Principles of emergency medicine, including triage, resuscitation and stabilization, pre-hospital care, and emergency procedures are presented in a variety of venues, including didactic sessions and special projects. Special attention is paid to the timing of educational experiences to ensure that residents can fully benefit from clinical opportunities while assuming greater autonomy in patient care.
During the 3-year residency, emergency medicine residents will participate in 5 or more hours per week of planned classroom instruction. Residents are excused from department or rotational responsibilities whenever possible.
View Block Curriculum
Throughout the 3-year residency, special care is taken to allow adequate time for individual scholarly pursuits, family life and community involvement:
- Clinical assignments average less than 45 hours per week.
- Shifts are not scheduled longer than 9 hours.
- Night shifts are scheduled in short blocks of 4-5 shifts in a row at most.
Conferences, Grand Rounds & Research
Conferences are frequently case-oriented, Socratic sessions. All ED residents participate in the ED residency run Continuous Quality Improvement committee and lecture series.
The department also sponsors Journal Club, Morbidity and Mortality Conference, Grand Rounds, Core Content, and Simulated Case Management Conferences. In addition, each resident is required to participate in special projects including detailed literature reviews and the design of clinical research projects. Residents are given the opportunity to attend and often present a research project at one or more of the national specialty research meetings.
We have a very robust and active simulation program with an accredited simulation center at the hospital. Each resident is involved in several simulation scenarios every year.
Following a one-month orientation during which residents become familiar with departmental personnel and procedures, PG1 residents begin a year-long rotation through the following specialties: emergency medicine, medical intensive care, trauma, pediatrics, radiology, orthopedics, obstetrics and gynecology, anesthesiology, ophthalmology, and EMS. In the ED, PGY1 residents do 20 shifts a block.
- Emergency Medicine Orientation (4 wks)
- Emergency Medicine (12 wks)
- Medical Intensive Care Unit (4 wks)
- Cardiology Critical Care Unit (4 wks)
- Anesthesiology (4 wks)
- Pediatrics/Pediatric EM (8wks)
- Obstetrics & Gynecology (2 wks)
- Ortho/Ultrasound (4 wks)
- Trauma (4 wks)
- Optho/EMS (4 wks)
- Vacation (4 wks)
The second year of residency training includes specialty training in pediatric intensive care and surgical intensive care. Also, an elective is included to allow the resident to tailor their education to their needs. Progressive responsibilities in the emergency department are gained as the residents develop and improve their skills. Upper level EM residents manage all airways, direct major resuscitations, and perform invasive procedures. In the ED, PGY2 residents do 19 shifts per block.
- Emergency Medicine/Pedi Emergency Medicine (36 wks)
- Pediatric Intensive Care Unit (4 wks)
- Surgical Intensive Care Unit (4 wks)
- Elective (4wks)
- Vacation (4 wks)
Residents spend the majority of year three in emergency medicine. There is a one month local community EM rotation and one month of elective where international experiences are readily available. On an alternating basis, senior residents are designated as "trauma resident" with leadership participation in the initial management of all trauma patients. Senior residents are increasingly exposed to the administrative aspects of the EM department allowing for the opportunity to develop their leadership skills. In the ED, PGY 3 resident do 18 shifts per block.
- Emergency Medicine/Pedi Emergency Medicine (40 wks)
- Community Emergency Medicine (4 wks)
- Elective (4 wks)
- Vacation (4 wks)