School of Medicine

Wayne State University School of Medicine
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Curriculum

Teaming Education & Training

PGY I

The first year experience offers residents a strong background in the specialties needed to practice clinical medicine and the opportunity to apply these skills in Emergency Medicine situations.

A four-week orientation program is completed in July of the PGY-1 year. The orientation topics are presented in a number of formats which include facilitated discussions, lectures, workshops and skill stations. It provides the resident with a broad introduction to the practice of Emergency Medicine and eases the transition from student to resident physician. There is a retreat during this month where faculty and residents stay overnight at an experiential learning center in a rural setting. This time fosters team building and familiarity with the program and its leadership/residents, while addressing issues of ethics/professionalism, communication, and physician wellness.

Throughout the year, the resident will observe the natural progression of various pathological states and the results of therapeutic modalities employed in the treatment of patients. Emphasis is placed on learning physical diagnosis and developing a practical list of differential diagnoses when seeing patients. Under guidance and supervision, the resident will examine and treat critically ill patients presenting to the Emergency Department.

Rotation

Hospital

Duration

Emergency Medicine

SGH 

5 months

Trauma  Surgery #

SGH 

2 months

MICU

SGH 

2 month

Pediatric Emergency Medicine

Children’s

1 month

Anesthesia*

SGH 

½ month

Radiology*

SGH 

½ month

Obstetrics

Hutzel

1 month

# This will be a 6 week rotation with 2 weeks of vacation
* Rotation when residents could take their 3 rd week of vacation

PGY II

Second year residents will begin to take responsibility for stabilizing the critically ill/injured patient.  The second year resident assumes more responsibility in routine patient care, and will learn to adjust the pace at which he/she sees patients to efficiently control flow in an Emergency Department. Residents begin taking a leadership role in the resuscitation of patients.  Time spent in the critical care units enables residents to become comfortable treating critical patients for prolonged periods, and witness the progression of pathology in these individuals. 

Rotation

Hospital

Duration

Emergency  Medicine*

Sinai-Grace

7 months

Emergency  Medicine

Huron Valley

1 months

Pediatric ICU

Children’s

1 month

Medical ICU

Sinai-Grace

1 month

Elective*

Elective

1 month

CCU

Sinai-Grace

1 month

* Vacation months (Maximum one week/month for a total of 3 weeks/year) 

PGY III

During the third year, residents obtain progressive responsibility while perfecting clinical skills and improving supervisory and administrative skills.  As our senior residents become more experienced/comfortable in Emergency Medicine, the supervision and teaching of junior residents/students increases.  Senior residents must develop the capability of taking charge and directing all the members of a busy Emergency Department team by the completion of their third year.

Career Planning:
The goal of the Sinai-Grace EM residency program is to train physicians who are efficient and comfortable in any desired type of clinical practice. We produce EM physicians who are efficient and comfortable in clinical practice, and who have acquired the tools and dedication to continue professional growth throughout their careers.  The program offers career guidance through a mentoring program, and information is provided to, and reviewed with the residents to help them make decisions about their futures as Emergency physicians. 

PGY III ROTATIONS:

Rotation

Hospital

Duration

Emergency  Medicine*

Sinai-Grace

7 ½ months

EM Administration/EMS

Sinai-Grace

1 month

Emergency  Medicine

Huron Valley

½ month

Surgical ICU

Sinai-Grace

1 month

Neonatal ICU*

Sinai-Grace

1 month

Elective*

Elective

1 month

* Vacation months (Maximum one week/month for a total of 3 weeks/year)