Description:
At EHC, nights (8pm to 8am) are covered by a PGY-3 nightfloat resident six days a week (as of 2016-2017). PGY-3 residents on the Floor or Consult services have two to four overnight calls per month. Work-hour regulations are strictly observed. The responsibilities while on night call at EHC include covering both the inpatient services and seeing consultations in the Emergency Department and throughout the hospital. An on-call Attending is available by phone to discuss all Emergency Department admissions and discharges or emergencies including cases requiring Neurosurgical evaluation.
The covering neurology resident must see all patient consultations called by the Emergency Department or elsewhere in the hospital, generate the initial differential diagnosis and treatment plan, discuss the case and plan with the covering neurology attending, communicate with the ED team to ensure that Neurology's recommendations are understood and followed, and make disposition decisions. All residents are supervised by an attending available by phone 24/7.
Goals
To teach residents to provide comprehensive and effective patient care overnight, both to inpatients on the neurology service and to patients seen in consultation in the Emergency Department and on other inpatient services
To provide close supervision and meaningful guidance and instruction bythe attending on call and thereby to foster increased clinical independence and graduated responsibility.
Objectives
The resident will:
Accurately and efficiently gather information about patients seen in consultation in order to develop and carry out a diagnostic and therapeutic plan, to be overseen by the attending on call (Patient Care)
Work with consulting teams such as the Emergency Department and the Medical Service to provide the best patient care possible (Patient Care)
Increase their clinical knowledge and judgment by accurately and succinctly presenting the cases seen by them overnight in consultation to an overnight on-call attending day team the next morning (Medical Knowledge, Interpersonal and Communication Skills)
Be able to locate and assimilate scientific evidence quickly in order to apply it to their patients in real-time (Practice-Based Learning and Improvement)
Write comprehensive, clear and effective consultation and admission notes to be used by the day teams taking over care of the patients from the nightfloat resident (Interpersonal and Communication Skills)
Obtain and provide adequate sign-out to the call and day teams, recognizing the nightfloat resident's role as an extension of the healthcare team (Interpersonal and Communication Skills)
Develop the time-management skills necessary to triage consultation requests and floor work responsibly (Professionalism)
Learn to effectively coordinate patient care in the Emergency Department (Systems-Based Practice)
Learn to effectively communicate with all patients despite language and cultural barriers (Interpersonal and Communication Skills)
Demonstrate sensitivity to the needs and challenges of and serve as an advocate for the vulnerable Elmhurst Hospital patient population (Professionalism, Systems-Based Practice)