Roy Vega,
M.D.
Emergency
pediatrics at the Bronx-Lebanon Hospital Center (BLHC) - Concourse division
involves an exciting blend of general and subspecialty pediatric medicine.
Currently we have about 40.000 annual visits.
Residents
have primary responsibility for patient care and are supervised by the on
site attendings. Procedural skills and knowledge as well as other
competencies are achieved through bedside teaching and case discussions, as
well as by observing senior residents and attendings. Textbooks and relevant
internet websites are easily accessible. EBM approach is strongly
encouraged. Specific to this rotation is resuscitation skills training
through “mock codes” and state of the art simulation lab (sim-baby).
Residents will attend Pediatric advanced life support (PALS) course on
arrival and renewal when due.
During the
rotation, residents will become familiar with hospital support system,
regulatory issues, health policies and procedures and will participate in
quality assurance and performance improvement projects.
The
evaluation of residents’ performance on six competencies will be evident as
immediate feedback from the preceptor and as a comprehensive written
evaluation at the end of the rotation
Residents will get the feedback on their performance during daily
interactions as well as through formal evaluations once per rotation. They
are evaluated by the whole group of the ER attendings on competencies
recommended by ACGME.
Primary goals for the rotation:
EMS System for Children
Understand the basic principles and utilization of emergency medical
services for children
Assess, resuscitate, and stabilize critically ill or injured children in the
Emergency Department (ED) setting in a timely fashion.
Assist in evaluating and stabilizing a child with multiple traumas.
Establish vascular access in the critically ill child as indicated,
including cannulation of peripheral veins and intraosseous needle insertion.
Manage fluid and pressor therapy in the initial resuscitation of patients in
distributive, hypovolemic, and cardiogenic
Recognize and
manage common illnesses and injuries that present emergently.
Evaluate and manage patients with common diagnoses that present in the ED
setting
Diagnostic Testing (ED)
Use common diagnostic tests and imaging studies appropriately in the ED
setting.
Know or be able to locate readily age-appropriate normal values for lab
studies.
Interpret test results in the context of the care of the specific patient.
Pediatric Goals
Gathering Data by Physical Examination
Perform an appropriate physical exam, demonstrating technical proficiency
and sensitivity to the needs of the child and parent, as well as the
clinical situation.
Using Therapeutics and Medications
Use medications and therapies safely and effectively, applying sound
principles of medical practice and professional ethics.
Patient Education and Counseling
Develop skills in promoting a therapeutic alliance with patients and
families by providing counseling, guidance, and patient education in areas
important to child health and disease.
Medical Records
Maintain accurate, legible, timely, and legally appropriate medical records
when caring for patients.
Maintain accurate, legible, timely, and legally appropriate medical records.
Use of Consultants
Use consultations and referrals effectively in a variety of settings.
Generating Questions and Retrieving Information
Generate answerable clinical questions and use information technology to
gather information and support decision-making and patient management.
Generate patient-centered clinical questions to drive continued knowledge
acquisition and support informed decision-making.
Identify which questions are most important to address during or after a
patient encounter (based on what is most important for the patient's or
one's own learning needs).
Identify and efficiently locate the best available information resources to
address questions in clinical practice.
Continually strive to integrate best evidence into one's daily practice.
Medical Errors and Patient Safety
Understand the importance of error reduction in medical practice.
Injury Screening and Prevention
Understand the Pediatrician's role in injury prevention, provide office
based screening for risks and counseling, and be aware of advocacy and
community interventions to reduce risk.
BRONX-LEBANON HOSPITAL CENTER
