'

Curriculum

Columns Layout = 2

First Year

The first year starts with a 4-week orientation to familiarize our interns with the emergency department. During this period, interns will:
  • work “bridging shifts,” a one-on-one shift with an attending with emphasis on bedside teaching and getting acquainted with the electronic medical record software;
  • complete their advanced life-support courses: BLS/ACLS/ATLS/PALS, as well as procedure labs of common emergency procedures such as advance airway management, suturing and splinting workshop, and slit lamp exam; 
  • do uncommon procedures such as central and arterial line placement, thoracotomy and thoracostomy;
  • learn essentials of critical care medicine during their MICU block and perfect the execution of procedures learned during orientation and in their ED experiences.

Blocks are 4 weeks, with 13 blocks per academic year.
When a block mentions 2 rotations, each rotation is 2 weeks in length.
Vacation is a total of 4 weeks, divided into 1-2 week blocks throughout the year.

Orientation: 1 block
Emergency Medicine: 5 blocks
Pediatric EM *: 1 block dedicated (other blocks also include pediatric exposure)
Radiology/ED ultrasound: 1 block
OB/Gyn: 1 block
MICU:  1 block
Anesthesia: 1 block
Tox/ED ultrasound: 1 block
Ortho/EMS**: 1 block
Vacation: 1 block

Second Year

Residents spend the majority of this year in the emergency department and the critical care units. Second year residents will:
  • manage all medical and surgical resuscitations under the supervision of their attendings;
  • perform necessary procedures as well as airway management;
  • learn and improve their own personal approach to emergency patients.

Emergency Medicine: 8 blocks
Pediatric EM *: 1 block (other blocks also include pediatric exposure)
Cardiology: 1 block
Trauma (ICU) :1 block
Burn (ICU)***: 1 block
Elective: 1 block
Vacation: 1.0 block

Third Year

During the third and final year, residents will:
  • assume the role of clinical leader in the emergency department;
  • learn how to manage the flow of the department;
  • treat and manage multiple critical patients;
  • supervise junior residents and medical students.

Emergency Medicine: 9 blocks
Neonatal ICU: 1 block
MICU:1 block
Trauma (ICU): 1 block
Admin: 1 block
Vacation: 1.0 block


PGY 1

Block 1 2 3
 4 5
 6 7
 8  9 10
 11  12 13
Site
1
1
 1  1  1  1 1
 1  2  4/1  5/1
Rotation Name
ED
ED
 ED  ED ED   ED ANES
 ICU OB/GYN
 RAD/US  PEM  TOX/US  EMS/ORTHO
% Outpatient
0%
0%
 0% 0%
 0%  0%
 0%  0%
 25%  25%    0%  50%    75%
% Research
5%
5%
 5% 5%   5%  5%
 20%  0%  5%  5%  0%  20%  20%

PGY 2

Block 1 2 3
 4 5
 6 7
 8  9 10
 11  12 13
Site
1
1
 1  1  1  1 1
 1  2  3  4
Rotation Name
ED
ED
 ED  ED ED   ED ED
 ED
CARD
 ELECTIVE  PEM  BURN/ICU  TICU
% Outpatient
0%
0%
 0% 0%
 0%  0%
 0%  0%
 0%  50%    0%  25%    10%
% Research
5%
5%
 5% 5%   5%  5%
 5%  5%  20%  25%  0%  0%  0%

PGY 3

Block 1 2 3
 4 5
 6 7
 8  9 10
 11  12 13
Site
1
1
 1  1  1  1 1
 1  1  1  4
Rotation Name
ED
ED
 ED  ED ED   ED ED
 ED
ED 
 NICU  ICU ADMIN  TRAUMA
% Outpatient
0%
0%
 0% 0%
 0%  0%
 0%  0%
 0%  0%    0%  0%    10%
% Research
5%
5%
 5% 5%   5%  5%
 5%  5%  5%  0%  0%  45%  45%

KEY
Sites:

#1 - Einstein Medical Center Montgomery (Primary Site) PEM = Pediatric Emergency Medicine
#2 - St. Christopher's Hospital for Children US = Ultrasound
#3 - Thomas Jefferson Univeristy Hospital ANES = Anesthesia
#4 - Einstein Medical Center Philadelphia CARD = Cardiology
#5 - Plymouth Community Ambulance Association TICU = Trauma ICU
Note: When a block lists 2 rotations, each rotation is 2 weeks in length.
Electives: Residents may choose or design an elective of their choice with approval from Program Director.
Vacation: Residents are provided with 20 paid vacation days annually, permitted in 1-2 week increments. Vacation may be taken during EM, OB-GYN, Elective, or Admin.
Percent clinical training in ED: 25 months ED/39 total months = 64%
Total months of critical care: EM 1 ICU, EM 2 Burn ICU, Trauma ICU, EM 3 NICU, ICU = 5 months

Abbreviations:

PEM = Pediatric Emergency Medicine
US = Ultrasound
ANES = Anesthesia
CARD = Cardiology
TICU = Trauma ICU

Residency Training Sites

EINSTEIN MEDICAL CENTER MONTGOMERY
Primary Site.

* ST. CHRISTOPHER’S HOSPITAL FOR CHILDREN
St. Christopher's Hospital for Children is a pediatric acute care hospital located in Philadelphia, Pennsylvania. It is one of three Level 1 Pediatric Trauma Centers in the state of Pennsylvania. The hospital has 188 beds and is affiliated with both the Drexel University College of Medicine and the Temple University School of Medicine. The hospital provides comprehensive pediatric specialties and subspecialties to pediatric patients aged 0-21 throughout eastern Pennsylvania and is one of the oldest full-service hospitals in the United States totally dedicated to the care of children. St Christopher's sees 75,000 pediatric ED visits per year and is the only exclusive pediatric burn unit in the region.

** PLYMOUTH COUNTY AMBULANCE COMMUNITY
Plymouth Ambulance, known as Montgomery County Medic 308, responds to an average of 15,000 emergency calls for service annually. This call volume makes Plymouth Ambulance the busiest ambulance squad in Montgomery County. It is located within 10 minutes of Einstein Montgomery. Einstein is a primary destination facility.

*** THOMAS JEFFERSON UNIVERSITY HOSPITAL
Thomas Jefferson University Hospital has been an accredited Level 1 Regional Resource Trauma Center in Philadelphia and a referral center for multiple suburban communities and trauma centers in the region to treat a wide variety of trauma-related conditions including burn. The burn center rounds out a complement of surgical and trauma services offered at Jefferson, as well as outpatient acute care. It is among few programs of its kind in the Delaware Valley to be located in a Level 1 Trauma Center where emergency cases can be transported around-the-clock from the scene or from other hospitals. It is also one of only a few burn facilities in the area to be affiliated with an academic medical center, giving our residents an excellent educational experience.

Core Conference

“Intellectual growth should commence at birth and cease only at death.” – Albert Einstein

The over-arching hallmarks of this program are excitement about emergency medicine, emphasis on fundamentals, input from the residents to improve the program, their experience, and their wellness/resilience.

Residents are excused from clinical duties every Thursday morning to attend 5 hours of educational programming. Lectures and workshops are conducted by emergency medicine faculty, guest faculty, and EM residents from all levels of training. Each Thursday a resident will be responsible for one lecture and one clinical case. Curriculum includes joint lectures with other training programs (e.g. critical care, pediatrics, and internal medicine).

The core conference Grand Rounds will be presented by a faculty well-versed or published in the topic.

In addition to lectures, core conference includes:

Foundations
We have incorporated the Foundations curriculum into our Thursday conferences.  This year-long flipped classroom curriculum provides level-specific content that builds a comprehensive framework for understanding cardinal presentations, "can't miss" diagnoses and essential management strategies within the EM Model of Clinical Practice.

Morbidity & Mortality, Near Miss, or Good Catch
This is a weekly conference during which challenging clinical cases are presented, engaging the audience to participate in analyzing the clinical problem and proposing alternative solutions and management strategies.  Such series of lectures trains residents' judgement and emphasizes that there are often many ways to do patient care--some a little better or worse than others, some equivalent.

Asynchronous Learning
Our residents are provided with one hour of weekly online asynchronous learning resources.

Board Review Series  
We have a dedicated hour every week to review high-yield board examination content and practice board-style multiple choice questions as well as mock oral board examinations run by EM attendings in preparation for the ABEM-certifying written and oral exam. We also participate in the annual ABEM in-service examination.

“Team Energy” (E=CM2)
EMCM = Einstein = CM2
Residents of all levels of training participate in monthly multi-disciplinary learning modules which include:
  • Procedures and advanced airway lab
  • Simulation including mock codes, resuscitation, and a simulated patient program integrating actors to teach residents the ethics and skills of breaking bad news to patients and their relatives
  • Advanced Ultrasound Procedures lab
  • EKG workshop
Sign-out teaching
During shift sign out, senior residents are encouraged to relate one teaching point that they have learned during that shift. EM attendings are encouraged to participate.

Risk Management/Administration Strategies

Throughout the 3-year program, residents will be exposed to a series of didactics lectures on administrations, leadership, directorship, and risk management.

Journal Club
This is held one evening every other month at an off-site location. During J.C., residents and faculty connect in an informal setting while learning to read and appraise medical literature critically. Journal club includes joint meetings with other programs (e.g. internal medicine, ultrasound, toxicology, diversity and inclusion).

Residents (and faculty) are encouraged to keep up with the current EM literature (Annals of Emergency Medicine, Academic Emergency Medicine, American Journal of Emergency Medicine, and Journal of Emergency Medicine).

On the odd months, the journal clubs will be topic-based and organized around current evidence to support novel therapies or procedures. This format employs consensus format and provides an important style to incorporate new therapies into a physician or physician group's practices.

Career Development
Throughout the 3-year program we have a "Career-Directed Curriculum." This is a series of didactics which is specific for each year of residency, including topics such as CV workshop, interviewing success skills, job searching, and financial planning.

Wellness

Residents will be provided with:
  • Health and lifestyle coaching
  • Discounted rates for popular gym memberships
  • Resources on financial well-being
  • Residents yearly retreat
  • Mentor-mentee longitudinal program
  • Lectures on wellness and resilience
© 2021 Einstein Healthcare Network. All rights reserved.