The Department of Emergency Medicine provides a variety of formal and informal educational opportunities for its members. We strongly believe that diversity in the pursuit of education allows our residents to mature in both their professional and personal lives. Concepts of clinical management, the approach to differential diagnosis, problem solving, and integration into the institutional system are obtained through conferences, meetings, journal club discussions, and clinical supervision in the emergency department. Educational resources are readily available for resident access through web-based textbooks and applications, such as AccessEmergencyMedicine. Topics for all aspects of the educational experience are based upon established standards of emergency care, recurrent or unusual emergency department cases, new developments in subspecialties related to emergency medicine, and interdisciplinary approaches to patient management.

Didactics

The organized curriculum is composed of weekly conferences, journal clubs, asynchronous learning, and simulation labs. Conference is led by Dr. Shenvi who utilizes innovative techniques and interactive didactics, including journal review, interactive case presentations, clinical discussions, procedure labs, and short traditional lectures. Some conference days are even spent outdoors to learn wilderness medicine or practice team building exercises, such as a ropes course or escape room puzzle. Journal clubs occur monthly either during conference or in the evenings at faculty’s homes.

 

Concentrations

During the PGY-2 year, residents declare a concentration within EM, an area they are passionate about and hope to incorporate into their career. Areas include, but are limited to, medical education, research, administration, EMS, geriatrics, pediatrics, toxicology, and global health. Through this program, residents are paired with expert faculty and introduced to supplemental training, leadership opportunities, and scholarly projects. For example, a resident may select EMS as their concentration and participate in field training or disaster drills with local EMS providers and police.

 

Clinical Rotations

PGY 1 Year

The first year of training begins with a 2-3 week orientation in mid-June which presents the basics of emergency care. A full schedule of clinical experience, ACLS, ATLS, PALS and orientation lectures is provided. Orientation lectures includes an airway management course, procedure labs, and an introduction to ultrasound. We also provide free time and social events to allow new residents to get settled and acquainted. Clinical experiences focus on management of critically ill patients in several intensive care settings, obstetrics, utilizing ultrasound in the emergency department, and a heavy emphasis on procedural skills.

Rotation: Duration:
Orientation 2 Weeks
Emergency Medicine * 31 Weeks
*EM months include shifts at both UNC, WakeMed, and WakeMed Children’s ED
Ultrasound 4 Weeks
EMS / AirCare 1 week
Obstetrics 4 Weeks
Neurosurgical Intensive Care 3 Weeks
Medical Intensive Care (UNC) 4 Weeks
Vacation 4 Weeks

*EMS rotation consists of required ambulance rides and optional air transport rides

PGY 2 Year

The second year curriculum focuses on consolidation of the fund of knowledge acquired in the first year. This year incorporates a higher level of management of critically ill adult and pediatric patients, orthopedics, and trauma. Second-year residents are expected to take on an increasing level of responsibility in the emergency department.

Rotation: Duration:
Emergency Medicine * 28 Weeks
*EM months include shifts at both UNC, WakeMed, and WakeMed Children’s ED
Trauma 4 Weeks
Pediatric Intensive Care 4 Weeks
Surgical Intensive Care 4 Weeks
Medical Intensive Care (WakeMed) 4 Weeks
Orthopedics 4 Weeks
Vacation 4 Weeks

PGY 3 Year

The third year of training emphasizes increased clinical and administrative responsibilities including resident and medical student supervision, running trauma resuscitations, aeromedical control, and department management. Clinical experiences consist almost exclusively of emergency department rotations with a month of elective time and a month of administrative responibilities. The resident is expected to complete a scholarly activity, which was initiated during the second year. Each third year resident is given a chief or director role to maximize resident involvement in all aspects of the curriculum. We make an effort to allow all our senior residents to attend ACEP’s Scientific Assembly.

Rotation: Duration:
Emergency Medicine * 40 Weeks
*EM months include shifts at both UNC, WakeMed, and WakeMed Children’s ED
Elective 4 Weeks
Administration 4 Weeks
Vacation 4 Weeks