description
    1. Family Physicians commonly care for patients with Head and Neck complaints and disorders. Family Physicians actual pratcies may vary to the extent that they provide care and procedural options for their patients. This portion of the curriculum is desgined to provide residents with the skills and expertise expected of family physicians with active practices involving this area. This rotation will provide a concentrated experience in the care of patients with head and neck disorders and will be the intensive experience in this area.
    2. The resident will be precepted by a faculty member specializing in Otorhinolaryngology. The resident will work alongside the ENT surgeon. The resident will be on a one to one basis with the attending so didactic material is delivered to the resident on an informal basis throughout the rotation. The resident is expected to keep a log of procedures performed. Assigned readings by the attending physician will be part of the learning process.
    3. Residents are expected to continue to follow their patients in the Family Medicine Center during this rotation.
    4. Level: PGY 2, 3, and 4 year
    5. Location: ENT is both an office-based rotation in the office of faculty ENT surgeons on staff at Renown Regional Medical Center and St. Mary's Regional Medical Center. There will be experience seeing patients with the attending at both hospitals.
    6. Duration: One 2 week block
    7. ENT is a full time rotation.
    8. Four half days per week are spent in the Family Medicine Center.
    9. Work hour form submission is required at the completion of this rotation
    10. EVALUATION OF ROTATION
      1. The evaluation of the resident on this rotation will be done by the completion of a Family Medicine evaluation form by the Emergency Room attending at the end of the rotation.
      2. The resident will fill out a rotation evaluation form at the end of the rotation.
      3. The knowledge and skills acquired during this rotation will be evaluated by a Family Medicine faculty as the resident provides care to patients in the Family Medicine Center.
      4. The resident's performance on the American Board of Family Medicine In-Training Examinations will also be used to assess knowledge in this area.
  2. Patient Care skills to be mastered
    1. Performance of history taking for patients with head and neck complaints and disorders
    2. Performance of complete physical examination for patients with head and neck complaints and disorders
    3. The evaluation and treatment of common head and neck disorders
    4. Develop an understanding of the utility of consultative services for ENT patients
    5. Develop an understanding of what multidisciplinary services are useful to ENT patients
  3. Medical Knowledge skills to be mastered
    1. An increasing knowledge base to care for the breadth of disorders of ENT patients will be achieved
  4. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and attending emergency physician in the context of their patients.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics as directed by the attending physician.
      4. Information technology will be used as the electronic health record is implemented in the hospital.
      5. The resident will also be evaluated on the steps they took during the rotation to improve their shortcomings.
  5. Interpersonal and Communication Skills
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will observe and be observed, taught and evaluated in the performance of obtaining patient histories, documenting histories, writing prescriptions, educating patients about treatment plans and prognosis, and interactions with patients, families, office staff and physicians.
  6. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The attending physician will observe and assess the resident's sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural, age, and gender differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families, support staff and colleagues with respect, understanding, sympathy and honesty
  7. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, Emergency Department and insurer in the health care environment.

Revision: May 5, 2018 by Richard D. Williams, MD

Revision: May 5, 2018 by Richard D. Williams, MD