Research Assessment 3

Research Assessment #3:
Name: Sanjana Nellipunath
Date: September 30th, 2020
Subject: Pediatric Emergency Medicine
MLA Citation:
The Emergency Medicine Intern Survival Guide. 2017th–2018th ed., CMC Emergency
Department, 2017.
Assessment: What are the requirements in terms of internships and extra programs
outside of school that need to be done?
I chose to research this topic because internships and extra programs are really
important for a budding medical professional. This is where you actually get to implement
the skills you’ve developed over the years of studying and observing. Interns can actually
interact with patients and medical professionals and get first hand experience with the
healthcare system. Although as an intern, you’re at the very bottom of the food chain, this
can actually be a good thing because you can make mistakes and overcome them without
much risk to the rest of your career. However, I wanted to research what kind of internship
programs would be helpful for pediatric trauma, and I found out that there are actual
programs tailored to this career.
One program I found is provided by the Catholic Medical Center (CMC) emergency
department, which allows aspiring medical professionals to intern at their hospitals, and
they released a handbook for their interns to use as a guide. This guideline outlined the
different types of rotations that are available, and it also specifically addressed guidelines
for the emergency department. One interesting thing I saw in this section was that it
specifically advised to carry snacks around because this can be such a tiring job. When I
was in doing my clinical rotations in the ER for Health Science 2 last year, I was constantly
on my feet and I became very tired after a 3 hour shift, so I’m happily surprised that they
brought up this point because it is very important to take care of your own needs before
you take care of anyone else. Another thing I noticed was that at the end of the rotations,
interns have the ability to help medical students and they are moved to high levels. I
thought this was interesting because these programs really do allow for the student to have
free reign in their learning experience, and they are made sure to be challenged often so
they can get used to working as an actual professional. This is so important because
working in the profession takes a lot of practice and self application, which I think
internships are meant to be about. Lastly, I found they also mentioned that interns get to do
some of the cleaning and general housekeeping around the facility, which was very
important to add in because this job is not just all the exciting and stressful parts. Part of
the job is also to make sure that the equipment is working properly, and all the files are in
place because these small things really affect the productivity of work.
Overall, it was interesting to get insight into what an actual ER internship program
would look like, and learn what their expectations for students are. The little nuances of the
job, such as food, independent learning and cleaning really impact the experience you have
as an intern. These small things are really important to consider before you go into this
type of internship, and even the profession, because they make up a large portion of the
healthcare system.
Article:
Emergency Medicine Overview:
The reason why you chose to come here. You get to do four emergency medicine months
your first year in addition to your orientation month. Medical students rotate through the
ED throughout the year, but they report directly to attendings. However, if you enjoy
teaching then you are free to help out the medical students as you have time. We also have
mid-level providers (NP’s and PA’s) working in pediatrics, diag, and AEC. The MLPs are a
great source of information when you need help during shifts. The MLPs cover major while
we are in conference on Thursday, but otherwise you will not work with them during major
shifts. The department is very fast paced and will take some time to get used to, but always
take some time for yourself. There will always be patients on the board and in the waiting
room. We don’t expect you to starve or not take bathroom breaks during your shift. Do plan
to grab snacks/food from the cafeteria before your shift; there is not always time to leave
for food during a shift.
Order sets for Day 1: There is a 90% page on FirstNet that contains the 90% most
frequently used orders, all located on one page. You will also be able to save your personal
favorite order sets and medications. This list is so long and differs by personal preference
that it is best to find an upper level and have them help set up your favorites. ● Use “ED
ADULT” or “ED PEDS” for most order sets.
● ED Holding/Transition Orders (for bunny hops)
● Use ADULT PHARM for medication bundles (like code sepsis, PCA, etc.)
Schedule Interpretation As an intern you will be working primarily in the AEC and the Peds
ED, and will also spend a little time in Diag and Major. Your shifts will be 10 hours. Below
are the current shifts. Please note that in the A3 shift you start in AEC and move to Diag
when AEC shuts down at 1am, for a total of a 10 hour shift. Everyone’s schedules can be
seen on ShiftAdmin, and you can also trade shifts through this website.
● P1 (Peds): 09:00-19:00
● A1 (AEC): 11:00-21:00
● M1 (Major): 13:00-23:00
● A2 (AEC): 15:00-01:00
● P2 (Peds): 19:00-05:00
● D3 (Diag): Diag 21:00-0700
● Bump shifts: During your last month of ED as an intern, you will be assigned shifts
where you switch with an upper level and take their shift. Expect to have 2-5 bump shifts to
help you prepare for being a 2nd year. These are generally Diag shifts. During this month
you are expected to perform all 2nd year responsibilities, including stocking the ultrasound
machines prior to starting your shift. You are also expected to run traumas, front rooms,
and answer medic calls during your last month.

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Research Assessment #3:

Name: Sanjana Nellipunath

Date: September 30th, 2020

Subject: Pediatric Emergency Medicine

outside of school that need to be done?

programs tailored to this career.

for food during a shift.

ADULT” or “ED PEDS” for most order sets.

● ED Holding/Transition Orders (for bunny hops)

● D3 (Diag): Diag 21:00-0700

and answer medic calls during your last month.

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