Emergency Medicine Residency

Introducción

Our residents experience 36 months of intense academic, didactic, clinical and administrative training. We provide our residents every opportunity to obtain a well-rounded educational experience with an emphasis on clinical skills taught under the supervision of board certified emergency physicians.

Each emergency medicine month will include shifts divided between our adult and children’s sites to provide a longitudinal learning experience.

Resident responsibility in the emergency department is graduated. Interns are responsible for seeing patients and learning patient management skills. Their patients are presented to upper-level residents and staff. Under the supervision of more-senior residents and staff, residents are expected to learn to recognize and begin to stabilize life-threatening illnesses.

Second-year residents see the majority of the patients in the department. They manage multiple patients, including the critically ill. In the second half of the year, second-year residents begin to supervise interns and medical students.

In the third year, residents continue to see multiple patients. In addition, they take on supervisory responsibilities. The third-year residents supervise more junior residents and students and provide EMS online medical control. With the assistance of the attending staff, the third-year resident is responsible for the overall management of the department. All patients are discussed with and seen by the attending physician prior to their disposition.

Rotations

PGY-1

During the first year, we offer a sound medical foundation with 7 months in the emergency department and monthly rotations in:

• Anesthesia/Ultrasound
• Obstetrics and Gynecology (two weeks)
• Orthopedics (two weeks)
• Trauma
• Medical ICU
• Neuro ICU/Elective

PGY-2

Eight months of the second year are spent in the emergency department with additional monthly rotations in:

• Surgical ICU
• Pediatric ICU
• Emergency Medicine Administration
• Pediatric Anesthesia/Ultrasound

PGY-3

Nine months of the third year are spent in the emergency department with additional monthly rotations in:

• Surgical ICU
• Emergency Medicine Teaching
• Emergency Medicine Administration

Conferences

Attendance at conferences is required, and residents are excused from clinical duties to attend.

Conferences occur on Thursday from 7 a.m. to noon. Residents resume their duties immediately afterward. Conferences consist of lectures given by the emergency medicine department faculty, emergency medicine residents and guest speakers from within and outside of Baylor Scott & White Health.

Conferences include:

• Critical care lecture series (CCLS)
• Toxicology lecture series (TLS)
• Admissions and follow-up
• Journal club
• Morbidity and mortality (M&M)
  conference
• Ultrasound conference
• Advanced ultrasound
• EMS conference
• Procedures and simulation conference
• Practice-based learning conference
• Year directed conference
• Physician wellness conference
• Core content lectures
• Interesting case conference
• EKG conference
• Program Director's Report
• Simulated patient encounters
• Radiología
• Chair's State of the Union Address
• Pediatric emergency pearls
• Morning report

Simulation

Our program utilizes a remarkable and unique facility for high-fidelity simulation training, which is available to an array of disciplines and allied health services.

The facility is modeled after an emergency department/ICU with all the equipment needed to evaluate and treat any conceivable patient presentation. We use this facility to allow residents to learn in a low-stakes, low-pressure environment before they apply the principles they have learned on live patients in the emergency department.

In addition, procedural trainers are available to help residents become comfortable performing procedures such as:

• Advanced airway
• Chest tubes
• Central lines
• Lumbar punctures
• Surgical airways

Learn more about the simulation center

Investigación

All residents are required to participate in a research project with a senior staff physician. These efforts are assisted by the project mentors, research director and the research coordinator.

Residents receive excellent support for data analysis from biostatistics and from biomedical communications with assistance in preparation of posters or manuscripts.

Research experience during the residency offers the opportunity for residents to become grounded in sound research principles and practices.

Residents present their projects during the annual Emergency Medicine Research Day in March. Residents are also encouraged to submit their work for publication and presentation at scientific meetings.