Emergency Department

Residency Program

Overview

Class 2014-2015

The University of Utah Affiliated Emergency Medicine Residency is a PGY 1-3 program. The program is based at the University of Utah Hospital, a tertiary care center and level 1 trauma center in Salt Lake City. In addition, residents will rotate at Intermountain Medical Center, the flagship regional referral center for the Intermountain Healthcare System and also a level 1 trauma center. Dedicated pediatric rotations will occur at Primary Children's Medical Center, a regional referral center and level 1 trauma center located next to the University hospital. Additional rotations will occur at the Salt Lake VA Medical Center.

The primary goal of the University of Utah Emergency Medicine Residency Program is to produce well-rounded competent emergency physicians who are able to practice independently. Central to this goal is the development of a high level of competence in the initial recognition, evaluation, resuscitation and stabilization of acute illness and injury in all patients. Additional goals include furthering the academic development of the specialty of emergency medicine, producing meaningful research contributions in the field of emergency medicine, and promoting the specialty of emergency medicine locally, regionally, and nationally.

We will match 8 residents per year, for a full complement of 24 residents. We are looking for self motivated individuals who are excited to join us in building an outstanding emergency medicine training program.

Curriculum

Five hours of conference are scheduled each week, and residents are excused from most clinical duties to attend. The conference topics will cover the core content of the Model of the Clinical Practice of Emergency Medicine. Conference time will also include morbidity and mortality conference, trauma conference, pediatric conference, procedure labs, ECG and radiology interpretation, and board review. A monthly journal club is held at an attending or resident's house.

All PGY-1 residents will begin the Emergency Medicine Residency training program by completing a one-month orientation in the Emergency Department. During the first month there will be a decrease in clinical workload and an emphasis on didactics in the curriculum. Interns will receive training in basic ultrasound skills, advanced airway skills, procedural skills and certification in ATLS and PALS. Conferences for the didactic sessions focus on core clinical topics in emergency medicine.

Residents will participate in the PEER VIII online tests, participate in the annual In Service Exam, and have regularly scheduled mock oral board examinations. Wellness topics and outings will be included in the conference schedule. Additionally, there will be an annual retreat for each PGY class.

First Year

The first year of training is designed to give the resident a h4 background in various specialties, which they will need to practice clinical medicine. At the same time, they will be taught to use these skills in the application of emergency medicine. Emphasis is placed on applying the broad knowledge base gained in medical school to a clinical setting. Problem solving and logical thinking skills are fundamental to the successful practice of medicine and the clinical staff will be continually helping residents to become proficient in using these tools in the clinical setting. The resident will see the natural progression of various  pathologic states and the results of the therapeutic modalities employed in the treatment of patients. Emphasis is placed on learning to obtain a problem-oriented history and physical examination and the ability to develop a practical list of differential diagnoses when seeing patients. Under guidance and supervision, the resident will examine and treat critically ill patients in the emergency department. The year begins with a one-month orientation in the Emergency Department. During this month there will be a decrease in clinical workload and an emphasis on didactics in the curriculum. Interns will receive training in basic ultrasound skills, advanced airway skills, procedural skills and certification in ATLS, PALS, and ACLS. Conferences for the didactic sessions focus on core clinical topics in emergency medicine.

First year residents will present patients to a PGY-3 or EM attending after evaluation, and will confirm that the patient has been seen by an attending prior to discharge. The resident will be responsible for presenting an article at journal club twice during the year. Not having the responsibility of administration or supervision of other residents will allow the resident to concentrate on gaining a solid clinical foundation to achieve clinical expertise in emergency medicine.

Second Year

The second year resident will continue to perfect the skills of physical diagnosis and stabilization of the critically ill patient. The resident begins to take a leadership role in the resuscitation of patients. Time spent in the critical care units ensures that the resident is comfortable treating and caring for critical patients for prolonged periods, and is aware of the progression of pathology in these individuals. The resident will be granted more responsibility and will begin to learn to vary the pace at which patients are seen in order to efficiently control flow in an emergency department. Residents will continue to learn to manage multiple patients simultaneously and perform invasive procedures during emergency department resuscitations. Second year residents will take presentations from medical students and will be responsible for presenting two conference lectures and two journal club articles during the year.

Third Year

The third year is a time of perfecting clinical skills and improving supervisory and administrative skills. As the resident becomes more experienced in emergency medicine, the supervising and teaching of junior residents and medical students will increase. The resident must develop the capability of taking charge of a busy emergency department by the completion of the third year, including directing resuscitations, managing multiple patients simultaneously, providing medical direction for prehospital providers, and coordinating patient flow through the emergency department. This is also a time for career planning and the residents will be given guidance so they can develop future goals as well as make informed choices about the type of environment in which they want to practice. The resident will present two conference lectures and two journal club articles during the year. At the end of this period, our goal is to have trained physicians who are efficient and comfortable in the clinical practice of emergency medicine, with clear goals for their future career and the tools to continue developing professional skill.

Application Requirements

Process

We would like to thank you for your interest in our residency program. We participate in the National Resident Matching Program (NRMP) and adhere to their guidelines. We only accept applications through the Electronic Resident Application Service (ERAS). Our deadline is November 15, 2014.

Required Items

  • Application
  • Three letters of recommendation (at least one from EM faculty at your school)
  • Medical School transcript
  • USMLE transcript
  • MSPE
  • Photo (optional but helpful)
  • ECFMG Certificate (IMGs only). Our institution ONLY sponsors J-1 visas.

Interview Dates:

  • Wednesday, November 12th
  • Wednesday, November 19th
  • Wednesday, December 3rd
  • Wednesday, December 10th
  • Wednesday, December 17th
  • Wednesday, January 7th
  • Wednesday, January 14th
  • Wednesday, January 21st
  • Wednesday, January 28th

Format of the Interview Day

Interviews are granted by invitation only. On Wednesdays, our interview day starts at 7:50 am. Please plan to meet in the main lobby of the University Hospital. You will be escorted to our interview area. The day consists of interviews, a tour of the facilities at University Hospital & IMC Hospital, a sample of resident conferences, and lunch with the residents. The day should conclude by 3:30 pm. You are welcome to stay and observe in our emergency department either before or after the interview activities have been completed.

Please call 801-581-2272 for more information or e-mail Christine Carlson at christine.carlson@hsc.utah.edu

Getting to the University of Utah Hospital

If you are flying to Salt Lake City, the closest airport is Salt Lake International Airport (SLC). The airport is approximately 20 minutes from University Hospital. Buses, taxis and rental cars are available at the airport. Information about transportation options is available on the airport website.

If you are driving (from the airport or otherwise), I-80 and I-15 are the two main highways that lead to the hospital. Detailed directions can be provided.

Click Here For A Map

Hospital Parking

University Hospital provides free parking to visitors. Self parking is available in the parking terrace located northwest of the Hospital main entrance. Follow the blue and white signs to the free parking. Free valet parking is also available. Valets are located directly in front of the University Hospital main entrance.

Public Transportation

uta

There is also a light rail system (UTA Trax) that runs from multiple points all over the Salt Lake area to the University of Utah Health Sciences Center Campus. A free campus shuttle service that runs every 15 minutes can take you from the Trax station to the hospital. Trax or local bus fare is $1.60.

The UTA website can provide you with a customized route planner for your trip. Just use the University Hospital as your destination.

Administrative Offices

The Division of Emergency Medicine Residency Offices are located in Room 1C026 in the School of Medicine, which is attached to the University Hospital. If you have any trouble locating the hospital, or need any assistance, please call 801-581-2272 or 801-581-2417 and someone will be happy to assist you.

Local Accommodation

guesthouse

The University Guest House is a hotel located on the campus of the University. Mention you are interviewing with the Emergency Medicine Residency for a discounted rate (pending availability of rooms).

The campus shuttle runs between the Guest House and the Hospital every 15 minutes. The phone number is 888-416-4075.

There are multiple other lodging options available, many of which offer discounted rates to University Hospital visitors.

If you are interested in staying with one of our residents, please contact Christine Carlson at 801-581-2272 christine.carlson@hsc.utah.edu

PGY1

RotationLocationTime
Emergency Medicine Orientation University of Utah 1 Month
Emergency Medicine University of Utah 3 Months
Emergency Medicine Intermountain Medical Center 1 Month
Pediatric Emergency Medicine Primary Children's Medical Center 1 Month
EMS/Emergency Medicine University of Utah & Veteran Affairs Medical Center 1 Month
OB/GYN University of Utah 1 Month
Orthopedics University of Utah 1 Month
Anesthesia/Emergency Medicine Intermountain Medical Center 1 Month
SICU University of Utah 1 Month
Trauma University of Utah 1 Month
Ultrasound University of Utah U/S shifts during ED months

PGY2

RotationLocationTime
Emergency Medicine* University of Utah 5 Months
Emergency Medicine* Intermountain Medical Center 2 Months
Emergency Medicine Veteran Affairs Medical Center 1/2 Month
Elective TBD 1 Month
PICU Primary Children's Medical Center 1 Month
STRICU Intermountain Medical Center 1 Month
Toxicology University of Utah 1/2 Month
Trauma Intermountain Medical Center 1 Month
Ultrasound University of Utah U/S shifts throughout year

PGY3

RotationLocationTime
Emergency Medicine* University of Utah  6 1/2 Months
Emergency Medicine* Intermountain Medical Center 2 Months
Emergency Medicine Veteran Affairs Medical Center 1/2 Month
Trauma Intermountain Medical Center 1 Month
Elective TBD 1 Month
SICU University of Utah 1 Month
Ultrasound University of Utah U/S shifts throughout year

*During each adult ED month at the University of Utah and IMC, PGY 2 & 3 residents will do 2 shifts in the Pediatric ED at PCMC. This will ensure that residents have year-round and continuous exposure to pediatric emergency medicine.

Salary

The stipend schedule for 2013-2014 is as follows:
Salaries increase yearly.

Training Level Stipend

  1. $51,286
  2. $53,117
  3. $55,163

Vacation

There are three weeks (21 calendar days) of paid vacation annually.

Special Educational Leave

PGY2 and PGY3 emergency medicine residents can be granted time off to attend national educational conferences and obtain a stipend if presenting scientific research.

Insurance

Medical and dental insurance: There is a choice of plans for health coverage for residents and their families, with premium costs shared by the resident and University Hospital. Group dental insurance is available at a nominal monthly charge.

Life insurance

Group life insurance in the amount of $25,000 at no charge. Additional insurance up to maximum of $350,000 may be purchased.

Disability insurance

Houseofficer may select policy with own-occupation clause in the amount of approximately $2,380 per month with built-in cost of living rider. Basic policy is paid for by the hospital. Additional options may be purchased by the houseofficer.

Malpractice insurance

Provided by the hospital for professional activities that are an approved part of the training program.

Meals

Meals are provided for residents required to spend the night in any affiliated hospital as part of his/her training program.

Childcare

An on campus childcare facility is available, space permitting.

Other Benefits

  • Reduced tuition at the University of Utah
  • Free public transportation pass
  • Discounts for bookstore and admission to entertainment, sports (ski passes!), and cultural activities
  • Credit Union privileges (there is a branch located within the hospital).