Why should I come to Philadelphia?
Philadelphia is a booming city that is growing everyday. Known for its wonderful restaurants and eclectic neighborhoods, the city offers a wonderful array of cultural events and experiences. Philadelphia is known for its hoagies, soft pretzels, water ice, cheese steaks, and is home to over 9,800 restaurants. Multiple professional sports teams including the Phillies, Flyers, Seventy-sixers, and Eagles call Philadelphia home. In addition, Philadelphia boasts 48 universities and professional schools as well as 23 museums.
Why Jeff EM?
Like the city it is located in, the Jeff EM Residency is also diverse and constantly evolving. We pride ourselves on being a resident-driven residency that focuses on providing a dynamic learning experience. We continue to grow and evolve with new technologies, and with the concerns and desires of the residents themselves. It is safe to say that the residency you leave as a graduating third-year will be better and different than the one you become a part of as an incoming first-year.
Over the past few years Jefferson has seen the construction of a new educational facility (Hamilton Building) which houses a full floor of Simulation Labs. Each resident will become intimately familiar with the facility as simulations are a key component of our residency training. Additionally, residency conferences are systems based per block, and are lead not only by our own faculty, but by our residents, and by visiting experts in their respective fields.
Finally, our residents and faculty are diverse, representing a variety of medical schools from coast to coast. Our backgrounds are diverse and so are our interests.
Can I find out more about the other hospitals you work at?
As you may know our residents do rotations at seven different hospitals, including Methodist Hospital, Will’s Eye Hospital, Cooper University Hospital, Our Lady of Lourdes Medical Center, A. I. duPont Hospital for Children, Children’s Hospital of Philadelphia, and the “mother-ship” aka Thomas Jefferson University Hospital (TJUH). Each hospital has its own official site easily found online.
Our emergency medicine experience is distributed amongst the four emergency departments of TJUH, Methodist, Paoli, and Our Lady of Lourdes. TJUH is a large level 1 trauma center and regional spinal cord center. As one of the leading academic institutions in the Delaware Valley it offers full support from numerous consult services including multiple surgical services, Ob/Gyn, general and subspecialty medicine, as well as dedicated pharmacy and social work services located in the department itself.
Methodist, Paoli, and Our Lady of Lourdes offer experience in a community hospital setting where a single resident works in the department at any given time. This affords the resident the opportunity to work one-on-one with attendings, and become acquainted with the differences between a community and academic emergency department. At both hospitals resident become well-versed in caring for a large volume of patients while being exposed to bread and butter emergency medicine, and also learning about the business/billing side of the specialty. One of the most valuable lessons learned in these institutions is how to recognize and manage critical patients that have medical conditions requiring resources sometimes not offered by that particular hospital.
The variety in these locations allows for an educational experience that has prepared our graduating residents to work at any type of hospital, anywhere in America, from the rural northwest to the academic centers of the northeast.
What type of technical support do you have at TJUH?
Our main ED spans a full block with over 60 examination rooms. The ED is currently divided into Fast Track (staffed during the day by NPs), two main ED pods (A-side and B-side) and a Trauma Unit (staffed by the ED with Trauma Surgery available in-house 24/7 for consultation and collaborative management). The department also staffs an ED managed observation unit known as the Clinical Decision Unit (CDU) in the hospital.
Attached to the ED is plain-film radiology and a high-speed 64 slice CT scanners dedicated to the emergency department (2 other scanners are used for inpatient studies and additional outpatient facilities are used for pre-scheduled tests). The department also has 24/7 access to MRI machines in the hospital (a mixed blessing from the length of stay standpoint). It also has multiple ultrasound machines (as well as Methodist Hospital) for resident use in FAST and bedside patients evaluations, and 24-hour ultrasound techs for official studies. Radiology residents are in-house 24/7 reading all imaging studies. All radiology studies are loaded into a PACS system that is accessible throughout the ED.
In April 2017 the ED and the rest of the hospital completed its EPIC rollout unifying the EMR across inpatient, ED, and outpatient systems and consolidated what was previously multiple EMRs. This also provided critical access to outside records from other institutions in the Philadelphia area directly through the EMR and eliminated any remaining need for paper charting.
Do I need a car?
This one is not so easy an answer. Almost every resident eventually gets a car. Throughout our residency we travel to seven different hospitals, most of which are not walking distance from the TJUH campus. While most are easily accessible by public transportation, over the years our residents have found that it is often easier (and sometimes cheaper) to simply drive (especially to DuPont). Luckily, many of the local parking garages offer reduced rates to Jefferson staff.