EMS

Educational Goals and Objectives

The educational objectives for the Emergency Medicine resident while on the EMS rotation are as follows:

Patient Care

  • Participate in the administration of the emergency medical services system providing pre-hospital care.
  • Participate in paramedic base station communications, transportation, and care in the field.
  • Manage the pre-hospital care of the acutely ill or injured patient.
  • Participate in the teaching of pre-hospital personnel.

Medical Knowledge

  • Discuss the organizational structure and systems of operations for the emergency medical services.
  • Discuss principles of pre-hospital triage and emergency medical care delivery.
  • Discuss the educational requirements and skill levels of the various EMS providers.
  • Discuss principles of disaster planning and management.
  • Discuss basic principles of EMS research.
  • Discuss medico-legal principles relating to EMS.

Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to pre-hospital care.

Interpersonal and Communication Skills

  • Create and sustain a therapeutic and ethically sound relationship with patients.
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills.
  • Work effectively with others as a member or leader of a health care team.

Professionalism

  • Demonstrate respect, compassion, and integrity.
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices.
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.

Systems-Based Practice

  • Understand how pre-hospital care affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Ride along with EMS ground transportation crews, including BLS and ALS units.
  • Rotate through the EMS telemetry control for the City of New York.
  • Review literature and articles on the suggested reading list for the rotation.
  • Meet with and attend lectures by EMS personnel from the various organizational levels of the emergency medical services to understand the structure, operations, and facets of pre-hospital care delivery.
  • Attend meetings and conferences involving or hosted by Emergency Medical Services.
  • Meet with the rotation preceptor periodically to discuss cases and issues relevant to the rotation and its specialty.

 

Rotation Overview

Please review the rotation information sheet here

 

Rotation Information

Where: Fire Department’s Headquarters (1st and last day) - 9 MetroTech Center, Brooklyn (Office of Medical Affairs, 4th floor conference room). For the ride-along shifts you will report to a specific EMS station that will be assigned to you on the first day

When: Mon – Fri, 8-hour ride-along shifts, usually between 6:00 AM and 11PM. The first day: 9:00 AM – 4:00 PM. You will be given your individualized schedule then. Plan to arrive early the 1st day, as you need to go through security and it may take up to 15 mins. If you are late, you will not be allowed to complete the rotation.

Supervisors:

  • Ms. Pekoia Jenkins EMS Resident Rotation Program Coordinator (jenkinp@fdny.nyc.gov, 718-999-1227)
  • David Ben-Eli, MD, EMS Resident Rotation Program Director (benelid@fdny.nyc.gov, 718-999-2790)
  • Douglas Isaacs, MD, EMS Fellowship Program Director (isaacsd@fdny.nyc.gov, 718-281- 8428)

Attire: Business attire (pants/skirt, shirt/blouse, tie, shoes).

Preparation: Review the EMS section of Tintinalli or Rosen’s. Review the different materials given to you on the first day

Expectations: You will be expected to write and present a topic related to EMS. The presentations are scheduled on the last day of the rotation. Ride-alongs are interesting. Enjoy them. The EMS workers are laid back and fun to work with. Enjoy their company.