Primary training site for the program
Dedicated pediatric and geriatric ED pods
2019 ED statistics:
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80,000+ visits
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~18% pediatric visits
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~21% admission rate
Curriculum
Rotations
The rotation schedule is based on 12 one-month blocks. The program is based out of Inspira Medical Center-Vineland in Vineland, NJ. Residents benefit from a longitudinal pediatrics experience in addition to one month in each year dedicated to the care of pediatric patients. In the PGY-2 and PGY-3 years, residents rotate through nearby institutions for a well-rounded educational experience. Residents also have four weeks of vacation each academic year.
PGY-1:
Orientation - 1 month
Emergency Medicine - 6.5 months
Pediatric EM (Inspira)- 1 month
ICU - 1 month
EM Ultrasound - 0.5 months
Anesthesiology - 0.5 months
Ophthalmology - 0.5 months
OB/GYN - 1 month
PGY-2:
Emergency Medicine - 7 months
Pediatric EM (A.I. duPont) - 1 month
ICU - 1 month
PICU (A.I. duPont) - 1 month
Trauma (Christiana) - 1 month
EM Administration - 0.5 months
EMS - 0.5 months
PGY-3:
Emergency Medicine - 7.5 months
Pediatric EM (St. Christopher's) - 1 month
ICU - 1 month
Trauma (Cooper) - 1 month
EM Ultrasound - 0.5 months
Elective - 1 month
First year residents in the emergency department are encouraged to immerse themselves in their cases and learn as much as possible from their patient encounters. The learning curve is steepest during this year as residents form the foundation for their clinical acumen.
Second years begin increasing their efficiency while continuing to master the basics of emergency medicine. After completing the multiple rotations and ICU months, residents begin to learn how to manage undifferentiated critically ill patients in the emergency department.
Third year residents will learn how to manage a department, working with the charge nurse/attending to make important patient flow decisions. Residents will take near-attending responsibilities in their third year, teaching and supervising interns and junior residents for procedures.
Program Highlights:
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Busy, high-acuity ED: Department has a pod-layout with low resident-to-attending ratio. Direct teaching, constructive feedback. Intern orientation month. Lots of pathology and a great learning environment
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ED-run department: No competition for procedures. "Your Patient, Your Procedure". EM runs trauma, does all the procedures and controls airways. We present at multiple conferences and have great didactic and sim weekly as well as weekly board review
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Strong Pediatric EM experience: Integrated pediatric shifts during EM months in addition to dedicated pediatric EM months and PICU at nationally recognized children's hospitals
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Strong ultrasound experience: Residents are exposed to ultrasound from day 1 and have multiple rotations with our ultrasound director as well as an ultrasound curriculum. Residents get proficient with a multitude of ultrasound exams and procedures
Rotation Sites
Didactics
Intern Orientation Month
Every July, the incoming interns go through an intern orientation month that exposes them to all the aspects of the ED and the hospital logistics. A full schedule of clinical experience, ACLS, ATLS, PALS and orientation lectures is provided and interns learn bread and butter EM. We also provide free time and social events to allow new residents to get settled and acquainted. Orientation includes airway labs, procedure labs, introduction to ultrasound, and clinical experience at Inspira.
Board Review
We hold regular board review lectures throughout the year to better prepare our residents for both the in-service exam and their board written certification examination. We regularly practice cases for the oral certification exam as well. We host an in-house annual oral boards review day with several cases in succession, simulating the actual oral certification exam. Our faculty members have experience as ABEM examiners.
Journal Club
Journal Club is a monthly event for the review and critical appraisal of key publications of importance to the practice of Emergency Medicine. Papers chosen for review at Journal Club represent important, influential, and landmark publications of wide interest. Both faculty members and residents attend each Journal Club and they are led by a resident that summarizes the discussion and determinations that are reached.
Advanced Airway
We hold yearly advanced airway courses to better handle respiratory emergencies encountered in the ED. Our residents are extremely adept at handing the airway through regularly schedule SIM sessions, dedicated anesthesia rotations, and a very high acuity ED
Wellness & Volunteering
Due to increasing burnout among physicians nationwide, Inspira has created a Resident Wellness Committee. This dual attending/resident run committee focuses on preventing burnout, organizing get-togethers, and providing resources to treat burnout. We hold weekly talks during didactic lectures to promote well being and engage in resident volunteering activities to better serve the community.
Simulation Center
The Jane and Peter Galetto, Jr. Simulation Center at Inspira Medical Center Vineland is a state-of-the-art training and education center. It is the newest facility of its kind in the region, offering area health care providers advanced learning opportunities for the delivery of medical care in a safe and controlled setting.
Features:
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State-of- the-art lab with real-time simulation
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Four high-fidelity patient simulators (adult male, adult female, child and infant mannequins)
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Life-like mannequin simulation, including irregular heart rhythms and cardiac arrest, seizures, labor and childbirth, and more
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Large classroom with real-time video and play back of training sessions
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Experienced teaching faculty and staff
Inspira Medical Center-Vineland
Vineland, New Jersey
Nemours/Alfred I. duPont Hospital for Children
Wilmington, Delaware
Newark, Delaware
St. Christopher's Hospital for Children
Philadelphia, Pennsylvania
Camden, New Jersey