About
Located adjacent to the emergency department with 16 beds, the CDU provides an alternative for patients in need of intermediate care who don’t require inpatient hospital admission.
Since the inception of observation medicine in the 1970s, the number of admitted patients under observation status has steadily increased from about 10% to more than 40%. These patients can be effectively managed in an observation unit like our CDU, where we are able to provide expedited, safe and cost-effective care when compared to inpatient admission.
Conditions we most commonly diagnose and treat include the following:
- Abdominal pain
- Acute gastroenteritis
- Acute renal colic
- Anemia
- Asthma
- Atrial fibrillation
- Chest pain
- Congestive heart failure
- Dehydration
- Pneumonia
- Pyelonephritis
- Syncope and collapse
Our team takes a multidisciplinary approach, and we collaborate with nursing staff, social workers, physical therapists and other specialists to achieve the best outcomes in a short period of time — usually less than 23 hours.
Mission
Our mission is to provide timely, comprehensive, cost effective and compassionate care to patients under observation status by optimal resource utilization.
Education
For medical students and residents interested in a career in observation medicine, we recommend checking out the Society of Academic Emergency Medicine (SAEM)’s observation medicine interest group. We also encourage physicians to attend conferences, like those held by the Michigan College of Emergency Physicians and the Center for Emergency Medical Education.
- Graff LG. Observation Medicine. 1993, Boston: Andover Medical Publishers, Inc.
- Mace SE (editor): Observation Medicine: Principles and Protocols, 2017, Cambridge UK. Cambridge University Press.
- Baugh CW, Graff L. Observation Medicine and Clinical Decision Units. In Walls R, Hockberger R, Gausche-Hill M, eds. Rosen's
- Emergency Medicine: Concepts And Clinical Practice, Philadelphia, PA: Elsevier; 2018.
- Peacock W. Short Stay Management of Heart Failure. Philadelphia, PA: Lippincot Williams & Wilkins; 2006.
- Peacock WF, Cannon CP. Short Stay Management of Chest Pain. New York, NY: Humana; 2009.
- Peacock WF. Short Stay Management of Acute Heart F Humana; 2012. Emergency Medicine Clinics of North America, August 2017, volume 35, number 3 Observation medicine education textbook chapters
- Pena ME. Training and education - medical students/fellows. In: Mace SE (ed): Observation Medicine: Principles and Protocols, 2017, Cambridge UK. Cambridge University Press, chapter 15, pp. 68-69.
- Suri P. Training and Education – residents. In Observation Medicine. In: Mace SE (ed): Observation Medicine: Principles and Protocols, 2017, Cambridge UK. Cambridge University Press, chapter 14, pp. 66-67.
Faculty
Taruna Aurora, MD
Assistant Professor Enterprise Medical Director of UM and Physician Advisor Services
Taruna Aurora, MD
Assistant Professor Enterprise Medical Director of UM and Physician Advisor Services
Division of Observation Medicine
Clinical Decision Unit Co-Director
Email: taruna.aurora@vcuhealth.org
Megan Donohue, M.D., MPH
Assistant Professor
Leticia Flores, MD
Assistant Professor
Rebecca Goodwin, MD
Assistant Professor
Rebecca Goodwin, MD
Assistant Professor
Division of Observation Medicine
Pawan Suri, MD
Associate Professor
Pawan Suri, MD
Associate Professor
Division of Observation Medicine
Division of Observation Medicine Chair
Email: pawan.suri@vcuhealth.org
Christina Vitto, MD
Assistant Professor
Christina Vitto, MD
Assistant Professor
Emergency Medicine
EM-IM Residency Program Director