Training in Emergency Room Medicine

Retrieved File (circa 1991)

THE MANILA DOCTORS HOSPITAL EMERGENCY ROOM (MDH-ER)

THE MDH-ER TRAINING PROGRAM FOR PHYSICIANS


COURSE DESCRIPTION

GENERAL OBJECTIVE

SPECIFIC OBJECTIVES

TEACHING AND LEARNING ACTIVITIES AND MATERIALS

TRAINEES

TRAINORS

EVALUATION

LIST OF CONFERENCES AND MEETINGS

TOPICS FOR LECTURES AND DISCUSSIONS

TOPICS FOR PRACTICUM SESSIONS


COURSE DESCRIPTION

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.

 

GENERAL OBJECTIVE

To acquire the requisite knowledge, attitude, and skills relevant to the management of the emergency room and its patients.

 

SPECIFIC OBJECTIVES

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.

 

TEACHING AND LEARNING ACTIVITIES AND MATERIALS

1. Duties at the MDH-ER (hands-on training and preceptorship)

2. Lectures

3. Case discussions

4. Journal reports

5. Practicum sessions

6. Teaching and learning manual on emergency room medicine

 

TRAINEES

1. Interns – Rotation of 1 1/2 months

2. Residents – Rotation of 3 months

 

TRAINORS

1. The MDH-ER Director – Course Coordinator

2. The MDH Emergency Room Officers

3. The MDH Consultant Staff

 

EVALUATION

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


LIST OF CONFERENCES AND MEETINGS

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


TOPICS FOR LECTURES AND DISCUSSIONS

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

6. Electrocardiogram

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


TOPICS FOR PRACTICUM SESSIONS

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

9. Tracheostomy

10. Thoracentesis and tube thoracostomy

11. Pericardiocentesis

12. Peritoneal tap

13. Diagnostic process in the ER

14. Decision-making in the ER (diagnosis, treatment, disposition, referral, medical ethics, medicolegal issues, etc.)

 


ROJ@17nov24

Advertisements
This entry was posted in Emergency Room, Manila Doctors Hospital. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s