ASSISTANT CHIEF ROTATION & PRE-HOSPITAL
Trainees: Department of Emergency Medicine PGY-2 Residents
Duration of Rotation: 3 weeks
EM Course Director: Jonathan S. Jones, MD – 601-815-6067
Andrew Anderson, MD – 984-5573
Contact: Mary Johnson – 601-984-5582
Jason Black, MD (Chief Resident) – 601-984-5787
Brett Lewis, MD (Chief Resident) – 601-984-5787
Jessica Myers, DO (Chief Resident) – 601-984-5787
Sarah Sterling, MD (Chief Resident) – 601-984-5787
Method of Evaluation: General EM E-Value Evaluation
Location: UMC Adult Emergency Department, AMR Headquarters (Jackson Medical Mall), UMC
Department of Emergency Medicine (4th floor, old hospital)
1. Emergency Medicine 7th ed. (Rosen’s)
a. Chapters: 37, 108-113, 137, 138, 183, 184, 190-194
2. Administration Handbook
3. Managing to Get it Right (R. Rosen)
a. Chapters: 4,5,9,10,11,17,18
4. How to Win Friends and Influence People (Carnegie)
1. CORD Scored Test – Administration
b. Passing score is 70%
Educational Objectives and Expectations:
1. Demonstrate understanding of the following principals as they relate to Emergency
Department administration, education, and practice management: (PBL, C, P, SBP)
a. Resident Education
i. Educational Principals
ii. Residency Rules and Guidelines (ACGME, RRC)
iii. Residency Program Direction
b. Student Education
i. Clerkship Direction
c. Departmental Administration
i. Resource Management
iii. Patient Throughput, Crowding, and Diversion
iv. Medical Records
v. Reimbursement, Billing, and Coding
vii. Performance Improvement
d. Contract Principals
i. Contract Analysis and Negotiation
ii. Employment Models (Employee, Independent Contractor)
e. Risk Management
ii. Consent and Refusal
iv. Liability and Malpractice
f. Physician Health and Well Being
i. Work Load
ii. Stress, Addiction, Fatigue
iii. Personal Finance and Insurance
2. Gain understanding of Pre-hospital care and Emergency Medical Services (EMS) as well as
the capabilities and limitations of the various type of EMS available, specifically: (PC, MK,
a. Learn Extrication Skills
b. Learn About Spinal Immobilization
c. Learn About Medical Care in a Moving Ambulance
Clinical & Administrative Objectives and Expectations:
1. Residents will take one week of vacation at a time of their choosing during this rotation.
They are excused from all duties during this week.
2. Work a clinical shift in the ED from 1000-2200 every Monday. (PC, MK)
3. Attend and participate in the following ED meetings. These occur every month; many on
Tuesdays following regularly scheduled EM didactics. However, exact dates, times, and
locations may change. Contact Emily Hall (601-984-5572) for up to date meeting
information. (C, P, SBP)
a. Attend and participate in the AED and ED Patient Flow Committee Meeting.
b. Attend and participate in the Faculty Meeting.
c. Attend and participate in the Clinical Sub-Committee.
d. Attend and participate in the EM Research Meeting.
4. Assist the chief resident and Research Director with Journal Club organization and article
selection. (MK, C, P, SBP)
5. If they occur during the month, attend the following committee meetings: (C, P, SBP)
a. Graduate Medical Education Committee (GMEC)
b. Residency Review Sub-Committee (RRSC)
c. Emergency Medicine Interest Group (EMIG)
6. Complete a billing and coding exercise as provided by the department (James Thompson,
MD). (PBL, C, P, SBP)
7. Assist teaching the student Skills Lab and the student Suture Lab. (MK, C, P, SBP)
8. Meet with the following people to discuss areas as indicated: (C, P, SBP)
a. Robert Galli, MD (EMTALA, Compliance, Managed Care)
b. Loretta Jackson, MD (Medical Student Education)
c. Alan Jones, MD (Research)
d. Jonathan Jones, MD (Program Administration, Education)
e. James Kolb, MD (Clinical Directorship)
f. Richard Summers, MD (Departmental Administration)
g. James Thompson, MD (Performance Improvement, Charting, Billing, Coding)
h. LouAnn Woodward, MD (Medical School & Hospital Administration)
9. Complete an Administrative Project with the goal of improving one aspect of ED
management (project to be discussed with and approved by James Thompson, MD). (C, P,
10. Complete the LIFE Curriculum on Medical Crossfire. (MK, P, PBL)
b. Registration is required but is free. Complete all modules under the LIFE
c. Complete a brief write-up of each episode.
d. Ten Asynchronous Credits will be earned with proper submission of the evaluation.
11. Complete four full shifts with an EMS crew. (MK, C, P, SBP)
a. Contact American Medical Response (AMR) and/or AirCare to arrange your
schedule no later than the third day of the rotation.
b. One of these shifts may be with AirCare.
c. During these shifts you are an observer and are not to provide medical care to
d. Perform a simulated extrication.
e. Practice peripheral IV placement, endotracheal intubation, and performing a code in
a simulation in an ambulance.
f. Record exact date and times of shifts, along with paramedic name and return to the
Program Coordinator prior to the end of the rotation.
Didactic Objectives and Expectations:
1. Attend and participate in all EM didactic conferences. (MK, PBL, P)