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University of Texas Southwestern / Parkland Hospital
(Last Updated: Sep 30, 2009)
Street 1: 5323 Harry Hines Boulevard Street 2: Division of Emergency Medicine
Primary Program Phone: 214-590-1355 Program Fax Number: 214-590-4079 Website Address: www.dallasem.org, http://www.utsouthwestern.edu/utsw/home/patientcare/healthcareprofessionals/surgery/emergencymedicine/ Department or Division Chairman/Chief: Paul Pepe, MD MPH Residency Director: Michael Wainscott, MD Assistant Residency Director: Larissa Velez, MD Residency Coordinator: Annette Strange Additional Contact Name & Title: Chief Resident Additional Contact Phone: 214-786-2076 pager Additional Contact Email: Chief Resident 1: Matt Muller, MD, MS Chief Resident 2: Ralph Baine, MD Chief Resident 3: Ryan Parker, MD Chief Resident 4: Bradford Commons, MD What is the official organizational status at your institution? Division/Section of Surgery COMLEX in place of the USMLE N/A | | Primary Institution | Additional Institution | Additional Institution |
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| Hospital: | Parkland Health and Hospital Systems | Children's Medical Center of Dallas | Dallas VAMC |
| Type: | Urban - Other | University | VAMC |
| Total Number of Beds: | 997 | | |
| Number of ED Beds: | 85 | 42 | n/a |
| Number of Adult Visits: | 90,000 | 0 | |
| Number of Peds Visits: | | 90,000 | n/a |
| % Admitted: | 20-25 | 10 | |
| ICU Admissions (% of total admissions) | 4% | | |
| Number of Months Training at Facility (ED/Total): | 25 | 3 months, with additional 2-3 shifts monthly | 1 (CCU) |
| ICU Admissions (% of total admissions): | 1% | | |
How many full-time faculty on staff? 21-25 How many part-time faculty on staff? 15+ How many faculty are EM residency trained? 20+ How many faculty are EM board certified? 20+
(hide)Research and General Program Information How many peer reviewed articles did your program publish last year? 21+ Program approach to funding resident research Faculty run basic science research lab and NIH Designated Center for Resuscitation. Funding provided for residents presenting at national and regional conferences. RRC research requirement implementation Residents have the opportunity to fulfill their research requirements through case reports, original research, abstracts, CPC presentations, poster presentations, or book chapter review/editing. Program Research Director: Ahamed Idris, MD Aeromedical program description (if available) Affiliated with over 5+ aeromedical programs in the Dallas region. Although not a requirement or part of the curriculum at UTSW, we do offer options to be an observer with these aeromedical programs. EMS Program (if available) EMS and Government Emergency Medicine Security Services(GEMSS) fellowships are part of resident curriculum. Requirements for minimum number of hours/year to be fulfilled by EMS ride-outs, mass gathering events, concerts, and sporting events(Dallas Mavericks, Stars, and Cowboys). Available research in residency program At any given time there are dozens of research projects being conducted by EM faculty. Residents are also encouraged to come up with original research ideas of their own. Type of research required by residents Residents are required to complete a scholarly project during their residency. Additionally, residents are encouraged to work in small groups to complete posters for presentation at regional and national meetings. Percentage of residents do some sort of clinical or basic science research projects 81% - 100% Research areas of specific strength Resuscitation, disaster medicine, toxicology and EMS. Current program accreditation status Fully accredited Residency program format 1 2 3 Please select the following combined residencies that exist in your program: N/A Number of residents per class 17-20 How many International Medical Graduates are currently in your program? 1-5 How many International Medical Graduates were in your program during the last 5 years? 1-5 How many Osteopathic Doctors (DO) are currently in your program? 6-10 How many current residents have had previous residency training? 1-5 How many residents in the last 5 years have had previous residency training? 6-10 How many Osteophathic Doctors (DO) have been in your program during the last 5 years? 11-15
Please enter your curriculum for each year separately. If you are a P234 program, skip to the PGY2 question. | | Curriculum |
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| Curriculum for PGY1: | Parkland ED (3 blocks)
Pediatric ED (2 blocks)
Trauma (1 block)
Medicine CCU (1 block at the VA)
Toxicology (1 block)
Ultrasound (1 block)
Medicine Wards (1 block)
Labor & Delivery (1 block)
Gyn Urgent Care (1 block)
Anesthesia (3 weeks)
Pediatric Anesthesia (2 weeks)
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| Curriculum for PGY2: | Parkland ED (8 blocks)
Community ED (1 block)
Trauma (1 block)
Pediatric ICU (1 block)
Orthopaedics/Plastic Surgery (1 block)
Burn ICU/Neonatal Resuscitation (1 block)
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| Curriculum for PGY3 | Parkland ED (8 blocks)
Parkland ED Teaching Resident (1 block)
Trauma/EM at Community Hospital (1 block)
Private EM (1 block)
Elective (2 blocks)
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| Curriculum for PGY4: | n/a |
(hide)Fellowships, Benefits, Person Completing Survey FellowshipsWhich degrees or certifications are offered? Toxicology, EMS, Government Emergency Medicine Security Services(GEMSS), Pediatric EM, Practice Management Please indicate which fellowships are available in your program: Administration, Critical Care/Trauma, EMS, Pediatric Emergency Medicine, Toxicology Resident BenefitsMembership in professional organizations for residents ACEP, EMRA Other Memberships: Texas College of Emergency Physicians Subscriptions residents receive Annals of Emergency Medicine, EMRAP, EBMedicine | | PGY1 | PGY2 | PGY3 | PGY4 |
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| Book / Educational Resources Allowance: | Provided: Tintinalli, Emergency Medicine: Critical Concepts for Clinical Practice, Evidence-base Medicine Toolkit, Principles of Primary Wound Management | Emergency EKG Interpretation | 0 | n/a |
| Funded Conference Attendance (Not Presenting): | 0 | SAEM(Chiefs) | ACEP | n/a |
Policy for presenting original research Travel expenses are fully funded through the residency for any resident presenting original research. No formal policies in place for missed shifts because of presentations; however the schedule is flexible and can account for time off. Other Benefits (Not previously listed): 1)Two month elective New Zealand rotation in Hawkes Bay as a senior resident. Stipend for airfare, housing and car provided.
2)EMS coverage for a variety of professional sporting events( Dallas Cowboys, Mavericks, Stars and concerts at the American Airline Center) Resident completing questionnaire: Christina Tran MD Title: EMRA representative
Skill sessions Multiple half day skills labs throughout the year including:
1)Resuscitation Simulation Lab(adult and peds).
2)Advanced Airway Lab
3)Ultrasound Lab
4)Wound Care Lab
5)Procedure Lab(Cadaver)
Times per year resident participates in skill sessions 4 or more times per year Hours per week dedicated for conference/journal club/or other educational sessions 5 hours Conferences grouped together or occurring on multiple days throughout the week All usually occur on one day Time considered protected while in the ED Yes Time considered protected while on an off service rotation Protected on some, not on others Residents required to prepare and teach some of the didactic sessions Yes, more than once per year during the residency Conferences taught by Conferences are taught by EM faculty, visiting EM faculty, political medical associations, and specialty faculty(hand/burn/etc)
Residents are scheduled to present lectures including: Case conferences, Literature Review, and Senior Resident Grand Rounds. Set conferences, occurring regularly (weekly/monthly, etc.) Weekly conference/skills lab every Thursday morning 8:00-12:00, monthly journal club, intern conferences monthly, and student lectures weekly. Residents are required to complete an average of 1 hour per week of asynchronous learning outside of conference, which can include monthly board reviews, Toxicology grand rounds, journal club, surgery trauma conference, ultrasound shifts, research, and attendance at national conferences, to name a few. Short lectures offered during morning sign-out No Certification courses upon graduation BLS, ACLS, ATLS, PALS, and BDLS(Basic Disaster Life Support) Frst time pass rate for the ABEM Written Board Exam among the past 3 years of residents First time pass rate for the ABEM Oral Board Exam among the past 3 years of residents ABEM Oral Board Exam reviews Review during weekly/monthly didatic sessions Didactics regarding contracts, malpractice, coding and other real world topics Yes
(hide)Post Graduate Statistics Percentage of graduates from the past two years entered into academic practice (not including fellowship training) 0% - 20 % Percentage of graduates from the past two years that entered into community emergency medicine practice 61% - 80% Percentage of graduates from the past two years that entered into fellowship training 0% - 20 % Fellowships where graduates entered into in recent years Toxicology, EMS, Practice Management, Critical Care Percentage of graduates from the past two years that remained to practice within a 50-mile radius of the residency program 61% - 80%
Hours scheduled to work per day while in the ED as an intern 10 hrs Shifts per month where interns work in the emergency department 18 Hours scheduled to work per day while in the ED as an upper level resident 10 hrs Average shifts per month for senior level residents to work in the emergency department 18 How long after their shifts do residents typically end up staying? 15 minutes or less On average, how busy are the shifts that a senior resident does in the emergency department? 2-2.5 pt/hr What kind of pediatric experience do the residents get in the various rotations they do? Interns have 2 blocks (8 weeks) of dedicated Pediatric EM at Children's Medical Center of Dallas, which is the highest volume pediatric ER in the country. R2 and R3 residents spend 2-3 shifts/month in the pediatric ER. R2 residents have 1 block in the Pediatric ICU and 2 weeks on the neonatal resuscitation team. Elective experiences include neonatal ICU and aeromedical experience with pediatric "transport team." Average time a patient sits in the waiting room Less than 1 hours Ancillary staff work performed by residents on a regular basis Physician order entry on the electronic medical record. Residents also do EJs and perform US-guided IVs on difficult IV starts.
Person responsible for running trauma in the emergency departments the residents work in Some combination of EM/Surgery Person responsible for the airway during the trauma activations/alerts EM Resident Roles the EM residents play during the trauma activations/alerts during the entire residency period Parkland is a busy level 1 trauma center. EM residents dictate necessity for trauma consult for patients not initially triaged as trauma activations. EM residents as R1/R2 on the trauma rotation are active members of trauma team and run the traumas, and are always responsible for the airway. R2 residents have a community rotation at a neighboring level 1 trauma center where they get additional experience running traumas. R3 residents have a dedicated trauma month at a busy Level 2 trauma center. Technologies used in ED Computerized Patient Records, Computerized lab retrieval, Computerized radiography, Paperless charting, Electronic patient tracking system Pediatric emergency medicine attending on staff 9+ Do residents feel comfortable treating children when they have completed the residency? Yes
(hide)Off-Service Rotations, EMS, Moonlighting Kinds of call schedules on the various off service rotations Call ranges from q3 to q7 Months of call in the entire residency program 6 Kind of opportunity for EMS involvement EMS and specific Government Emergency Medicine Security Services(GEMSS) fellowships are part of resident curriculum. Several faculty are the Medical Directors for the Dallas and surrounding area fire departments and law enforcement agencies. Requirements for minimum number of hours/year to be fulfilled by EMS ride-outs, mass gathering events, and sporting events(Mavericks, Stars, and Cowboys). Independent medical command of Biotel, an Dallas County EMS response system. Aeromedical experience is available as an elective. Time is allocated for EMS involvement 16+ hours per year Moonlighting Allowed? Yes Possible moonlighting experiences available At nearby ED's
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