Who manages your airways in the Emergency Department?
Emergency medicine faculty handle all airways at all times in all patients. Anesthesia attends every Level I trauma primarily for pre-op planning, but EM faculty control and manage the airway until the patients leave the Emergency Department.
How many shifts per month will I be working?
We anticipate a resident working 8- to 9-hour shifts no more than six days per week. This is well within the 60-hour RRC requirement. As more experience is gained and more responsibility is taken, there tend to be fewer shifts required for each year of seniority. Expect in your intern year to work 18 to 22 shifts in the University Hospital ED.
How do major traumas work at your facility?
EM/Acute Care Surgery is a strong team working to appropriately care for all trauma patients in need of emergent care in Mid-Missouri. The current setup is senior General Surgery residents are resuscitation captains with ACS and EM faculty present for every Level 1 trauma. EM faculty supervise all Level 2 and 3 traumas. EM faculty are primarily responsible for securing the airway in all traumatic patients. The PGY 1 EM resident will rotate on the ACS team and be expected to attend all Level 1 and 2 traumas to familiarize themselves with trauma activations and participate in acute procedures and resuscitation of trauma patients. ACS has welcomed the EM residency and are excited to share in resuscitation captain roles for the learning experience of senior EM residents.
What kind of patients can I expect to see?
|Patient Volume||University Hospital||Women’s & Children’s Hospital|
|a) Total ED Patients*||51,000||29,335|
|b) % of ED pediatric patients**||6||54|
|c) % of ED adult patients||84||46|
What kind of orthopaedic experience will be provided?
Orthopaedic surgery is an integral part of MU Health. Missouri Orthopaedic Institute is vast in size and sub-specialization. Patients with acute and sub-acute injuries are referred for emergent or urgent evaluation in our Emergency Department. Each PGY-1 resident will rotate in the orthopaedic clinic and all our residents manage patients in the ED with dislocations, fractures and other major orthopedic conditions. The ED has a dedicated portable C-Arm for bedside use.
How are pediatric emergency medicine shifts handled?
During the PGY-1 year, a resident will have a dedicated Peds EM month where they will see pediatric patients with our board-certified Peds EM faculty. This rotation occurs at our Women’s and Children’s Hospital approximately four miles from the primary ED at University Hospital. We believe that it is essential to the growth of the EM resident that, after this first exposure, the Peds EM experience be integrated into the training. This means that you will receive a longitudinal Peds EM experience integrated into your overall EM experience (approximately 16-18 percent of your total shifts). We believe that Peds EM can be seasonal in nature and ensuring that a resident is exposed to Peds EM year-round fits with our philosophy: any patient, anytime, anywhere.