Longitudinal curriculum

Requirements for each PGY class is listed bellow under each of the following sections

  • Patient Safety and Quality Improvement Curriculum

  • EMS and Flight Curriculum

  • Observation Medicine Curriculum

  • Health Care Disparities

Submit completed requirements using the online form by following link:

 

Patient Safety and Quality Improvement Curriculum:
 

Content Experts: 
Dr. Andrew Almquist, Department of EM-RO, EDQAC
Dr. Margaret Menoch, Department of PEM
Dr. Jeff Ditkoff, Department of EM, Director of Operations
Dr. Steven Smith, Department of EM-Troy, EDQAC Committee

Patient Safety and Quality Improvement Objectives:
1. To better understand department processes improvement.
2. To learn about patient safety and quality initiatives.
3. To attend various department/institutional meetings and participate in the peer review process.

Patient Safety and Quality Improvement Requirements:
 

PGY-1
1) Attend the"Patient Quality and Safety Conference"
Held during hospital wide orientation week.

2) Complete the GME Year 1 Fundamentals of PS/QI modules:
QI 102 How to Improve with Model for Improvement
QI 103 Testing and Measuring Changes with PDSA Cycles
QI 104 Interpreting Data: Run Charts/Control Charts/measurement tools

3) Complete the GME Year 1 Fundamentals of PS/QI modules:
PS 102 From Error to Harm
PS 103 Human Factors and Safety
PS 105 Responding to Adverse Events

4) Review RL Solutions on the Inside Beaumont Online home page and complete at least one QSR during your first six months of residency.

5) Attend Troy EC Peer Review Meeting during PGY 1 EC Rotation
Contact: Dr. Shannon Viviano and Dr. Stephen Smith, this will be scheduled for you.
Emergency Department Revisits
Health Resources and Services Administration Quality Improvement

 

PGY 2
1) Complete the GME Year 2 Intermediate concepts PS/QI modules:
QI 105 Leading Quality Improvement
QI 201 Planning for Spread: From Local Improvements to System Wide Change

2) Complete the GME Year 2 Intermediate concepts PS/QI modules:
PS 201 Root cause analysis

3) Attend Troy EC Peer Review Meeting during PGY 2 EC Rotation
Contact: Dr. Shannon Viviano and Dr. Stephen Smith, this will be scheduled for you.
Emergency Department Revisits
Health Resources and Services Administration Quality Improvement

4) Kaizan Day for process improvement (May be completed as PGY2 or PGY3)
Contact: Dr. Jeff Ditkoff or Melissa Ashton, education specialist

PGY3
2018-2019 PGY3 PS and QI Meetings Schedule

1) Attend Royal Oak EC Peer Review Meeting and present your review of the prior month's 48 hour returns. You will participate in the meeting and may be asked to review cases on the agenda prior to the meeting. You may also be asked to do a literature search on interesting topics pertaining to cases being discussed on the agenda.
Contact: Dr. Payal Shah for month assignment and see instructions below:
Format for 48 Hour Returns Review

2) Attend Royal Oak Peds EC Peer Review Meeting and present your review of the prior month's 72 hour returns. Please read the articles/view link below prior to your meeting. 
Contact: Dr. Margaret Menoch for return visit review format. See resources to review before attending the meeting below: 
Emergency Department Revisits
Health Resources and Services Administration Quality Improvement
Format for Peds 72 Hour Returns Review

3) Attend the Trauma Task Force and Quality Improvement Meeting. Please see meetings schedule above.
Contact: Dr. Patrick Pettengill, RO EC Trauma Liasion

4) Attend the Hospital Wide Multi-disciplinary Meeting. Please see meetings schedule above.
Contact: Dr. Patrick Pettengill or Frank Borshke

5) this requirement is canceled for 2018/2019 —> Kaizen Day for process improvement (If not completed as PGY 2)
Kaizen Schedule 2018-2019
Contact: Dr. Jeff Ditkoff or Melissa Ashton

6) Review the documents below regarding Legal Affairs
Beaumont Malpractice Statistics
Corporate Policy on Quality Assurance and Documentation
Glossary of Medical Legal Terms
Preparing for your Deposition

 

EMS and Flight Curriculum
 

Content Experts: 
Robert Swor, DO, Department of EM, EMS Director
Christine Laking, Department of EM, EMS Coordinator
Patrick Pettengill, MD, Department of EM, Flight Director
Doug Berry, Base Manager Beaumont One

EMS/Flight Objectives: 
1. To better understand the challenges and capabilities of prehospital medicine
2. To learn and apply EMS/Flight protocols through on line medical control
3. To learn fundamentals of Disaster Management and resources availability to EM physicians

EMS/Flight Requirements:

PGY-1:
1) Review the Oakland County Medical Control Authority System Protocols
This is to be completed prior to scheduled ride along. Please see link below:
http://www.ocmca.org/images/documents/2014/2014-Section%206-SystemProtocols-Rev02.pdf

2) Royal Oak Fire/Alliance Mobile Health/Southfield Fire Department Ride Along
Each resident to be scheduled to complete one ride along during intern orientation month
Please print checklist attached below to bring with you on the day of your ride along. This is to be reviewed with the paramedics.
EMS Ride Along Checklist
Contact: Melody Cikalo will work with EMS Coordinator Christine Laking to get you scheduled in July.

3) Review Flight Curriculum Binder containing articles and chapters pertaining to flight medicine prior to scheduled flight. 
Please see PDF below or contact Melody Cikalo for binder.
Flight Transport Readings

4) Requirement ON HOLD—> Complete Orientation Session on helicopter with flight crew, including safety briefing with the pilot, and possible flight. Please print checklist below to bring with you the day of your flight orientation. This is to be reviewed with the flight crew.
Flight Checklist Document
Contact: Doug Berry at
dberry@phihelico.com to schedule this session.

5) Complete the EMS Radio Calls Curriculum during the final 6 months of your PGY1 year. Due by June 30th.

PGY-2
1) Complete the NIMS course which consists of 3 online modules, please see link below. 

National Initiative to Standardize the Management of large-scale disaster
NIMS Online Course

 

Observation Medicine Curriculum

Content Expert:

Objectives:
1. Introduction to Observation Medicine as it pertains to continuing patient care.
2. Understanding diagnoses and protocols developed for patients deemed appropriate for this unit.
3. Review opportunities for health education and preventative care as it pertains to observation medicine.

Observation Medicine Requirements:

 


PGY-1
1) Attend 1 Obs rounds as an introduction to the unit during orientation month. This occurs daily from 7a-9a with the Obs Physician. You should plan to attend one of these rounds during your orientation.

2) Review the inclusion/exclusion criteria for Obs specific diagnoses and review protocols developed for the Obs unit.

3) During your first 2 months of emergency medicine at RO, you will complete follow-up's on 4 patients that you sent to the Obs unit during a clinical shift

PGY-3
1) Participate in 3 days of Obs rounds/clinical shift as an integral part of the team.

 

Health Care Disparities Curriculum:


Content Experts:
Dr. Lakshmi Swaminathan, Beaumont Health Director of GME Quality/Safety/HCD
Dr. Asha Shajahan, Family Medicine, Troy Beaumont
Dr. Payal Shah, Department of Emergency Medicine, Royal Oak Beaumont

Health Care Disparities (HCD) Objectives:
1. Understand concepts of population health.
2. Recognize and understand determinants of health disparities.
3. Explore how social/cultural factors impact healthcare in a safe, trusting environment that allows
for questioning and self-reflection.
4. Understand how health disparities affect practice and policy in our Emergency Department.

Health Care Disparities Curriculum Requirements
 

PGY-1:
1) Review the “Community Health Needs Assessment” provided.
a. Participate in a small group discussion at Intern Retreat regarding the Beaumont Health System patient population and surrounding community.

2) Complete the hospital-wide “Tier 1” Foundational HCD Curriculum.
a. Attend three 1-hour lectures in the months of September, October, and November 2019 from 12pm-1pm.  May attend in person or stream online. 

EM Program Manager, will pull a compliance report regarding completion.

PGY-2:
1) Participate in a HCD related-topic simulation project.
a.      Residents will partake in an “understand the patient in their context” scenario that will take during a scheduled group simulation session.  They will participate in a group discussion following the learning scenario.

Contact:   Drs. Sarha Hang and Fadi Kasyouhanan for schedule

PGY-3:
1) Participate in a HCD related-topic simulation project.
a.      Residents will partake in an “understand the patient in their context” scenario that will take during a scheduled group simulation session.  They will participate in a group discussion following the learning scenario.

Contact:   Drs. Sarha Hang and Fadi Kasyouhanan for schedule

 ***Optional participation in a hospital-wide “Tier 2” HCD Elective.  This will be a 2-week elective offered in May, October, and March. Interested residents please contact: Dr. Lakshmi Swaminathan

***All residents will participate in a longitudinal didactic series held during EM grand rounds, journal club, or GME lectures pertaining to topics of health care disparities in the ED. *

**Elective and research opportunities pertaining to HCD can be further discussed and are a welcomed pursuit. Please contact Dr. Shah for details.