Curriculum | Mercy St. Vincent EM Residency

Our Curriculum

Our curriculum was built partly on ACGME requirements and partly on our residents' feedback. The faculty and program staff are very responsive and open to any suggestions that we have during our month to month experiences. We have biannual in-person reviews with a faculty member to assess our progress, as well as faculty and peer reviews online. We use New Innovations for scheduling and procedure logs. We have weekly didactics on Wednesdays with one week every month consisting of SIMS and procedural practice.

Our shifts in the ED are 10 hours long, with the last hour of the shift to be spent dispositioning patients and finishing up notes. Interns work 21 shifts per month when in the department, and we never work more than 6 days in a row when in the ED. Second years work 18 shifts, and third years work 16 shifts. Designated US training is built into each ED month as well as our Anesthesia month during the first year. Our EMR is Epic, and with the help of Dragon we can dictate while charting. We use QPath Software to allow our faculty to view and evaluate our ultrasound scans.

The program provides Rosh Review, PEER, HIPPO EM, EMRAP, and ACEP/EMRA membership at no cost to our residents, so you do not have to spend your educational stipend on these! We also have full access to electronic resources through the hospital for research and studying.

PGY-1

4 months Emergency Medicine

Our blocks are grouped by AM or PM shifts so there is consistency to promote a good sleep schedule and routine.

2 months Pediatric Emergency Medicine

Residents on these blocks get first dibs on all pediatric patients in the department. 1 of those months includes 4 ride-alongs with Toledo Fire Department Paramedics (Peds/EMS block).

2 months Trauma Surgery

We work side by side with the surgery residents to take care of our trauma patients.

2 month Observation Unit

The Obs Unit is run by the EM interns and EM faculty. This is a unique experience that allows us to see beyond when we admit a patient from the department. No other services or senior EM residents rotate in this unit, allowing the EM interns significant autonomy with just the right amount of guidance from faculty.

1 month Pediatric ICU

We see the sickest of the sick kids. We also get to work along side the pediatric residents and learn from dedicated PICU faculty.

1 month Anesthesia/Ultrasound

The goal of this month is to become comfortable with intubations in a controlled setting as well as guided ultrasound training in the ED.

1 month Obstetrics

Our focus is on deliveries and seeing consultations from the ED.

PGY-2

6 months Emergency Medicine

1 month in the Emergency Medicine at St. Charles as our designated Rural/Community Emergency Medicine Experience. This is our only off site rotation and is about 15 minutes away from St. Vincent.

1 month Pediatric Emergency Medicine

1 month Trauma Surgery

1 month of Critical Care Liaison/Pediatric Sedation

1 month of Medical ICU

1 month Neuro ICU

We are part of the Stroke Response team during this month.

1 month Neurosurgery

This also involves overseeing the patients in the Neuro Critical Care Unit.

PGY-3

9 months Emergency Medicine

If you choose to fly with Life Flight, you will have longitudinal flight shifts during these months.

1 month Pediatric Emergency Medicine

1 month Elective

This rotation is completely up to the resident. Some have done self-study with online modules, while some have traveled all around the world to do international medicine.

1 month EMS

This is the main month that we are able to fly with Life Flight 4 as a Flight Physician. Life Flight 4's base is right next door to the ED. Shifts are 24 hours long. If you choose not to fly, no big deal! You will have the option to do more ride-alongs with TFD.

1 month Medical ICU