University of Virginia Health — Charlottesville, Virginia
The primary clinical training site for the residency program is the University of Virginia (UVA) Medical Center, a Level I Trauma Center which opened in March, 1989. UVA serves as a regional acute care referral center as well with a large central Virginia cachment area. The Emergency Department is located on the first floor of the hospital expansion and has 70 patient beds.
The ED now includes:
- Adult emergency department with bedside registration, four operating rooms, and a 10-bed clinical decision-making unit
- Children’s emergency department, an 11-bed area with a separate children’s lobby and emergency specialists for patients under 20 years of age
- Rapid Medical Evaluation area, a 12-bed section designed to address minor emergencies like sore throats, fevers, sprains and lacerations
- Dedicated 8-bed section for behavioral and mental health emergencies
- Interventional cardiology and radiology suites
The annual department census is over 60,000, 20% of those are pediatric patients, and 15% are over 65 years old. Of the total patient census, 27% are admitted with 12% to an intensive care unit and 0.5% directly to the OR. There are 2,200 yearly trauma admissions (1834 in 1997 vs. a mean for US Level I trauma centers of 1830) through the ED (81% blunt, 19% penetrating). The UVa ED patient mix crosses all socioeconomic borders with a remarkably diverse patient population.
Culpeper Regional Hospital — Culpeper, Virginia
During the second clinical year, residents perform a 1 month rotation in the Emergency Department at Culpeper Regional Hospital (CRH) in Culpeper, Va. CRH is located about 45 minutes North of Charlottesville.
Visit the CRH website for more information.
St. Mary’s Hospital — Richmond, Virginia
This one month rotation will be spent during the second clinical year. During the rotation, the resident will participate in the management of patients in the pediatric emergency department, working with attending physicians who are specifically trained in pediatric emergency medicine. This rotation also includes time working with an anesthesiologist in the OR – a great opportunity for trainees to become comfortable with the pediatric airway.
Visit St. Mary’s Hospital’s website for more information.
Virginia Hospital Center — Arlington, Virginia
This one month rotation will be spent during the second clinical year. During the rotation, the resident will participate in the management of patients in the labor and delivery suite, triage area, patients on both prepartum and postpartum services, and emergency department Ob/Gyn consultations.
Visit Virginia Hospital Center’s website for more information.
Other operations of Emergency Medicine to which the residents will be exposed include:
- Optional international electives
- Pegasus Critical Care Transport Aeromedical Program (residents are not required to fly);
- Lifeguard Aeromedical Transport
- Prehospital EMS Program
- Blue Ridge Poison Control Center, and Medical Command and Communications
- Ultrasound Program (see below)
The department of emergency medicine considers training in ultrasound a required piece of resident education. During training, residents will be expected to become skilled in bedside clinical ultrasound for the procedural assistance and for the rapid triage of the critically ill or undifferentiated patient.
It is expected that residents should be proficient with the technical aspects of obtaining quality images in adults and children, understand the indications and limitations of study and be skilled in the administrative responsibilities of this technology. Ultrasound imaging equipment is also available to assist with ongoing basic science and clinical research. Residents are encouraged to participate in this research.