The training program consists of didactic instruction, supervised clinical experience, and structured administrative and laboratory experience designed around a core curriculum to prepare the graduate to be able to successfully challenge the examination for certification of the American Board of Emergency Medicine. The resident is evaluated formally by one-on-one observations of patient care, standardized oral exams, patient surveys, MD Challenger Assessments, regular in-service examinations, and supervising faculty to ensure the trainee's progress.
The core curriculum is based on the model of the clinical practice of emergency medicine as adopted by ABEM, ACEP, SAEM, CORD, RRC-EM and EMRA. The curriculum has been organized into an itemized list of clinical disorders, administrative entities, and physician skills with which the graduating resident should be familiar. Five hours of didactic conference are presented weekly with approximately 2/3 involving model topics. In addition, trauma conference, Journal Club and case conferences are presented. Residents are also certified in Advanced Cardiac Life Support (ACS), Advanced Trauma Life Support (ATLS), Advanced Pediatric Life Support (APLS), Advanced Wound Management, and participate in surgical procedures lab. MD Challenger, a comprehensive review of emergency medicine, is provided.
First year residents spend 5 months in the emergency department and for 8 months, they experience a variety of off-service rotations to learn the basic principles and practice of medicine in ward and clinic services (Medicine ICU, Surgery ICU, Toxicology, Ob/Gyn, Ophthalmology, Orthopedics, Anesthesia). They are given the opportunity to make decisions, think through problems, formulate diagnoses, and present their cases to supervisors. For residents with prior training, the curriculum can be adjusted to individually accommodate their level of experience.
Second year residents spend most of their time in the emergency department, and are given the title of senior resident. They are expected to begin teaching junior residents in addition to seeing patients. The second year resident will also spend months dedicated to cardiology, ultrasound, and an additional trauma/ICU rotation on a night float schedule designed to increase access to procedures and critical care experience.
Third year residents spend 11 months in the emergency department as a senior resident and in an increasingly supervisory role. They help orient first year residents and assume more of the organization and decision making responsibilities of the department. During this year, residents perform an administration rotation, and elective month in addition to completing their research project. Each year 3 third year residents are offered the opportunity to serve as chief residents. These positions offer increased learning opportunities in teaching and administration, and are particularly appropriate for those considering a career in academics.