Curriculum and Rotations
PGY-1
- Intern Bootcamp (ED reduced shifts in the department, ACLS, ATLS, PALS, Disaster Medicine, Comprehensive/Difficult Airway, Ultrasound, Advanced Vascular Access, etc…)
- Ob-Gyn
- Focused Pediatric ED Month**
- MICU
- Combined Anesthesia and Ultrasound Month (Airway in the morning, US in afternoon in the ED)
- 7 months focused adult ED Experience
PGY-2
- 7 Months ED/Trauma
- 1 Month Cardiac ICU
- Trauma/Surgical ICU
- Orthopedic Surgery and Plastics/hand
- Neuro ICU
- Toxicology/Optho
PGY-3
- 9 Months ED/Trauma
- Admin and EMS
- Pediatric ICU
- Resident as Educator
- Elective
*All adult ED months alternate between Methodist University and Regional One Health
**All PGY-2/3 ED Rotations have incorporated pediatric shifts at Le Bonheur Children’s
Hospital ED
Emergency Medicine at University enjoys a special relationship with Neurology, not only in the chest pain/neurology center, but also in a joint research venture in emergent neurological issues. We are working closely with the Neurology Department to improve stoke care in an area that has one of the highest stroke volumes in the country. Our neurology colleagues report that we had the single largest number of TPA treated strokes in a single hospital, anywhere in the nation, in 2014.
Opportunities abound, including research and additional training in the Neurology ICU. Cutting edge technology like Transcranial Doppler Ultrasound of MCA strokes is being employed and the Neurology Department provides training to interested Residents. Our facility pioneered the first CT Angio-capable mobile stroke unit in the nation. Our residents have the opportunity to staff the mobile stroke unit, and are supervised by experienced UT neurology faculty via telemedicine. Discussions for a fellowship in Neuro-critical care/Emergency Medicine are underway and additional training is available via elective for interested residents now. Visiting students interested in additional emergency neurological care should let program staff know and a meeting with the Neurology Department will be arranged, if desired.
Trauma training takes place at the Elvis Presley Trauma center, one of the most active trauma services in the United States with a heavy daily case load of both “penetrating” and “blunt” trauma. Residents will be integrated into the team as junior residents and begin running the trauma ER early on. From intern year through graduation, residents will spent multiple months each year running the traumas along side an attending. Cases include everything from minor sprains and lacerations up to major(level 1) traumas in which the entire Trauma Surgery team is activated. This environment pushes residents to learn time management as they will be the sole resident responsible for the 18 bed ER. In addition, PGY-2 and PGY-3 residents alternate with anesthesia with regards to airway management. All in all, these are uniquely challenging and busy months and will prepare them for any trauma patients they will see in the future.
This is an excellent and very busy rotation that will prepare our residents for the most challenging of trauma cases.
ICU rotations at Methodist, Regional One, and Le Bonheur offer resident exposure to highly complex and critically ill patients. Critical care exposure includes pediatric research facilities, multiple active transplant services, regional stroke, neurological services, cardiac services, and the regional trauma service. Residents can expect to become comfortable managing the sickest patients on a routine basis.
Critical care exposure includes highly advanced medical management with substantial opportunities to hone procedural skills. Residents admit and follow these critically ill patients to the ICU for continued care, which, in turn, improves their initial emergent management of critical patients.
EMS is an integral part of any Emergency Medicine Residency and EMS ride along time is part of the training. In addition to the normal EMS experience, residents receive specific training in medical control of field personnel via radio and phone. Residents also receive disaster training in the form of basic disaster response and protocols, Community Emergency Response Team Training and basic training on dealing with nuclear, chemical, and biological hazards. Advanced training is available as part of trainee’s electives and can include time at US National training centers for: Urban Disasters, Biological Agents, Chemical Agents, and Nuclear Accidents/Incidents.