Resident Handbook - UC Davis Health System

that patient, will not be expected to dictate. If a resident performs a procedure entirely,he should check with the supervising attending to clarify who will dictate the procedurenote.E. Emergency Medicine Competencies:1. Knowledge:• Assessment, resuscitation & stabilization of critically ill patients (including codes)• Chest Pain (AMI, ACS, PE, aneurysm, arrhythmias)• Respiratory Distress (asthma, COPD, foreign body, pneumonia, CHF)• Abdominal Pain (peritonitis, AAA, renal calculi, gallbladder disease, appendicitis,mesenteric ischemia, hernia)• ALOC (toxic, metabolic, infectious, trauma)• Neurological Deficit (CVA, TIA, peripheral deficits, e.g. Bell’s palsy or w/LBP)• Vaginal Bleeding (ectopic, first trimester bleed, DUB, ovarian cyst/torsion)• Pediatric Fever (how kids are different, ED w/u, 1 st 1-3 months)• Headache/Back pain (CNS bleed, meningitis, pain management)• Trauma (general assessment, orthopedic and soft tissue injuries)2. Skills:Efficient patient evaluation & disposition (directed H&P, testing, communication withphysicians, f/u, and multiple patients.Airway/ Breathing (intubations, non-invasive adjuvant, ventilator, meds)Circulation (access lines, cardioversion, vasopressors, monitoring)Conscious Sedation/ Pain Management (indications, meds, monitoring)Orthopedic interventions (immobilization, reductions)Wound care (infiltration, blocks, irrigation, laceration repairs, bites, I&D)Eye procedures (slit lamp exam, FB removal, tonometry)ENT procedures (nasal cautery/packing, peritonsilar abscess, dental blocks, FB removal)Miscellaneous (use & interpretation of x-ray, LPs, urinary caths, NG/Ewald, lavage,anoscopy)Page 44 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc