Pure Anergy

10+ Year Member
Jun 25, 2008
169
11
Status
Attending Physician
Posted anonymously on behalf of a resident at the program.

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Hey guys, I’m currently a 3rd year who will graduate July 2017. Sorry this is so lengthy, but it may impact the next 3 years of your life so it’s probably worth the read. Figured more would be better than less. Feel free to ask questions.
Of note- we rotate through three hospitals: Florida Hospital East Orlando (FHEO), Florida Hospital Orlando (FHO), and Lakeland Regional Medical Center (LRMC). FHEO- has residency program offices, didactics and all adult ED rotations (most time is spent here). FHO- tertiary hospital, over 1,200 hospital beds, and where we do all of our other rotations (L&D, anesthesia, ICUs, dedicated peds EM months). LRMC- trauma center where we rotate one month each of our three years.

Facilities: FHEO- very nice hospital, large and new ED (2014) with a brand new Peds ED (2015). Everything on EMR - Cerner and PACS. Scribes for attendings- often upper years get to use their scribes.

Location: Orlando has something for everyone. Beach 1 hour away to either coast, Disney World, nice downtown scene. Weather is beautiful. No state income tax!

Status within Institution: EM is known as a strong producer of residents. Good reputation throughout the hospital system. At FHEO (in our ED)- there are only FM and podiatry residents; which means we get all of the procedures.

Pediatric Experience: Two dedicated months at FHO Children’s Emergency Center in Orlando (gets all congenital cases/support from PICU), and then pediatric shifts (at FHEO Children’s Emergency) spread throughout adult ED months. One month PICU and one month pediatric procedural sedation (great experience to become comfortable sedating).

Trauma Experience: Don’t be alarmed, but FHEO is not a trauma center. I admit that I found this strange when interviewing, but realized it’s fine without it. Here’s why (for me): trauma becomes algorithmic and familiar. I feel comfortable that we get enough exposure between our three trauma months and the traumas we still see at FHEO. Most residents agree that our trauma rotation months are our favorite off-service... we are integrated into a fully functional trauma team of attendings. They have NPs that write notes and do all of the floor work. As residents we are in charge of overseeing the TICU and responding to traumas. We are the ONLY residents in the entire hospital, so all procedures go to us. They allow us to take call from the apartment (about 8 min drive from the hospital). We do not get scutted out. LRMC is about 45 min drive from Orlando so it’s feasible to drive back and forth if not on-call, but there is also a fully furnished apartment provided.
Ultrasound: Excellent. Dr. Tirado is a big-wig in U/S and has developed a strong fellowship. We have plenty of up to date machines to do scans in the ED.

Off Service Rotations: ICU rotations are excellent exposure. Unfortunately interns still have one month of IM. L&D has long hours, but excellent teaching/exposure. Only have 2 week elective first year and 2 week elective third year. Pediatric procedural sedation is helpful.

Residents: Half are single, one fourth married, and one fourth married with kid(s). Residents and attendings are very tight knit and like to do things outside of the ED together.

Didactic Time: Required to attend every Thursday from 7am-12. Half of lectures given by residents (good and a bad thing) and half by faculty. The residency is making an effort to do less ‘lecturing with powerpoint.’ New (2014) SIM center with tons of mannequins for procedures.

Number of Hours per Shift: 12 hr (adult months) and 9 hr (dedicated peds months). Interns do 18 shifts in 28 days. 2nd years - 17 shifts. 3rd years - 16 shifts.

EMS Experience: Easy but fun rotation. 2 weeks intern year. Can fly with the helicopter team if you want.
Orientation: 3 weeks before starting July 1st. Pretty well prepared to start though. There are four sessions for U/S in July (lectures are held in U/S lab where sonographers get trained, so there are tons of models to scan). These sessions are excellent and prepare you to scan throughout your intern year in case your dedicated month of U/S is later in the year.

PROS:
Community program- attendings are paid based on RVUs, so you get a sense of a real-world ED.
Attendings- are excellent clinicians because they see patients on their own also (ED gets over 114,000 patients a year, so it would be impossible for 3-4 residents to cover everything).
Well trained in transferring out patients (a skill that some may not learn in residency)- FHEO does not have neurosurgery or L&D.
Excellent benefits- free medical insurance for you/spouse/family, free licensing, free ACEP conference 3rd year, free meals in hospital, good pay.
Research- most residents shy away from research, but if you want to do it there are hoards of people/staff/faculty wanting to help you (including library staff who are paid to help).
CONS:
Not a trauma center.
Youngish program, formed in 2008.
 
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