Emergency Room Consult Service

Transcript

• 00:04Hi. I'm Wayne Zong of
• 00:05PGY three, currently on the
• 00:07emergency room console resident rotation.
• 00:09So in the emergency room,
• 00:10I'm responsible for all of
• 00:12the emergency room stroke codes,
• 00:14also other acute neurological issues
• 00:15such as head leads and
• 00:16seizures.
• 00:17We also answer any of
• 00:19the other consults that come
• 00:20through ranging from numbness, weakness,
• 00:22headache, to serve for GBS,
• 00:24my CPA exam. The rotation
• 00:25is probably the busiest of
• 00:27all of the inpatient rotations
• 00:28that we do, but it's
• 00:29also the most rewarding. We
• 00:30see all the stuff by
• 00:32ourselves and also with help,
• 00:33throughout the day. We see
• 00:35the brand new presentations of
• 00:37x y z, we cleage
• 00:38ourselves, and we staff. So
• 00:39we staff with our general
• 00:41residents, we staff with different
• 00:42attendings. There's always someone to
• 00:44ask questions for.
• 00:46So this rotation timeline wise,
• 00:48you're only going to be
• 00:49doing the PGY two and
• 00:50PGY three. The start of
• 00:51PGY two, they ease you
• 00:53into it with more supervision,
• 00:55you're helped along, and then
• 00:56you see more of the
• 00:57CED rotations along the latter
• 00:59half of your second half
• 01:00year coming into the middle
• 01:01part of the third year
• 01:03and then by the time
• 01:03you're fourth year you're all
• 01:04done, but you'll be actually
• 01:05the one staffing these consults.
• 01:07So junior residents like me
• 01:09will call the senior resident
• 01:10to staff. So the biggest
• 01:11takeaway is that this rotation
• 01:13is where you start to
• 01:14train as a full on
• 01:15neurologist.
• 01:16Since you see everything by
• 01:18yourself, you are triaging it,
• 01:19you are building your own
• 01:20differential, you're learning how to
• 01:22take a good history, learning
• 01:24how to take, not only
• 01:25a full physical exam, but
• 01:27more detailed and focused exam
• 01:29for those specific issues.
• 01:30And as you come out
• 01:31of it, you realize how
• 01:33much you've learned over the
• 01:34last one to two years.