Curriculum and Rotations

OPTI affiliation

Henry Ford Macomb Hospitals participate in the Michigan State University College of Osteopathic Medicine (MSUCOM) Statewide Campus System (SCS), the Michigan OPTI. SCS has 34 members across 47 hospitals and 31 federally qualified health centers, along with 3 academic members. The SCS of MSUCOM provides educational programs and opportunities for pre-doctoral through postdoctoral, osteopathic interns, residents, and fellows in the State of Michigan.

Curriculum

Henry Ford Macomb Hospital’s (HFMH) Emergency Medicine Residency Program Curriculum has been constructed around the requirements set forth by the standards of the American Osteopathic Association (AOA), the American College of Osteopathic Emergency Medicine (ACOEP) and the American College of Graduate Medical Education (ACGME) Program Requirements for Graduate Medical Education in Emergency Medicine. The EM curriculum is reviewed annually by the Program Evaluation Committee and changes are made based on faculty and resident reviews while maintaining the standards of training.

The program requires that each resident obtain competence in the seven AOA core competencies to the level expected of the new practitioner:

Competency 1: Osteopathic Philosophy and Osteopathic Manipulation Medicine

Residents are expected to demonstrate and apply knowledge of accepted standards in Osteopathic Manipulative Treatment (OMT) appropriate to their specialty. The educational goal is to train a skilled and competent osteopathic practitioner who remains dedicated to life-long learning and to practice habits in osteopathic philosophy and manipulative medicine.

Competency 2: Medical Knowledge

Residents are expected to demonstrate and apply knowledge of accepted standards of clinical medicine in their respective specialty area, remain current with new developments in medicine, and participate in life-long learning activities, including research.

Competency 3: Patient Care

Residents must demonstrate the ability to effectively treat patients, provide medical care that incorporates the osteopathic philosophy, patient empathy, awareness of behavioral issues, the incorporation of preventive medicine, and health promotion.

Competency 4: Interpersonal and Communication Skills

Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams.

Competency 5: Professionalism

Residents are expected to uphold the Osteopathic Oath in the conduct of their professional activities that promote advocacy of patient welfare, adherence to ethical principles, collaboration with health professionals, life-long learning, and sensitivity to a diverse patient population. Residents should be cognizant of their own physical and mental health in order to effectively care for patients.

Competency 6: Practice-based Learning and Improvement

Residents must demonstrate the ability to critically evaluate their methods of clinical practice, integrate evidence-based medicine into patient care, show an understanding of research methods, and improve patient care practices.

Competency 7: System-based Practice

Residents are expected to demonstrate an understanding of health care delivery systems, provide effective and qualitative patient care within the system, and practice cost-effective medicine.
These competencies integrate the ACGME competency goals as well:

Patient Care and Procedural Skills, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-based Practice.

Rotation structure

*As of 2017, with ACGME accreditation, the 3 year program will follow the PGY-1-3 rotations below.

All rotations are held at Henry Ford Macomb Hospital Clinton Township Campus unless otherwise noted

PGY - 1
EM Orientation/Skills 1 month
Emergency Medicine 4 months
Pediatric Emergency Medicine 1 month Children's Hospital of Michigan
Internal Medicine 1 month
Medical ICU 1 month
General Surgery 1 month
OB/GYN (nights) 0.5 month
Radiology 0.5 month
Anesthesia 0.5 month
Quick (Urgent) Care 0.5 month
Ultrasound 0.5 month
PGY - 2
Emergency Medicine 6 months
Orthopedic Surgery/Hand Surgery 1 month
Toxicology 1 month Detroit Medical Center
Pediatric Surgery 1 month Children's Hospital of Michigan
Trauma 1 month Shock (Baltimore)
Quick (Urgent) Care 0.5 month
Ultrasound 0.5 month
Cardiac ICU 1 month Henry Ford Hospital
PGY - 3
Emergency Medicine 7 months
Administrative & Research 1 month
Pediatric Emergency Medicine 2 month Children's Hospital of Michigan
Medical ICU 1 month
Pediatric ICU 1 month Beaumont of DeVos
PGY - 4
Emergency Medicine 11 months
Elective 1 month

All residents are required to have experience in emergency medical services (EMS), emergency preparedness, and disaster management. An 80-hour requirement of EMS ride-alongs are to be completed over the course of the first two years of residency training.

Didactics

We offer regularly scheduled weekly 4-5 hour didactics which include administrative seminars, journal review, presentations based on the defined curriculum, morbidity and mortality conferences, and research seminars. Education is focused on problem-based learning, evidence-based learning, and computer-based instruction. In addition, we host a quarterly multi-disciplinary case conferences co-sponsored with other disciplines and monthly journal club.

OMM/OPP integration

Emergency Medicine residents participate in OMM workshops and lectures sponsored by our MSUCOM SCS OPTI. They receive exposure to OMT during out weekly educational conferences and are required to perform and log at least one osteopathic exam/treatment per shift.