Emergency Medicine Residency

Emergency Medicine Residency

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The Emergency Medicine Residency at Penn State Health Milton S. Hershey Medical Center is a three-year, ACGME-accredited program that accepts nine residents per year.

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Program Details

Penn State Health’s Emergency Medicine Residency has many advantages for the emergency physician in training:

  • Penn State Health Milton S. Hershey Medical Center is a large academic teaching hospital — the only combined Level 1 adult and pediatric trauma center in the state.
  • The emergency department sees more than 75,000 visits per year; 19,000 are pediatric patients. With high patient acuity and a wide variety of complaints, residents are provided with an exceptional and well-rounded exposure to both common and rare pathologies.
  • The emergency department includes more than 60 patient treatment areas. There are resuscitation bays, an ED observation unit, an area of patients with less severe illness or injuries, as well as a recently expanded pediatric emergency department.
  • Life Lion air and ground EMS services provide both 911 and critical-care transport for the local community and greater central Pennsylvania region. All residents are trained in providing medical command, and senior residents take medical command calls in the department under faculty supervision. Residents and faculty also provide event coverage at Beaver Stadium in State College, Pa., for home Penn State football games.
  • The department uses up-to-date technology, including a completely electronic integrated medical record; an electronic patient tracking system to assess throughput and optimize patient care; computerized order entry, charting and result-viewing; a digital radiology system; select point-of-care laboratory testing; and point-of-care ultrasound. Residents and staff use a wireless telephone system so they are never tied to a phone.

Learn More about the Residency

To Apply Expand answer

General Application Information

The Emergency Medicine Residency accepts applications through ERAS and participates in the NRMP Match.

Application Requirements

The completed ERAS application form should include:

  • Dean’s letter/MSPE
  • Medical school transcripts
  • Letters of recommendation/SLOEs
  • Personal statement
  • Medical examination score (USMLE Step 1 or COMLEX Step I)

Visiting Medical Students

Visiting medical students interested in completing an away rotation in Penn State Health’s emergency department should apply through VSAS.

Faculty Expand answer
Current Residents Expand answer
Past Residents Expand answer
About Hershey: Benefits, Stipends and More Expand answer

Penn State College of Medicine is in Hershey, PA, a town known as the home of the HersheyPark amusement park and the Hershey Chocolate Factory. Two banners depicting cartoon candy characters are seen on a light pole in downtown Hershey, PA, in summer 2016, with a brick building with large glass windows in the background.

About Hershey

Interested in learning more about living and working in Hershey, PA? See details here:

Program-Specific Benefits

Trainees in the Emergency Medicine Residency get three weeks of vacation each year; during a vacation block, they work a reduced number of clinical shifts.

In addition, PGY-3 residents are given additional time to attend the national American College of Emergency Physicians scientific assembly.

Contact Us Expand answer

General Contact Information

Phone: 717-531-1443

Email: DEMResidency@pennstatehealth.psu.edu

Curriculum Details

Orientation Expand answer

A dedicated period of orientation for new interns begins upon their arrival in July. All new emergency department interns will work a reduced number of clinical shifts and participate in a variety of labs, simulations and orientation activities to help in the transition from senior medical students to functioning emergency medicine interns.

In addition, all new interns will become certified in advanced cardiac life support (ACLS), advanced trauma life support (ATLS) and pediatric advanced life support (PALS).

Key Topics Expand answer

Longitudinal Pediatric Exposure

In order to be exposed to the full breadth that is pediatric emergency medicine, residents in the program have a longitudinal exposure to pediatric patients throughout all three years of their training.

Emergency medicine residents start seeing children from the beginning of their training and can expect to see children on nearly every shift. Residents are also scheduled for dedicated shifts with pediatric emergency medicine faculty.

Ultrasound

Residents participate in an ultrasound course during their orientation to the department. Afterward, they are encouraged to use ultrasound each and every shift. The ultrasound director reviews all of the studies, grades them and offers teaching points when appropriate. The residents have a two-week ultrasound rotation during the second year to further hone and develop their skills.

Community Emergency Medicine Experience

During the second year of residency, students rotate through UPMC Pinnacle Harrisburg, approximately 12 miles from Penn State Health Milton S. Hershey Medical Center. This clinical environment exposes residents to an urban and community-based patient population, which is distinctly different from that of Hershey Medical Center.

Critical-Care Experience

Interns rotate through the medical intensive care unit at Penn State Health Milton S. Hershey Medical Center, and frequently encounter critically ill patients on their cardiology rotation as well. Second-year residents rotate through the surgical anesthesia intensive care unit and the pediatric intensive care unit. In PGY-3, residents rotate through the medical intensive care unit at UPMC Pinnacle Harrisburg.

PGY-1 Expand answer

Overview

  • Emergency department – seven blocks
  • Anesthesia – one block
  • Cardiology – one block
  • Medical intensive care unit – one block
  • Obstetrics and gynecology – one block
  • Orthopaedics – one block
  • Trauma surgery – one block

Emergency Department

Seven blocks are spent in the emergency department during the PGY-1 year, including the first block in July, which is dedicated to orientation. Residents become accustomed to patient care as well as their role in the department. Emergency department blocks are balanced with off-service rotations throughout the year.

Anesthesia

This rotation focuses on the perioperative airway and anesthetic management of patients undergoing surgery. Residents work under the direct supervision of an anesthesiologist. Responsibilities include performance of pre-operative history and physical examination, induction and maintenance of anesthesia, airway and ventilator management, intra-operative monitoring and post-operative evaluation.

Cardiology

This rotation is shared between both the acute cardiology and the congestive heart failure services. Residents become familiar with the acute and daily management of common and uncommon cardiac issues.

MICU

The Medical Intensive Care Unit is a busy, high-acuity rotation, where residents stabilize and manage a large variety of pathologies, including more common conditions as well as more complex cases infrequently seen outside of an academic teaching facility.

Obstetrics and Gynecology – UPMC Pinnacle Harrisburg

The Obstetrics and Gynecology rotation is completed at UPMC Pinnacle Harrisburg. During this rotation, residents familiarize themselves with the stages of labor and delivery, and participate in both uncomplicated and occasionally complicated deliveries.

Orthopaedics

The orthopaedics rotation focuses on the evaluation and management of musculoskeletal complaints. Residents work under the supervision of emergency department faculty, as well as working in conjunction with the orthopaedics team. Residents learn the necessary elements to complete a detailed musculoskeletal exam, determine any appropriate testing for the complaint involved, perform or assist in relevant procedures, as well as determine management of that complaint.

Trauma Surgery

Each resident will act as a member of the trauma surgery team and participate in the care of patients meeting trauma criteria, with primary emphasis on evaluation, resuscitation and proficiency in procedural skills, as well as post-operative monitoring and care. The resident is supervised by the team leader (senior surgical resident) and trauma faculty.

PGY-2 Expand answer

Overview

  • Emergency department – eight blocks
  • Emergency department at UPMC Pinnacle Harrisburg – a block and a half
  • EMS – one block
  • Surgical anesthesia intensive care unit – one block
  • Pediatric intensive care unit – one block
  • Ultrasound – half a block

Emergency Department

Eight blocks are spent in the emergency department during the PGY-2 year. Residents focus on honing the skills obtained during the PGY-1 year, as well as providing more efficient delivery of patient care. They balance this with new skills expected of a senior resident, such as taking medical command calls, coverage for trauma airways, and supervision and teaching of medical students and junior residents.

Emergency Department – UPMC Pinnacle Harrisburg

Six weeks are spent in the emergency department of Harrisburg Hospital, part of Pinnacle Health System. This is an urban community hospital in Harrisburg, Pa. The rotation is designed to expose residents to all types of patients presenting to a non-academic, non-tertiary-care emergency department.

EMS

The PGY-2 EMS rotation is geared toward educating the resident about the structure and function of EMS and the role of the emergency physician in interacting with pre-hospital providers. The resident will work under the direct supervision of the attending physician or senior health care provider (RN or paramedic) on scene.

Surgical Anesthesia Intensive Care Unit

A rotation at the PGY-2 level in the surgical anesthesia intensive care unit is required of all residents. The rotation is designed to expand the resident’s knowledge base regarding the evaluation and management of the critically ill surgical patient. The resident will spend two weeks on the anesthesia critical care service and two weeks on the surgical critical care service. There is a broad range of pathology seen on either of the two services during this rotation.

Pediatric Intensive Care Unit

The pediatric intensive care unit rotation is required of all residents. The goal of this rotation is to develop the resident’s knowledge base in the evaluation and management of critically ill pediatric patients. The resident oversees a mix of medical and surgical cases, as well as common and uncommon pathologies, while rotating in the pediatric ICU at the nationally ranked Penn State Children’s Hospital.

Ultrasound

All PGY-2 residents have a dedicated two-week ultrasound rotation under the direct supervision of the Department of Emergency Medicine’s ultrasound director. The rotation enhances the resident’s ability for real-time decision-making based on point-of-care ultrasound findings. Preparation for independent practice occurs by furthering residents’ skills in both ultrasound image acquisition and interpretation.

PGY-3 Expand answer

Overview

  • Emergency Medicine – 11 blocks
  • Elective – one block
  • Medical intensive care unit at UPMC Pinnacle Harrisburg – one block

Emergency Department

Eleven blocks are spent in the emergency department during the PGY-3 year. This rotation focuses on refining the clinical skills achieved during the first two years of residency and developing the supervisory and administrative abilities required to manage an emergency department. Residents learn the logistics of running a busy department, including the elements of throughput, staffing and efficiency. They continue to supervise medical students and assist junior residents, in addition to managing their own patients, all in preparation for independent practice.

Medical Intensive Care Unit – UPMC Pinnacle Harrisburg

This rotation occurs in the medical intensive care unit at UPMC Pinnacle Harrisburg. This rotation provides an opportunity for the resident to further their skills in the evaluation and management of multiple critically ill medical and surgical patients, but at a community hospital with a different patient population and varying pathology.

Elective

All residents have a four-week elective rotation in their PGY-3 year. Residents may arrange an elective within the Penn State Health system, or may gather information on an outside rotation and apply for approval through the GME office.

Scheduling Expand answer

Shifts are nine hours long, with the final hour focused on patient disposition and transitions of care. Interns typically work 21 shifts in a four-week block, with decreasing numbers of shifts in each subsequent year of residency.

There is also a clinical shift reduction for blocks containing vacation weeks.

Other Learning Opportunities Expand answer

Conference

Every Wednesday from 8 a.m. to 1 p.m., residents have protected time and will attend conference. Didactic material is provided in a variety of formats.

Fellowship

The department also sponsors an Emergency Medical Services Fellowship for those seeking to further their training as emergency physicians.

Research

Multiple opportunities for research exist depending on the resident’s interest. Dedicated departmental support for resident research is available. Every resident is expected to complete a scholarly activity project during training.

Simulation

The Emergency Medicine Residency incorporates three or more hours of simulation into almost every month of the conference schedule. Residents also have independent access to the Clinical Simulation Center; some areas are open 24/7.

Resident Honors and Recognitions

Exceptional Teachers Expand answer

Penn State College of Medicine and Penn State Health Milton S. Hershey Medical Center accept ongoing nominations for the Exceptional Moments in Teaching award.

The award, given monthly by the Office for a Respectful Learning Environment, accepts nominations from College of Medicine students who are invited to submit narratives about faculty members, residents, fellows, nurses or any other educators who challenge them and provide an exceptional learning experience. See more about the award here.

Previous nominees from the Emergency Medicine Residency are listed here. Click the + next to a nominee name to read their nominator’s comments.

Resident/Fellow Research Day Presentations Expand answer

The annual Resident/Fellow Research Day is held each summer on and around the Penn State Health Milton S. Medical Center campus in Hershey, PA.

The intent of the event is to provide an opportunity for residents and fellows to showcase their research accomplishments to their peers in other clinical departments, as well as their colleagues in the basic sciences.

Learn more about Resident/Fellow Research Day here.

Previous presentations from the Emergency Medicine Residency are listed here.

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