Rotating Resident End of Shift Evaluation

At the end of each shift in the emergency department it will be your responsibility to have one of the Attendings with whom you worked competed the "Rotating Resident End-of-Shift Evaluation" form.  The Attending will discuss your performance with you and fill out the evaluation.  You should obtain this form at the beginning of your shift (these forms will be available in a labeled folder in area one of the ED or you can print by pasting this form into word if necessary) and on the back of the form affix the patient stickers and diagnosis of those patients you see during your shift.  At the end of the rotation you will be responsible for turning these evaluations into Estrel in the department offices (177 Murdock).  You must turn in the evaluation for at least 80% of your shifts completed (i.e. 8 of your 10 shifts in a 2 week rotation) to successfully pass the rotation.

Chairman's Letter Rush Emergency Department Dress Code

To:        Students, Residents, and Fellows

             Department of Emergency Medicine

From:        Dr. Rumoro   

Subject:    Department of Emergency Department Dress Code

Visiting Students / Residents / Fellows:

The Department of Emergency Medicine has a strict dress code that must be followed.   For a full detailed review of what the dress code policy is, I refer you to Policy Number NSOP-ED-0026 of Policies and Procedures on the Rush Intranet Website.

Failure to follow this dress code will result in the following actions:

1) You may be pulled aside and asked to either change your current attire OR

2) You may be asked to leave your current shift and redo the shift when you are dressed appropriately for this department.

In general, for this department, the dress attire is as follows (not an all inclusive list):

• No sandals, closed faced shoes only
• No T-Shirts
• No Hoodies
• Only Rush approved scrubs
• No Scrubs with names from other  hospitals
• Green or blue scrubs that have no name on them
• Only acceptable piercing that can be shown is ear piercing.
• No nail extensions
• No Jeans

This is a summary of the basic dress attire when working in this department.  This is not meant to be all inclusive.   In short, what we have created is a department that prides itself on the image it displays to its community and this image is one of professionalism in portraying a caring environment.   

If you yourself find any of the permanent department staff not wearing proper dress attire, I strongly encourage you to bring that information to my attention and I will keep your name confidential if such a report were to occur.  

Rush Emergency Department Orientation Letter

Dear Resident Physician,

I would like to take this opportunity to welcome you to the Rush Emergency Department.  We look forward to working with you this month and hope to make this an enjoyable and educational rotation for you.

As a part of your introduction to our department there are several important topics to discuss:

Orientation

Your orientation to the emergency department can be completed by reviewing to 'orientation' tab found at rushemergency.blogspot.com.  If you have further questions or concerns regarding orientation beyond this please feel free to contact me at Paul_Casey@rush.edu

Schedule

Your number of shifts in the department will depend on the length of your rotation in the emergency department.  Most residents will have 2 week rotations during which they will complete 10 shifts.  All shifts are 8 hours in length and will be 7am - 3pm, 3pm - 11pm or 11pm - 7am.  

Your shifts in the department will be determined by block scheduling.  Prior to rotation you will be emailed the available schedules and submit your blocks preference (this is further detailed at rushemergency.blogspot.com).  I will try to accommodate your preferences as possible but if multiple residents request the same block seniority and timeliness of your schedule request will determine resident block assignment.  After receiving you schedule if you need to switch a shift you will have to arrange for the switch with your fellow residents.  

If you need to miss a shift, please speak with your chief to arrange coverage for your absence. You will be required to make up this shift later in the schedule or in the next block. Unexcused missed shifts will not be tolerated and will penalized with a requirement of 2 shifts for everyone one missed. This will also be noted on your final evaluation as unprofessional behavior.  Similarly, if you are late more than 20 minutes you will be sent home and scheduled to make up the shift at a later date. 

Lectures

Every 2nd Wednesday of the rotation we will have lecture from 8am-11am in the Emergency Department Conference Room West.   Every fourth Wednesday of the rotation, we will attend the Stroger Emergency Medicine lectures.  You can view the lecture schedule at the lecture link from rushemergency.blogspot.com.  Attendance at both are mandatory and there will be a required sign-in. 

Evaluation

Your evaluation comes from end-of-shift evaluations which you will have completed at the end of each shift. This also serves as your proof of completing that shift. An example is included with this letter. By giving this to you ahead of time, we intend to give you the opportunity to meet and exceed our expectations. 

During the shift, put the sticker of each patient you see on the back of the card and write their diagnoses beside it. At the end of each shift, have the attending with whom you worked complete and sign the front of the card.  Below are resident expectations:

• Residents are expected to be present on time for their scheduled shifts to take over care of those patients whose work-up and management is in progress; as well as start the evaluation and treatment of new individuals who present to the department during their shifts.
• Residents are expected to write-up complete and accurate history & physical exams, review old patient records when available, to confirm medication profiles with patients and families, and to assist primary care providers in the care of their patients.
• Residents are expected to share the burden of patient load in a fair manner with their cohorts and inform the attending physician on duty of any difficulties that might be arising.
• Residents are expected to interact with physicians of different services in a collegial manner and make them selves available to assist in providing the best care for patients and their families.

• Residents will be expected to develop more detailed differential diagnoses and streamlined work-up and treatment plans as they advance from PGY1 to PGY3 in their respective residency programs.
• Residents will be responsible for calling for consults, giving report and (if necessary) contacting primary care physicians of the patients they are caring for in the department.

Objectives

In turn, our responsibility to you is to provide you with an education regarding Emergency Medicine. It is our goal that by the end of the rotation, you should be able to:

• Develop improved and focused clinical evaluations, differential diagnoses and diagnostic plans.
• Demonstrate basic proficiency in procedural skills such as wound care, suturing, and splinting and resuscitations.
• Demonstrate respectful and compassionate use of medical skills for all individuals.
• Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, sexual orientation, and/or disabilities.
• Communicate clearly and respectfully with patients and their families.
• Create a positive relationship with the patient and family to assure optimal medical care, assuring the emotional and cultural needs and expectations of all patients.
• Work effectively and professionally  with others within the department (nursing and ancillary staff) and those on other services to promote optimal patient care.
• Communicate effectively with primary care providers concerning their patients’ clinical presentations, assessments, conditions, and disposition planning.

Again we look forward to working with you and hope your rotation in the department is a valuable educational experience.  Please feel free to contact me with any questions or concerns that arise during the course of your rotation with us.

Respectfully,

Paul Casey, MD

Department of Emergency Medicine

Rush University Medical Center

1653 W. Congress Parkway

Chicago, IL 60612

Email: Paul_Casey@rush.edu

Emergency Department Rotating Resident Schedule

During your rotation in the Emergency Department at Rush you will work 10 eight hour shifts for every 2 week block in the department.  You will request your schedule preference by submitting your top three block requests from the template attached below.  Every attempt will be made to accommodate your top request however be aware you may not get your first or second choice depending on the timeliness or your reply and seniority of your fellow rotating residents.   Also please be aware that although I can guarantee the days off in the block you are assigned will be unchanged your specific shift on a given day may be changed on the final schedule if there is a surplus of residents on a particular shift.  If you need a specific day off and did not end up with the schedule of your choice it is your responsibility to contact other rotating residents to arrange for a switch in shifts.  If you do switch shifts you will have to notify me of the switches so I can change the schedule available to Attendings.  Also please note that need to have at least 10 hours off between shifts so you can not double back for shifts if you do make a switch.

How to create your schedule -

·      Refer to the template below (note: there is an intern template,  a senior template and a Cook County resident schedule as start on different days)

·      Each letter (A-D for interns, W-Z for seniors) corresponds to a resident schedule

·      Each day at the top of the schedule corresponds to the day of the rotation (i.e. - if your rotation starts on July 1^st that is day 1 on the template)

·      Submit your top three requests in order of priority to me at Paul_Casey@rush.edu within 48 hours (use the format at end of this post) and I will finalize the schedule and send it out as soon as possible.  If your requests are not received on time you will be arbitrarily assigned to a block.

·      If you are rotating for 4 weeks in the emergency department please submit your requests for the first two weeks and requests for the second two weeks of your rotation at the same time (note - be sure you do not schedule yourself for an overnight or swing shift on the last day of your first two weeks and an early shift on your first day of the second two weeks)

·      Again I cannot accommodate specific requests for days off - it is your responsibility to contact other rotating residents to arrange for switches.

We look forward to working with you during your rotation in the emergency department!

Take Care,

Paul Casey, MD

Department of Emergency Medicine

Rush University Medical Center

1653 W. Congress Parkway

Chicago, IL 60612

Email: Paul_Casey@rush.edu

(click on applicable template below to access)

* INTERN TEMPLATE

* SENIOR TEMPLATE

 * COOK COUNTY RESIDENT TEMPLATE

Remember to submit your request as soon as possible in the following format...

• First Choice:  Block ______
• Second Choice: Block ________
• Third Choice: Block _______

      I am a Rush resident doing a four week block - for my second two weeks the following are my
      requests...

• First Choice:  Block ______
• Second Choice: Block ________
• Third Choice: Block _______