Program list

[gro2001]

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Reading through all the "top EM" program threads, I realized that there really is no such thing. But different programs have strengths in different areas, so there might be top programs for a particular set of interests. For me, I think they are:

1) Active role in trauma
2) Good range of pathology
3) Disaster/international medicine training is a bonus

Any ideas on which programs focus on these areas? Input much appreciated.

 

[Arcan57]

All programs should have 1&2. In terms of international medicine, you want a program that either has established ties abroad or is lenient about what you can do with your elective time (Medicare doesn't like paying you when you're not seeing Medicare patients). In terms of disaster medicine, looking for a program that has at least one faculty member that does USAR is probably your best bet.

 

[xaelia]

All programs may have 1 & 2, but the experience you get from trauma at LAC-USC or UTH Memorial-Hermann might be different than other places (like mine, for example).

As for international medicine, the only one I recall from my interview trail that really jumped out at me was Stanford in India.

 

[Arcan57]

I'm not sure if there has been a recent thread about the inappropriate importance that applicants put on trauma, but if not there should be one. The trauma game is defined by what resources you have available, and 95+% (completely invented number) of EPs are going to be working at a shop that is not a level I trauma center. Once you've seen enough trauma that you don't freeze up and can effectively direct a resuscitation that is all you really need. 2 large bore IVs, scan everything from head to pelvis and xray everything else that hurts, and reassess drunk patients on a regular basis (although this step is less necessary if you are religious about step II) will let you deal with 99% of trauma.

 

[lucky_deadman]

I'm not sure if there has been a recent thread about the inappropriate importance that applicants put on trauma, but if not there should be one. The trauma game is defined by what resources you have available, and 95+% (completely invented number) of EPs are going to be working at a shop that is not a level I trauma center. Once you've seen enough trauma that you don't freeze up and can effectively direct a resuscitation that is all you really need. 2 large bore IVs, scan everything from head to pelvis and xray everything else that hurts, and reassess drunk patients on a regular basis (although this step is less necessary if you are religious about step II) will let you deal with 99% of trauma.

I couldn't agree with the whole med student fixation on trauma more. Trauma gets very boring very quickly.

 

[Dwindlin]

Reading through all the "top EM" program threads, I realized that there really is no such thing. But different programs have strengths in different areas, so there might be top programs for a particular set of interests. For me, I think they are:

1) Active role in trauma
2) Good range of pathology
3) Disaster/international medicine training is a bonus

Any ideas on which programs focus on these areas? Input much appreciated.

I'm quite a ways from residency (or rotations for that matter) so take this for what it is, but Wright State seems very active in EMS/Tactical/Disaster medicine.

 

[Doctor Bob]

Reading through all the "top EM" program threads, I realized that there really is no such thing. But different programs have strengths in different areas, so there might be top programs for a particular set of interests. For me, I think they are:

1) Active role in trauma
2) Good range of pathology
3) Disaster/international medicine training is a bonus

Any ideas on which programs focus on these areas? Input much appreciated.

Well, I might as well plug my program-University of Illinois at Peoria, OSF St. Francis.

1) Level 1 and 2 traumas are managed by the trauma team here. But the trauma team, in any given month, is one senior surgery resident and then an EM intern, an EM second year and an EM third year. So we're 75% of the trauma team.

2) If you find a program that says "we have a poor range of pathology" let me know.

3) We have international rotations available third year. We're also EMS/Tactical heavy. In addition to the usual EMS and monthly flight shifts, we have one attending who flies around the state with the US Marshalls transporting terror suspects in blackhawk helicopters, then supports the local SWAT team on raids. And residents can go along.

 

[nycqqe]

I'm not sure if there has been a recent thread about the inappropriate importance that applicants put on trauma, but if not there should be one. The trauma game is defined by what resources you have available, and 95+% (completely invented number) of EPs are going to be working at a shop that is not a level I trauma center. Once you've seen enough trauma that you don't freeze up and can effectively direct a resuscitation that is all you really need. 2 large bore IVs, scan everything from head to pelvis and xray everything else that hurts, and reassess drunk patients on a regular basis (although this step is less necessary if you are religious about step II) will let you deal with 99% of trauma.

Right, in fact I would not recommend going to a program that sees a lot of trauma. Residents really could use their valuable training time training in something else instead of doing trauma scut that have very little educational value.