The learning experience is split over three years. The experience begins with an orientation month with focused lectures, shifts in the emergency department, and a team building retreat. During your training, you will spend most of your time in the emergency department, learning what matters most. Months spent outside of the Emergency Department are heavily focused on critical care. A total of 7 months of exposure to critical care medicine will prepare you to take care of whatever comes through your doors.
Your education will take place within our large, multi-module Emergency Center which boasts over 130 beds to accommodate increasingly large volumes of sick patients. Our Pediatric Emergency Center sees over 22,000 patients and we run a dedicated 18 bed observation unit. Our newly expanded and renovated Emergency Center houses several dedicated CT scanners as well as an MRI.
Our patient population represents a cross-section of the Southeast Metro Detroit area. Even as an intern you will be seeing sick patients in our trauma bays and critical resuscitation beds.
Emergency Medical Services
Your EMS experience will be part of a longitudinal curriculum that will include EMS ride alongs, on-line medical direction, and disaster training.
Many of residents feel passionate about becoming educators and we as a residency value their contribution to the medical education of our Oakland University William Beaumont (OUWB) School of Medicine students. Our residents are integral in the education our OUWB M4 students as well as those students that rotate with us from other institutions. To this end, we provide our residents with a number of didactics in regards to honing teaching skills, providing feedback, and best practices regarding educational methods.
You will benefit from working alongside 9 fellowship trained Pediatric Emergency Medicine faculty within our on-site Children's Hospital. Not only will you have several dedicated months of Pediatric EM in your first and second year, along with a PICU experience in your PGY2 year, but you will also have integrated shifts in the Pediatric Emergency Center throughout your training. This will allow you to take advantage of the full depth and breath of pediatric acute care.
Education in trauma care includes both opportunities within our Emergency Center, the surgical ICU, and the Trauma Service at Sinai Grace. This well rounded experience allows ample exposure to critically injured patients along with the added dimension of allowing our residents to experience a different hospital system and patient population.
You will take part in a longitudinal curriculum over your 3 years of training. This curriculum includes exposure to Emergency Medical Services, patient safety and quality improvement, and understanding health care disparities.
As a Level I Trauma Center and a tertiary referral center there is no shortage of critically ill patients. Our residents spend a total of 6 months on intensive care units acting as junior and senior residents taking care of patients with autonomy. They also get the opportunity to be come a critical care specialist within our department during the resuscitation rotation.
Research and Resuscitation
The research and resuscitation rotation is built into the PGY-2 curriculum. It is a one month rotation where residents spend time in the high acuity area of the ED assisting with taking care of the sickest patients and performing procedures. The rotation includes weekly meetings to discuss up to date literature and evidence based medicine.
Clinical ultrasound has become an increasingly important tool in the evaluation and treatment of emergency department patients. Our Ultrasound program was developed to train emergency physicians in the utilization of this important diagnostic modality.
Residents are trained in this discipline by expert faculty using 12 state-of-the-art ultrasound machines. We have three ultrasound fellowship trained faculty on staff along with a robust fellowship program. The majority of our staff are credentialed in a variety of core ultrasound applications and regularly perform studies on clinical shifts.
Residents will have an opportunity to learn this discipline in a variety of ways. The educational curriculum has 2 blocks of time carved out in the PGY1 and PGY2 year for dedicated ultrasound experiences. The rotations include hands on scanning supervised by expert clinical faculty, image review, journal club, and monthly ultrasound didactic conference. Residents also receive several grand rounds lectures throughout the academic year, participate in procedure labs and attend the areas regional US conferences. This broad exposure translates into seamless us of ultrasound effectively while on clinical shifts. Our residents graduate having completed between 300 and 500 ultrasound studies.
Research and scholarly activity are important components of the ultrasound program. Faculty are active at the regional and national level with a number of peer-reviewed publications and grant-funded projects with key areas of interest including: ultrasound-guided vascular access, cardiac ultrasound, and trainee education. Residents have the opportunity to engage in the research process and learn from expert faculty.