HomeMy WebLinkAboutCity of Tamarac Resolution R-2021-118 TR 13679
October 13, 2021
Page 1
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. 2021-
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA, APPROVING THE
EXECUTION OF A FIVE (5) YEAR-TERM PROGRAM
LETTER OF AGREEMENT FOR EMERGENCY MEDICAL
SERVICES (EMS) PHYSICIAN RESIDENT INTERNSHIP
PROGRAM BETWEEN THE CITY OF TAMARAC AND
NORTH BROWARD HOSPITAL DISTRICT D/B/A/
BROWARD HEALTH TO ALLOW RESIDENT PHYSICIANS
TO RIDE ALONG ON CITY'S FIRE RESCUE VEHICLES AS
PART OF THE PHYSICIAN RESIDENT INTERNSHIP
PROGRAM FOR THE EMERGENCY ROOM PHYSICIAN
CERTIFICATION AND RECEIVE TRAINING FROM
TAMARAC FIRE RESCUE PERSONNEL WITH AN
EFFECTIVE DATE UPON EXECUTION BY ALL PARTIES
AND EFFECTIVE FOR A PERIOD OF FIVE (5) YEARS
FROM THE EXECUTION DATE, AUTHORIZING
APPROPRIATE CITY OFFICIALS TO EXECUTE THE
AGREEMENT FOR EMS PHYSICIAN RESIDENT
INTERNSHIP PROGRAM; PROVIDING FOR CONFLICTS;
PROVIDING FOR SEVERABILITY; AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, the City of Tamarac through the Fire Department provides
Emergency Medical Services (EMS) and Advanced Life Support (ALS) transport;
and
WHEREAS, the North Broward Hospital District D/B/A Broward Health
requires a Program Letter of Agreement (PLA) for its physician resident
internship program for emergency room physician certification to be executed
with participating agencies to ride along; and
TR13679
October 13, 2021
Page 2
WHEREAS, the North Broward Hospital District D/B/A Broward Health has
requested that the City of Tamarac allow resident physicians to ride along on the
City's Fire Rescue vehicles as part of the physician resident internship program
in order to gain the required experience needed to become an emergency room
certified physician; and
WHEREAS, the City's Acknowledgement of Responsibility to Maintain
Confidentiality of Medical Information, the Hold Harmless Agreement and the
PLA for EMS for Physician Resident Internship Program is attached hereto as
Exhibits A, B, and C respectively; and
WHEREAS, the PLA for EMS for Physician Resident Internship Program
also enables the City to have our personnel work side by side with a fully trained
physician to use as a sounding board for medical diagnosis and treatment
modalities; and
WHEREAS, the Fire Chief recommends the approval and execution of the
PLA for EMS Physician Resident Internship Program with the North Broward
Hospital District D/B/A Broward Health; and
WHEREAS, the City Commission of the City of Tamarac, Florida deems it
to be in the best interest of the citizens and residents of the City of Tamarac to
approve the PLA for EMS Physician Resident Internship Program with the North
Broward Hospital District D/B/A Broward Health to allow resident physicians to
ride on Tamarac Fire Rescue vehicles.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA:
TR13679
October 13, 2021
Page 3
SECTION 1 : The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution. All Exhibits attached hereto are expressly incorporated herein and
made a part hereof.
SECTION 2: That the Commission hereby approves the Program Letter of
Agreement for EMS Physician Resident Internship Program between the City of
Tamarac and the North Broward Hospital District D/B/A Broward Health to allow
physician residents to ride on City Fire Rescue vehicles as part of the Physician
Resident Internship Program. The appropriate City Officials are hereby
authorized to execute the North Broward Hospital District D/B/A Broward Health
Physician Letter of Agreement for Physician Resident Internship Program
(attached hereto as Exhibit C) for a five (5) year term and effective upon
execution of the Agreement.
SECTION 3: That all Resolutions or parts of Resolutions in conflict herewith
are hereby repealed to the extent of such conflict.
SECTION 4: If any clause, section, other part or application of this
Resolution is held by any court of competent jurisdiction to be unconstitutional or
invalid, in part or application, it shall not affect the validity of the remaining portions
or applications of this Resolution.
SECTION 5: This Resolution shall become effective immediately upon its
passage and adoption.
TR13679
October 13, 2021
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PASSED, ADOPTED AND APPROVED this 1 .` day of Tea , 2021.
//
MICHELLE GOMEZ, 2
MAYOR
ATTEST:
(..-0,2---37/' ----- 1.....e__-------_
,JE IFER JCdHNSO_ CMC
CITY CLERK
RECORD OF COMMISSION VOTE:
MAYOR GOMEZ 3E3
DIST 1: COMM. BOLTONT
DIST 2: COMM. GELIN S
DIST 3: VIM VILLALOBOS 5
DIST 4: COMM. PLACKO S
I HEREBY CERTIFY that I
have approved this
RESOLUTION as to form.
O ERIN JR
ITY ATTORNEY
TA RAC
The City For Your Life
CITY OF TAMARAC
ACKNOWLEDGMENT OF RESPONSIBILITY
TO MAINTAIN CONFIDENTIALITY OF MEDICAL INFORMATION
By virtue of your internship program or other association with the City of Tamarac, you
may need to know and, therefore, may be informed of certain patient medical
information that is necessary to perform your assigned duties.
State law, and in some instances federal law, mandates that personal information and
protected health information ("medical information") be kept confidential unless the
patient gives specific written authorization or unless compelled by court order or
subpoena, when certain conditions are met for release of medical information.
By signing this form, you acknowledge that you must maintain as confidential all
medical information regarding any patient which you obtain in conjunction with your
internship duties and responsibilities, and you further acknowledge that you may not
disseminate this medical information to or discuss the medical condition of a patient with
any person except those persons directly necessary to the performance of your duties
and responsibilities.
Breach of this confidentiality may result in monetary liability, civil, and/or criminal
penalties imposed by law, and shall subject interns to discipline up to and including
dismissal for violation of City rules.
Print Name of Student:
First MI Last Suffix
Signature of Student:
Date:
Received by: on
(Name) (Date)
For internal use only:
Date Received:
Recipient:
HIPAA Form
TAMARAC
The City For Your Life
CITY OF TAMARAC
FIRE RESCUE DEPARTMENT
HOLD HARMLESS AGREEMENT
IN CONSIDERATION of the permission I have been granted to accompany one or more agents
of the City of Tamarac Fire Rescue Department, Tamarac, Florida, a municipal corporation, in the
course of his or her duty I, the undersigned, do by these presents release the City of Tamarac
and its Fire Rescue agents, public officials, servants and employees of the City of Tamarac from
any and all liability, claims, demands, actions and causes of action resulting from any and all
damage to me or my property, injuries, illnesses, or my death, arising out of or relating to any
happening or occurrence while I am accompanying any agent of Tamarac Fire Rescue on duty,
or incidental thereto, and for the same consideration, I promise to release and forever hold each
of them harmless from any such liability, claims, demands, illnesses, actions or causes of action.
The terms of this Agreement shall be in full force and effect on the date hereof and on any other
occasion hereafter when I accompany City of Tamarac agents.
I have read and understand the conditions of this program as stated above, and hereby
voluntarily assume all risks of loss, damage, injury or illnesses to me or my property, including
death, which may be sustained while a passenger of the City vehicle or incidental to
accompanying one or more City of Tamarac Fire Rescue agents while on duty.
This Release and Agreement shall be binding upon me and my heirs, executors, administrators,
personal representatives and assigns, and shall inure to the benefit of the said City, agents,
public officials and any person herein designated, and their heirs, executors, administrators,
personal representatives, assigns and successors in office.
Dated this day of 20
Print Name Signature
FOR DEPARTMENTAL USE
Citizen Assigned To:
Date Civilian Rode: Shift:
Shift Supervisor's Signature:
Hold Harmless.doc
{00182015.1 2704-0501640}
DocuSign Envelope ID: F8632393-312E-4B1C-8402-6B845B03AEC8 TR 13679 - EXHIBIT C
PROGRAM LETTER OF AGREEMENT
BETWEEN
NORTH BROWARD HOSPITAL DISTRICT
D/B/A BROWARD HEALTH
AND
CITY OF TAMARAC
THIS PROGRAM LETTER OF AGREEMENT("PLA"),is entered into by and between NORTH
BROWARD HOSPITAL DISTRICT DB/A BROWARD HEALTH, a special taxing district of the State
of Florida ("Broward Health"), and City of Tamarac through its Fire Rescue Department ("Participating
Site"),to be effective as of September 2,2021 or upon the date of the last signature of the parties to this PLA,
whichever date is later(the"Effective Date").
This PLA, pursuant to the requirements of the Accreditation Council for Graduate Medical Education
("ACGME") provides the details on faculty, supervision, evaluation, educational content, length of
assignment, and the policy and procedures for each required assignment of Broward Health's physician
residents and fellows(individually,a"Resident"and collectively,"Residents")that occurs outside of Broward
Health.Accordingly,the parties to this PLA agree as follows:
1. Persons Responsible for Education and Supervision
At Broward Health: Program Director: Kevin Boehm,D.O.
At Participating Site: Site Director: Benny Menendez,M.D.
The above-mentioned individuals are responsible for the education and supervision of the Residents
while rotating at Participating Site.
2. Responsibilities
The faculty at Participating Site must provide appropriate supervision of Residents in patient care
activities and maintain a learning environment conducive to educating the Residents in the ACGME
competency areas. The faculty must evaluate resident performance in a timely manner during each
rotation or similar educational assignment and document this evaluation at completion of the
assignment.
3. Content and Duration of the Educational Experiences
The content of the educational experiences has been developed according to ACGME Residency
Program Requirements, and include the goals and objectives outlined in Exhibit A attached hereto
and incorporated herein by reference.
In cooperation with the Program Director, Site Director and the faculty at Participating Site are
responsible for the day-to-day activities of the Residents to ensure that the outlined goals and
objectives are met during the course of the educational experiences at Participating Site.
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The duration(s)of the assignment(s)to Participating Site is(are): four(4)weeks,PGY-1
4. Policies and Procedures that Govern Resident Education
Residents will be under the general direction of Broward Health's Graduate Medical Education
Committee's Residency Program's Policy and Procedure Manual, Broward Health's policies
related to the Compliance Program, Broward Health's Policies and Procedures Manual, and
Participating Site's policies which apply to the educational experience of the Residents.
5. Term and Termination
The term of this PLA shall be effective as of the Effective Date and shall continue in full force and
effect for a period of five(5)years from the Effective Date,unless otherwise terminated as provided
herein(the"Term").
Either party may terminate this PLA without cause upon ninety(90)days prior written notice to the
other party or upon completion of the then-current academic year,whichever date is longer.
This PLA may be terminated by either party for cause. For purposes of this PLA, "cause" shall
mean any act or omission of either party which is contrary to the other's business interests,
reputation, or good will, or for any material breach of this PLA, and failure to cure such breach
within fifteen(15) days following written notice of such breach. Notwithstanding the foregoing, if
Broward Health or Participating Site seek to terminate this PLA for cause, and either party
determines in its sole discretion that the event giving rise to the "cause" termination cannot be
remedied or cured, then no cure period will be provided and Broward Health or Participating Site
may immediately terminate this PLA.
In the event this PLA is terminated early for any reason, the parties shall continue to perform their
respective obligations pursuant to the terms hereof with regard to any current Residents rotating at
the Participating Site until the such Residents complete their respective rotation;provided,however,
that Broward Health may immediately terminate this PLA if Broward Health determines, in its sole
discretion,that Resident rotations at the Participating Site pose a direct threat to the health or safety
of the Residents or others, or if Broward Health believes, in its sole discretion, that continuing
Resident rotations at the Participating Site is not in the best interest of Broward Health or Broward
Health's Residents.
6. Salary and Benefits
Both parties understand and agree that the Residents' salaries and fringe benefits (including travel
and lodging where applicable)shall be paid by Broward Health during the time the Residents' rotate
at the Participating Site.
7. Participating Site's Representations and Warranties
Participating Site hereby represents and warrants to Broward Health that:
a. Neither Participating Site nor Participating Site's principals,employees,representatives,agents,
assistants, associates, and subcontractors (individually, "Employee" and collectively,
"Employees"), nor the immediate family of Participating Site or Employee has a compensation
arrangement of any kind with Broward Health. For purposes of this subsection, the term
"immediate family" shall include a spouse, natural or adoptive parent, child or sibling,
stepparent, stepchild, stepbrother or stepsister, father-in-law, mother-in-law, grandparent,
grandchild or spouse of a grandparent or grandchild. For purposes of this subsection,
compensation shall be defined as any type of remuneration directly or indirectly, overtly or
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covertly,paid in cash or in kind. The Corporate Compliance Office and the General Counsel's
Office of Broward Health are authorized,in their sole discretion,to waive this requirement upon
a showing of good cause and a demonstration that such waiver does not violate any applicable
Federal or State statute,rule or regulation.
b. Neither Participating Site nor any Employees have been indicted for,charged with,or convicted
of:(i)a felony offense,including a felony offense for which revocation of enrollment and billing
privileges in the Medicare program is authorized under 42 C.F.R. §424.535;(ii)a misdemeanor
or felony offense related to the delivery of health care services; (iii) a misdemeanor or felony
offense related to the practice of medicine; (iv) a crime of moral turpitude; (v) a misdemeanor
or felony offense related to Participating Site's or any Employee's conduct as an employee of a
public entity; or(vi) a misdemeanor or felony offense within the scope of 42 U.S.0 § 1320a—
7(a).
c. Neither Participating Site nor any Employees are undergoing any type of audit or are under
investigation by a public or private, state, or regulatory body or auditing entity at the time of
entering into or extending this PLA.
d. Participating Site and its Employees have not engaged in,and during the Term of this PLA shall
not engage in,any activities prohibited under the federal anti-kickback laws (42 U.S.C. 1320a-
7, 1320a-7a, 1320a-7b), the regulations promulgated pursuant to such federal statutes, related
state or local statutes or regulations,or rules of professional conduct.
e. Neither Participating Site nor any Employees are or have been excluded, debarred, suspended,
or has been otherwise determined to be, or identified as, ineligible to participate (including
revocation of enrollment and billing privileges) in any Federal or State Health Care Program,
including but not limited to,the Medicare and Medicaid Programs,nor has Participating Site or
any Employees received notice that he or she is to be excluded,debarred,suspended or otherwise
determined to be, or identified as, ineligible to participate (including revocation of enrollment
and billing privileges) in any Federal or State Health Care Program. Neither Participating Site
nor any Employees further have received any information or notice, or has become aware, by
any means or methods, that Participating Site or any Employees are the subject of any
investigation or review regarding Participating Site's or any Employees' participation in any
Federal or State Health Care Program or is subject to investigation related to his or her conduct
as an employee of a public entity.
f. Participating Site shall, prior to and during the Term of this PLA, conduct periodic reviews of
all Employees, including any officers, directors and persons or entities with any ownership
interest in Participating Site, to ensure that no Employee has been debarred, disqualified,
excluded,suspended,or is otherwise ineligible to participate in any federal health care program
("Exclusion Checks").If Participating Site fails to perform Exclusion Checks or otherwise fails
to prevent or permits an Employee who has been debarred, disqualified, excluded, suspended,
or who is ineligible to participate in any federal health care program,to perform any services or
obligations under this PLA, Broward Health may terminate this PLA for cause.This subsection
f. shall survive the expiration or termination of this PLA.
g. Participating Site shall provide the names and any other information requested by Broward
Health of any and all Employees who will be performing any services or obligations pursuant to
this PLA.The Participating Site's use of any Employee is subject to the prior written consent of
Broward Health,in its sole discretion.
h. Participating Site has not employed or retained any company or person, other than a bona fide
employee working solely for Participating Site, to solicit or secure this PLA and that it has not
paid or agreed to pay any person, company, corporation, individual or firm, other than a bona
fide employee working solely for Participating Site, any fee, commission, percentage, gift or
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other consideration contingent upon or resulting from the award or making of this PLA. For a
breach or violation of this provision,Broward Health shall have the right to terminate this PLA
without liability at its discretion,or to deduct from the PLA price or otherwise recover the fully
amount of such fee,commission,percentage,gift or consideration.
i. Participating Site agrees to notify Broward Health in writing immediately,but in no event more
than one(1)business day,after it becomes actually aware(or should have been aware)that any
of the foregoing warranties has changed.
j. Participating Site acknowledges and understands that the failure to comply with the foregoing
constitutes a material breach of this PLA and that Broward Health may determine, in its sole
discretion and notwithstanding any other provision of this PLA to the contrary,that the material
breach may be not able to be cured. In such event,Broward Health may immediately terminate
this PLA.
8. Public Records
In order to comply with Florida's public records laws, Broward Health and the Participating Site
shall:
a. Keep and maintain public records required by either party to perform the Services required under
this PLA.
b. Upon request from either party's custodian of public records,provide the other party with a copy
of any requested public records or to allow the requested public records to be inspected or copied
within a reasonable time at a cost that does not exceed the cost provided in Chapter 119,Florida
Statutes,or as otherwise provided by law.
c. Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the
PLA's term and following completion of the PLA if both parties do not transfer their public
records to each other.
d. Upon completion of the PLA, transfer, at no cost to the other party, all public records in
possession of either party or keep and maintain public records required by either party to perform
the services required under the PLA.
e. If either party transfers all public records to the other party upon completion of the PLA, the
party conveying the records shall destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements.
f. If both parties keep and maintain public records upon completion of the PLA,both parties shall
meet all applicable requirements for retaining public records.
g. All records stored electronically must be provided to the other party,upon request from the other
party's custodian of public records, in a format that is compatible with the other party's
information technology systems.
IF THE PARTICIPATING SITE HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
PARTICIPATING SITE'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF
PUBLIC RECORDS AT (954) 473-7303,
PUBLICRECORDSREQUEST@BROWARDHEALTH.ORG, OR
NORTH BROWARD HOSPITAL DISTRICT D/B/A BROWARD
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HEALTH, 1800 NW 49TH STREET, FORT LAUDERDALE, FL 33309.
IF BROWARD HEALTH HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
BROWARD HEALTH'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF
PUBLIC RECORDS AT (954) 597-3505,
CITYCLERK@TAMARAC.ORG , OR CITY CLERK, 7525 NW 88TH
AVENUE, ROOM 101, TAMARAC, FL 33321
9. Compliance Education
Each party agrees that if it provides patient care items or services or performs billing or coding
functions on behalf of Broward Health under this PLA, it shall complete at least one (1) hour of
training regarding the Anti-Kickback Statute and the Stark Law in accordance with the training plan
of Broward Health under the Corporate Integrity PLA, effective as of August 31, 2015 between
Broward Health and the Office of Inspector General of the United States Department of Health and
Human Services. By executing this PLA, each party certifies that it shall not violate the Anti-
Kickback Statute or the Stark Law, as applicable with respect to their performance of this PLA.
Broward Health shall provide each party to this PLA with a copy of its Code of Conduct and Stark
Law and Anti-Kickback Statute Policies and Procedures.
10. Sovereign Immunity
The parties to this Contract are agencies or subdivisions of the State of Florida per the provisions of
§768.28,Florida Statute. Each party maintains its own insurance program. Each party is insured up
to its legal limits of liability. As agencies or subdivisions of the State of Florida the parties are
entitled to sovereign immunity, and thus each party agrees to be liable to the limits as set forth in
§768.28,F.S.,for its independent acts of negligence or omissions or intentional tortious acts which
result in claims or suits against it, and agrees to be liable to the limits set forth in §768.28,F.S., for
any damages proximately caused by said acts or omissions. Resident will be entitled to the
protection of sovereign immunity pursuant to Section 768.28, Florida Statutes, from claims filed
during or after Resident's completion of the Residency Program if the alleged acts or omissions of
Resident are within the course and scope of Resident's duties, as part of the Residency Program,
when acting at Participating Site. Nothing herein shall be construed as consent by either party to be
sued by third parties in any matter arising out of any contract. Nothing herein shall create or be
construed to create an employer-employee, agency, joint venture, or partnership relationship
between the parties.Nothing in this section is intended to alter or waive either party's entitlement to
statutory or common law sovereign immunity,or to extend either party's liability beyond the limits
established in section §768.28,Florida Statutes, as amended.
11. Governing Law
This PLA shall be interpreted,construed and enforced pursuant to and in accordance with,the laws
of the State of Florida without regard to its conflict of laws principles. All disputes directly or
indirectly related to this PLA shall be litigated solely within the state and federal courts with
jurisdiction in Broward County, Florida and no other place, and Participating Site and Broward
Health hereby agree to waive any jurisdictional, venue, or inconvenient forum objections to such
courts.
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12. Counterparts
This PLA may be executed in one or more counterparts, each of which when so executed and
delivered(whether by facsimile,e-mail,or other electronic means)shall be deemed to be an original,
and all of which taken together shall constitute one and the same instrument. A facsimile,PDF,or
other electronic signature shall create a valid and binding obligation of the party executing (or on
whose behalf such signature is executed),and shall be deemed an original signature for all purposes
under this Agreement.
13. Master List of Contracts
Participating Site or some or all of the physicians of the Participating Site may have other contractual
arrangements with Broward Health to provide services to Broward Health. Broward Health
maintains a master list of contracts("Master List")that is maintained and updated centrally and that
is available for review by the Secretary of the U.S.Department of Health and Human Services. Such
Master List includes any and all other contracts the Participating Site or any physician at the
Participating Site has with Broward Health. This PLA shall be maintained within the Master List
along with all the other contracts Broward Health has with Participating Site or the physicians of the
Participating Site.
Signature Page Follows
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IN WITNESS WHEREOF, the parties hereto have executed this Program Letter of Agreement on
the dates set forth below to be effective as of the Effective Date. By executing this Program Letter of
Agreement,each party certifies that it will not violate the Anti-Kickback Statute or the Stark Law with respect
to such party's performance of its obligations under this Program Letter of Agreement.
BROWARD HEALTH PARTICIPATING SITE
North Broward Hospital District, City of Tamarac
d/b/a Broward Health
e—DocuSigned by:
By. 38F2M11DF141{]F... By:
Alex Fernandez Kath een Gunn, Interim C. Manager
SVP, Chief Financial Officer
9/21/2021
Date: Date: It,— 1 S O d'I
By: K )ehm,D0(Sep 21,2021 14:44 EDT)
Kevin Boehm,D.O.
Program Director of Emergency Medicine,
Broward Health
Date: 9/21/2021
Pats.�
A' IS, DASTG LEGAL For
By: pow
Patricia Rowe-King,M.D. r.
f-Veit ` s ;M1;1T & " 'NEY
Designated Institutional Officer
Broward Health
Date: 9/21/2021
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Exhibit A
Goals and Objectives
Emergency Medicine Residency
PGY-1 Emergency Medical Services Rotation
Location:Broward Health North/EMS Unit
Goals
Develop a solid, working knowledge of the pre-hospital system that includes but is not limited to:
• Common organizational structures of EMS
• Principles of pre-hospital triage and patient care
• Essential elements of disaster management
Educational Objectives
At the end of the rotation,the resident is expected to achieve competency in all the non-milestone-
based objectives and achieve at least a level 2 (defined as advancing and demonstrating additional
milestones but is not yet performing at a mid-residency level) for all milestones.
Patient Care
Non-Milestone Objectives
1. Review the results of problem-focused and physical examination as performed by the pre-
hospital care provider and describe the limitations of the history and physical examination as
obtained in the prehospital environment.
2. Discuss the importance of gathering information about the patient presentation (specifically
about environmental factors and scene clues)that may only be available from the prehospital
care provider.
3. Demonstrate the ability to use information from the pre-hospital provider to initiate urgent
treatment in patients prior to arrival in the ED.
❖ Assessment Method: Direct Observation,rotation evaluations,procedure logs
Medical Knowledge
Non-Milestone Objectives
1. Describe the roles of pre-hospital care providers and the differences between basic and
advanced life support prehospital care providers.
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2. Describe the roles of the administrators and committees in the local system,particularly those
related to field supervision, quality management processes and protocol development.
3. Describe the roles of each component of the system in a mass casualty incident.
4. Demonstrate an understanding of the environment, mechanisms, treatment options, radio
protocol and problems associated with the EMS system, including helicopter transport.
❖ Assessment Method: Direct observation, rotation evaluations
System-Based Practice
Non-Milestone Objectives
1. Demonstrate the ability to function as an integral part of the EMS system.
2. Recognize the role of the pre-hospital care provider as a link in the continuum of emergency
medical care a patient receives prior to presentation to the ED.
3. Demonstrate an understanding of the administrative hierarchy and structure of the EMS
system.
4. Describe the basic elements of disaster and multiple casualty incident planning, drills and
emergency responses by attending classes, administrative meetings, drills, incidents and
incident evaluation sessions under the supervision of the appropriate EMS personnel and BH
EM Faculty.
5. Demonstrate familiarity with system operations including:
• Patient care protocols
• Medical control, system quality assurance, and skill maintenance
• Transport vehicles
• EMS administration and quality assurance methods.
❖ Assessment Method: Direct observation,rotation evaluations
Milestone Objectives
A. Patient Safety
Level 1:Adheres to standards for maintenance of safe working environment.Describe medical errors
and adverse events.
Level 2: Routinely uses basic patient safety practices, such as time-outs and `calls for help'
❖ Assessment Method: Direct observation,rotation evaluation
Practice-Base Learning and Improvement
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Non-Milestone Objectives
1. Demonstrate familiarity with the educational resources available and able to locate resources
pertaining to the provision of pre-hospital care and governmental policies regulating such
care and oversight of EMS systems.
2. Demonstrate the ability to form a focused clinical question and use the available resources to
develop a prehospital CQUPI project.
3. Perform an evidence-based review of one of the EMS system's medical treatment protocols.
4. Demonstrate the ability to provide initial Basic Life Support (BLS) and stabilization
techniques in the field both for the ambulance and helicopter services.
5. Demonstrate familiarity with the communication system, radio configuration, dispatch, and
communication protocols
❖ Assessment Method: Direct observation,rotation evaluations, procedure logs
A. Practice-based Performance Improvement
Level 1: Describes basic principles of evidence-based medicine.
Level 2: Performs patient follow-up.
❖ Assessment Method: Direct observation, rotation evaluation
Professionalism
Non-Milestone Objectives
1. Describe the role of the EM physician and the pre-hospital care provider as an advocate for
the patient.
2. Demonstrate an understanding of the ethical principles pertaining to provision or withholding
of clinical care, confidentiality of patient information, informed consent, and business
practices in the pre-hospital environment.
3. Provide patient care that incorporates sensitivity to the patient's age, ethnic, and social
background and how these factors influence the goals of care.
❖ Assessment Method: Direct observation,rotation evaluations, procedure logs
Milestone Objectives
A. Professional values
Level 1: Demonstrates behavior that conveys caring, honesty, genuine interest and tolerance when
interacting with a diverse population of patients and families.
Level 2: Demonstrates an understanding of the importance of compassion, integrity, respect,
sensitivity and responsiveness and exhibits these attitudes consistently in common/uncomplicated
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DocuSign Envelope ID: F8632393-312E-4B1C-8402-6B845B03AEC8
situations and with diverse populations.
❖ Assessment Method: Direct observation,rotation evaluation
B. Accountability
Level 1: Demonstrates basic professional responsibilities such as timely reporting for duty,
appropriate dress/grooming, rested and ready to work, delivery of patient care as a functional
physician. Maintain patient confidentiality. Uses social media ethically and responsibly. Adheres to
professional responsibilities, such as conference attendance, timely chart completion, duty hour
reporting,procedure reporting.
Level 2: Identifies basic principles of physician wellness, including sleep hygiene. Consistently
recognizes limits of knowledge in common and frequent clinical situations and asks for assistance.
Demonstrates knowledge of alertness management and fatigue mitigation principles.
❖ Assessment Method: Direct observation,rotation evaluation
Interpersonal and Communication Skills
Non-Milestone Objectives
1. Describe how to gather information efficiently from pre-hospital care providers.
2. Effectively and professionally interact with other members of the pre-hospital care team.
3. Demonstrate the ability to develop a professional relationship with pre-hospital care
providers in order to maximize information exchange and provide a smooth transition of
patient care from the pre-hospital to the inpatient and ED hospital environments.
❖ Assessment Method: Direct observation, rotation evaluation
Milestone Objectives
A. Patient Centered Communication
Level 1: Establishes rapport with and demonstrate empathy toward patients and their families.
Listens effectively to patients and their families.
Level 2: Elicits patients' reasons for seeking care and expectations from the ED visit. Negotiates
and manages simple patient/family-related conflicts.
❖ Assessment Method: Direct observation,rotation evaluation
B. Team Management
Level 1: Participates as a member of a patient care team.
Level 2: Communicates pertinent information to emergency physicians and other health colleagues.
❖ Assessment Method: Direct observation, rotation evaluation
Rotation Experience
EM-1 Year, 1 block(4 Week)
The resident will spend 36 hours or 3 shifts per week riding along with Fire/EMS.
Description of Didactic Experience
The resident will be expected to attend EM weekly didactic series during this rotation.
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Evaluation Process
At the time of completion of the rotation,the preceptor will submit a formal evaluation of the rotation.
Feedback Mechanism
Direct feedback from attending physicians, as well as a written formatted rotation evaluation.
Residents will also receive feedback on their rotation performance at their semi-annual evaluation.
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