Albert Einstein College of Medicine Residency in Emergency Medicine @ Beth Israel Medical Center Residency Policy Manual Table of Contents 1. Confirmation of Receipt and Understanding 2. Resident Selection 3. Progressive Responsibility 4. Resident Evaluation 5. Resident Promotion 6. Resident Supervision 7. Resident Remediation/Probation/Dismissal 8. Resident Leave of Absence 9. Moonlighting 10. Program Evaluation Albert Einstein College of Medicine Residency in Emergency Medicine @ Beth Israel Medical Center Confirmation of Receipt and Understanding I, __________________________________________(print name) have received, read, have been given the opportunity to discuss, and understand all of the enclosed Residency Policies as listed below. I agree to comply with all rules, regulations, and policies as stated in the enclosed Residency Policies as listed below. 1. 2. 3. 4. 5. 6. 7. 8. 9. Resident Selection Progressive Responsibility Resident Evaluation Resident Promotion Resident Supervision Resident Remediation/Probation/Dismissal Resident Leave of Absence Moonlighting Program Evaluation _________________________________________ Resident signature _____________________ Date Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Selection Applicant Recruitment Available positions are listed along with a brief, current description of the program on several widely accessible databases: Society for Academic Emergency Medicine Residency Catalog American Medical Association FRIEDA database Beth Israel Medical Center/Continuum Health Services Home Page Applications and supporting materials are accepted only through the Electronic Residency Application Service (ERAS) of the Association of American Medical Colleges. All application review and processing is conducted using the ERAS system. Invitations for Interviews The Resident Selection Committee reviews all completed applications. Applicants are prioritized based on a review of their letters of recommendation, transcripts, personal statements, and Dean’s Letters. Those applicants having the highest priority based on agreed parameters of the Residency Selection Committee are invited to interview with the program directors and faculty. Invitations are sent via e-mail and, in some cases, applicants are contacted via telephone. Applicants not interviewed are unlikely to appear on the program Rank Order List (ROL). Interview Process Applicants being interviewed by the program will attend a general information session hosted by the program directors, be interviewed by three members of the interview committee (which will include for each applicant an interview with either the Program Director or Associate Program Director), and attend a brief luncheon with program residents. All applicants will have available for review a copy of the House Officer Contract and House staff Manual. The Interviewer completes Evaluation forms for each candidate. Interview evaluation scores will be taken into account for determination of the ROL. Rank Order List After the completion of interviews, the Residency Selection Committee will review applicants and make recommendations for the ROL. The final approval for the ROL is the Program Director. The Rank Order List is transmitted via ERAS to the National Resident Matching Program (NRMP). National Resident Matching System and Resident Notification The program is notified by the NRMP via the institution’s (Beth Israel) GME office of the match results. Matched applicants are sent letters of intent which they are asked to sign and return to the program. House Officer contracts are offered by May 30. ____________________________ Kai M. Sturmann, M.D. Program Director ______________________________ Paul L. DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Progressive Responsibility Resident responsibility is graduated. Residents are given progressive responsibilities in both the clinical as well as the didactic curriculum based on level of training. Clinical EM1 The EM1 resident cares for patients with a variety of adult and pediatric illness and injuries under close supervision of the EM3 and Adult or Pediatric EM attending. The EM1 presents all Acute, West, UCC, and PedsED patients to the assigned attending or EM3 (RIC) prior to initiating diagnostic testing or therapy. EM3 (R.I.C.) assumes full responsibility for the care of all patients presented to them by the EM1 under the direct supervision of the attending. In Resuscitations, the primary role of the EM1 is Vascular Access. In the UCC, the EM1 is expected to manage one case per hour on average. EM2 The EM2 cares for more patients and is given greater independence in initiating diagnostic testing and therapy in the Emergency Department than the EM1. The EM2 presents all Acute, West, UCC, and PedsED patients to the assigned attending or EM3 (RIC). In Resuscitations, the primary role of the EM2 is airway control. In the UCC, the EM2 is expected to manage one to two cases per hour on average. EM3 One EM3 is assigned to each shift to be the Resident In Charge (RIC). The RIC is the Resuscitation Team Leader for ALL Adult and Pediatric Medical, Surgical, and Trauma Resuscitations under the supervision of the Emergency Medicine Adult or Pediatric Attending. Patients are assigned by the “D” Nurse in the West area of the ED.The “D” nurse alternates in equal numbers the RIC cases with those of the attending(s). The RIC takes full responsibility in all aspects of timely and appropriate patient care and charting, including signing and stamping the chart of all residents who care for the patients to whom they are assigned. The RIC presents all cases for which they are responsible to the Emergency Medicine Attending as early in the care of the patient as possible. The RIC is given the autonomy and responsibility to divide their cases as equally between the available attendings. The RIC is responsible for general patient flow in the Emergency Department which includes assigning all cases in Acute, and when possible in West. The RIC sees all Acute patients at the time of arrival and will generally alternate case assignments among all available residents. The RIC is given the autonomy and responsibility to choose assignments of patients in Acute based on the condition of the patient and the level of training of the available residents. In UCC, the EM3 is expected to manage two to three cases per hour on average. Chief Residents There are two Chief Residents per year. Chief residents share all responsibilities mutually. At least one Chief Resident is available 24 hours/day and 7 days/week by pager during the entire academic year. It is the responsibility of both Chief Residents to assure their constant and reliable availability. Any inappropriate uses of the Chief Residents’ availability by other residents should be reported to the Program Director or Associate Program Director for corrective action. The Chief Residents are responsible for all aspects of scheduling of all residents in the Main ED, Peds ED, and UCC. Didactic EM1 Lectures: Presentation of assigned Morning Case(s), M&M(s), Journal Club(s), EKG Board, and one formal Interesting Case presentation. CQI project: Identify project and begin active involvement. Resident may participate in existing Departmental CQI project or may provide a written proposal for a new project. All new projects require the approval of the departmental Director of CQI. Scholarship goal: Generate hypothesis, submit literature search of adequate quality acceptable to the Research Director and Program Director, begin data collection, and give oral presentation of work at residency conference. EM2 Lectures: Presentation of assigned Morning Case(s), M&M(s), Journal Club(s), EKG Board, Interesting Case(s), and one formal Core Content Lecture. CQI project: Active involvement in the implementation of project. Scholarship goal: Oral presentation at hospital, regional, or national research symposium. EM3 Lectures: Presentation of assigned Morning Case(s), M&M(s), Journal Club(s), EKG Board, Interesting Case(s), and at least one formal Grand Rounds Lecture. CQI project: Presentation of findings of CQI project to CQI committee with suggestions for future improvements to project. Scholarship goal: Submission of written abstract and manuscript. The Research Director and the Program Director will review and provide approval for submission of all abstracts and manuscripts. Note: One scholarly project, approved by the Program Director, is required for graduation. Scholarship goals do not preclude other aspects of scholarship. The resident may submit a written proposal for an alternative scholarly project, but must acquire approval by the Program Director in advance of the work. Chief Residents There are two Chief Residents per year. Chief residents share all responsibilities mutually. A minimum of one Chief resident is expected to be present throughout ALL conferences during the academic year. Chief residents are additionally responsible for scheduling and set-up of conferences for the academic year. Conference responsibilities include assuring proper presentations as scheduled, providing adequate audiovisual materials, maintaining the timely progression of conference, and noting all resident attendance, lateness, and inappropriate absences. Residents who are not excused from conference by the Program Director or the Associate Program Director prior to the beginning of conference are considered “unexcused”. The Chief Residents will maintain a log of Residents “unexcused” and will present an update of the log each week to the Program Director and the Associate Program Director. An “unexcused” absence from conference will necessitate an additional shift to be assigned in the future by the Chief Resident. The timing of this shift will be at the discretion of the Chief Residents. A log of specific shift assignments is maintained and reported to the Program Director weekly by the Chief Residents. The Chief Residents will provide sign-in sheets at the beginning of each lecture, collect evaluations and any handouts at the end of each lecture, and maintain current and complete files of each in the Chief Office. The Chief Residents will also provide summary feedback to each presenter and provide written “Thank you” to any guest lecturers. The Education Director, Program Director, Associate Program Director, and Program Coordinator assist in conference scheduling, attendance, and management. ____________________________ Kai M.Sturmann. M.D. Program Director ___________________________ Paul L. DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Evaluation Emergency Department Clinical Rotation Evaluation Residents are evaluated at the conclusion of each clinical Emergency Department experience by Emergency Medicine faculty. One faculty is assigned to evaluate each of the three levels of EM residents for a particular block rotation. The three assigned faculty complete the resident evaluation forms in collaboration with the other faculty. The Program Coordinator places a copy of each evaluation in the resident’s office mailbox, and the original is placed into the resident’s permanent file for periodic review. Resident evaluations are reviewed at least semi-annually with the Program Director or Associate Program Director. The Program Coordinator screens every evaluation received. Any evaluation with “needs improvement” is given to the Associate Program Director as soon as the evaluation is received. The Program Director or Associate Program Director discusses the evaluation with the resident, additional comments are provided on the evaluation, and the evaluation is copied to the resident, signed by both the resident and the reviewer, and filed. If the Program Director or Associate Program Director determines that the block evaluation warrants more frequent summary evaluation, the resident is informed at the time of the review in writing, and placed in the resident’s file. Off-service Clinical Rotation Evaluation Evaluation of clinical rotation performance during off-service rotations is the responsibility of the designated Director of Clinical Rotation, as specified in the Memoranda of Understanding. These evaluations are generally composite evaluations with information given to the Director of Clinical Rotation by departmental faculty and/or supervising residents. The Program Coordinator places a copy of each evaluation in the resident’s office mailbox, and the original is placed into the resident’s permanent file for periodic review. Resident evaluations are reviewed at least semi-annually with the Program Director or Associate Program Director. The Program Coordinator screens every evaluation received. Any evaluation with “needs improvement” is given to the Associate Program Director as soon as the evaluation is received. The Program Director or Associate Program Director discusses the evaluation with the resident, additional comments are provided on the evaluation, and the evaluation is copied to the resident, signed by both the resident and the reviewer, and filed. If the Program Director or Associate Program Director determines that the block evaluation warrants more frequent summary evaluation, the resident is informed at the time of the review in writing, and placed in the resident’s file. Impaired Residents Residents are evaluated for signs of stress or signs of impairment continuously. Faculty, residents, and staff are encouraged to discuss any personal concerns or concerns regarding colleagues with the Program Director, Associate Program Director, or Chair of Emergency Medicine as early as possible. Residents suffering undue stress are monitored more closely to optimize professional success and personal comfort. Any resident thought to be under an undue amount of stress or is thought to be suffering from impairment is offered prompt referral for counseling. Beth Israel Medical Center has a formal program for evaluating and treating impaired physicians. Examinations: 1. In Training Exam: All Residents are required to take the yearly national In Training Examination in Emergency Medicine. Results are reviewed with the Program Director or Associate Program Director at the earliest possible quarterly resident meeting. Unusually poor performance requires a formal remediation plan. 2. Written Exams: All Residents are required to take each monthly CORD web-based exam at www.emtests.com. Residents must pass all exams, which currently is considered 60%. For any 3. 4. resident performing below 60% on any of the monthly exams, a mandatory make-up exam is provided by Dr. O’Shaughnessy semi-annually. The resident must take and pass the make-up exam as scheduled. The results of the monthly exams are reviewed during the semi-annual summary resident evaluations with the Program Director or Associate Program Director. Consistently poor performance requires a formal remediation plan. Oral Exams: Oral Exams are administered three times per year during conference. The format roughly simulates the Oral Board examination. The exam provides both practice and assessment. Residents are distributed equally into groups. Each group should have representatives from each of the three levels of training. Each resident will have at least one opportunity to be the examinee within the group. Since the cases presented vary in level of complexity, only the EM3 residents are expected to pass universally. Results are provided at the time of the exam and case review and performance review take place at the time of the exam by the faculty member. Faculty who detect unusually poor performance on a particular case should communicate with the Program Director as soon as possible for further discussion with the resident. The Program Coordinator gives the resident a copy of the written evaluation from the faculty, and the original is placed in the resident’s permanent file. Results are reviewed during the semi-annual resident meeting with the Program Director or the Associate Program Director. Neuropsychiatric testing and counseling is available through Albert Einstein College of Medicine. Lecture Skills Residents are expected to progressively develop lecturing skills throughout residency. The following formats are used: EM1, 2,3: Morning Cases, Interesting Cases, and M& Ms; EM1: formal Interesting Case; EM2: formal Core Content Lecture; EM3: formal Grand Rounds Lecture. Attendees evaluate residents on scheduled lectures. At the minimum, the Program Director or Associate Program Director also provides formal evaluations for each formal Interesting Case, Core Content, and Grand Rounds lectures. Scholarly Project Each resident is required to submit a high quality written scholarly project as criteria for graduation. The sufficiency of the project is at the discretion of the Program Director. Progress on the scholarly project is reviewed during the semi-annual meetings with the Program Director or the Associate Program Director. Periodic Summary Evaluation Residents are required to meet with the Program Director or Associate Program Director at least semiannually. Individual clinical rotation evaluations, exam scores, lecture evaluations, procedure logs, followup logs, Performance Improvement and CQI involvement, and research/scholarly project progress are reviewed and discussed. Suggestions for improvement are also discussed and documented. Toward the senior year, career goals and objectives are also discussed. Formal remediation plans are reviewed every three months. Advisor Review Residents are assigned a personal faculty advisor at the beginning of their EM-1 year. Both faculty members and residents are encouraged to meet with each other as often as possible and at least twice formally each academic year. Evaluation folders are available for review when residents meet with their advisors. Resident File Availability Residents may review their evaluation files under direct supervision at any time during normal business hours. _____________________________ Kai M. Sturmann, M.D. Program Director ______________________________ Paul L.DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Promotion Background The residency program is structured along a PGY-1, 2, 3 configuration. For the purposes of clinical responsibility, resident promotion, and American Board of Emergency Medicine (ABEM) record standardization, residents in the PGY-1 year will be designated EM1, in the PGY-2 year EM2, and in the PGY-3 year EM3 residents. The academic period begins on July 1 of each year and ends on June 30 the following year. It is expected that residents will make their transition to the next EM level on July 1 of each year. Chief Residents The Program Director and Associate Program Director appoint chief residents with input from the departmental faculty and emergency medicine residents. Two chief residents, jointly sharing responsibilities, are designated each academic year. The Program Director and Associate Program Director reserve the right to vary this number if less (or more) chief residents would be in the best interests of the residency program for a given academic year. Promotion Residents are expected to develop clinical, administrative, and educational skills as outlined below in the section Annual Promotion Criteria. Development and attainment of these objectives is evaluated at the conclusion of each clinical rotation and during the quarterly evaluations (see Policy for Resident Evaluation). The decision to promote a resident to the next EM level will be collaborative amongst the faculty. Residents must have attained the requisite clinical, administrative, and educational skills as referenced above in order to be promoted to the next level. Promotion decisions will be made prior to preparation of Housestaff Contracts, generally in May of each year. Annual Promotion Criteria EM1 1. 2. 3. 4. 5. 6. 7. 8. 9. Completes all rotations with acceptable evaluations as determined by the Program Director. Attends > 70% of residency conferences, excluding vacations. Completes all assigned readings as evidenced by satisfactory exam scores, which will normally be considered > 60% on monthly written exams, or passing make-up exams. Accomplishes EM-1 goals and objectives satisfactorily as determined by the Program Director. Adequate progress on scholarly project as determined by the Program Director. For a scholarly project in research, this generally is regarded as an adequate oral presentation of hypothesis, literature search, and methodology of project. Adequately completion of procedure logs, follow-up cases, and other administrative responsibilities as determined by the Program Director. Satisfactory completion of assigned lectures as determined by the Program Director. Practices in a safe, expedient manner, well versed in initial evaluations and common ED complaints. Demonstrates confidence and clinical competence to progress to a less supervised role as determined by consensus of the faculty. EM2 1. 2. Completes all rotations with acceptable evaluations as determined by the Program Director. Attends > 70% of residency conferences, excluding vacations. 3. 4. 5. 6. 7. 8. 9. Completes all assigned readings as evidenced by satisfactory exam scores, which will normally be considered > 60% on monthly written exams, or make-up exams. Accomplishes EM-2 goals and objectives satisfactorily as determined by the Program Director. Adequate progress on scholarly project as determined by the Program Director. A scholarly project in research will generally be regarded as an adequate oral presentation of data and submission of a completed abstract of adequate quality. Adequate completion of procedure logs, follow-up cases, and other administrative responsibilities as determined by the Program Director. Satisfactory completion of assigned lectures as determined by the Program Director. Able to act independently with a wide variety of patients, with expeditious, directed evaluations and work-ups, as determined by the faculty. Satisfactory ability to manage patient flow in assigned areas of the ED as determined by the faculty. EM3 (Graduation Criteria) 1. 2. 3. 4. 5. 6. 7. 8. 9. Completes all rotations with acceptable evaluations as determined by the Program Director. Attends > 70% of residency conferences, excluding vacations. Completes all assigned readings as evidenced by satisfactory exam scores, which will normally be considered > 60% on monthly written exams or make-up exams, and “pass” on oral exams. Accomplishes EM-3 goals and objectives satisfactorily as determined by the Program Director. Completion of a scholarly project as determined by the Program Director. A scholarly project in research will generally be regarded as a completed and submitted manuscript of adequate quality. Adequate completion of procedure logs, follow-up cases, and other administrative responsibilities as determined by the Program Director. Satisfactory completion of assigned lectures as determined by the Program Director. Proven capability to independently manage all aspects of the ED, including patient care, patient flow, teaching, and personnel management and supervision as determined by the Promotions Committee. Competence in administrative and managerial aspects of Emergency Medicine as determined by Program Director. Failure to Attain Promotion Failure to demonstrate adequate progression is identified at an early stage, and is handled with individual intervention and counseling. Residents are evaluated at a minimum of three months for progress. Persistent failure to progress may prevent advancement to the next EM level. Residents who risk failure to promotion are informed by the Program Director as early as possible and are reviewed at a minimum of every three months. At time of being informed of the risk of failure of promotion, a corrective action plan will be outlined in writing and provided to the resident and placed in the resident’s file. The corrective action plan is individualized, addressing the resident’s deficiencies, and specifies objectives and a time table for obtaining those objectives necessary for promotion to the next EM level. Graduation Residents are considered graduates of the program when they have successfully completed 36 months of education as outlined in the Program Curriculum and have satisfactorily attained the required goals and objectives. Active participation in a scholarly activity or research project and attendance of residency didactic conferences per requirements of the Program Curriculum is necessary to meet eligibility for the American Board of Emergency Medicine Certification Examination. The Program Director makes the determination of graduation when a resident has met the residency training requirements for the Emergency Medicine Certification Examination. _______________________________ Kai M. Sturmann, M.D. Program Director ______________________________ Paul L. DeSandre, D.O. Associate Program Director Albert Einstein college of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Supervision All care provided in the Emergency Department is supervised 24 hours per day, 7 days per week by emergency medicine faculty, who are physically present in the Emergency Department. The level of supervision depends on the experience and abilities of the resident involved, as well as the nature and urgency of the patient’s illness or injury. All patients are discussed with the emergency medicine attending prior to discharge from the Emergency Department. The emergency medicine attending sees most patients prior to discharge from the Emergency Department. Residents from other specialties do not supervise emergency medicine residents in the Emergency Department. The emergency medicine attending supervises all resuscitations in the Emergency Department and may defer supervision of pediatric resuscitations to the pediatric emergency medicine attending when appropriate. ___________________________ Kai M. Sturmann, M.D. Residency Director _______________________________ Paul L.DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Remediation/Probation/Dismissal Academic Probation is an administrative action recognizing that a resident’s performance is below the level required for progression. Dismissal is a formal action removing the resident from the academic program. Grounds for remediation/probation/dismissal are as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9. Professional misconduct Violations of Beth Israel Medical Center policies Failure to demonstrate adequate performance/progression Moonlighting without approval from the Program Director Failure to fulfill educational and administrative obligations Persistent tardiness for shifts or conference Persistently poor evaluations. Failure to comply with Policy for Resident Evaluation. Failure to comply with Policy for Tracking Procedures, Patient Follow-up, and 405 Regulations. Residents requiring remediation will be notified in writing of: 1. Objectives 2. Schedule 3. Expectations 4. End point (time) Reassessment of remediation objectives, schedule, and expectations is at a maximum of three months. Failure to comply with objectives, schedule, or expectations during the designated time period may result in probation. The minimum designated time period to attain objectives and expectations is not less than three months. Residents placed on probation are notified in writing of: 1. Objectives 2. Schedule 3. Expectations 4. End point (time) Reassessment of probation objectives, schedule, and expectations is at a maximum of three months. Failure to comply with objectives, schedule, or expectations during the designated time period may result in dismissal. The minimum designated time period to attain objectives and expectations is not less than three months. Violations of the Beth Israel House Officer Policy and Procedure as specified in the Beth Israel House Officer Manual and House Officer Contract are grounds for immediate dismissal. The resident subject to dismissal will be so informed by the Program Director. The Beth Israel Housestaff Grievance Policy (Due Process) will apply if the resident contests dismissal from the program. ______________________________ Kai M. Sturmann, M.D. Program Director _____________________________ Paul L. DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Resident Leave of Absence An Emergency Medicine resident may request a leave of absence as specified in the 'House Officer Leave of Absence Policy' (Section HS5) of the Beth Israel Medical Center Housestaff Manual. Guidelines established in this section will govern the request and approval process. A request for a leave of absence must be directed in writing to the Residency Program Director. The American Board of Emergency Medicine (ABEM) requires a minimum of 36 months of graduate training in an ACGME approved Emergency Medicine program toward consideration for entrance to the ABEM certification examination. Any time away from the residency program and assigned clinical/academic duties must be made up in full regardless of the reason for the leave. No resident will be permitted to graduate until this requirement is satisfied. The details of how time will be made up should be worked out in advance of the leave with the Program Director and/or Associate Director. _______________________________ Kai M.Sturmann, M.D. Program Director ______________________________ Paul L. DeSandre, D.O. Associate Program Director Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Moonlighting and EM Professional Activities Moonlighting 1. 2. 3. 4. 5. 6. 7. 8. Residents may not moonlight without written approval from the Program Director. Moonlighting may not interfere with residency performance or activities. Emergency Medicine residents may not begin moonlighting outside Beth Israel Medical Center until the second half of the EM2 year is complete (Jan. 1 for the 36 month program). Residents may not moonlight in any of the Emergency Departments under which they are being trained. This includes Beth Israel Singer Division. The sole exception is participation in the Sexual Assault Forensic Examiner Program (SAFE). Under the SAFE program, the resident cares for their patient under the supervision of the ED attending. Moonlighting is limited to 48 hours per month. The Program Director must receive and approve the official copy of the moonlighting schedule prior to the beginning of the month. There must be at least 12 hours between the end of the moonlighting shift and the beginning of the resident’s work responsibility, including conference, during all rotations throughout the training process. Residents who moonlight must be in good academic standing and have attended a minimum of 75% of the residency conferences. Residents undergoing active remediation in the residency may not moonlight. Each remediation period will be reassessed every 3 months. Alternative arrangements to the above will be at the discretion of the Program Director in advance of the event. The Program Director may terminate the privilege to moonlight for the remainder of the training program if the above criteria are not followed. Professional Activities Permission to engage in professional activities outside the educational program will only be granted to residents who are making satisfactory progress in meeting the educational objectives of the program. Permission may be withheld when, in the opinion of the Program Director, those activities may interfere with the resident’s achievement of those educational objectives. Permission may also be withheld, if in the opinion of the Program Director, such activities may lead to undue stress on the resident. I have read and understand the above moonlighting and professional activities policy and agree to abide by the policies as written. _______________________________________________ Resident Name (Print/Sign) _____________________ Date _______________________________________________ Kai M. Sturmann, M.D., Program Director _____________________ Date _______________________________________________ Paul L.DeSandre, D.O., Associate Program Director _____________________ Date Albert Einstein College of Medicine Residency Program in Emergency Medicine at Beth Israel Medical Center Policy for Program Evaluation: Rotation Evaluations: Residents are given the opportunity to evaluate each rotation on http://www.eResidency.com. These evaluations are reviewed a minimum of annually along with general curricular concerns during resident/faculty conferences. Faculty Evaluations: Residents are requested to complete an anonymous “Resident’s Evaluation of Emergency Medicine Faculty” for each full-time Pediatric and Adult Emergency Medicine faculty member at Beth Israel Medical Center at least semi-annually on http://www.eResidency.com. Each Faculty member meets a minimum of semi-annually with the Chief of Emergency Medicine and the Program Director, where these evaluations are reviewed. Didactic Curriculum: Written evaluation forms are collected at the conclusion of each conference. The evaluations are used to assess the quality of the presentation. Written and Oral Exams are each offered three times per year. Scores are provided for each resident as early as possible from the exams and reviewed with the Program Director or Associate Program Director at least semi-annually. In Training Exam results are reviewed by the Program Director or the Associate Program Director at least annually with each resident. The Program Director and Associate Program Director review composite results of In Training Exams at least annually to address deficiencies in the didactic curriculum of the Residency Program. Resident and Faculty Meetings: Residents and faculty meet at least semi-annually to comprehensively review the curriculum and discuss general residency issues to direct program improvements. __________________________________ Kai M. Sturmann, M.D. Program Director ______________________________ Paul L.DeSandre, D.O. Associate Program Director