School of Medicine

Hospital Experience

Detroit Receiving Hospital (DRH) is an adult, Level 1 Trauma, emergency care hospital with 85,000 patient visits a year. Virtually all admissions are evaluated and managed in the ED. This gives residents repeated opportunity for first patient contact, and allows them to be integrally involved in the decision making process regarding the diagnosis and treatment of emergency patients. The ED at DRH provides a high volume, high acuity, urban population with diverse pathology and advanced stages of disease pathology. There is ample opportunity for both procedural and resuscitative experience. Our ED population includes 20% trauma (both blunt and penetrating), 15% surgical, 55% medical, 5% psychiatric, and 5% obstetrics & gynecology cases.

Children’s Hospital of Michigan (CHM) is adjacent to DRH on the medical campus, and is the location for the majority of pediatric experience. Residents complete a ward pediatric medicine rotation and one month in the pediatric emergency department during the first year and one month in the Pediatric Intensive Care Unit during the second year of training. In addition, to maintain continuity of clinical experience, residents rotate through both DRH and CHM emergency departments during each of 7 EM rotations in the second year, and 10 EM rotations in the third year. Additional pediatric EM experience is gained at our community EM site in the final year of training.

Huron Valley – Sinai Hospital (HV-S) is the site for community EM experience to add diversity to the clinical spectrum of patients for resident training. The hospital is located approximately 35 miles / 45 minute drive from DRH and sees approximately 33,000 patients a year. As mentioned, the site provides additional pediatric clinical experience during the final year of residency training. In addition, EM residents are the only residents assigned to the ED, allowing maximal participation in all procedural and resuscitative experience under the supervision of our EM faculty. Additionally, the site provides opportunity for residents to coordinate care of emergency patients with primary care physicians and preferred consultant physicians on a majority of patients. The ED is newly renovated and triages approximately 33,000 patients annually.

Harper Hospital (HH) is also adjacent to DRH on the medical campus. Senior level residents rotate through the ED for 1 month during the final year of training. The site provides residents with an intensive adult medical emergency patient population, many of whom have multiple co-morbid medical conditions, or exhibit complications of conditions, such as malignancy, renal failure or organ transplantation. Harper Hospital sees a patient volume of 31,000 per year.

Hutzel Women’s Hospital (HW) located on the medical center campus, provides an opportunity for first year residents to complete an obstetrics and gynecology rotation on a busy service that specializes in high-risk obstetrical cases. There is opportunity to perform adequate numbers of routine vaginal deliveries and to experience complications that can occur during the peripartum period of obstetrical care. In addition, residents have an opportunity to utilize both transabdominal and vaginal probe ultrasound techniques to assess patients presenting to the HW ED for gynecologic related complaints.