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CURRICULUM

The didactic component of the curriculum includes at least five hours of conference time per week. The didactic curriculum includes core content topics, grand rounds, morbidity and mortality and case presentation conferences, procedure laboratories, and monthly journal clubs. The resident will obtain hands-on training in ultrasonography. Residents will be responsible for presentations during each year of training.

PGY 1

Introduction to Emergency Medicine	1 month
Emergency Medicine	4 months
General Internal Medicine	1 month
Medical/Respiratory Intensive Care Unit	1 month
Trauma Surgery	1 month
General Pediatrics	1 month
Orthopedics	1 month
Anesthesiology	1 month
Plastic Surgery	1 month

First year residents participate in the Introduction of Emergency Medicine rotation in July. Principles of emergency care are emphasized through structured didactic session, procedural competency laboratories and certification in ACLS, ATLS, and PALS. Orientations to the Emergency Department and the prehospital system occur.

Residents work approximately 220 hours during each of their first year rotations through the Emergency Department with a mix of 8, 10 and 12 hour shifts. One quarter of these shifts are in the Pediatric area of the Emergency Department and the remainder are in the Acute Adult Treatment area.

Vacations occur during the anesthesiology, plastic surgery, and one of the emergency medicine months. Flexible scheduling during the Emergency Medicine rotations allows the resident additional time away from the institution.

PGY 2

Emergency Medicine	5 months
Emergency Medical Services	1 month
Emergency Medicine Research/Administration	1 month
Obstetrics/Gynecology	1 month
Cardiac Care Unit	1 month
Surgical/Trauma Intensive Care Unit	1 month
Toxicology	1 month
Elective	1 month

The second year resident works approximately 208 hours during each of their Emergency Medicine rotations in a mix of 8, 10 and 12-hour shifts. One quarter of these shifts are in the Pediatric Treatment area of the Emergency Department and the remainder are in the Acute Adult Treatment area.

The residency program requires that the resident complete an academic project. This academic project may be a formal research project, the preparation of a manuscript or the development and institution of a policy. The curriculum includes a research rotation to allow the resident the opportunity to devote time to the completion of this requirement. Available electives include ultrasonography, forensic medicine, dermatology, burn unit, radiology, neurology, neurosurgery, LifeEvac, neonatal intensive care unit, cardiology, pulmonary, and urology. Other electives may be selected with the approval of the Residency Director. Vacations occur during the research/administration, elective, and one of the Emergency Medicine months.

PGY 3

Adult Emergency Medicine	6 months
Trauma Resuscitation	1 month
Pediatric Emergency Medicine	2 months
Pediatric Intensive Care Unit	1 month
"Head and Neck" rotation	1 month
Elective	1 month

The third year resident works approximately 192 hours during their Emergency Medicine rotations with a mix of 8 and 12 hour shifts. One quarter of the shifts in the Adult Emergency Medicine rotations occur in the Fast Track area of the Emergency Department and the remainder are in the Acute Adult Treatment area.

The Trauma Resuscitation rotation is an ED based experience designed to place the senior resident exclusively in the role of leading the trauma team in the resuscitation of victims of trauma. When not actively involved in leading trauma resuscitations, the resident is expected to provide oversight to junior residents and medical students in the ED.

The "Head and Neck" rotation includes time spent in the Ophthalmology, Otolaryngology and Oral Maxillofacial Surgery clinics and providing consultation to the Emergency Department from these services.

Vacations occur during the "Head and Neck", elective, and one of the Emergency Medicine months.

THE FACULTY

In preparation for the residency program, MCVH has recruited more than twenty board certified Emergency Physicians and educators to form the core academic faculty. Several of the faculty hold board certification in more than one discipline. The faculty are recognized for their expertise in pediatric emergency medicine, toxicology, acute cardiac care and resuscitation, emergency medicine resident and student education, prehospital care, and emergency department administration and quality management. This expertise is reflected by the faculty's activities at a national level as speakers and committee members in societies such as the American College of Emergency Physicians, the Society of Academic Emergency Medicine, the Virginia Chapter of the American College of Emergency Physicians, and the Emergency Medicine Council of Residency Directors.