Goals and Objectives:
PGY1 ICU – Clinical Year
Surgical Performance Expectations:
- Airway/ventilator management
- Insertion of central lines, or arterial monitor
- Lumbar puncture procedures
- Lumbar drain insertion
- Administration of GTT blood pressure and pain management regimens
- Operative log maintenance
Clinical Performance Expectations:
Pre-Operative/Non-Operative Patient Management
- The evaluation of the ICU patients including history taking, physical examination and the evaluation of diagnostic tests; the resident will be evaluated as to the thoroughness and logical organization of the patient history and the accuracy of the physical exam.
- The clinical information, physical examination findings and laboratory/imaging data must be critically evaluated, organized, accurate and thorough for the differential diagnosis proposed. These evaluations will be done in the ICU.
In-Patient Clinical Management
- Daily inpatient evaluation will be assessed; the patient’s progress must be appropriately monitored, and treatment decisions must be effective and appropriate.
- Progressive, ongoing care plans must be formulated, and unexpected deviations from the anticipated plan must be explained and rectified.
- The resident must be responsive to changing patient requirements and be aware of potential deleterious changes in the patient’s condition.
- The resident must show the ability to maintain ongoing patient management skills for the patients on their service.
Clinical Judgement
- The resident must be able to collect pertinent history/physical data, and incorporate that information with existing medical knowledge to formulate an accurate differential diagnosis and define a treatment plan.
- The resident must exhibit prudent use of diagnostic studies and be cognizant of personal limitations.