Emergency medicine procedural skills: What do they need to know? A survey of Canadian emergency medicine residents & program directors
|
|
- Chester Henry
- 6 years ago
- Views:
Transcription
1 medicine procedural skills: What do they need to know? A survey of Canadian emergency medicine residents & program directors Andrew Petrosoniak, Jodi Herold & Karen Woolfrey, Residency Program and Wilson Centre University of Toronto
2 Disclosure The authors have no conflicts of interest to disclose
3 Rationale EM physicians must be competent in variety of procedural skills Competency is an increasingly important concept in medical education but its definition is controversial (clinical comfort vs. experience) No well-defined standards for EM procedure training There is a lack of data regarding the current state of procedural experience and training among Canadian EM residents
4 Objectives Describe the current state of procedural skills training & experience among Canadian FRCP-EM residents Establish program director opinions regarding competence & relative importance from a list of EM procedures
5 2008 Objectives of Training in EM (FRCP-EM) Procedure list reviewed by 5 EM staff physicians 45 EM procedures + 1 control Procedure list + additional questions All 13 FRCP-EM Program directors Data Analysis Canadian FRCP-EM residents via each program director
6 Methods: PD survey Each procedure Relative importance (Likert scale) Minimum experience required for competence Intervals: 0, 1-3, 4-6, 7-9, 10-19, 20-29, 30 or more
7 Methods: Resident survey Each listed procedure Comfort level (5 point Likert scale) Experience Intervals: 0, 1-3, 4-6, 7-9, 10-19, 20-29, 30 or more Additional Questions Impact of ED flow on procedure opportunities Perceived adequacy of residency procedure training Ranking of rotations with highest yield for procedure opportunities
8 Methods: Analysis Program director survey Procedures ranked at least very important by 70% of PDs Minimum number required to achieve competence for each procedure (70% consensus) Resident survey Descriptive statistics ANOVA: comfort levels and procedural experience Statistical differences between junior & senior residents
9 Results Program director response rate: 13/13 (100%) Resident response rate: 86/239 (36%)
10 Program director threshold for competence (by consensus) 1 Electrical defibrillation 4 Anterior pack for epistaxis Corneal foreign body removal Ear/nose foreign body removal I/O insertion Paraphimosis reduction Transcutaneous pacing 7 Arthrocentesis Fracture reduction Chest tube Pericardiocentesis Abscess I&D Crichothyroidotomy Electrical cardioversion Nail procedures Posterior pack for epistaxis Upper airway foreign body removal Joint reduction Regional nerve block
11 Program director threshold for competence (by consensus) 10 Arterial line insertion Central line insertion (landmark technique) Central line insertion (U/S guided) Lumbar puncture Procedural sedation 20 Adult medical resuscitation Adult trauma resuscitation Adult endotracheal intubation 30 U/S FAST Pediatric medical resuscitation Pediatric trauma resuscitation Pediatric endotracheal intubation
12 Overall, resident mean comfort scores increased with experience 5 4 Comfort 33 (p<0.0001) >30 Number of times performed
13 Experience: Procedures never performed by majority (>50%) of residents Procedure 1. Pericardiocentesis 2. Cricothyroidotomy 3. Intraosseus line insertion 4. Posterior pack for epistaxis 5. Paraphimosis reduction 6. Upper airway foreign body removal 7. Pediatric medical resuscitation 8. Pediatric trauma resuscitation PD threshold for competence
14 Experience: Procedures never performed by majority (>50%) of senior (PGY4-5) residents Procedure 1. Pericardiocentesis 2. Cricothyroidotomy 3. Intraosseus line insertion 4. Posterior pack for epistaxis 5. Paraphimosis reduction PD threshold for competence
15 Procedures rated with a comfort level <4 by majority (>50%) senior residents Procedure 1. Pericardiocentesis 2. Cricothyroidotomy 3. Posterior pack for epistaxis 4. Paraphimosis reduction 5. Pediatric trauma resuscitation PD threshold for competence
16 Are residents more likely to report comfort performing a procedure if they achieve the PD consensus threshold for competence? Residents achieved PD threshold Adult Endotracheal Intubation 95% Residents did not achieve PD threshold 45% P< % of residents who reported "comfort" Statistically significant for 90% of all important procedures
17 Are senior residents more likely than junior residents to achieve the PD consensus threshold for competence? Adult medical resuscitation Senior Residents 65% Junior Residents 8% P < % of residents achieving PD consensus threshold Statistically significant for 78% of procedures
18 Do residents receive adequate procedural skills training during residency?
19 Rotations ranked #1 for procedural skill acquisition 50 P = Response rate (%) n= ICU Anesthesia Trauma surgery Rotation Orthopedics
20 Does ED flow affect resident procedural skill opportunities? Neutral 10% Disagree 15% Agree 75% Resident responses, n=86. Proportional agreement did not differ between Jr and Sr residents (p=0.847)
21 Conclusions List of procedures was established from PD responses regarding procedure importance & frequency for competency Resident self-reported experience is related to self-reported comfort Five procedures have never been performed by >50% of senior EM residents
22 Conclusions Pediatric procedures had low reported rates of comfort and experience Residents agree they receive adequate procedural training during residency (EM & ICU rotations being most important for procedural skill acquisition) Resident perceptions exist that ED flow impacts their opportunities for procedures
23 Discussion Minimum experience for competence (defined by PD expert consensus) may be useful for competency-based education criteria Further efforts must be made to ensure residents achieve competence in all important EM procedures prior to completion of residency Infrequent exposure to important procedural skills may necessitate alternative venues for training Our data is of interest to EM educators and program directors in the development of competency-based education and curriculum design
24 Acknowledgements Dr. Karen Woolfrey Jodi Herold (Wilson Centre) Alex Kiss (ICES)
25 THANK YOU
26 Limitations Low response rates Estimates of competence by PDs Recall bias Self-reported estimates of comfort No data regarding specific institutions
27 Procedural skills training sessions offered in Canadian FRCP- EM residencies 12/13 programs responded (92.3%) Simulation lab: 8 Cadavers: 5 ATLS course: 2 ACLS course: 1 Ultrasound course: 3 Procedure skills teaching sessions: 3
28 Procedure logs 12/13 programs responded (92.3%) 8/12 do not use procedure logs to track resident procedures 11/12 program directors estimated compliance rates of 60% or less for procedure logs
29 Procedures considered not important by majority of program directors Thoracotomy Vaginal Delivery Extensor tendon repair Diagnostic peritoneal lavage Gastric lavage Suprapubic bladder catheterization Compartment pressure measurement NG insertion Peripheral venous cutdown Escharotomy Thoracentesis Lateral canthotomy Transvenous pacing Colonoscopy
30
31 ROYAL COLLEGE EM PROCEDURE OBJECTIVES Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic and select and perform these medical procedures in an appropriate, safe and skilful manner with due attention to minimizing patient risk and discomfort Possess a detailed knowledge of the indications, contraindications, methods and potential complications of the common medical therapeutic and investigative procedures employed in the practice of and have demonstrated proficiency in the performance of these procedures, either in the clinical setting or through simulation
32 Competence in Competence No single tool assessment can determine competence Competence is dynamic Definition: degree to which individual can use the knowledge, skills & judgement associated with the profession to perform effectively in the domain of possible encounters defining the scope of professional practice Suggested methods: ITER, logs, simulation Sherbino et al. CJEM 2008
33 Competence in Competence in procedures Competency refers to a resident s ability to safely prepare for, perform and navigate the complications of a procedure Comfort comfort is likely mitigated by performer characteristics and may not correlate with observed performance Mourad et al. J Gen Int Med 2008
34 Comparison of PD threshold for competence with resident comfort levels Adult medical resuscitation Adult trauma resuscitation Pediatric trauma resuscitation Central line insertion (U/S guided) Central line insertion (landmark) Procedural sedation Lumbar puncture Abscess I & D PD consensus threshold for competence Resident experience required to achieve a level of comfort
GRANDVIEW/SOUTHVIEW HOSPITALS DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF CLINICAL PRIVILEGES DATE PRIVILEGES REQUESTED PHYSICIAN NAME
DATE S PHYSICIAN NAME ****************************************************************************** I request the following clinical privileges, and I am aware that a denial of privileges relating to
More informationDelineation Of Privileges Emergency Medicine Privileges
EMERGENCY MEDICINE PRIVILEGES Criteria: A. 1) Board Certification by the American Board of Emergency Medicine; 2) Documented evidence of having received Advanced Trauma Life Support (ATLS) certification
More informationULTRASOUND COMPETENCY ASSESSMENT
ULTRASOUND COMPETENCY ASSESSMENT Saadia Akhtar, MD Program Director Ultrasound Director Beth Israel Medical Center Albert Einstein College of Medicine New York City March 2, 2008 ACGME CORE COMPETENCIES
More informationGraduating Pediatric Resident Training and Comfort with ACGME Required Procedures
Graduating Pediatric Resident Training and Comfort with ACGME Required Procedures Daniel J. Schumacher, MD, MEd Mary Pat Frintner, MSPH Presented at: Association of Pediatric Program Directors Spring Meeting
More informationApplicant s Name First Middle Last
Delineation of Privileges Internal Medicine Effective from (date) to (date) at (hospital name) Applicant s Name First Middle Last Instructions 1. Review Basic Minimum Requirements to make sure you qualify
More informationSutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges
INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ] Privileges are granted for Sutter Medical Center, Sacramento and exercise of privileges is based on the type of care, treatment and services provided at each facility.
More informationSutter Medical Center, Sacramento Department of Emergency Medicine - Delineation of Privileges NAME: INITIAL: [ ] RENEWED: [ ] ADDITIONAL: [ ]
Privileges are granted for Sutter Medical Center, Sacramento and exercise of privileges is based on the type of care, treatment and services provided at each facility. Privileges are granted for Sutter
More informationURBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION:
URBAN RESIDENCY PROGRAM PROCEDURAL SKILLS LOG BOOK NAME: DIVISION: Procedures This list is provided as a guide to most of the procedures you might be exposed to during your training. There is no expectation
More informationSpecific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine
Specific Basic Standards for Osteopathic Fellowship Training in Pulmonary / Critical Care Medicine American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 These
More informationSCOPE OF PRACTICE PGY-4 PGY-6 (or PGY-5 PGY-7 if Medicine/Pediatrics resident)
(or PGY-5 PGY-7 if Medicine/Pediatrics Resident) The Pediatric Cardiology Training Program at MUSC does not make distinctions in the Scope of Practice between PGY-4, -5, and -6 Resident Physicians. As
More informationDelineation Of Privileges Pediatric Privileges
PEDIATRIC CORE PRIVILEGES Criteria a) Active licensure to practice in the state of California b) Current board certification or active participation in the examination process leading to certification
More informationGeneral Goals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Trauma (MGH)
General Goals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Trauma (MGH) The resident must show appropriate-for-level mastering of the CanMed qualifications of medical expert,
More informationUPMC For Reference Only PHYSICIAN ASSISTANT 2014
Summary of Services and Availability (by location) UPMC Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each
More informationRegions Hospital Delineation of Privileges Pediatrics
Regions Hospital Delineation of Pediatrics Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training
More informationThe Ohio State University. Department of Orthopaedics. Residency Curriculum
The Ohio State University Department of Orthopaedics Residency Curriculum The Ohio State University Department of Orthopaedics Orthopaedic Residency Program Revised 3/5/09 Global Residency Program Goals
More informationIdaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels
AIRWAY / VENTILATION / OXYGENATION Idaho EMSPC Scope of Practice - OLD (ISC) Curriculum License Levels NEW IEC Curriculum License Levels Effective July 1, 2016 1 View of All Levels Across EMR- 1-1-2012)
More informationEmergency Room Skills Checklist
_ XXX-XX- Print Name Last 4 of SS # Date Completed Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values
More informationVANDERBILT UNIVERSITY MEDICAL CENTER APPLICATION FOR SPECIAL PRIVILEGES ADVANCED PRACTICE PROVIDER PROFESSIONAL STAFF WITH PRIVILEGES (PSP)
FOR ADVANCED PROCEDURE S Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted only upon evidence of initial and ongoing
More informationAACN Procedure Manual for Critical Care
AACN Procedure Manual for Critical Care Wiegand, Debra Lynn-McHale PhD, RN ISBN-13: 9781416062189 Table of Contents UNIT I Pulmonary System Section One Airway Management: Michael W. Day 1. Combitube Insertion
More informationFor Reference Only PEDIATRIC MEDICINE 2013
Summary of Services and Availability (by location) UPMC University of Pittsburgh Medical Center Each location has sufficient space, equipment, staffing and financial resources in place or available in
More information6. Knowledge and Skill Comparison (Paramedic)
6. Knowledge and Skill Comparison (Paramedic) The order of content is not meant to imply the order of delivery. a. Paramedic: New Course Considerations When planning and conducting a new Paramedic course,
More informationUPMC University of Pittsburgh Medical Center. For Reference Only MEDICINE 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
More informationINITIAL CLINICAL PRIVILEGES DELINEATION FORM Department of Medicine Monmouth Medical Center
INITIAL CLINICAL PRIVILEGES DELINEATION FORM Monmouth Medical Center Physician Name: Application Date: DIRECTIONS TO APPLICANTS: 1) GENERAL AND SPECIFIC PRIVILEGES: General Privileges: If you are requesting
More informationImproving Rural Trauma Outcomes: Local Damage Control? R Simons, V Vogt Haines, K McCarroll. Enhanced Surgical Skills Program Banff, January 2018
Improving Rural Trauma Outcomes: Local Damage Control? R Simons, V Vogt Haines, K McCarroll Enhanced Surgical Skills Program Banff, January 2018 Session Objectives Define problem of high injury mortality
More informationDate: DD/MM/YYYY. Re: Retrospective Accreditation of Experience towards Exemption for Part 1 and Part 2 FCCCM Examination.
Application for Retrospective Accreditation of Experience towards Exemption for Part 1 and Part 2 FCCCM Examination of the College of Critical Care Medicine under Critical Care Education Foundation To,
More informationCombined CFRN and CTRN Detailed Content Outline
Clinical items (primarily category, Assessment (15-20%), 1. General principles of transport nursing practice 19 31 A. Transport physiology 1. Physiologic stressors of transport 2. Effects of altitude on
More informationCONSUMER PRICE GUIDE
1 CONSUMER PRICE GUIDE Revised January 1 st 2017 General Information Memorial Hospital abides by all state and federal charging and billing regulations for hospital based healthcare services. The following
More informationA neonate is any patient less than 45 weeks post conception regardless of chronological age.
Case Log Definitions: A Guide for Fellows and Program Directors Recommendations from the Pediatric Anesthesia Program Directors Association Case Log Task Force January 2013 These recommendations represent
More informationImpact of Simulator Teaching on Junior Radiology Resident Preparedness for Independent Call
Impact of Simulator Teaching on Junior Radiology Resident Preparedness for Independent Call K Darras, B Sangha, K Cho, SD Chang Vancouver General Hospital and the University of British Columbia Vancouver,
More informationTable of Contents: Unit I: Respiratory System
Table of Contents: Unit I: Respiratory System SECTION ONE: Airway 1. Cricothyroidotomy: Assist 2. Endotracheal Tube: Care and Suctioning 3. Endotracheal Tube: Taping 4. Extubation: Assist 5. Intubation:
More informationEducational Goals & Objectives
Educational Goals & Objectives The Cardiology rotation will provide the resident with an understanding of cardiovascular physiology and its broad systemic manifestations. The resident will have the opportunity
More informationPrivileges for Zuckerberg San Francisco General Hospital
Requested Approved Applicant: Please initial the privileges you are requesting in the Requested column. Service Chief: Please initial the privileges you are approving in the Approved column. MedCardio
More informationAMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS
AMERICAN OSTEOPATHIC ASSOCIATION AMERICAN COLLEGE OF OSTEOPATHIC INTERNISTS INTERNAL MEDICINE & MEDICAL SUBSPECIALTIES INSTITUTIONAL DEMOGRAPHICS AND STATISTICAL REPORT New program Program Increase Inspection
More informationMONROE CARRELL Jr. CHILDREN S HOSPITAL AT VANDERBILT APPLICATION FOR ADVANCED PROCEDURE PRIVILEGES
REQUEST FOR ADVANCED PROCEDURE PRIVILEGES Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted only upon evidence of initial
More informationAdult Intubation Skill Sheet
Adult Intubation 2. Opens the airway manually and inserts an oral airway *** 3. Ventilates the patient with BVM attached to oxygen at 15 lpm *** 4. Directs assistant to oxygenate the patient 5. Selects
More informationINTERN LOGBOOK. 1. Personal Details of Intern. Name... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:..
INTERN LOGBOOK 1. Personal Details of Intern Name..... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:.. 2. Requirements for the rotation ( See Annex) 3. Portfolio
More informationFor Reference Only GENERAL SURGERY 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
More informationJefferson Tower Task Trainer List
Jefferson Tower Task Trainer List Table of Contents Blue Phantom Ultrasound Central Line Training Model 2 Blue Phantom Femoral Vascular Access Training Model 3 Blue Phantom Thoracentesis Ultrasound Training
More informationER Skills Checklist. Frequency Scale: 1 = Never Observed 2 = Less than 6 times a year 3 = 1 or 2 Times a Month 4 = Daily or Weekly
ER Skills Checklist This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment
More informationPEDIATRIC NEUROLOGY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 04/02/2014. Applicant: Check off the Requested box for
More informationParamedic Trauma
Western Technical College 10531920 Paramedic Trauma Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 Total Hours 72.00 This course teaches the
More informationMD ANAESTHESIOLOGY. This is intended to guide only, and is not comprehensive. Newer developments in the specialty will be included from time to time.
1 MD ANAESTHESIOLOGY SYLLABUS This is intended to guide only, and is not comprehensive. Newer developments in the specialty will be included from time to time. History of Anaesthesiology Basic sciences
More informationUltrasound Guided Peripheral Intravenous Access
Ultrasound Guided Peripheral Intravenous Access J. Christian Fox, MD, RDMS, FACEP, FAAEM, FAIUM Professor and Interim Chair of Emergency Medicine Director of Instructional Ultrasound University of California,
More informationRe: Use of Live Pigs for Emergency Medicine Residency Training at the University of South Carolina School of Medicine
Aug. 25, 2016 Elizabeth Goldentyer, D.V.M. Regional Director USDA/APHIS/AC Eastern Region 920 Main Campus Drive, Suite 200 Raleigh, NC 27606 Submitted by e-mail (betty.j.goldentyer@aphis.usda.gov) Re:
More informationCRITERIA FOR GRANTING MEDICAL PRIVILEGES
FOOTHILL PRESBYTERIAN HOSPITAL Glendora, California 91741 CRITERIA FOR GRANTING MEDICAL PRIVILEGES Please review these categories carefully to determine those privileges for which you are qualified. Indicate
More informationSCOPE OF PRACTICE PGY-4 PGY-5
PGY-4 Examine in a timely fashion inpatients and outpatients, including ER visits, for which rheumatology consultation is requested. Prepare a thorough summary of clinical, serologic and radiographic findings
More informationUEMS - PORTOFOLIO. J.M. WEERTS, FRCS Eng 4000 LIEGE BELGIUM. ROMA Spring Meeting April 2014.
UEMS - PORTOFOLIO J.M. WEERTS, FRCS Eng 4000 LIEGE BELGIUM ROMA Spring Meeting April 2014. e - PORTOFOLIO AIM To provide a portofolio and a log-book for European surgical trainees and young surgeons. From
More informationPortage County EMS Annual Skills Labs
Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational
More informationFor Reference Only GENERAL SURGERY 2013
Summary of Services and Availability (by location) Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each requested
More informationMegaCode Kelly Advanced (VitalSim Capable) Part no
1 MegaCode Kelly Advanced (VitalSim Capable) Part no.200 05050 Product features: Insertion of standard airway devices with the addition of the LMA and Combitube Interpretation and intervention of cardiac
More informationUCLA General Surgery Residency Program Rotation Educational Policy Goals and Objectives
UPDATED: July 2009 ROTATION: THORACIC SURGERY UCLA General Surgery Residency Program ROTATION DIRECTOR: Mary Maish, M.D. CHIEF OF CARDIAC SURGERY: Robert Cameron, M.D. SITES: UCLA Medical Center - Westwood
More informationTotal Number Programs Evaluated: 382 January 1, 2000 through October 31, 2017
Page 1 Oral and Maxillofacial Surgery -Residency INFORMATIONAL REPORT ON FREQUENCY OF CITINGS OF ACCREDITATION STANDARDS FOR ADVANCED SPECIALTY EDUCATION PROGRAMS IN ORAL AND MAXILLOFACIAL SURGERY Frequency
More informationAdult Cardiology Clinical Privileges
Name: Effective from / / to / / Initial privileges (initial appointment) (reappointment) Renewal of privileges All new applicants should meet the following requirements as approved by the governing body,
More informationBergen Community College Division of Health Professions Department of Respiratory Care Fundamentals of Respiratory Critical Care
Bergen Community College Division of Health Professions Department of Respiratory Care Fundamentals of Respiratory Critical Care Date Revised: January 2015 Course Description Student Learning Objectives:
More informationSimEd Network Equipment Inventory 2018
SimEd Network Equipment Inventory 2018 The following lists the number of each piece of equipment that is owned by the partners as well as its location. If you have require more information, please contact
More informationCPD Matrix for Intensive Care Medicine
CPD Matrix for Intensive Care Medicine Please note that Level 3 of the CPD Matrix below is for consultants practicing either solely in ICM or in ICM a dual specialty that is not anaesthesia. Anaesthetist
More informationCurricular Components for Cardiology EPA
Curricular Components for Cardiology EPA 1. EPA Title 2. Description of the Activity Diagnosis and management of patients with acute congenital or acquired cardiac problems requiring intensive care. Upon
More informationEmergency Medicine Scope of Practice
Emergency Medicine Scope of Practice All Physician Assistants working in Emergency Medicine will encounter a wide variety of non acute, urgent and emergent patient complaints and conditions. Given the
More informationVANDERBILT UNIVERSITY MEDICAL CENTER APPLICATION FOR ADVANCED PROCEDURE PRIVILEGES PROFESSIONAL STAFF WITH PRIVILEGES (PSP)
APPLICATION FOR ADVANCED PROCEDURE S PROFESSIONAL STAFF WITH S (PSP) Advanced Procedure Privileges: Are those approved procedural privileges requiring additional education and training and may be granted
More informationHEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE CAPABILITIES OF EMERGENCY CARE PROVIDERS: JUNE 2016 CAPABILITIES Airway Management Finger sweep Head-tilt-chin lift Jaw-thrust
More informationINTERVENTIONAL CARDIOLOGY (Dedicated Fellowship)
INTERVENTIONAL CARDIOLOGY (Dedicated Fellowship) Director: Dr. Edward O Leary Teaching Faculty: Drs. Edward O Leary, Gregory Pavlides and Yiannis Chatzizisis A. OBJECTIVES 1. Management of patients in
More informationEMS Subspecialty Certification Review Course. Conflict of Interest Disclosure. Learning Objectives
EMS Subspecialty Certification Review Course Cardiovascular 1.4.2.2 Placement of peripheral IV lines 1.4.2.2.1 Access or Placement of Central Venous Lines in the field 1.4.2.2.2 Intraosseous lines 1.4.2.2.3.
More informationUNMH Internal Medicine Clinical Privileges. Name: Effective Dates: From To
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective April 28, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationOn Call HO-Ward 7/2/2008 7/2/2008. Intern Nan- 3:27:30 pm Call Shift HO-Ward 7/3/2008 7/3/2008 Shift
Name Ben Davis PGY-1 Categorical Track Residency Start date: July 1,2008 End date: June 30,201 1 Date-3/17/2009 meeting with Dr. Rouan A Director's Comments: Subspecialty Interests: Awards and Recognition:
More informationLoma Linda University Medical Center Loma Linda, CA PEDIATRIC PRIVILEGE FORM Name: Page 1 of 12
Name: Page 1 of 12 REQUEST CATEGORY MEMBERSHIP CATEGORY Provisional (Bylaws 4.3) Administrative (Bylaws 4.7) Affiliate (Bylaws(4.9) Active (Bylaws 4.2) Courtesy (Bylaws 4.4) Consulting (Bylaws 4.5) All
More informationRadiology Rotation Educational Goals & Objectives for Internal Medicine
Radiology Rotation Educational Goals & Objectives for Internal Medicine Internists provide continuing care for patients with a myriad of medical and psychosocial problems. During many patient encounters,
More informationPrehospital Care Bundles
Prehospital s The MLREMS Prehospital s have been created to provide a simple framework to help EMS providers identify the most critical elements when caring for a patient. These bundles do not replace
More informationCURRICULUM GOALS AND OBJECTIVES CLINICAL CARDIOVASCULAR ELECTROPHYSIOLOGY TRAINING PROGRAM. University of Florida Gainesville, Florida
CURRICULUM GOALS AND OBJECTIVES CLINICAL CARDIOVASCULAR ELECTROPHYSIOLOGY TRAINING PROGRAM University of Florida Gainesville, Florida 1. Mission Statement To achieve excellence in the training of fourth
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
More informationIN-TRAINING ASSESSMENT REPORT (ITAR)
Trainee Name: Rotation: Care of the Elderly Trainee Level: Start Date: End Date: Block(s): Goals & Objectives: Considering the present level of training and, on review of training milestones, assess the
More informationNeedle tip visualization during ultrasound-guided vascular access: short-axis vs long-axis approach
American Journal of Emergency Medicine (2010) 28, 343 347 www.elsevier.com/locate/ajem Brief Report Needle tip visualization during ultrasound-guided vascular access: short-axis vs long-axis approach Michael
More informationBurnt and Blasted: How to Manage Common Injuries from a Galaxy Far, Far Away. Concepts From the Conflicts: New Advances in Trauma Care
Burnt and Blasted: How to Manage Common Injuries from a Galaxy Far, Far Away WE - 204/ 0.5 Hour(s) Faculty: Jacob Avila, MD This session will cover how to manage injuries on earth or in a galaxy far, far
More informationManual of Emergency and Critical Care Ultrasound
Manual of Emergency and Critical Care Ultrasound Second Edition Manual of Emergency and Critical Care Ultrasound Second Edition Vicki E. Noble MD, RDMS, FACEP Director, Division of Emergency Ultrasound,
More informationNEMSIS Version 3 - Procedure Label by. SNOMED CT Code Taking orthostatic vital signs Continuous physical assessment
NEMSIS Version 3 - Procedure Label by Category Assessment: Orthostatic Vital Signs Assessment: Patient Assessment SNOMED CT Description SNOMED CT Code Taking orthostatic vital signs 425058005 Continuous
More informationVanderbilt University Medical Center Division of Trauma and Surgical Critical Care
Vanderbilt University Medical Center Division of Trauma and Surgical Critical Care Educational Goals and Methods MEDICAL STUDENTS Students interact with the division during their surgical intensive care
More informationPre-Hospital and Emergency Department Resuscitative Thoracotomy
Pre-Hospital and Emergency Department Programme Directors: Mr Jim Connolly Consultant A&E Surgeon Accident and Emergency Department, Royal Victoria Infirmary Dr Paul Wallman Consultant in Emergency Medicine
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationBasics of Interventional Radiology Coding 2018
Basics of Interventional Radiology Coding 2018 Prepared and Published By: MedLearn Publishing A Division of MedLearn Media, Inc. 445 Minnesota Street, Suite 514 St. Paul, MN 55101 1-800-252-1578 medlearnmedia.com
More informationPediatric Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on
More informationSubspecialty Rotation: Anesthesia
Subspecialty Rotation: Anesthesia Faculty: John Heaton, M.D. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation. Recognize and manage upper
More informationUVA Center, UVA Transitional Care Hospital UVA Health South Rehabilitation Hospital Privilege List for: Acute Care Nurse Practitioner 29-Sep-10 Name: AnDe Lloy c:i!-il;ul/~y Date: PLEASE MARK AS REQUESTED
More informationRadiology Inpatient Procedure Contact List
Radiology Inpatient Procedure Contact List Section Reading Room Contact Information Abdominal (CT) 8:00am-4:30pm: Call 265-7217. (Fluoroscopy) 8:00am-4:30pm: Call 263-8350. (MRI) 8:00am-4:30pm: Call 263-1229.
More informationBasics of Interventional Radiology Coding 2017
Basics of Interventional Radiology Coding 2017 Prepared and Published By: MedLearn Publishing A Division of Panacea Healthcare Solutions, Inc. 287 East Sixth Street, Suite 400 St. Paul, MN 55101 1-800-252-1578
More informationOld Procedure Name* New Procedure Name* Core* Comment* Standardize*
_OTHER/unlisted (see comment) _OTHER/unlisted (see comment) X No change No ACL repair, arthroscopic ACL repair, arthroscopic X No change No ACLS protocol (CPR, Code Blue) ACLS A1 Renamed Yes Amniocentesis
More informationGeisinger Education and Medical Simulation (GEMS) Center
Geisinger Education and Medical Simulation (GEMS) Center Anatomy Model Type of Simulation: Visual model Purpose: Teaching proper anatomy (all pieces are removable) Airway Management Trainer (2) Purpose:
More informationAdvanced Resuscitation - Adult
C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationAdvanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
More information2010 Paediatric Cardiology ARCP Decision Aid August 2014
2010 Paediatric Cardiology ARCP Decision Aid August 2014 The following tables set out the requirements for satisfactory ARCP outcome at the end of each training year. This document replaces previous versions
More informationH. Mitchell Shulman MDCM FRCPC CSPQ Assistant Professor, Dept. of Surgery, McGill Medical School Attending Physician, Royal Victoria Hospital,
H. Mitchell Shulman MDCM FRCPC CSPQ Assistant Professor, Dept. of Surgery, McGill Medical School Attending Physician, Royal Victoria Hospital, Montreal General Hospital, McGill University Health Center
More informationUNIVERSITY OF NAIROBI SURGERY LOG BOOK
UNIVERSITY OF NAIROBI COLLEGE OF HEALTH SCIENCES DEPARTMENT OF SURGERY PO Box 19676, NAIROBI KENYA. SURGERY LOG BOOK MMED NEUROSURGERY NAME: REGISTRATION NO: EXPLANATORY NOTES: The logbook is intended
More informationSusie the first female advanced simulator
Gaumard Simulators for Health Care Education Susie 2000... the first female advanced simulator Easy to use Tetherless with wireless communication Fully responsive even while being carried Wireless streaming
More informationUnited Kingdom. An evaluation of a logbook for trainees in accident and emergency medicine in the D. GORMAN & J. HORNER
Archives of Emergency Medicine, 1991, 8, 130-134 An evaluation of a logbook for trainees in accident and emergency medicine in the United Kingdom C. LUKE, E. KADZOMBE, A. ARMSTRONG, D. GORMAN & J. HORNER
More informationAn Innovative and Inexpensive Pork Ribs Model for Teaching Tube Thoracostomy
An Innovative and Inexpensive Pork Ribs Model for Teaching Tube Thoracostomy By: Curtis J. Van Doormaal BSc. MD (Candidate)* Supervisors: Dan W. Howes BSc. MD FRCPC* Charlene L. Salazar MD FRCPC Chris
More informationGuidelines for Tracking Interventional Radiology Patient Care and Procedural Experiences Review Committee for Radiology
Guidelines for Tracking Interventional Radiology Patient Care and Procedural Experiences Review Committee for Radiology To comply with the Program Requirements for Graduate Medical Education in Interventional
More informationInternal Medicine Ultrasound Curriculum Outline. Mike Wagner, MD, FACP,
Internal Medicine Ultrasound Curriculum Outline Mike Wagner, MD, FACP, RDMS @sonointernist Before Curriculum Implementation Bolus Training No Image QA outside of the ED No formal requirements Competency
More informationDelineation of Privileges Department of Internal Medicine / Nephrology
Delineation of Privileges Department of Internal Medicine / Nephrology Applicant s Name Date First MI Last Instructions: Check the box corresponding to the privileges that you are requesting. Applicants
More information