Welcome!
Welcome to Maria Parham Health and Apollo. Our goal is to set you up for success. As such, we will be introducing you to Emergency Medicine in a graduated process. Your first month will be spent primarily shadowing and working under the supervision of an experienced provider.
The next several months will be mostly spent working the mid-day shifts in the triage area (what we call ‘T-2’). During this time your primary responsibility will be to see the lower acuity (Level 4 & 5) patients. This will give you more time to develop your emergency medicine specific history taking and physical examination. It will also give you to opportunity to see a large volume of patients, to start to develop an idea of what can be safely discharged versus what needs additional work-up.
During this time, we strongly encourage you to continue reading and pursuing your education. Dr. Peltier will set you up on a training program that will cover EM specific topics. He will also work with you on developing your EM specific skills. Dr. Peltier’s curriculum will start after your first 30 days.
Also, if a critical or interesting case comes in while you’re working in the triage area, please feel free to set to the back to sit in on the case. We encourage you to learn by observing and talking about cases.
After several months and demonstration of basic competencies, you will be gradually transitioned to working the day and night shifts. It is at this time that you will start seeing the higher acuity patients. Dr. Peltier will continue to work with you to help you develop skills treating ACS, Sepsis, and Code Stroke patients. You will gain autonomy through demonstration of competence.
Finally, we will work with you to learn advanced procedures (i.e. intubation, central lines, chest tubes). This will be several months down the road.
Cases you must present to an attending:
If you have never seen a specific presentation, finding, or diagnosis before, it is imperative you present the patient fully to your attending or a lead APC before making a disposition.
We have also created a list of patients and conditions that you should discuss with another provider prior to discharge. This is not an exhaustive list. If you think that a patient has risk factors or are unsure of the clinical picture, please feel free to discuss the patient prior to disposition.
If you feel uncomfortable at any moment you may ask for another provider to see a patient during the evaluation and treatment process.
See link Below: