Emergency Medicine Curriculum
The Henry Ford Wyandotte Hospital Emergency Medicine Residency Program curriculum is designed to utilize the extensive resources the of Henry Ford Health System, our affiliated training institutions, and the Statewide Campus system of Michigan State University's College of Osteopathic Medicine. Residents will receive training in emergency medicine and related specialties, along with didactics in one-on-one situations and group settings.
The curriculum is based on a process of progressive responsibility that takes residents on a journey from the medical student to the independent attending staff level. In the first year the resident will be under direct supervision of emergency staff to gain experience in the management and stabilization of major medical and traumatic emergencies. In the second year the resident will have primary responsibility for emergent procedures and gain increasing responsibility for patient care, stabilization and resuscitation. In the third and fourth years 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.
Medical Intensive Care Unit
In working with Dr. Pensler (Henry Ford Wyandotte Intensivist / Pulmonology) the resident will become comfortable in the management of critically ill patients. The Resident will be expected to round on MICU patients and provide a systematic differential diagnosis and treatment plan. You will develop the skills necessary to perform diagnostic and therapeutic procedures. Keeping up with the latest literature in critical care is also important during this MICU month, as Dr. Pensler encourages discussion.
Surgical Intensive Care Unit at Henry Ford Main Campus
This rotation is schedule one month during the PGY1 year and the again during the PGY2 year. Residents will learn first hand management of high acuity SICU patients. The resident will be challenged to learn and eventually lead junior resident while on service. The rotation is lead by trauma surgeons with assistance by a Fellow.
Obstetrics and Gynecology
This rotation will expose the resident to labor and delivery with direct interaction with OB/GYN residents. The resident will learn concepts of complicated delivery, daily discussions on physiology of pregnancy, medical management and decision making as it pertains to the emergency department. Residents work directly with OB/GYN residents and attending staff.
Orthopedic Hand Surgery
The resident will spend 2 weeks in clinic and the OR learning about operative and conservative management of many of the fractures they see in the ED.
Emergency Medicine Pediatrics - Children's Hospital of Michigan
The resident will spend one month at this Level 1 Childrens Hospital in downtown Detroit. Resident will be exposed to various pediatric pathology as this facility is one of the busiest in the United States. The residents role will be to assist attending staff in stabilizing and appropriate disposition of patients. The resident will be exposed to various aspect of inner city urban living, to include blunt trauma and penetrating trauma.
Trauma at R. Adams Cowley Shock Trauma Center
One month in the 3rd year will be spent in Baltimore, Maryland working in the oldest and busiest trauma center in North America and third busiest in the world. The role will be as a team leader supervising junior residents and collaborating with the trauma surgeons.
The resident will hone skills in airway management as well as use of sedative and paralytic medications. They will work alongside CRNAs and anesthesiologists to provide direct patient care.
Pediatric Anesthesia at Children's Hospital of Michigan
The resident will spend a month in their 2nd yr learning the intricacies and differences in managing the pediatric airway.
Emergency Medical Services
The resident will spend 2 weeks doing ride alongs with the Wyandotte Fire Department and triaging in the Emergency Department to better understand the capabilities and limitations of pre-hospital care.
The resident will have time to complete or further the project they have started in the first or second year of their residency to ready it for publication or presentation.
Toxicology at Children's Hospital of Michigan
The resident will further solidify their knowledge of common toxidromes along with causes and treatments. The resident will also work with toxicologists and toxicology fellows to learn about emerging drug trends locally and nationwide.
The resident can expect to be in the formal ultrasound rooms with patients as they are undergoing formal ultrasound testing. This is a 2 week block during the PGY2 year. The resident will be trained to identify normal and abnormal pathology. The rotation focuses on learning appropriate techniques and becoming comfortable with the bedside ultrasound.
This month in the 3rd yr is spent working with the ED administrators to better understand the issues, protocols, and inner workings that entail managing an emergency department. The resident will have ED shifts whenever the administrator is working in the department.
Pediatric Intensive Care Unit
This rotation takes place in the pediatric ICU at Hurley Medical Center in Flint, MI. Hurley Medical Center is a Level I Trauma Center and Level II Pediatric Trauma Center (the highest designations possible). Their highly-specialized PICU delivers the highest level of critical care to patients ranging in age from newborns to 20 years old who are critically ill or who will become critically ill or injured. While on this rotation the resident will continue to refine their critical care knowledge as well as learn the intricacies between adult and pediatric critical care.
Clinical rotations are divided over the three year program as follows
- Emergency Medicine - Five and a half months
- Pediatric Emergency Medicine# - One month
- Obstetrics and Gynecology - One month
- Medical Intensive Care Unit - One month
- Surgical Intensive Care Unit* - One month
- Orthopedic Hand Surgery – One month
- Anesthesia - Two weeks
- Emergency Medical Services - Two weeks
- Ultrasound - Two weeks
- Vacation – Three weeks taken during EM and OB months
- Emergency Medicine – Seven months
- Surgical Intensive Care Unit* - One month
- Pediatric Anesthesia#- One month
- Toxicology#- One month
- Pediatric Intensive Care Unit^- One month
- Vacation - Three weeks
- Emergency Medicine - Nine months
- Trauma (at Baltimore Shock Trauma) - One month
- Administration - Two weeks
- Research - Two weeks
- Vacation - Four weeks
*Denotes rotation that takes place at Henry Ford Hospital - Level 1 Trauma Center
#Denotes rotation takes place at Children's Hospital of Michigan