Albert Einstein College of Medicine

advertisement
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
Download