UC Davis

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MyAntonia

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Can anyone who interviewed there or rotated there remember whether the ED can admit to any service without "asking" the target department? On the trail someone mentioned to me that Davis didn't have admitting privilege, but I didn't remember that.

Also, as much trauma as they see, anyone remember how they run their trauma, especially in terms of their relationship with T.surg? I seem to remember second year residents not really being involved unless rotating through Tsurg as resident, but it would be great to get some clarificaiton.

Thanks.
 
As of 2003 (getting more out of date all the time) UCD had a system where they would call the admitting service and if no one had seen the patient in 1 hour they would write admit orders and send the patient to the floor. The EM 3s do all airways in the ED including trauma. The Surg chiefs run the trauma under the EM attending or the Surg attending who ever is there at the time. The EM 2s don't have much direct involvement in coded trauma other than their trauma rotation. After the initial assessment the trauma 2 and the EM 3 cover all trauma patients as they wind their way through the radiology 2 step.

One thing I'll say having come out of this program is that you won't feel skimped on trauma. If anything I felt like the high trauma volume compared to staffing made me sometimes feel like I didn't get to see enough medical patients. There were many nights where I saw ~30 traumas and ony 2-3 medicals as the primary resident.
 
docB said:
As of 2003 (getting more out of date all the time) UCD had a system where they would call the admitting service and if no one had seen the patient in 1 hour they would write admit orders and send the patient to the floor. The EM 3s do all airways in the ED including trauma. The Surg chiefs run the trauma under the EM attending or the Surg attending who ever is there at the time. The EM 2s don't have much direct involvement in coded trauma other than their trauma rotation. After the initial assessment the trauma 2 and the EM 3 cover all trauma patients as they wind their way through the radiology 2 step.

One thing I'll say having come out of this program is that you won't feel skimped on trauma. If anything I felt like the high trauma volume compared to staffing made me sometimes feel like I didn't get to see enough medical patients. There were many nights where I saw ~30 traumas and ony 2-3 medicals as the primary resident.


Thanks docB, that was very helpful. I hope you don't mind, I sent you an PM because I had some additional questions.
 
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