You will spend all of your PGY1 ED shifts in this emergency department. The department consists of two separately run but connected sides, each run by 1 attending with a team of residents. Each side has a centralized physician work area that is partially separated from patient rooms and has ample computers for each physician and consultant to use. A side and B side each have approximately 20 private ED rooms and approximately 5 hallway spaces. In between A side and B side is our resuscitation bay where all critically ill trauma and many of our critically ill medical patients are brought for initial resuscitation. The patient population at Jefferson is diverse in ethnicity, age, socioeconomic status, and acuity. Working at TJUH is made easier by the excellent ancillary services which include case managers, physician services representatives who help with phone calls, faxes, scanning, obtaining OSH records, and old EKGs; ED technicians who perform EKGs, place IVs, draw labs, apply splints; and nurses with expertise in critical care and emergency medicine.
You will spend many PGY2 and PGY3 shifts here, as well as PGY1 ultrasound shifts/ICU. This hospital is located in South Philadelphia. The clinical experience at methodist is significantly different from TJUH Main ED in that you will be the only resident on shift with two attending physicians. There is a high volume of critically ill patients here who require a multitude of interventions and procedures. You, as the only resident on shift, will play a role in managing all of these patients and will gain a high degree of procedural experience and expertise.
A community hospital with high volume, high acuity, and Chief of Emergency Services, Al Sacchetti MD who also works clinical shifts. He is an incredible educator and is enthusiastic in involving residents in procedures such as paracentesis, transvenous pacing, lumbar puncture and more. He is creator of a series of youtube.com videos in which he touches on many common ED topics and demonstrates procedures. He is also a prominent name and lecturer in emergency medicine conferences and educational courses around the country. The Lourdes ED provides a unique and valuable procedure rich experience within a community environment that you will be hard pressed to find anywhere else. The hospital is a cardiac center, has a dialysis center across the street, and a high volume of pediatric patients. You will be the only EM resident on your shifts here during your PGY2/PGY3 years.
As a PGY2/PGY3 you will also rotate through the Paoli Emergency Department. This ED, similar to Lourdes and Methodist provides a huge amount of autonomy. It’s a Level 2 Trauma Center near the highway which will bolster your trauma experience. Additionally, you will be the only resident on shift there, so you will be given priority to manage any critically ill patients and to perform any procedures.
A renowned children’s hospital where you will learn from big names on pediatric Emergency Medicine how to evaluate, diagnose, and treat pediatric patients. The emergency department there is extraordinarily efficient, well run, and a pleasure to work in. There is an abundance of physicians, so you will be able to focus on learning a lot from each patient rather than seeing volume, which is important as an intern when you will have had little experience with pediatrics. After rotating through the DuPont ER, you will feel very comfortable taking care of pediatric patients.
Philadelphia’s premier children’s hospital where you will learn advanced clinical pathways and evidence based management of pediatric patients in one of the most sophisticated and well run pediatric emergency departments in the country.