Emergency Medicine

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Emergency Medicine Categorical Residency Program

The Emergency Medicine Residency program at IU School of Medicine teaches residents how to recognize, evaluate and treat all patients with life- or limb- threatening conditions presenting to the emergency department. The program was established in 1976 and is part of a two-campus system with three emergency departments that receive more than a quarter million patient visits a year. The program accepts 21 residents per year and has full accreditation status by the residency review committee.

Curriculum

The Emergency Medicine Residency program consists of 13 four-week blocks, which provide a uniform experience in each clinical rotation and eliminate confusion about change-over dates, affording an additional training block each year. The first year of this program places heavy emphasis on the most critically ill patients. Multiple intensive care months allow for excellent training in procedures and resuscitations, ensuring that all first-year residents are competent and confident when advancing to upper-level resident status.

Both second- and third-year upper-level residents function as scheduling equals in the emergency medicine categorical residency program. This allows for residents to care for the sickest patients in the emergency department for two full years with different levels of faculty guidance through each year. During the third year of training, residents have teaching shifts in which they serve as the initial staff for medical students, physician assistant students and off-service interns..

The didactic responsibility of emergency medicine residents is participation in a core lecture series, which is designed to repeat every two years with critical topics repeated annually. Each block includes a session in which each residency class meets separately to allow an entire peer group to assemble for topics of interest relative to their level of training.

Block Schedule of Rotations

Year 1Blocks
ED Orientation1
Methodist Hospital ED2.25
Eskenazi Hospital ED2
Trauma ICU1
Adult ICU1
Pulmonary ICU1
Cardiology inpatient1
Riley Pediatric ED1
OB/GYN0.75
ED Ultrasonography0.5
Anesthesiology0.5
Medical Toxicology1
Year 2Blocks
Methodist Hospital ED4
Eskenazi Hospital ED4
Orthopedics1
Adult ICU1
Riley Pediatrics ICU1
Admin/EMS/Research1
Elective1
Year 3Blocks
Methodist Hospital ED*4.5
Eskenazi Hospital ED*4.5
Riley Pediatrics ICU/IUH North NICU1
Pediatric Anesthesia1
Elective2
Typical Electives
UltrasoundPalliative Care
DermatologyGlobal Health
Disaster medicineMotor Sports
Aeromedical Pre-hospital CareSimulation
ResuscitationRadiology
Advanced ToxicologyResearch
Infectious DiseaseRehabilitation
Physical Therapy in the EDNephrology
Others (upon request)

Specialty Tracks

The Emergency Medicine Residency program at IU School of Medicine offers five separate, voluntary tracks for residents who can choose to focus on academic, advocacy, global health, administration or EMS. These options afford residents the opportunity to tailor their career focus to specific interests in these three areas and gain valuable experience prior to graduation.

The academic track prepares residents for a successful career in academic emergency medicine and provides insight on academic career pathways and experiences in writing, teaching and leadership. The track is organized into sub-tracks that provide more in-depth experiences in specific academic niche areas, including education, simulation, research, toxicology and ultrasound.

The advocacy track prepares physician leaders in emergency medicine to be the voices and advocates of health care change in society. The advocacy track provides patient-centered advocacy strategies and teaches the basic principles of health policy and interaction with the legislative process. This training is accomplished through mentoring, modeling, education and outreach, information flow, and innovations in scholarships.

The EMS track prepares residents to serve as community-based EMS medical directors after graduation and provides a solid stepping-stone for work in larger metropolitan areas by priming the resident for an EMS fellowship. The EMS track consists of several subspecialties, including motorsports medicine, mass gathering medicine, tactical EMS, urban search and rescue, and pediatric EMS.

The administrative track provides residents with a foundation for a career in health care administration and operations. Residents on this track work side by side with local health care leaders, including medical directors as well as faculty in leadership positions within the larger health system. Residents complete LEAN training and obtain (at minimum) a green belt and participate in multiple administrative projects.

The Global Health track utilizes resources from the IU School of Medicine and is customized for emergency physicians to learn about global health in the U.S. and internationally. Residents on this track members work with refugee populations in Indianapolis, learn from didactic sessions quarterly, and rotate at Patan Hospital in Kathmandu, Nepal, to gain a better understanding of global health advocacy, uncommon disease processes, and resource-constrained medicine.