Newest/Nicest EDs

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docB said:
UC Davis - old ED, plans to upgrade. However, Kaiser South , where you do a lot of rotations, has a new (3 yr old), spacious, way cool ED.
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Einstein in Philly. Brand new, hoping to go to paperless charting soon....and it is an urban program. The Er played a role because I much rather spend my time doing procedures, medicine, than erasing and trying to write on the big white board that still exists at some programs.
 
Strongman said:
Einstein in Philly. Brand new, hoping to go to paperless charting soon....and it is an urban program. The Er played a role because I much rather spend my time doing procedures, medicine, than erasing and trying to write on the big white board that still exists at some programs.
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Einstein has a new ED! Cool. That program really impressed me. They see a ton of knarley stuff and they've got some great people. I went to Temple and rotated there several times (they're hooked up with Jeff now). I bet that place rocks with a better space.
 
I rotated at the 'stein when I was a fourth year. Strong program. Haven't seen the new ED but when I interviewed there it sounded real nice.

When I rotated at the University of Maryland I was there the month they moved from the old ED to the new one. The new one is pretty nice! It had its bugs though but like i said I was there when they switched over.

My program will be getting a new ED next spring... I'll unfortunately only have 3-4 months in it. 🙁
Q
 
Carolinas is building a brand new peds ED.......as if they needed anything else to make their program more attractive and competative. 😉

I haven't seen it personally, but I hear that ECU here in NC has a nice new ED as well.
 
ECU is building a new ER. I'm not sure what crackhead designed it, but it's definitely new, and legend has it that it will be significantly larger. I personally miss the old giant three-bed bays with the curtains between them, and I miss being able to sit at the main desk and stick my drunks/crazies in B4 and be able to eyeball them from the chair.
 
jpgreer13 said:
ECU is building a new ER. I'm not sure what crackhead designed it, but it's definitely new, and legend has it that it will be significantly larger.
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Not done yet? I rotated there 2 years ago and it was suggested that it would be in use (at least partially) my intern year (last year). I still have fantasies about that new ER. At MCG we sometimes have to lift the opthalmoscope/otoscope wall unit off the mounting bolts to carry it into another room to examine a patient! Looks pretty funny dragging a long power cord. Maybe 2/3rds of our overhead exam lights work; I have used my penlight to do a few vag exams! Note: our peds ED is pretty new.
 
I nominate Wake Forest as having a nice and technologically phat paperless charting system/ED.

Also, I second Carolinas as having a nice and PHat ED.
 
UAB is set to move into their suped up state of the art new ED at the end of this month. I'll post something here once I get a chance to see it. Vandy told me they should have a new ED by March.
 
jpgreer13 said:
ECU is building a new ER. I'm not sure what crackhead designed it, but it's definitely new, and legend has it that it will be significantly larger. I personally miss the old giant three-bed bays with the curtains between them, and I miss being able to sit at the main desk and stick my drunks/crazies in B4 and be able to eyeball them from the chair.
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It's about 2/3rds finished right now. They opened the second renovation in August and the final phase is expected to be done in January (meaning March probably). It is nice in that everything is relatively new, but the rooms are really spread out all over the place. when they open the last part, it will be even worse. We were told an increase from about 30 beds to 55 beds or something like that... nearly doubled.
 
USCDiver speaks true. However, I remember that when they promised the first new section would be done in July and it was more like November.

We DO have a nice phat paperless charting system, though. Wellsoft is a nice way to document.
 
jpgreer13 said:
USCDiver speaks true. However, I remember that when they promised the first new section would be done in July and it was more like November.

We DO have a nice phat paperless charting system, though. Wellsoft is a nice way to document.
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We use Wellsoft up the road at Duke, too. I just have to list the spelling goofs, so our medical director will get them fixed. The top three: "thyromegally", "musculoskelatal", and "theraputic".

Also, what I find interesting is the charges for various procedures - all I can think is, "that's money I ain't gettin'." I didn't know it, but we can bill for medical direction!
 
Cook County has a new one as well. Not totally paperless but a great ED
 
Sphincter-tightened resident that I am, I tend to manually go into the chart on Wellsoft and correct all the spelling errors after I bring up the templates.
 
jpgreer13 said:
Sphincter-tightened resident that I am, I tend to manually go into the chart on Wellsoft and correct all the spelling errors after I bring up the templates.
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Yeah, me too. I think, if I will be thought an idiot, it's better to be thought so from what I say, not how I say it.
 
Hennepin uses EmStat. Someday I will be asked to use paper charts and a big white eraser-board. On that day I will look like a total *****, because my version of "back in the day, when I was a tech and knew almost nothing" will be the frickin' space age in comparison. Sigh.
 
Hahnemann (part of Drexel in Philly) is working on a new ER. We have half of it open and are working in it. The rest is supposed to be done in November. I think it'll be awesome once its completed 😀
 
I've done 4th year rotations this year at LA County's ghetto ED and Highland's 2-month-old ED. The huge ED layout makes Highland certainly feel less crazy than it probably is... that probably makes a significant difference for provider/patient comfort. At the same time, it's a ton more running around than at LA County where there was like ten times the patient/square foot ratio. Plus, all the supply closets are like at opposite ends of the ED! +pity+

When I apply this year, I probably won't care about the age of the ED as long as it doesn't interfer (too much) with the efficiency of the place...
 
University of Rochester has a great ED. The only problem is that you have to cross through the (usually crowded) EMS triage area to get from the main ED to the trauma/critical care bay. Films are on PACS...still paper charting (I think)
 
Thought I'd pull this one back up since most of the interview season is done. I think University of Alabama-Birmingham and East Carolina University had a nice new ED's. Any other cool ones you guys notice?
 
Thought I'd pull this one back up since most of the interview season is done. I think University of Alabama-Birmingham and East Carolina University had a nice new ED's. Any other cool ones you guys notice?
 
It seems like everywhere I went they were building a new ED. Cook County is relatively new.
 
rohitpatel said:
Thought I'd pull this one back up since most of the interview season is done. I think University of Alabama-Birmingham and East Carolina University had a nice new ED's. Any other cool ones you guys notice?
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MetroHealth has an ED that opened in 2004; approx 70 beds including an observation unit, urgent care, large set of traumar/resusc bays. We have a dedicted psych, orthopedic, and gynecology bays. We have large pyxis systems behind the whole ED. We have electronic records, electronic tracking and in the next few weeks, electronic orders. We also have a few other bells and whistles...cell phones, plan for PDA connectivity for labs, etc.

mike
 
I also heard Ohio State has a nice ED
 
Iowa is building a brand new ED right now. It is going to more than double the size of the current one.
 
Hows the basement for the Path people 😉
 
EctopicFetus said:
Hows the basement for the Path people 😉
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I am on hemepath now and sit next to a sixth floor window with a very nice view of the football stadium. :meanie:

Meanwhile, the poor EM physicians are slaving away with no windows. 😉
 
Nicest facilities I saw on the trail in order.

1st. Metrohealth/ Case Western
2nd. Ohio State
(fyi...thats where those Ohio school dollars got funnelled!)
3rd Mayo
4th Indiana
 
Rhode Island Hospital/Brown had the nicest ED that I saw...just opened last april per the PD and it was SWEET!!!! Carolinas and Utah were nice too and I also felt that everywhere seemed to be in the process of building a new ED. UCDavis was the worst I saw...
 
beary said:
Iowa is building a brand new ED right now. It is going to more than double the size of the current one.
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Does that mean 4 or 5 rooms :laugh: (Sorry I couldn't resist such a great setup...)
 
corpsmanUP said:
Nicest facilities I saw on the trail in order.

1st. Metrohealth/ Case Western
2nd. Ohio State
(fyi...thats where those Ohio school dollars got funnelled!)
3rd Mayo
4th Indiana
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Strong Memorial/U of Rochester has a newer ED that looks very nice---you can ask Snoopy, one of my med school classmates about it.

The Cleveland Clinic is either supposed to be remodeling the ED or building a new one.

mike
 
UMass hands down for physical plant, complete with natural lighting and gorgeous imported wood and marble. Just opened.
 
I interviewed at Davis in mid-January. I wasn't particularly impressed with their layout. Maybe the new ER will be better. I was very impressed with my home institution's (UCSF) new 70 bed ED, but the residents won't work out of there until at least late 2007.
 
NinerNiner999 said:
Does that mean 4 or 5 rooms :laugh: (Sorry I couldn't resist such a great setup...)
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You have obviously never seen the hospital in Iowa City. It is huge! And it is on the beautiful University of Iowa campus! The current ED is on par with most any other ED, and their new one will be gorgeous.
 
Koko said:
UMass hands down for physical plant, complete with natural lighting and gorgeous imported wood and marble. Just opened.
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Christiana (the main campus) had a decent ED from what I can remember of my interviewing days.
 
IMO worst physical plant was Henry Ford... Thats just my opinion. Honestly I was taken back a little bit.. perhaps I shouldnt have been but I was..
 
I could give you a list of half a dozen ED's that were flat out depressing looking, but surprisingly enough some of them are in my top 25%. I think its important to have a nice ED but its not everything.
 
Agreed.. The nicest ED I saw isnt even in my top 5...
 
I thought Northwestern and Vanderbilt had nice EDs. Also agree -- it plays a role but facilities aren't everything.
 
corpsmanUP said:
I could give you a list of half a dozen ED's that were flat out depressing looking, but surprisingly enough some of them are in my top 25%. I think its important to have a nice ED but its not everything.
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Yeah, I had the same impression like everyone else, that almost every place I went is in the process of building a brand new 70 bed ED haha. So, I guess in about 5-7 years, doesn't really matter. I also agree that some of my top programs do not have the nicest EDs. I think what does make a difference in having a new ED is the paperless environment that comes with them, but other than that, seeing a patient is seeing a patient in my books.
 
rohitpatel said:
Yeah, I had the same impression like everyone else, that almost every place I went is in the process of building a brand new 70 bed ED haha. So, I guess in about 5-7 years, doesn't really matter. I also agree that some of my top programs do not have the nicest EDs. I think what does make a difference in having a new ED is the paperless environment that comes with them, but other than that, seeing a patient is seeing a patient in my books.
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I disagree. I feel that our new ED in Philly allows more time to focus on being physicians (not transport personnel), recieve teaching, and manage multiple patients.
 
Strongman said:
I disagree. I feel that our new ED in Philly allows more time to focus on being physicians (not transport personnel), recieve teaching, and manage multiple patients.
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I agree ... the medical students that say "a new ED doesn't matter" haven't worked extensively in a crappy one, just like the medical students that say "it doesn't matter if I work 24 12 hr shifts a month." These people haven't stepped into a POTHOLE while trying to intubate someone.

hehe

mike
 
mikecwru said:
I agree ... the medical students that say "a new ED doesn't matter" haven't worked extensively in a crappy one, just like the medical students that say "it doesn't matter if I work 24 12 hr shifts a month." These people haven't stepped into a POTHOLE while trying to intubate someone.

hehe

mike
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Yeah, I definitely see youre point. At the start of this interview process it was pretty big on my list too, but lately I've not seemed as interested in that part of the program...of course I still have a few weeks to fiddle with rank lists and stuff haha. I've actually worked as EMT/ED tech in multiple hospitals/areas and still feel that it doesn't matter too much. I do agree with the previous poster though that maybe because of efficiency you get more time for teaching.

I definitely agree that 24 12 hour shifts do matter. Work is work, but you have to have good balance, at least for me 🙂
 
IMO the number of shifts matters more than the physical plant. Both are important but IMO almost ALL of the places I interviewed at had very similar EDs. There were 2 exceptions. 1 was crappy but was going to open their new ED by the time I got there and the other was dumpy with no change during my residency..
 
EctopicFetus said:
IMO the number of shifts matters more than the physical plant. Both are important but IMO almost ALL of the places I interviewed at had very similar EDs. There were 2 exceptions. 1 was crappy but was going to open their new ED by the time I got there and the other was dumpy with no change during my residency..
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yeah I think shifts make more of an impact on decision making than the physical area, but I guess it is true that the "newer" the ED the more efficient in seeing patients. I know at UAB when they went from 20 or so beds to 65/70 they increased thier census by like 15%, I guess due to just having more rooms, and maybe because of that being more efficient...
 
Well keep in mind that brand new EDs like other physical facilities will suffer from inefficiency because things RARELY work perfectly at the start and hospitals are slow to change..
 
That being said some efficiency is obviosuly gained from having more space and a better layout.
 
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