The Emergency Medicine annual curriculum provides specific educational objectives and progressive responsibility for each year of training.  

First Year

The first year of Emergency Medicine resident (EM1) concentrates on developing skills in individual patient evaluation and management, focusing on the basic principles of medical decision making and acquiring knowledge base of the core principles of Emergency Medicine. The EM1 becomes proficient in the performance of the history & physical examination and begins to develop skills in the use of diagnostic tests, initiating treatment, requesting consultation, developing treatment plans, and arranging follow-up.  Basic procedural skill acquisition is an important part of the first year of training.

Second Year

Second year residents (EM2) concentrate on expanding and refining patient management skills. He or she develops skills necessary to manage several patients simultaneously and broaden the scope of his or her expertise. This year, the EM2 residents are trained as EMS command physicians and are involved in the direction of the care provided by EMS systems. Participation in major medical and trauma resuscitations and advanced procedural skills are an integral part of this year of training. During this year the resident will be introduced to community practice Emergency Medicine.

Third Year

The third year Emergency Resident (EM3) concentrates on broadening exposure and developing efficiency. The EM3 begins to develop skills in the supervision of junior EM and off-service residents and medical students in case management and clinical procedures, including airway management. The EM3 provides direct on-line medical supervision to Philadelphia and surrounding EMS systems. During this year, the resident assumes more responsibility in community based Emergency Medicine practice, in addition to assuming more academic responsibilities, providing lectures and conferences as a part of their regular activities.

 

Fourth Year

The EM4 residents concentrate on developing the managerial skills necessary to run a busy Emergency Department (ED). He or she is responsible for the supervision of junior EM and off-service residents as well as medical and physician assistant students directing care for all patients managed in the ED. In addition, EM4 residents direct trauma and medical resuscitations. In parallel with their responsibilities in the clinical setting, the EM4 residents have an expanded role in the didactic curriculum, supervising weekly case conferences and providing advanced, evidence-based seminars on selected topics from the core curriculum.

Clinical Rotations

(Residents have 15 vacation days spread throughout the year, 5 days additional off during Holidays in Block 7, and additional personal days during the year.)

	EM 1	EM 2	EM 3	EM 4
Block 1	Orientation & Emergency Medicine	Emergency Medical Services	Emergency Medicine	Pediatric Emergency Medicine
Block 2	Anesthesiology	Emergency Medicine	Shock Trauma Unit	Emergency Medicine
Block 3	Emergency Medicine	Neonatal Intensive Care Unit	Emergency Medicine	Neurosurgery
Block 4	General Internal Medicine	Emergency Medicine	Pediatric Intensive Care Unit	Emergency Medicine
Block 5	Coronary Care Unit	Orthopedics	Emergency Medicine	Administration
Block 6	Emergency Medicine	Emergency Medicine	Burns Intensive Care Unit	Emergency Medicine
Block 7	Simulation Month	Simulation Month	Simulation Month	Simulation Month
Block 8	Medical Intensive Care Unit	Neurology	Emergency Psychiatry & Selective	Emergency Medicine
Block 9	Trauma	Emergency Medicine	Emergency Medicine	Selective
Block 10	Emergency Medicine	Radiology	Toxicology	Emergency Medicine
Block 11	General Surgery	Emergency Medicine	Emergency Medicine	Otolaryngology & Ophthalmology
Block 12	Ambulatory Pediatrics	Medical Intensive Care Unit Senior	Scholars	Emergency Medicine
Block 13	Obstetrics & Gynecology	Emergency Medicine	Emergency Medicine	Scholars