Emergency Medicine Residency Curriculum

This first year is designed to give the resident a foundation for building the knowledge and skills critical to Emergency Medicine by providing clinical experience that emphasizes the recognition, evaluation and management of a broad range of disease processes. The focus is on developing a strong clinical background in Internal Medicine, Pediatrics, Orthopedics, Obstetrics and Anesthesiology.

PGY1
Emergency Medicine Two months under direct supervision of emergency staff to gain experience in the management and stabilization of major medical and traumatic emergencies.
Internal Medicine Two months on the inpatient Internal Medicine service, which may include specialty Cardiology, Nephrology, Infectious Diseases, Pulmonary Medicine, Oncology and General Medicine floors.
Neurology/Neurosurgery One month on either the Neurology or Neurosurgery service, developing neurologic diagnostic and management skills.
Pediatrics at Children's Hospital of Michigan One month on the inpatient ward at CHM gaining experience in the management of both acute and chronic pediatric diseases.
Orthopedic Surgery This rotation combines experiences in orthopedic trauma and outpatient orthopedic clinics, including one day a week at the Center for Athletic Medicine. This month also includes one week of vacation.
Surgical Intensive Care Unit One month in the HFH SICU caring for critically ill surgical patients and learning invasive procedures and monitoring
Obstetrics One month learning to manage acute problems of pregnancy, and gaining experience in labor and delivery.
Anesthesia & EMS One month is divided between two weeks in Anesthesiology, one week of EMS and one week of vacation. On Anesthesiology, residents work directly with the anesthesia staff, mastering the art of endotracheal intubation and the use of sedative and paralytic agents. The EMS rotation encompasses ridealongs with Dearborn or Detroit EMS as well as administrative meetings.
Pediatric Emergency Medicine (Children's Hospital of Michigan) One month at CHM, in the primary pediatric ED of the Detroit Metro area. Residents will be exposed to a variety of medical and traumatic diagnoses of various degrees of severity.
Emergency Medicine Didactic Series The first year ends with an in-depth didactic month, during which residents are assigned a reduced clinical load in the Emergency Department to allow attendance at daily lectures, labs and skilled sessions. During this month, residents certify in ATLS, PALS, learn essential emergency procedures and also get one week of vacation.

PGY1

Emergency Medicine

Two months under direct supervision of emergency staff to gain experience in the management and stabilization of major medical and traumatic emergencies.

Internal Medicine

Two months on the inpatient Internal Medicine service, which may include specialty Cardiology, Nephrology, Infectious Diseases, Pulmonary Medicine, Oncology and General Medicine floors.

Neurology/Neurosurgery

One month on either the Neurology or Neurosurgery service, developing neurologic diagnostic and management skills.

Pediatrics at Children's Hospital of Michigan

One month on the inpatient ward at CHM gaining experience in the management of both acute and chronic pediatric diseases.

Orthopedic Surgery

This rotation combines experiences in orthopedic trauma and outpatient orthopedic clinics, including one day a week at the Center for Athletic Medicine. This month also includes one week of vacation.

Surgical Intensive Care Unit

One month in the HFH SICU caring for critically ill surgical patients and learning invasive procedures and monitoring

Obstetrics

One month learning to manage acute problems of pregnancy, and gaining experience in labor and delivery.

Anesthesia & EMS

One month is divided between two weeks in Anesthesiology, one week of EMS and one week of vacation. On Anesthesiology, residents work directly with the anesthesia staff, mastering the art of endotracheal intubation and the use of sedative and paralytic agents. The EMS rotation encompasses ridealongs with Dearborn or Detroit EMS as well as administrative meetings.

Pediatric Emergency Medicine (Children's Hospital of Michigan)

One month at CHM, in the primary pediatric ED of the Detroit Metro area. Residents will be exposed to a variety of medical and traumatic diagnoses of various degrees of severity.

Emergency Medicine Didactic Series

The first year ends with an in-depth didactic month, during which residents are assigned a reduced clinical load in the Emergency Department to allow attendance at daily lectures, labs and skilled sessions. During this month, residents certify in ATLS, PALS, learn essential emergency procedures and also get one week of vacation.

In the second year, emphasis is directed toward developing skills necessary for efficient and competent clinical practice in addition to expanding knowledge specific to Emergency Medicine and Critical Care. Second year residents also begin to develop their educational skills by teaching medical students and presenting a formal literature review at Emergency Medicine Grand Rounds.

PGY2
Emergency Medicine: Adult & Pediatrics Eight months of an integrated adult and pediatric curriculum. During these months, the residents spend three weeks in the adult Emergency Department where they have primary responsibility for emergent procedures and gain increasing responsibility for patient care, stabilization and resuscitation. The fourth week is spent between two Pediatric Emergency Department sites that provide 35,000 pediatric emergency visits. The first site is the pediatric section of the Main Campus Emergency Department where the focus in on urban/inner city pediatrics. The second site is the Henry Ford Fairlane Emergency Department where the focus is on community pediatrics. At both sites, residents are supervised by physicians board certified in Emergency Medicine, Pediatric Emergency Medicine or Pediatrics.
Plastic Surgery This rotation provides residents with experience in wound management and plastic surgery techniques, as well as the management of hand and facial trauma emergencies.
Medical Intensive Care Unit This month develops residents’ skills in evaluating, monitoring and treating critically ill patients while sharpening procedural skills. HFH has one of the largest ICUs in the country and provides an unparalleled educational experience.
Pediatric ICU (Childrens' Hospital of Michigan) The large CHM ICU cares for a children with a wide variety of medical and traumatic illnesses, as well as those with congenital cardiac diseases. Our residents have full responsibility for patient management and receive training in pediatric critical care procedures.
Ophthalmology The remaining month is divided between three weeks of vacation and one week of Ophthalmology, during which residents learn about ocular emergencies and develop proficiency in slit-lamp examinations.

PGY2

Emergency Medicine: Adult & Pediatrics

Eight months of an integrated adult and pediatric curriculum. During these months, the residents spend three weeks in the adult Emergency Department where they have primary responsibility for emergent procedures and gain increasing responsibility for patient care, stabilization and resuscitation. The fourth week is spent between two Pediatric Emergency Department sites that provide 35,000 pediatric emergency visits. The first site is the pediatric section of the Main Campus Emergency Department where the focus in on urban/inner city pediatrics. The second site is the Henry Ford Fairlane Emergency Department where the focus is on community pediatrics. At both sites, residents are supervised by physicians board certified in Emergency Medicine, Pediatric Emergency Medicine or Pediatrics.

Plastic Surgery

This rotation provides residents with experience in wound management and plastic surgery techniques, as well as the management of hand and facial trauma emergencies.

Medical Intensive Care Unit

This month develops residents’ skills in evaluating, monitoring and treating critically ill patients while sharpening procedural skills. HFH has one of the largest ICUs in the country and provides an unparalleled educational experience.

Pediatric ICU (Childrens' Hospital of Michigan)

The large CHM ICU cares for a children with a wide variety of medical and traumatic illnesses, as well as those with congenital cardiac diseases. Our residents have full responsibility for patient management and receive training in pediatric critical care procedures.

Ophthalmology

The remaining month is divided between three weeks of vacation and one week of Ophthalmology, during which residents learn about ocular emergencies and develop proficiency in slit-lamp examinations.

The third year emphasizes further accumulation of knowledge specific to Emergency Medicine, while developing leadership skills through increased responsibility for resuscitation, major procedures, patient flow, as well as through administrative decisions and the supervision of junior residents and medical students.

PGY3
Emergency Medicine: Adult & Pediatrics This Emergency Medicine experience consists of seven months of an integrated adult and Pediatric curriculum, where residents will spend three to four shifts per month caring for pediatric patients and the remainder of their shifts taking care of adult emergency patients. During these seven months (usually in two to three month blocks), each resident assumes the role of medical and trauma team leader for emergency resuscitations during which he/she has primary responsibility for the efficient management of critically ill and injured patients.
Surgical Intensive Care Unit As senior residents in the SICU, residents not only refine their skills in the management of the critically ill, they also serve as supervisors to junior residents and medical students.
Pediatric Selective Residents' pediatric skills are further augmented with a require month of a Pediatric Selective. During this month, residents may select a rotation in Pediatric Anesthesia, the Pediatric Intensive Care Unit or they may devote the entire month to a Pediatric Emergency Medicine rotation.
Electives Residents have three elective months in their senior year and may choose from a broad selection of experiences, including Toxicology, Burn Center, Athletic Medicine, additional Pediatric experience, Dermatology, as well as Emergency Medicine rotations in Hawaii or Wyoming. One week of each of these months is for vacation. For details on electives, click here.

PGY3

Emergency Medicine: Adult & Pediatrics

This Emergency Medicine experience consists of seven months of an integrated adult and Pediatric curriculum, where residents will spend three to four shifts per month caring for pediatric patients and the remainder of their shifts taking care of adult emergency patients. During these seven months (usually in two to three month blocks), each resident assumes the role of medical and trauma team leader for emergency resuscitations during which he/she has primary responsibility for the efficient management of critically ill and injured patients.

Surgical Intensive Care Unit

As senior residents in the SICU, residents not only refine their skills in the management of the critically ill, they also serve as supervisors to junior residents and medical students.

Pediatric Selective

Residents' pediatric skills are further augmented with a require month of a Pediatric Selective. During this month, residents may select a rotation in Pediatric Anesthesia, the Pediatric Intensive Care Unit or they may devote the entire month to a Pediatric Emergency Medicine rotation.

Electives

Residents have three elective months in their senior year and may choose from a broad selection of experiences, including Toxicology, Burn Center, Athletic Medicine, additional Pediatric experience, Dermatology, as well as Emergency Medicine rotations in Hawaii or Wyoming. One week of each of these months is for vacation. For details on electives, click here.

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