FCEP EMpulse Summer 2020

Page 24

NORTH FLORIDA EM RESIDENCY PROGRAM UPDATES

UF Gainesville By Christopher Purcell, MD, PGY-3

Orange Park Medical Center By Cody Russell, MD, PGY-2 & Ron Koury, DO, FAAEM, FACEP

We recently conducted a quality project using Six Sigma techniques that our residents learned as part of their program to improve their ED. The goal was to decrease the time patients wait in ER rooms after their physician had discharged them, due to patients waiting on their discharge paperwork. The project was based on an idea to have resident physicians discharge select patients, particularly patients that residents were already going back into the room to discuss results, prescriptions, return precautions, and follow up plans. The logic was: why not just have patients sign their discharge papers when we are in the room discussing all the items of their discharge packet? The results of this project showed that, by using this new discharge process in only 22.6% of all ED patients, an additional 177 patients could be accommodated into ED rooms rather than being treated from the waiting room. It also could generate an estimated $442,500 in additional revenue for the hospital if continued throughout the year. This project won first place at Orange Park Medical Centers Research Day and was presented by Cody Russell, MD, PGY-1 and led by Steven Warrington, MD. ■

After a hard-worked past few months through the COVID-19 pandemic, the UF Emergency Medicine residency program is taking time to focus on this year’s achievements and looking forward to a new year. Summer brings an end to our senior residents’ time with us. In June, our PGY-3’s presented their hard work in research and quality improvement. Two of those quality improvement projects include the development of a multidisciplinary DVT discharge pathway, as well as the creation of a standardized process for medically clearing Baker Act patients, and they have already started making a difference in our department The symbolic hand-off of chief responsibilities took place at the annual chief resident dinner. A huge thank you to Assistant Residency Program Director, Dr. Nicholas Maldonado, for hosting the dinner. If you have not had a T-bone steak cooked on his Big Green Egg grill… you are missing out.

Life

AFTER

RESIDENCY Retreat 2020

THRIVING BEYOND MEDICINE

Thank you so much Drs. Austin Reed, Tierra Smith and Garrett Snipes for their work as chief residents this past year! We would also like to welcome Drs. Christopher Purcell, Lauren Fisher and Shannon Williams as they prepare to lead us through this next year. A new academic year means new interns and medical students who are eager to learn. We are excited to introduce a “teaching shift” into our PGY-3 schedules. This allows for dedicated on-shift teaching time to help enhance the medical student experience and gives the new interns another senior resident in the department to learn from. We cannot wait to get these shifts started! Each July brings a “resident wellness day” where everyone is given the day off to participate in a group activity. Last year we had such a blast floating down Ginnie Springs that we are returning this year for even more fun.■

Feedback Requested: in-person event OR

virtual experience? Send your thoughts to mkeahey@emlrc.org

FCEP staff and the Life After Residency planning committee are still weighing all options with the safety of our residents, faculty and sponsors in mind.

24

EMpulse Summer 2020


Articles inside

Graduates

1min
page 52

Musings: Leadership in Crisis

4min
pages 50-51

Case Report: Extensive Pneumomediastinum in a 20-Year-Old

4min
pages 48-49

Florida Emergency Nurses Travel Overseas to Learn about Emergency Care

5min
pages 46-47

SOUTH FLORIDA

7min
pages 30-33

Kratom Part II: Updates for the ED Provider on a Substance Skyrocketing in Use

5min
pages 44-45

Poison Control: Management of Hydroxychloroquine & Chloroquine Toxicity

11min
pages 34-39

WEST FLORIDA

6min
pages 26-27

CENTRAL FLORIDA

7min
pages 28-29

COVID-19 and Multisystem Inflammatory Syndrome in Children (MIS-C

5min
pages 10-11

NORTH FLORIDA

5min
pages 24-25

EMRAF President’s Message By Dr. Matthew Beattie Medical Student Council

6min
pages 22-23

FCEP President’s Message

5min
pages 6-7

Government Affairs By Dr. Blake Buchanan

4min
pages 12-13

Daunting Diagnosis

2min
page 18

ACEP President’s Message

5min
pages 8-9

Congratulations, Emergency

4min
pages 20-21
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