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"I Hear and I Forget, I See and I Remember, I Do and I Understand"

Vision & Philosophy

The above quote is often attributed to Confucius and there is debate as to its origin, however, it seems to capture the essence of residency training.

Fort Worth EM residency training continually looks to provide innovative curriculum for the learning of Emergency Medicine.  Recognizing our learners arrive with different ways of assimilating knowledge, we strive to meet them in their quest to become excellent Emergency Medicine physicians.

Utilizing a system based curriculum, resident learners are challenged through interactive didactic sessions, small group discussions, and simulation experiences.  Our residents put into practice and apply their knowledge weekly.

Curriculum

Residents spend a generous amount of time in the Emergency Department over the three-year clinical curriculum. Residents also rotate on services that compliment core education requirements and enhance skills expected of Emergency Physicians practicing in the 21st century. An emphasis is placed on effective critical care management skills development.

Most of the clinical curriculum devoted to the Adult population will occur at John Peter Smith Hospital (JPS). The clinical curriculum specific to the Pediatric population will take place at Children’s Medical Center of Dallas (CMC) which is located about 49 miles east of JPS and conveniently accessed via Trinity Rail Express which stops immediately across from CMC.

PGY1
EM Months 37.5%
Off-Service Months 62.5%

1 month Orientation
4.5 months EM
1 month Peds EM
1 month MICU
1 month Trauma
1/2 month Cardiology
1/2 month Orthopedics
1/2 month EMS
1/2 month OB/GYN
1/2 month Airway
1 month Ultrasound/Toxicology

PGY2
EM Months 66.6%
Off-Service 33.3%

8 months EM
1 month STICU
1 month MICU
1/2 month Hand/Optho
1/2 month Elective
1/2 Community EM
1/2 PICU

PGY3
EM Months 75%
Off-Service 25%

9 months EM
1/2 month Community EM
1 month ED/Admin
1.5 months Elective

PGY2 and PGY3 longitudinal experiences provide additional Pediatric Emergency Medicine clinical time at Children’s Medical Center of Dallas.

Conference and Didactics

Everyone learns material differently and in a variety of formats and we recognize that process. We have built a diverse conference and didactic curriculum to deliver content to our Residents that helps them get the most from their education.

Our didactics are primarily faculty driven and we feature numerous content experts amongst our faculty as well as guest speakers throughout our rotating 18 month systems based curriculum.  Instead of long arduous lectures, we have shortened format, high-yield presentations that deliver the content to augment both clinical practice and board preparedness.  We deliver the content in various formats – hands on learning and procedural sessions, in-person lectures, grand rounds, virtual presentations, small groups, flipped classroom sessions, tailored learning plans, publications, reading guides, and asynchronous content.

Each month we have various rotating special content:

  • The Journal Club series that teaches residents how to evaluate literature and whether or not to incorporate new changes into clinical practice.
  • The EM:RAP™ Club which evaluates podcast content and cutting edge practice.
  • The Legal Series which discusses important risk management processes, legal pitfalls and forensics.
  • The R2 to Forever Series in which we address financial aspects of life beyond residency and assist in job search and placement.
  • Asynchronous content regarding systems based practice pearls delivered via a dedicated website and our own medical journal with an ISSN, allowing residents to publish and deliver superior scholarly activity.
  • The EKG Bootcamp Series.
  • The Quality Series that looks at M&M cases and reviews both intra-departmental and external quality processes.
  • Recorded lectures available for remote viewing and repeat accessibility.
  • Longitudinal Toxicology, Ultrasound teaching, Difficult Airway courses, various CME delivering conferences and much more.

We have a state of the art Simulation Center that delivers hands on training with all types of high-yield and low frequency procedures and clinical cases. Augmented with simulation trainers, models, medical devices and ultrasound, hands on cases involving our own ED staff as well as physicians, feedback scenarios, oral board training and preparation.

Emergency Medical Services
(EMS)

The EMS experience will include a broad overview of the pre-hospital environment to include ambulance ride-outs, supervisor shadowing, and medical command among other activities.

JPS is a medical command base station and all Residents will gain this experience during the three-year curriculum with Senior Residents providing direction to the local EMS units.

Additional elective EMS time is available to Residents with an interest in EMS Fellowship and/or postgraduate EMS Medical Directorship.

Emergency Ultrasound
(US)

Residents will receive broad training in emergency (point-of-care) ultrasound during their residency. They will complete a one-month rotation early during the intern year placing them on track to log over 300 scans during their entire residency experience. They will also have the opportunity to be involved in related research projects.

Bedside US images are archived digitally into patient medical records. Residents receive quality assurance feedback regarding technical and interpretive skills.

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