Emergency Medicine Curriculum

 

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Henry Ford Wyandotte Hospital’s (HFWH) Emergency Medicine Residency Program Curriculum has been constructed around the requirements set forth by the standards of the American College of Graduate Medical Education (ACGME) Program Requirements for Graduate Medical Education in Emergency Medicine. The EM curriculum is reviewed annually by our Program Evaluation Committee (PEC), and changes are made based on faculty and resident feedback. The Henry Ford Wyandotte Hospital Emergency Medicine Residency Program curriculum is designed to utilize the extensive resources of the Henry Ford Health System, our affiliated training institutions, and the Statewide Campus System of Michigan State University's College of Osteopathic Medicine.

All rotations are held at Henry Ford Wyandotte Hospital unless otherwise noted. Clinical rotations are divided over the three-year program as follows:

PGY 1
  • Emergency Medicine - 6 months
  • Pediatric Emergency Medicine (CHM/DMC) - 1 month
  • Obstetrics and Gynecology – 2 weeks
  • Medical Intensive Care Unit - 1 month
  • Surgical Intensive Care Unit (HFH) - 1 month
  • Anesthesia - 2 weeks
  • Ultrasound - 2 weeks
  • Elective – 2 weeks
  • Vacation – 4 weeks (taken as two 2-Week blocks during ED months only)
PGY 2
  • Emergency Medicine – 7 months
  • Medical Intensive Care Unit (HFH) – 1 month
  • Pediatric Anesthesia (CHM/DMC) – 2 weeks
  • Toxicology (DMC) - 1 month
  • Pediatric Intensive Care Unit (Hurley) - 1 month
  • Elective – 2 weeks
  • Vacation - 4 weeks (taken as two 2-Week blocks during ED months only)
PGY 3
  • Emergency Medicine - 9 months
  • Shock Trauma (Baltimore) - 1 month
  • Administration - 2 weeks
  • Research - 2 weeks
  • Vacation - 4 weeks (taken as two 2-Week blocks during ED months only)

Training Locations

  • HFH = Henry Ford Hospital – Detroit, MI
  • CHM = Children’s Hospital of Michigan – Detroit, MI
  • DMC = Detroit Medical Center – Detroit, MI
  • Hurley = Hurley Hospital - Flint, MI
  • Baltimore Shock Trauma = R Adams Cowley Shock Trauma Center – Baltimore, MD

Rotation Descriptions

Emergency Medicine - 21.5 months total

The curriculum is based on a process of progressive responsibility that takes residents on a journey from the medical student to the independent attending 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 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.

Emergency Medical Services - Integrated into all EM months

Emergency Medical Services

During the resident’s months in the ED, residents will have the opportunity to complete EMS ride-alongs with the Wyandotte Fire Department. Additionally, interested residents may sign up for EMS Disaster Training Courses to learn the skills necessary to triage and treat mass casualty situations.

Pediatric Emergency Medicine - Children's Hospital of Michigan - One month

The resident will spend one month at this Level 1 Children’s Hospital in downtown Detroit. The resident will be exposed to various pediatric pathology as this facility is one of the busiest in the United States. The resident’s role will include working along side with board-certified pediatric EM physicians in managing critical pediatric trauma patients and resuscitating pediatric medical emergencies. Residents will have ample opportunity as well to hone technical skills for pediatric lumbar punctures, suturing, etc.

Obstetrics and Gynecology - Two weeks

This rotation will expose the resident to the prenatal, perinatal and post-partum patient. Residents will have direct interaction with OB/GYN residents and staff while learning the concepts of complicated labor and delivery, and have daily discussions and lectures on the physiology of pregnancy. The resident will also participate in medical management and decision making as it pertains to perinatal care in the emergency department.

Medical Intensive Care Unit - Two months

In working with several Henry Ford Wyandotte board certified intensivists and pulmonologists, the resident will become comfortable in the management of the critically ill patient. 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, and discussion of up to date guidelines and treatment options is incorporated into daily rounds.

Surgical Intensive Care Unit at Henry Ford Main Campus - One month

The resident will learn first-hand management and stabilization of critically ill surgical patients. Education and rounds will focus on the most recent guidelines for poly-trauma resuscitation, and management of peri-operative patient as well as organ transplant recipients. The resident will work in teams led by board certified trauma surgeons and assisted by Critical Care Fellows.

Anesthesia - Two weeks Group of Residents in Pink Scrumbs

The resident will have ample opportunity to hone and refine their skills in airway management. Also, residents will gain experience in the use of analgesic, sedative, and paralytic medications commonly utilized in the ED. They will work alongside CRNAs and board certified anesthesiologists to provide direct patient care in the OR and APUs.

Ultrasound - Two weeks

The resident works along side with sonography technicians and with patients as they are undergoing various types of formal ultrasound testing. The resident will be trained to identify normal and abnormal sonographic pathology. The rotation focuses on learning appropriate techniques and becoming comfortable with the bedside ultrasound which can be applied in the ED.

Pediatric Anesthesia at Children's Hospital of Michigan - Two weeks

The resident will spend 2 weeks in Detroit’s largest pediatric OR learning the intricacies and differences in managing the pediatric airway. The resident will be able to master the skill of pediatric intubation, airway management, peripheral IV placement and pain management in a controlled environment. Competency in pediatric dosing and medication selection will be mastered.

Toxicology at the Detroit Medical Center/Michigan Center for Poison Control - One month

The resident will further solidify their knowledge of common toxidromes along with causes and treatments as they pertain to management of the intoxicated patient in the ED. This rotation is lecture based with the addition of in-house consultations for admitted poisoned patients. The resident will work with board-certified, EM-trained toxicologists and toxicology fellows to learn about emerging drug trends locally and nationwide.

Pediatric Intensive Care Unit - One month

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 care to critically ill or injured patients ranging in age from newborns to 20 years old. 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. Local housing is arranged and provided for by medical education.

Trauma at R. Adams Cowley Shock Trauma Center in Baltimore, MD - One monthAdams Cowley Shock Trauma Center University of Maryland

Residents will learn to manage some of the highest acuity trauma patients 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. Our residents greatly benefit from their month spent at Shock Trauma, as this facility sets the standard nation-wide for its expertise in the stabilization and management of trauma patients Local housing is arranged and provided for by medical education.

Administration - Two weeks

This month in the 3rd year is spent working with the Henry Ford Wyandotte ED administrators to better understand the issues, protocols, and inner-workings of managing an emergency department. The resident will gain further understanding of the multifaceted roles and responsibilities of both the ED Director and Program Director. Residents also have designated ED shifts whenever the administrator is scheduled to work in the department.

Research - Two weeks

The resident will have time to complete or further the project they have started in their first or second year of their residency to ready it for publication or presentation. Resident’s will have the opportunity to create a poster and present their research at several local and nationally recognized conferences and summits.