Program:

There are several distinguishing characteristics of our residency program. We treat a broad, high acuity Emergency Department population in an area encompassing large volumes of both urban and suburban patients. Nearly 25% of our visits are in the pediatric age group. We provide extensive critical care experience with six months of ICU rotations. The overall admission rate and the intensive care unit admission rate is one of the highest in the country, a testament to the acuity in our department. We have emergency medicine/pediatric physicians on our staff as well as several dual boarded in Emergency/Internal Medicine. The department has active fellowships in Research and Administration.

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Medical Facilities

William Beaumont Hospital, Royal Oak treats over 115,000 emergency department patients annually, one of the largest and busiest in the country. The only American College of Surgeons certified Level I trauma center for Oakland County, Beaumont has ACGME accredited residencies in more than 25 specialties and sub-specialties. The Emergency Department is staffed at all times with board-certified attending emergency medical physicians and emergency nurses. Ancillary services are outstanding, with sophisticated laboratory and radiology services, including emergency CT scanning, ultrasonography, angiography and MRI. A full spectrum of adult and pediatric intensive services is also present within the institution. The majority of the rotations for our program are at this facility.

In addition to the main campus at Royal Oak, Beaumont also has a sister hospital about 15 minutes north, in Troy. The Troy campus is a 226 bed hospital, with an ED that sees nearly 70,000 patients annually. Most of your time will be spent at the main campus, but you will spend one month in Troy's ED, in both of your first two years.

Detroit Receiving Hospital is located in Central Detroit with an annual ED census of over 60,000 visits. Its patient population provides the resident with an additional exposure to high acuity trauma and medical problems unique to the urban environment. One month during the second year is spent here as part of the trauma surgery team.

Curriculum

There are five hours of formal emergency medicine conferences each week consisting of didactic lectures, case management conferences, morbidity and mortality review, ECG conferences and research/journal club/literature review conferences. An annual in-service examination is given.

Postgrad Year 1

The first year of training is designed with an emphasis on core medical specialties. It is designed to provide the house officer with a broad-based experience in the management of simple and complex problems in the major specialties.

EM Orientation Month (July)

Emergency Medicine - 5 months

SICU*

MICU*

Ob/Gyn

Ophthalmology/Anesthesia

Orthopedics/Sports Medicine

Pediatrics*

Postgrad Year 2

The second year is largely divided between the emergency department and intensive care units. The emphasis is on refining procedural and clinical skills and acquiring in-depth knowledge of complex pathophysiology. By the end of this training year, residents are expected to manage several critical patients simultaneously and prioritize levels of severity of illness under direct staff supervision. Clinical or basic science research activities begin at this time. Residents assume a larger role in the educational function of the program and in the training of junior residents and students.

Emergency Medicine - 4 months

Peds Emergency Medicine Royal Oak

Emergency Medicine/STD Clinic

PICU

SICU*

CCU*

MICU*

Radiology/EM Ultrasound

Trauma Surgery at Detroit Receiving*

Postgrad Year 3

The resident manages a defined clinical area within the Emergency Department, is responsible for patient care and assists in the supervision of junior house officers and medical students. Low or middle level organizational and administrative problems are brought to the resident for resolution. Research activities are brought to fruition and the resident is encouraged to present abstracts at local and national meetings. There is more active participation in medical student didactics and nursing and paramedical in-service training. The third year residents assume a more active role in the administrative aspects of the department.

Emergency Medicine - 8 months

Toxicology

Oral Surgery/Legal

Elective

* Call month

Postgrad Year 1	The first year of training is designed with an emphasis on core medical specialties. It is designed to provide the house officer with a broad-based experience in the management of simple and complex problems in the major specialties.	EM Orientation Month (July) Emergency Medicine - 5 months SICU* MICU* Ob/Gyn Ophthalmology/Anesthesia Orthopedics/Sports Medicine Pediatrics*
Postgrad Year 2	The second year is largely divided between the emergency department and intensive care units. The emphasis is on refining procedural and clinical skills and acquiring in-depth knowledge of complex pathophysiology. By the end of this training year, residents are expected to manage several critical patients simultaneously and prioritize levels of severity of illness under direct staff supervision. Clinical or basic science research activities begin at this time. Residents assume a larger role in the educational function of the program and in the training of junior residents and students.	Emergency Medicine - 4 months Peds Emergency Medicine Royal Oak Emergency Medicine/STD Clinic PICU SICU* CCU* MICU* Radiology/EM Ultrasound Trauma Surgery at Detroit Receiving*
Postgrad Year 3	The resident manages a defined clinical area within the Emergency Department, is responsible for patient care and assists in the supervision of junior house officers and medical students. Low or middle level organizational and administrative problems are brought to the resident for resolution. Research activities are brought to fruition and the resident is encouraged to present abstracts at local and national meetings. There is more active participation in medical student didactics and nursing and paramedical in-service training. The third year residents assume a more active role in the administrative aspects of the department.	Emergency Medicine - 8 months Toxicology Oral Surgery/Legal Elective