Curriculum

Core Rotations

PGY 1 EM1
Emergency Medicine                       5 months KRMC
General medicine                            1 month KRMC
ICU                                                 1 month KRMC
OB/GYN                                          1 month KRMC
General Surgery                              1 month KRMC
Ambulatory Pediatrics                    1 month To be determined
Cardiology                                      1 month KRMC
Pulmonolgy                                     1 month KRMC

PGY2 EM2
Emergency Medicine                        6 months       KRMC
ICU                                                 1 month         KRMC
Orthopedic Surgery                         1 month         KRMC
Pediatric ICU                                  1 month         Sunrise Hospital- Las Vegas
Anesthesia                                      2 weeks         KRMC
Neurology                                       2 weeks         Sunrise Hospital- Las Vegas
EMS                                                 2 weeks         KRMC
Elective                                          1.5 months    To be determined
Vacation                                         20 days and 5 conference days

PGY 3 EM 3
Emergency Medicine                        7 months       KRMC
Trauma ICU/ Critical Care               1 month         Sunrise Hospital, Las Vegas
Emergency Pediatrics                       1 month         Sunrise Hospital, Las Vegas
Administration                                  2 weeks         KRMC
Research                                          2 weeks         KRMC
Elective                                            1.5 months    To be determined
Radiology                                        2 weeks         KRMC
Vacation                                          20 days and 5 conference days

PGY 4 EM 4
Emergency Medicine                       8 months       KRMC
Trauma ER                                     1 month         John C Lincoln, Phoenix, AZ
Neurosurgery                                  2 weeks         Sunrise Hospital- Las Vegas
Toxicology                                      1 month         To be announced
Elective                                           1.5 months    To be determined
Vacation                                         20 days and 5 conference days

Didactic Curriculum

Formal didactics are offered through multiple conferences, seminars, small group discussions, and lab sessions on a regular basis. 

Weekly didactics are held Thursday mornings, for which residents have protected time from clinical duties. 

Below are brief descriptions of the various components of the didactic curriculum.

Mortality and Morbidity Conference - A 1-1.5 hour M&M conference is held every month. The conference is an interactive discussion of an interesting case, death, and/or errors of management. 

Attending Lectures in Emergency Medicine - Lectures are presented by EM attending physicians.  They are designed to highlight the individual attending physician’s areas of specialty or generalized emergency medicine topics, and cover core content topics in emergency medicine. 

Mock Oral Emergency Medicine Boards – Real patient cases are used to practice techniques of oral board testing.

Resident Lectures in Emergency Medicine – Residents are required to read from Rosen’s Emergency Medicine textbook and present lectures weekly.  Depending on the number of residents in house, the lecture schedule usually requires the residents to prepare a lecture every other week.

Ultrasound Curriculum - The ultrasound curriculum is composed of both lectures and laboratory sessions. There is a series of lectures covering ultrasound physics and clinical indications.  This curriculum is designed to supplement the hands-on ultrasound experience residents obtain while rotating in the emergency department.  There is also a required outside formal ultrasound course for the second year residents.  This is usually held in Florida. 

Safety, Ethics and Professionalism Curriculum - A series of lectures that spans three years of residency with about four lectures per year.  It is designed to cover the difficult and often controversial ethical issues faced by emergency medicine physicians today, and reinforces patient safety guidelines. 

Modular Reading Curriculum - In order to cover the reading curriculum in an adult-learning, problem-focused model, residents are required to complete the Challenger Program®.   Challenger® is a program that offers questions related to the required Rosen’s readings and it is available online. 

Journal Club - Recent relevant articles in emergency medicine are evaluated once monthly. The focus of journal club is to apply the principles of evidence based medicine to critically review emergency medical research studies.

Certifications- Residents will be required to complete Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), and the Advanced Trauma Life support (ATLS) courses.   All are paid for by the residency program.

Scholarly Activity Requirement - Each resident is required to produce a scholarly research project suitable for publication.

Residency Application

The program accepts four EM1 residents (PGY 1).  You must graduate from an AOA approved osteopathic medical school.   Medical students apply for residency though Electronic Residency Application Service (ERAS).  The application deadline is November 1 of the year proceeding the intended starting year of residency.  Positions for PGY I will be granted through the ERAS system (dates determined by ERAS) in the spring of that year.  Please refer to our FAQ's section if you have specific questions regarding the application process.

Prior to the deadline, we require:

• Midwestern Matrix Application or the AOA Common Application Form
• The Dean's Letter
• Official Medical School Transcript
• Three Letters of Recommendation (< 1 year old) from Clinical Academic Faculty (any discipline) or Practicing Emergency Physicians
• COMLEX Step 1 Transcript
• Passport size photo on application

Qualified applicants will be invited for interviews.   A waiting list may be used.  Interviews are commonly offered October through December. 

Interviews

Interviews are by invitation only after receipt and review of a completed application.  The interview is typically a committee interview including several attending physicians, residents, and the program director.  Specific information will be sent to you following the confirmation of your interview date.  After the interview there will be a tour of the facility with a present emergency medicine resident.  During this time applicants can also ask further questions and meet other hospital staff members.

Selection

The uniform resident selection date will be the date set by the   National Matching (NMS).  Once you are selected to be a resident, you will be a member of the Arizona Graduate Medical Education Consortium through Midwestern University, in Glendale, Arizona.

C) Salary and Benefits

Salary and Benefits

All residents will be provided with a benefits package which includes health, malpractice, and disability insurance.  Annual cost of living adjustments are made, and are determined by Midwestern University.  Residents are paid every 2 weeks.  Living quarters are not furnished and there is no provision for a relocation allowance.   (Salaries may vary slightly depending on the final contracts and the yearly cost of living adjustments.)

PGY1 (Intern)    $41,887
PGY 2 (EM 1)      $43,222
PGY 3 (EM 2)      $44,097
PGY 4 (EM 3)      $45,905
Senior Chief EM  $46,997

There is a junior chief (PGY3) and a senior chief (PGY4) but there is no pay differential for the junior chief.

PGY I:

• Vacation: 3 weeks (15 days)
• CME time: 1 week (5 days) to attend a conference
• Salary: $ 41,887
• Benefits: Insurance Policies (health, dental, life, disability)
• Medical liability coverage (no moonlighting)
• Free meals (while on duty)
• Free parking
• 2 White coats or two sets of navy blue scrubs embroidered
• Paid membership in AOA
• Educational allowance - $1100
• ACLS, NALS, PALS courses provided

PGY II:

• Vacation: 4 weeks (20 days)
• CME time: 1 week (5 days) to attend a conference
• Salary: $ 43,222
• Benefits: Insurance Policies (health, dental, life, disability)
• Medical liability coverage (not provided when moonlighting)
• Free meals (while on duty)
• Free parking
• 2 White coats or two sets of navy blue scrubs embroidered
• Paid membership in AOA
• Educational allowance - $1100
• ACLS, ATLS, NALS, PALS courses provided

PGY III:

• Vacation: 4 weeks (20 days)
• CME time: 1 week (5 days) to attend a conference
• Salary: $ 44,097
• Benefits: Insurance Policies (health, dental, life, disability)
• Medical liability coverage (not provided when moonlighting)
• Free meals (while on duty)
• Free parking
• 2 White coats or 2 sets of navy blue scrubs embroidered
• Paid membership in AOA
• Educational allowance - $1100

PGY IV:

• Vacation: 4 weeks (20 days)
• CME time: 1 week (5 days) to attend a conference
• Salary: $ 45,905
• Benefits: Insurance Policies (health, dental, life, disability)
• Medical liability coverage (not provided when moonlighting)
• Free meals (while on duty)
• Free parking
• 2 White coats or 2 sets of navy blue scrubs embroidered
• Paid membership in AOA
• Educational allowance - $1100
• ACLS and PALS recertification courses provided

All residents also have access to an Employee Assistance Program through Midwestern University.  State of Arizona Osteopathic Physician and Surgeon License and Arizona Osteopathic Physician Board Permits fees will be paid each year.  The certification board and in-service exam fees are also included.
Resident Wellness 
The EM Residency Program constructs a reasonable work schedule for residents, which follows the federal regulations on work hours.  Scheduled time in the emergency department is limited to 16 twelve hour shifts. 
D) History of Program
History
The program was started in 2003. In June 2007, our first class of senior residents graduated. The hospital’s internship program was started in 2001.  Applicants for the 2009-2010 academic year will be applying for PGY I positions in the emergency medicine residency.  Applicants must have completed an AOA approved internship.  Four PGY II positions will be offered.  During the short life of the program we have seen a steady increase in the number of applications.  It is highly recommended that interested candidates attempt to rotate through our department prior to their interview.  The program offers a community hospital environment with affiliations in Las Vegas and Phoenix allowing for an urban experience. The program is constantly improving.  The structure of the program was built soundly and it will continue to thrive.
E) Information for Medical Students

F) Program Affiliations

John C Lincoln North Mountain Hospital in Phoenix, AZ-
John C. Lincoln North Mountain Hospital is a non-profit organization and they are designated as one of 3 Level 1 trauma centers in the Phoenix valley.  The hospital features 266 beds.  John C. Lincoln North Mountain Hospital's Level 1 Trauma Center, the only trauma center serving north Phoenix, provides the highest level of care for severely injured patients.  The hospital is in the process of an expansion which is scheduled to be completed at the end of 2007.  The hospital's new 37-bed Emergency Department and Trauma Center will double the Emergency Department’s current size.  Plans call for a “fast track” care unit, an expanded four-bed trauma unit, healing gardens and two additional helipads for trauma patients. 
Residents from our program presently complete their trauma emergency department rotation at John C Lincoln North Mountain.
Maricopa Medical Center in Phoenix, Arizona-
Maricopa Medical Center is a full-service, 541-bed county hospital that sees nearly 20,000 inpatient admissions every year.  The hospital features advanced medical services including burn care, pediatric and adult emergency care.  Maricopa Medical Center is where the Arizona Burn Center is located.  Maricopa Medical Center ensures that health care is available to all area residents giving paying and non-paying patients access to top quality medical care.
Our residents have the option to complete their pediatric intensive care and pediatric emergency medicine rotations at Maricopa Medical Center.
Phoenix Children’s Hospital in Phoenix, AZ-
Phoenix Children’s Hospital is an independent non-profit organization that provides care to children in Arizona and the Southwest for the most critically ill and routine hospitalizations.  Phoenix Children's is a 299-bed multi-specialty freestanding children's hospital which brings together a full range of specialists in the field of pediatrics.  There are approximately 40,000 visits per year. 
Our residents have the option to complete their pediatric intensive care and pediatric emergency medicine rotations at Phoenix Children’s Hospital.
Sunrise Hospital in Las Vegas, Nevada-
Sunrise Hospital and Medical Center is the largest comprehensive acute-care medical complex in Nevada.  Located on the Sunrise Hospital Campus, Sunrise Children's Hospital is the only hospital in Nevada dedicated exclusively to the health and well-being of children.  It opened in 1989.  Sunrise Hospital has over 700 licensed beds.  Sunrise Hospital is the home of the Nevada Neurosciences Institute, which is Nevada only full-service neurosciences center.  Sunrise Hospital is southern Nevada’s only accredited primary stroke center, and they are now a Level 1 trauma center. 

Our residents will rotate through trauma critical care, neurology, neurosurgery, pediatric intensive care, and pediatric emergency medicine at Sunrise Hospital.