Resident Handbook - UC Davis Health System

Rawlings or Dr. Bland so we can make adjustments. Some shifts may be 8 or 10 hours if theneed arises. If two residents are scheduled for the ED rotation during the same block (usuallyand intern and third year), they cannot be scheduled in the same ED during the same shift butmay be allowed to overlap. Residents will be assigned to a specific Attending Physician on theschedule, but in practice, while on shift a resident may see a patient with any AttendingPhysicians if they are part of the volunteer clinical faculty (VCF) pool. Understand that nearshift change, it makes sense to staff the case with the Attending that will be staying or newlyarrived. Look and ask to get involved with higher acuity cases, traumas, procedures, and otherinteresting cases. Please introduce yourself to the physicians as you meet them and let themknow you are working that day and what times. R2s may spend up to eight hours in the prehospitalarena to develop an understanding of the challenges in the field. (Air Ambulanceexposure is excluded due to liability problems, but if you would like to have this experienceplease speak with Dr. Rawlings to schedule something outside of the residency requirements).Attending ED physicians can provide supervision, but not mid-level providers.Luke Rawlings, MD will coordinate the ED rotation and manage the schedule. He isavailable at Mercy ED, his cell is 805-708-0933, email: lukerawlings@cep.comSchedulingissues should be worked out at least 2 weeks before the beginning of the ED rotation.Please contact him directly to initiate this. There will be a brief orientation before therotation starts.Although residents may be excused to attend noon conference, that hour does not count towardthe total time expected for the ED. Residents must inform the ED attending when leaving andreturning to the ED. Before leaving, residents must also inform the ED attending of their actionplan for each patient, including test results pending, written instructions, and prescriptions ifneeded.During the rotation, you will be expected to meet with Dr. Rawlings (usually 1-2 hours) that willbe used for didactic topics, emergency medicine skills, and case presentations. Residents,medical students and others rotating in the department will be expected to bring interesting casesthey have encountered to briefly present and discuss. Dr. Rawlings will arrange the time andplace so as to make it most accessible for all.Tuesday Trauma Rounds in the ICU (8-9 am) does count towards the total expected ED clinicaltime. Although they do not count towards the ED hour requirements above, they will be factoredinto the self-directed learning part of the evaluation.If the rotation coincides, residents are also encouraged to attend the Emergency MedicineJournal Club and are invited to bring their spouse/significant other. The EM journal club isscheduled on a quarterly basis.Bring your ED rotation folder with you to the shift or leave it in the ED during, so you can havesomething to read or reference and also other ED Attendings may want to refer to it or assign areadingC. Duties / Faculty Expectations:Page 41 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc