Retrieved File (circa 1991)
THE MANILA DOCTORS HOSPITAL EMERGENCY ROOM (MDH-ER)
THE MDH-ER TRAINING PROGRAM FOR PHYSICIANS
The course consists of a formal training in emergency room medicine. It includes management of a present day emergency room; evaluation and treatment of patients seen in the emergency room; decision-making of all problems involving the emergency room and the patients; and disaster control.
To acquire the requisite knowledge, attitude, and skills relevant to the management of the emergency room and its patients.
At the end of the course, the trainee should be able:
1. To describe the types of patients consulting at a present day emergency room.
2. To enumerate the different patterns of medical staffing of the emergency room and indicate which one would be best for a particular situation.
3. To discuss the general functions of an emergency room officer.
4. To provide proper immediate resuscitative measures to patients with life-threatening conditions.
5. To make a logical and accurate diagnosis of medical problems of patients seeking help at the emergency room.
6. To identify which patients need to be hospitalized and who can be treated on an outpatient basis.
7. To identify which patients need the care of a subspecialist.
8. To provide proper definitive management to patients who do not need hospitalization nor care of a subspecialist.
9. To provide proper initial management to patients who need hospitalization and the care of a subspecialist.
10. To make proper decisions on any problems involving the emergency room and the patients.
11. To discuss the general principles and methods of disaster control.
12. To serve as an effective disaster medical officer or coordinator.
1. Duties at the MDH-ER (hands-on training and preceptorship)
3. Case discussions
4. Journal reports
5. Practicum sessions
6. Teaching and learning manual on emergency room medicine
1. Interns – Rotation of 1 1/2 months
2. Residents – Rotation of 3 months
1. The MDH-ER Director – Course Coordinator
2. The MDH Emergency Room Officers
3. The MDH Consultant Staff
1. MDH-ER duty requirement
2. Attendance during conferences
3. Case presentations, lectures, and journal reports
4. Typewritten reports
5. Preceptorship grade
6. Practical examination
7. Written examination
1. ENDORSEMENT CONFERENCE
– Every day except Sundays and holidays, 0730 – 0800
– Outgoing EROs endorse to incoming EROs
2. MEDICAL CONFERENCE
– Every day except Sundays and holidays, 0800 – 0900
– Lectures, case discussions, and journal reports
– Consultant ERO : every Mondays (Lectures)
– Intern ERO : every Tuesdays, Thursdays, Saturdays
– Resident ERO : every Wednesdays and Fridays
– Assignment by rotation and those who are not on duty
3. PRACTICUM SESSIONS
– Every day except Sundays and holidays, 0900 – 1000
– Instructor : Consultant ERO on duty
– Students : All residents and interns on duty
4. AUDIT CONFERENCE
– Every third Friday of each month, 1500 – 1700
1. Management of an emergency room
2. The diagnostic and treatment processes in the ER
3. Basic and advanced life support
4. Common life-saving surgical procedures
5. Plain X-rays
7. Arterial blood gases
8. Acute head
9. Acute eye
10. Acute ear, nose, and throat
11. Acute neck
12. Acute chest
13. Acute abdomen
14. Acute extremity (bone, nerve, blood vessel, and skin)
15. Acute male genitourinary system
16. Acute female urinary and reproductive system
17. Acute endocrine system
18. ER management of newborn and pediatric emergencies
19. ER management of shock
20. ER management of trauma
21. ER management of poisoning
22. ER management of seizures
23. ER management of coma
24. ER management of dyspnea
25. ER management of myocardial infarction
26. ER management of abdominal pain
27. ER management of gastrointestinal bleeding
28. Medicolegal issues in the ER
29. ER management of hypertension
30. ER management of gastroenteritis
31. ER management of bronchial asthma
32. ER management of sexually transmitted diseases
33. ER management of urinary tract infection
34. ER management of respiratory tract infection
35. ER management of burns and wounds
36. Disaster control
1. Basic and advanced life support
2. Plain X-ray interpretation (Skull, chest, abdomen, extremities, and spines)
3. Electrocardiogram interpretation
4. Arterial blood gases interpretation
5. Establishment of venous lines (Percutaneous and cut-down)
6. Nasogastric intubation
7. Urinary catheterization
8. Endotracheal intubation
10. Thoracentesis and tube thoracostomy
12. Peritoneal tap
13. Diagnostic process in the ER
14. Decision-making in the ER (diagnosis, treatment, disposition, referral, medical ethics, medicolegal issues, etc.)