Just returned from AEMC in Philly..
Two things impressed me most. (Getting into the 3 vs 4 year debate is a little beyond the scope of this reply.) First, the leadership is absolutely dedicated to the four year concept. They outline their strategy behind the curriculum fairly well and offer some subspecialized electives not found at other programs. You'll do burns at Temple, peds ED at CHOP, neurosurgery, and some other interesting tours of duty. The fourth year is seen as a, 'fine tuning' opportunity. 4th years act as trauma chiefs, lecture the junior residents, and oversee the ED. There's lots of graded exposure to EM. The lecture tracks for interns / juniors are separate from the seniors. Secondly, the ED environment is a little starship-enterprise like. Its almost entirely electronic. PACS systems and infrared patient tracking are highlights of the new ED. The ED is clean and extremely efficient. A strategy of any patient, any bed, any time seems to dominate delivery of healthcare.... Its a typical urban ED but with several technological upgrades including central monitoring capability, and chem-bio rooms. If you'd like some more specifics, feel free to PM me. I very much enjoyed visiting their ED...
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