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Evaluation

Scientific Assembly

AAEM/RSA Track Session

Session: AAEM/RSA Track III

From the Ivory Tower to the "Outside Hospital"

Tuesday, April 30, 2024
3:00pm - 3:20pm CT
Location: Room 303 - Level 3
CE: 0.25 Credits
Rural / Community AAEM/RSA Recorded Session

    Speaker(s)

  • Sawali Sudarshan, MD PhD FAAEM

    Assistant Professor
    George Washington University School of Medicine and Health Sciences
    Washington, District of Columbia

    Disclosure(s): No financial relationships to disclose

Residents often train at Level 1 Trauma centers, surrounded by attendings, consultants, and non-stop action. You got a facial fracture? The question isn't whether to consult, it's to whom. ENT? OMFS? Plastics? Throw ophtho a bone if it's Thursday from 9-noon?
But now you've graduated. Welcome to the community! Where we consult...well, private-practice attendings. You need peds, trauma, or burn? Transfer. Derm? Haha. Think again. No one's got that. Ortho? Yes, but they're in clinic, and does your patient have insurance?
Once you leave the ivory tower, all bets are off. In this session, we're in the community. Learn who to call and when. Take the plunge into slightly shady discharges. Punt like a champ. "Hello? This is outside hospital calling for a STAT transfer....."

Learning Objectives:

  • Describe the differences in resources between community versus academic EM settings
  • Analyze when to discharge, when to consult, and when to transfer based on community practices
  • Develop an approach to safe patient disposition based on consult and resource availability
  • Describe the differences in resources between community versus academic EM settings