Ensuring Competence of Senior Emergency Medicine Residents

Need

The Department of Emergency Medicine at Brigham and Women's Hospital wanted to refine their process for assessing the readiness of junior residents to assume the additional responsibilities of a senior resident, including a supervisory role in the department. To assume these responsibilities, a junior resident must demonstrate clinical competence in a variety of essential procedures, such as managing a difficult airway.

Intervention

In partnership with the department, STRATUS designed and implemented a series of four structured assessments in which junior residents demonstrate competence in the management of sepsis, resuscitation, trauma and the difficult airway. If they are deemed to be needing remediation, they are given one-to-one help and supervision until competence is achieved.

Impact

Approximately 15 residents go through this assessment process at STRATUS each year, which assures the competence of senior residents to enhance patient care and safety.

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