Curriculum

Mentors: Michael Hocker, MD, MHS, John Villani, MD, PhD, Randy Best, MD

Objectives:

The resident who completes the Administrative Track will:

 

1. Gain a deep understanding of the administration of Duke Hospital's Emergency Department, including ED operations, quality assessment and improvement, human resources, finance, and legal aspects.
2. Understand the relationship of the Emergency Department to the hospital, the health care system, and the Durham community.
3. Be exposed to the administrative challenges of other ED practice settings outside of Duke.
4. Learn the academic and practical literature essential to ED administration.

 

Methods:

The resident in the Administrative Track will:

 

1. Choose a faculty mentor who has formal administrative responsibilities.
2. Be asked to serve as a resident representative to an Emergency Department operations committee and/or a hospital-level committee that has ED representation.
3. Be asked to serve alongside an EM faculty member who acts as an interdepartmental liaison with one of the other clinical services at Duke.
4. Complete several (minimum of 2) special projects assisted by ED administrative faculty and staff. Ideally these projects will address the three levels of ED administration: (a) internal ED operations, (b) the relationship between the ED and the hospital or health system, and (c) the impact of the ED on the community of Durham. See Attachment 2 for sample topics in ED administration.
5. Participate actively in the ongoing quality assessment/quality improvement activities of the Medical Director and other administrative staff.
6. Accompany ED leaders on "field trips" to community EM practices in the region to meet with ED medical directors and be exposed to a variety of administrative challenges and styles.
7. Attend at least one regional or national conference that addresses ED administrative issues.
8. Participate in directed reading and targeted administrative journal clubs with your resident and faculty colleagues in the Administrative Track.
9. Organize and lead one Morbidity and Mortality conference per year.

Duration: 2 ½ years

Advanced Education Opportunities:

Residents who anticipate academic administrative careers are strongly encouraged to attend at least one of the following meetings:

•  North Carolina ACEP resident board member (elected position). Attend Quarterly meetings in Greensboro, NC and annual June Jam in Myrtle Beach, SC.

•  CORD Navigating the Academic Waters conference held every January/February. www.cordem.org

•  ACEP Leadership and Advocacy conference held every May in Washington, DC. www.acep.org

•  ACEP Emergency Department Directors Academy held twice per year www.acep.org

 

Reading/Reference List:

Auerbach. Prescriptions for success in your business . The Free Press, 2002.

Babitsky Biggest Legal Mistakes Physicians Make and How to Avoid Them . 2005

Bitterman. EMTALA. Providing Emergency Care Under Federal Law ACEP. 2001/4

Felkey et al,. Health Care Infromatics: A Skills-Based Resource . 2006

Fisher et al,. Getting to Yes Negotiating Agreement Without Giving In. 1991

Rosen. Managing to get it right. Management Lessons from the ER . 1998

Salluzzo, Mayer et al., Emergency Department Management, Principles and Applications , Mosby, 1997.

Shelton. Measuring and improving patient satisfaction. Aspen 2000

Spitalnic, Eight: A Novel About Medical Malpractice on Trial . 2004

Weinstock, Bouncebacks! Emergency Department Cases: ED Returns , 2006

 

Attachment #1 Administrative Meetings

 

Chief's Advisory Meeting, 1 st Wednesday of month

ED Directors Meeting (Medical & Nursing Director), biweekly

ED GME, 2 nd Wednesday of Month

ED Information System Steering Committee, 3 rd Thursday of Month

ED Leadership Meeting, 4th Wednesday of Month

ED Patient Safety and Quality Meeting (PSCQ), 4 th Wednesday of Month