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Evaluation of a PGY2 or PGY3 EM resident in the ED. To see the wording for each level please see below.

Emergency Stabilization: Prioritizes critical initial stabilization action and mobilizes hospital support services in the resuscitation of a critically ill or injured patient and reassesses after stabilizing intervention.*
 
 
Level 1: 
  • Performs at a graduating medical student level
  • Recognizes abnormal vital signs
Level 2: 
  • Performs at an intern level
  • Recognizes when a patient is unstable requiring immediate intervention
  • Performs a primary assessment on a critically ill or injured patient
  • Discerns relevant data to formulate a diagnostic impression and plan
Level 3: 
  • Performs at a senior resident level
  • Manages and prioritizes critically ill or injured patients
  • Prioritizes critical initial stabilization actions in the resuscitation of a critically ill or injured patient
  • Reassesses after implementing a stabilizing intervention
  • Evaluates the validity of a DNR order
Level 4:
  • Performs at a graduating senior/Attending level
  • Recognizes in a timely fashion when further clinical intervention is futile
  • Integrates hospital support services into a management strategy for a problematic stabilization situation
Level 5: 
  • Performs at a seasoned Attending level
  • Develops policies and protocols for the management and/or transfer of critically ill or injured patients
1
1.5
2
2.5
3
3.5
4
4.5
5
N/A
Diagnostic Studies: Applies the results of diagnostic testing based on the probability of disease and the likelihood of test results altering management.*
 
Level 1:
  • Performs at a graduating medical student level
  • Determines the necessity of diagnostic studies
level 2:
  • Performs at an intern level
  • Orders appropriate diagnostic studies
Level 3:
  • Performs at a senior resident level
  • Prioritizes essential testing
Level 4:
  • Performs at a graduating senior/Attending level
  • Uses diagnostic testing based on the pre-test probability of disease and the likelihood of test results altering management
Level 5:
  • Performs at a seasoned Attending level
  • Discriminates between subtle and/or conflicting diagnostic 
1
1.5
2
2.5
3
3.5
4
4.5
5
N/A
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