At SIUH, EM resident responsibility is progressively increased over the three years of training and is commensurate with the resident's level and ability, patient care needs, and the needs of the ED.
The EM-1 year is one of introduction to the essentials of emergency medicine, with the goal of attaining a basic comfort level with emergency patients. The EM-1 year begins with a 4-week orientation block. During this rotation the residents will be exposed to the basics of EM in both didactic and clinical settings. The rest of the year is comprised of clinical rotations that will build the foundation for clinical decision making and graduated autonomy in the ED.
The EM-2 year is one of transition. Critical care and research are emphasized, with the resident beginning to develop a sense of independence within the ED. Efficiency is expected, but speed is not emphasized over detailed and thorough care.
The EM-3 year is devoted to preparing for the role of attending physician. The EM-3 will function as a pre-attending. Residents will spend the majority of the year in the ED, rotating through different areas of the department (pediatrics, north site and south site) within each block. During this year, the EM-3 will supervise junior residents, assign cases, and monitor flow through the department. Senior residents will also have the opportunity to do multiple electives during this year.
Scheduled conferences take place every Wednesday from 7am-12pm. Residents' time is protected from Tuesday evening through Wednesday afternoon to ensure the greatest educational exposure. The SIUH Emergency Medicine faculty, residents, and other invited guest speakers give lectures and conferences.
The following are a few examples of our ongoing lecture series:
Core Conference Series (Adult and Pediatric)
• Weekly didactic lectures that cover the entire EM curriculum over a year and a half
• Lectures are given by senior residents and faculty to ensure the highest quality of didactic experience
• Core attending faculty select articles on a monthly basis to appraise and review.
• Studies may be from the most recent literature or landmark articles in Emergency Medicine.
Morbidity and Mortality Review
• Monthly review presented by the director of Performance Improvement.
• Conference culminates with the "Save of the Month," a teaching case that we can all be proud of.
Pediatric Case of the Month
• Monthly opportunity for the pediatric section to present an interesting case seen in our Pediatric ED.
• The diagnosis and treatment of the disease, along with any pertinent literature review, is presented and discussed.
Simulation days every other month during conference
• Opportunity for all residents to train in simulation development and implementation, a practice on the forefront of Emergency Medicine Education.
• Monthly series with other departments (radiology, trauma, medicine) which fosters collaborative discussion and learning.
•All cases will be presented by a representative of each department and examined from both an "EM" and "subspecialty" perspective.
We are also very excited to announce that all of our conferences are recorded and are available online for the residents and staff via Mediasite. Here is a sample from our Critical care conference.
Also, Lectures are available as podcasts to listen online and download
Here is a sample and more are available on the INSERVICE REVIEW PAGE