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Curriculum

More than half of the residency curriculum occurs directly in the Emergency Department (ED) and its associated rotations. Our premise is that residents require multiple patient encounters in a high-volume setting to become strong clinicians, able to work in any emergency facility upon graduation.

Curriculum Quick Facts
ED Rotations: 24 blocks
Critical Care: 6 blocks
Peds Experience: 5 blocks

Our curriculum is heavily weighted towards critical care. A relatively large percentage of our institution’s initial critical care occurs in the ED, and residents experience multiple off-service rotations in critical care. As a result, our residents are highly proficient with critically ill patients and critical procedures.

Emergency Department (Adult)

All blocks in the adult ED are at UF Health Jacksonville, which has an annual patient volume of over 95,000. The ED is separated into four areas according to level of acuity (Emergency Critical Care (ECC), FlexCare, the Clinical Decision Unit (CDU) and Resuscitation). The ECC area is used to treat all high-acuity emergent illnesses; it is attached to our medical and trauma resuscitation areas. The FlexCare area is utilized to treat low and moderate acuity illnesses, and is designed to “flex” up to see some higher acuity during periods of increased patient volume. The CDU allows for workup of low-risk chest pain and observation patients, and also allows for fast track patient workups as space and volume permits. The Resuscitation area provides service to the highest acuity medical patients in the ED, and supports all trauma evaluations that present to our Level I trauma center. UF Health Jacksonville has a very high acuity of patients, with more than 30% average hospital admission rate, and an estimated 4-5% ICU admission rate. Second-year residents begin their administrative role in managing FlexCare, instilling leadership skills early during residency training. Third-year residents manage the entire department with the supervision of attendings.

Emergency Department (Pediatric)

Emergency Medicine

Our pediatric ED sees approximately 20,000 patients per year staffed by board certified pediatric emergency physicians, board certified emergency physicians, pediatric emergency medicine fellows, and EM and pediatric residents. Residents have dedicated pediatric ED blocks during their first and second years. In the third year residents have a longitudinal experience, with three to four shifts every block in the pediatric ED.

Coronary Care Unit (CCU)

The resident works as part of the cardiology team. Residents experience strong exposure to the medical and interventional management of acute coronary syndrome, arrhythmias, decompensated heart failure, and other cardiovascular diseases.

Medical Intensive Care Unit (MICU)

Every block, a junior and senior emergency medicine (EM) resident team works alongside internal medicine residents, pulmonary critical care fellows, and board-certified intensivists in the MICU. With the diverse pathology that presents and the tremendously high acuity of our ICU patients, it is highly regarded as one of the best rotations in this residency.

Pediatric Intensive Care Unit (PICU)

First-year residents spend a block at Wolfson Children’s Hospital in Jacksonville working with pediatric critical care specialists. This affords the opportunity to care for children with severe cardiac, pulmonary and metabolic disease.

Internal Medicine (IM) Wards

A block in the first year is spent with the IM ward team, managing a wide variety of inpatient medical illnesses.

Obstetrics/Gynecology

As part of the labor and deliver team, the resident assists in deliveries and hones skills with transvaginal ultrasound at labor and delivery (L&D) triage.

Orthopedics

A block is spent with the orthopedic trauma team for intensive exposure to fracture and dislocation identification, reduction, and splinting techniques.

Trauma Surgery

As Jacksonville’s Level I trauma center, there are more than 2,000 trauma team activations yearly. Residents acquire trauma center exposure and experience in all three years. As first-year residents, they work as part of the trauma team on the wards. Second-year residents run trauma codes during the resuscitation block. Third-year residents split time in the trauma center and the surgical ICU.

Anesthesia/Ultrasound

Residents have dedicated time to obtain emergency ultrasound experience, and also spend a week in the operating room with an anesthesiologist, learning basic airway management skills.

Toxicology

Residents field toxicology consults in the hospital with pharmacology and emergency trained toxicologists, and answer calls in the regional poison center that serves over 6 million people.

Emergency Medical Services (EMS)

This is our opportunity to ride in ambulances and, if desired, see Jacksonville from above with the flight team! Each resident interacts with the region’s EMS system with a combination of direct patient care with Jacksonville Fire-Rescue, along with committee meetings and didactics, to expose them to a wide variety of EMS issues.

Senior Elective and Selective

Ultrasound, abroad rotations and simulation are among a few electives. With enough preplanning, a number of possibilities exist. Also, a career-track selective block has been created to allow the senior resident the opportunity to focus training on clinical, administrative, teaching or research interests.

Rotation Schedule

Our academic schedule is divided into three 13-block sections:

EM-1
Adult Emergency Department 4 blocks
Pediatric Emergency Department 2 blocks
Anesthesia/Ultrasound 1 block
Coronary Care Unit 1 block
Internal Medicine Consults/Subspecialty Clinics 1 block
Medical Intensive Care Unit 1 block
Obstetrics and Gynecology 1 block
Pediatric Intensive Care Unit 1 block
Trauma 1 block

EM-2
Adult and Pediatric Emergency Department 8 blocks
Trauma/Emergency Medical Resuscitation 2 blocks
Medical Intensive Care Unit 1 block
Orthopaedic Surgery 1 block
Toxicology 1 block

EM-3
Adult and Pediatric Emergency Department 10 blocks
Elective 2 blocks
Surgical Intensive Care Unit 1 block

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