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Simulation

 

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Our Simulation Lab provides residents with hands-on experience in pediatric and adult trauma and medical resuscitation, as well as obstetric and neonatal emergencies.  Each month, based on the conference topics of that month, our residents participate in a simulation lab.  Annually, our residents participate in an advanced, difficult/failed airway simulation lab. Every two years our residents participate in a hazmat and EMS simulation.

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Didactics

 
Cadaver Lab

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Each quarter, our residents participate in a Cadaver Lab to increase their experience in the less common procedures, as well as improve their general procedure skills. 

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Ultrasound

 

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Under the guidance of several Emergency Ultrasound trained faculty, ultrasound is used daily in our ED.  US shifts are including during your main emergency department months and is one of the most popular elective rotations.  

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Consistent with the mission of the Section of Emergency Medicine, the goal of the Residency Program is to develop leaders in the field of Emergency Medicine, whether they be community practitioners, medical educators, researchers or administrative consultants.

Our program encompasses PGY 1-4, with the fourth year critical in allowing our residents opportunities to expand their scope of knowledge, develop expertise and explore areas of interest. A mixture of county and private ED experiences guarantee our residents exposure to patient expectations of all levels.

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GOALS and OBJECTIVES:   The goal of LSU EM training program is to prepare physicians for the independent practice of emergency medicine, achieved via learning the fundamental skills, knowledge, and humanistic qualities that constitute the foundations of EM practice. Residents, under the guidance and supervision of a qualified faculty, develop an outstanding level of clinical maturity, judgment and technical skills.  Residents are exposed to progressive levels of responsibility in clinical experiences that enable effective identification and management of acute care problems. Upon completion of the program, residents are competent in the independent practice of emergency medicine, are able to incorporate new skills and knowledge during their careers, and able to monitor their own physical and mental well being.

 

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Curriculum

PGY 1
Orientation 2 weeks; Vacation 3 weeks; OB/ultrasound 1 month; Anesthesia/ENT 1 month;  Ped ED 1 month; Community ED 2 months; Medicine 1 month; MICU 1 month; LSU ED 3 months; VA 1 month

PGY II
Special topics 2 weeks; EMS 2 weeks; Vacation 1 month; Peds ED 1 month; Community ED 1.5 months; VA 1 month; Elective 2 weeks; LSU ED 5 months; Trauma ICU 1 month.

PGY III
Special topics 2 weeks; Vacation 1 month; Peds ED 1 month; MICU 1 month; Pediatric ICU 1 month; Community ED 2 months; Elective 2 weeks; LSU ED 4 months; Toxicology 1 month.

PGY IV
Special topics 2 weeks; Vacation 1 month; Peds ED 1 month; Community ED 2 months; Elective 3 months; LSU ED 4.5 months.

 

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Unique Features of Our Residency

Charge Resident System

One of the most defining aspects of the LSU Emergency Medicine New Orleans residency program is our Charge Resident System. While all residencies integrate some aspect of increasing responsibility as residents advance through their training, the LSU EM program formalizes this process and incorporates this philosophy as a core part of resident training.

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During each LSU Emergency Department shift, two EM residents (PGY2 and above) act as Charge Residents for the entire ED. The charge residents are directly responsible for the management of all patients, leading patient rounds, EMS medical control, ED bed management, triage decisions and all resuscitations.

Charge residents supervise interns and medical students working in the ED. Critical care procedures are shared between the lower and upper level residents. All medical airway procedures and resuscitations are the resposiblity of the EM residents.

Our Charge Resident system ensures that residents are involved in all medical management decisions regarding patient care and are challenged by the breadth and volume of the ED's caseload. Our Charge system is unique amongst EM programs across the nation and serves not only to develop EM physicians capable of managing large EDs with multiple critically ill patients, but also fosters excellence in leadership and professionalism.

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  Trauma Resuscitations

Emergency Medicine and Trauma Surgery work in partnership during all major trauma resuscitations. One of the Emergency Medicine Charge residents are stationed at the head-of-the-bed for all trauma resuscitations and are responsible for trauma airway management.

Other critical care trauma resuscitation procedures (cricothyroidotomy, tube thoracostomy, emergency thoracotomy, pericardiocentesis, venous access, IO access, cut-downs) alternate between EM on even days of the month and Trauma Surgery on odd days of the month. As a PGY2, our EM residents rotate on the in-house Trauma Surgery team.

LSU Public Hospital is the only Level 1 Trauma Center in Southern Louisiana. Our hospital accepts all major trauma cases from the field and transfers from hospitals outside of our primary region, which ensures that residents are exposed to a wide breadth of critical trauma cases from across the state.