Methodist Hospital System Emergency Medicine Residency Handbook

Section I. Welcome

• 1. Welcome from the Program Director
• 2. Welcome from the Department Chair
• 3. Mission, Vision, and Core Values
• 4. Program Philosophy
• 5. What Makes Methodist Different
• 6. Graduate Outcomes: What is expected to become an extraordinary EP

Section II. Residency Overview

• 1. Program Structure
• 2. Curriculum Schedule over 3 yr
• 3. Clinical Training Sites
• 4. Methodist Patient Population
• 5. Educational Goals by PGY Level
• 6. Competency-Based Education
• 7. Milestones and Entrustable Professional Activities
• 8. Weekly Didactic Conference, including M&M

Section III. Core Curriculum Content (5 hr./week)

• 1. Signs, Symptoms & Presentations
• 2. Abdominal/GI Disorders
• 3. Cardiovascular Emergencies
• 4. Renal/Urogenital Emergencies
• 5. Neurologic Systems Emergencies
• 6. Infectious Diseases Emergencies
• 7. Pulmonology Disorders
• 8. Pediatric Emergency Medicine
• 9. ENT & Ophthalmology Emergencies
• 10. Hematology/Oncology Emergencies
• 11. Immune System Disorders
• 12. Fractures/Dislocations/Musculoskeletal
• 13. Psychiatric Disorders
• 14. OBGYN Disorders
• 15. Outpatient Originating Procedural Complications
• 16. Trauma Education
• 17. Toxicology
• 18. Cutaneous Emergencies
• 19. Approaches to Wound Management
• 20. Medical Intensive Care Rotation
• 21. Cardiovascular Intensive Care Rotation
• 22. Pediatric Critical Care Rotation
• 23. Trauma Rotation
• 24. Surgical Intensive Care
• 25. Tests and Clinical Statistics
• 26. Disaster Medicine
• 27. EMS Experience
• 28. Community Emergency Medicine
• 29. Wellness Curriculum
• 30. Board Review

Section IV. Simulation/Cadaver Lab Curriculum

• 1. Advanced Airway Curriculum
• 2. High Acuity Low Occurrence (HALO) Procedure Skills
• 3. Communication Skills with RNs, Peers, Consultants
• a. Closed-loop communication
• b. Situational awareness
• c. Task delegation
• 4. ACLS/ATLS/PALS — Protocols & Communication Skills
• 5. Wound Management Skills Lab
• 6. Fracture Splint Skills Lab
• 7. Basic POCUS Skills Lab
• 8. Oral Board Simulation/Preparation

Section V. Procedural Skills (Competency Requirement*)

• 1. Airway Management Skills
• 2. *Intubation
• 3. *Surgical Airway
• 4. *Central Venous Access
• 5. Arterial Line
• 6. *Thoracostomy
• 7. Needle Thoracostomy
• 8. *Pericardiocentesis
• 9. *Emergency Cardiac Pacing
• 10. *Lumbar Puncture
• 11. Arthrocentesis
• 12. Compartment Syndrome Evaluation
• 13. Fracture Reduction Skills
• 14. Splinting
• 15. *Joint Relocation Skills
• 16. Incision & Drainage Principles
• a. Pilonidal abscess I/D
• b. Bartholin's abscess I/D
• c. Peritonsillar abscess I/D
• d. Paronychia abscess I/D
• e. Subungual hematoma Tx
• f. Ingrown toenail Tx
• g. Fingertip amputation repair
• 17. Foreign body removal — ears, nose, rectum, etc.
• 18. Ocular procedures
• 19. *Ultrasound-guided procedures
• 20. US-guided nerve blocks
• 21. Soft tissue surgical procedures
• 22. IUD removal
• 23. *Childbirth skills
• 24. *Procedural sedation
• 25. Perirectal/Perianal abscess I/D
• 26. Foley catheter placement & failure assessment
• 27. Priapism detumescence procedure
• 28. Gastrostomy tube replacement
• 29. Paracentesis
• 30. Ocular compartment syndrome / Lateral canthotomy

Section VI. Clinical Rotations

• 1. Adult ED
• 2. Pediatric ED
• 3. Adult Trauma
• 4. Pediatric Trauma
• 5. PICU
• 6. ICU
• 7. CV ICU
• 8. SICU
• 9. LR ICU
• 10. Cardiology
• 11. Orthopedics
• 12. Obstetrics/Gynecology
• 13. Anesthesia
• 14. EMS
• 15. Ultrasound
• 16. Electives

Section VII. Resident Skill Requirement

• 1. Professionalism
• 2. Communication
• 3. Teamwork
• 4. Documentation Standards
• 5. Patient Safety
• 6. Duty Hours
• 7. Attendance Expectations
• 8. Reading Expectations
• 9. Conference Participation
• 10. Procedure Logging
• 11. Ultrasound Logging
• 12. Moonlighting

Section VIII. Clinical Practice Skills

• 1. People skills 101
• 2. Patient Flow in the Emergency Department
• 3. RN Communication
• 4. Handoff Communication
• 5. Consultant Communication
• 6. Admission Process
• 7. ICU Admissions
• 8. Trauma Activation
• 9. Stroke Alerts
• 10. STEMI/Cath Lab Activation
• 11. Sepsis Alert
• 12. Massive PE/PERT Activation
• 13. Massive Transfusion Protocol
• 14. Airway Response
• 15. ACLS, ATLS, PALS Skills & Responsibilities
• 16. Documentation, Discharge, and EMTALA Pearls

Section IX. Point-of-Care Ultrasound (POCUS)

• 1. Ultrasound Philosophy
• 2. Required Applications
• 3. Scan Requirements
• 4. Image Review
• 5. Quality Assurance
• 6. Credentialing Process
• 7. Ultrasound Portfolio / Procedure Log / New Innovations App

Section X. Research and Scholarly Activity

• 1. Scholarly Activity Requirements
• 2. General Principles of Activity Choices
• 3. Research Resources
• 4. Research Timeline
• 5. IRB/CITI certification
• 6. Statistical Support
• 7. Manuscript Development
• 8. National Presentations
• 9. Quality Improvement Projects
• 10. Educational Scholarship
• 11. AI and Innovation Opportunities

Section XI. Evaluation and Feedback (accessed via New Innovations App)

• 1. Resident Evaluations
• 2. Faculty Feedback
• 3. CCC Process
• 4. Semiannual Reviews
• 5. Milestones
• 6. Individual Learning Plans
• 7. Remediation Process
• 8. Promotion Criteria
• 9. Graduation Requirements

Section XII. Professional Development (Communication/Professionalism)

• 1. Career Planning
• 2. Fellowship Opportunities
• 3. Academic Career Development
• 4. Community Practice
• 5. CV Development
• 6. Interview Preparation
• 7. Contract Negotiation
• 8. Financial Planning
• 9. Leadership Development
• 10. Teaching Medical Students
• 11. Communication Skills (RNs, Peers, Consultants)
• 12. Hand-off Guidelines
• 13. Specialty Specific Consultation Guidelines
• 14. Public Speaking/Presentation Guidelines
• 15. Understanding Mentorship Feedback
• 16. Pursuing a Passion

Section XIII. Personal Development — Principles

• 1. Recognizing Bias
• 2. Approach to diverse patient population

Section XIV. Wellness

• 1. Wellness Resources
• 2. Fatigue Mitigation
• 3. Mental Health Resources
• 4. Peer Support
• 5. Physician Health
• 6. Financial Resources
• 7. Family Resources

Section XV. Administrative Information

• 1. Benefits
• 2. Salary
• 3. Vacation
• 4. Leave Policies
• 5. Licensure
• 6. DEA
• 7. Hospital Credentials
• 8. ACLS/PALS/ATLS Requirements
• 9. Moonlighting Policies
• 10. Parking
• 11. Identification Badges
• 12. Call Rooms
• 13. Computer Access

Section XVI. Department Resources

• 1. Residency Leadership
• 2. Faculty Contact Information
• 3. Chief Residents
• 4. Research Personnel
• 5. Simulation Center
• 6. Library Resources
• 7. Educational Websites
• 8. Mobile Apps
• 9. Key Phone Numbers

Section XVII. Methodist EM Residency Policies

• 1. Supervision
• 2. Patient Confidentiality (HIPAA)
• 3. Social Media
• 4. Diversity, Equity, and Inclusion
• 5. Harassment Policy
• 6. Professional Conduct
• 7. Grievance Procedures
• 8. Impairment Policy
• 9. Academic Integrity

Appendices — Miscellaneous

• 1. Rotation Goals and Objectives
• 2. Procedure Checklists
• 3. Ultrasound Requirements
• 4. Sample Shift Expectations
• 5. Resident Evaluation Forms
• 6. Conference Calendar
• 7. Reading Lists
• 8. Core Emergency Medicine References
• 9. ACGME Milestones
• 10. Frequently Used Hospital Phone Numbers
• 11. Quick Clinical Reference Sheets

The Ideal “Methodist Emergency Physician”

• 1. Clinical excellence
• 2. Rapid recognition of High Acuity Low Occurrence (HALO) diseases
• 3. Outstanding communication with patients, RNs, peers, consultants and administration
• 4. Procedural competence
• 5. Mastery of point-of-care ultrasound
• 6. Evidence-based decision making
• 7. Systems thinking and ED throughput
• 8. Leadership under pressure
• 9. Scholarly curiosity and lifelong learning
• 10. Integrity and professionalism

Faculty List & Contact Information

• 1. Justin Williams
• 2. Sumeru Mehta
• 3. Max Bacher
• 4. Robert Frolichstein
• 5. Sal Rezaie
• 6. Steven Shroyer
• 7. Jessica Wentling
• 8. David Goo
• 9. Ernest Gonzalez
• 10. Yevgeniy Maksimenko
• 11. Jairo Melo (ICU)
• 12. Elly Xenakis (OBGYN)
• 13. Jordana Goldman (PICU)
• 14. Cassandra Gelabert (Metro)

Procedure Tracking

Verify that each procedure is also logged in the New Innovations App.

• 1. Date, Pt ID#, Attending, CC, Outcome
• 2. Procedure Name
• 3. Consent / Time Out / Indication / Contraindication / Documentation
• 4. Pitfalls/Pearls noted during procedure
• 5. Emergency Medicine Procedures

Your Completed Procedures