Emergency Medicine Residency Milestone
Patient Care 11 and 13. Wound Management
Resident Name:_____________________________________________
EM Level:
I
II
III
Date: _____________________
Simulation, or
Actual Patient
Instructions: “Yes” means the item was consistently done. “No” means that it is not consistently done. “N/A” should be used when yo
u do not have enough information. These items are milestone markers, with varying levels of proficiency. It is not expected that EM re
sidents will have “Yes” for all of these items. Indicate your overall competency rating below.
Milestone
Level
Observation
Comments
Yes
Yes
No
No
N/A
N/A
Yes
No
N/A
Yes
Yes
Yes
No
No
No
N/A
N/A
N/A
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Yes
Yes
Yes
Yes
No
No
No
No
N/A
N/A
N/A
N/A
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
N/A
N/A
N/A
N/A
N/A
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Yes
*higher level achieved once all components of that level successfully completed
No
N/a
1
1
1
1
1
1.5-2
1.5-2
1.5-2
1.5-2
1.5-2
1.5-2
2.5-3
2.5-3*
2.5-3*
2.5-3*
2.5-3*
2.5-3*
3.5-4*
3.5-4*
3.5-4*
3.5-4*
3.5-4*
5
Milestone behavior markers
Prepares a simple wound for suturing
Knows indications, contraindication and possible
complications of local anesthesia
Performs local anesthesia using appropriate dose and
technique.
Demonstrates sterile technique
Places simple interrupted suture
Uses medical terminology to clearly describe/classify a
wound
Classifies burns with respect to depth and body surface
area
Knows anatomic landmarks, indication, contraindication,
and possible complications for regional anesthesia.
Performs regional anesthesia using appropriate dose and
technique.
Knows the indications, contraindications, potential
complications of analgesic/sedative medications.
Administers an analgesic/sedative dose
Compares and contrasts modes of wound management
IDs wounds that require abx or tetanus prophy
Educates pts on appropriate outpt management of their
wound
Performs complex wound repairs
Manages a severe burn
Determines which wounds should not be closed primarily
Demonstrates appropriate use of consultants
IDs wounds that may be high risk and req more extensive
eval
Achieves hemostasis in a bleeding wound using advanced
techniques
Repairs wounds that are high risk for cosmetic
complications
Describes the indications for steps to performs an
escharotomy
Performs advanced wound repairs
Comments:
Emergency Medicine Residency Milestone
Patient Care 11 and 13. Wound Management
Resident Name:_____________________________________________
EM Level:
I
II
III
Simulation, or
Date: _____________________
Actual Patient
Observing Faculty Signature:______________________________________
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