There Are Several On-Line Orientation Modules That Are Required by the University of South

July Orientation

There are several on-line orientation modules that are required by the University of South Floridaand these must completed prior to July 1st. There is also a required live orientation session that all residents attend on June 30th as well as a mandatory central venous catheter training session held at our CAMLS sim center June 20th. ACLS, ATLS, PALS etc must be up-to-date prior to July 1st.

All PGY-1 residents begin residency in the emergency department. The July schedule is a mixture of didactic lectures, sim, skills labs, and clinical shifts. Our July orientation schedule is available under the drop down menu. We celebrate our new colleagues’ arrival with a welcome party the first weekend of July and later in the month we have a kayaking and paddle board adventure in lieu of our Wednesday conference.

Grand Rounds

Our didactics are held Wednesday mornings from 7a-12p. The schedule is available under the drop down menu.

Simulation

Our Grand Rounds didactics are held at CAMLS, our simulation center, every 2 months. CAMLS is one of the world’s largest, free-standing centers fully dedicated to training healthcare professionals. It is a 90,000-square-foot, three-story facility provides a state-of-the-art, clinical environment with 60,000 square feet dedicated to surgical skills labs, operating suites, a virtual hospital and simulation center, and more than 25,000 square feet of dedicated education and conference space. CAMLS education and training programs are designed using simulated environments and evidence-based, instructional design methodology and best practice with performance metrics. Combined with state-of-the-art technology, learners are able to practice in a safe environment and ultimately demonstrate the skills proficiency required for safe clinical practice and improved patient outcomes.

Ultrasound

Ultrasound training is a priority of our program. We have four full-time and three part-time US Fellowship trained faculty. In July our new residents take a two day emergency medicine and critical care ultrasound course lead by international experts. A third day of ultrasound skill stations is also provided during orientation to provide additional hands-on experience so that our residents can hit the ground running. It is our belief that point-of-care ultrasound should be used as part of your initial assessment. It is an essential skill for any emergency physician’s critical decision making. Our ultrasound exams are archived wirelessly to a cloud-based platform called Q-path. Clinical exams can also be pushed easily to EPIC. You will always have a digital portfolio of your ultrasound images available for your future credentialing. Additionally, our residents receive feedback on every exam they perform through our digital QA process.

Our residents integrate ultrasound into every clinical shift. However, to gain even more ultrasound experience they have a required scanning shift during the following off-service months: trauma, orthopedics, anesthesia/ophtho, OBGYN, toxicology, EMS and the selective month. Advanced ultrasound didactics are incorporated into our Grand Rounds: every 3 months there are 5 hours dedicated to ultrasound. During this time an advanced topic is presented followed by hands-on scanning stations with our extremely talented ultrasound faculty. Our ultrasound experience is longitudinal with specific imaging requirements for each post-graduate year. As a result our residents have not suggested a need to have a dedicated ultrasound month in the EM-1 or EM-2 year.

Career Tracks

Ultrasound

Advanced Concentration in Emergency Sonography (ACES) Program:

Successful participants in this specialized residency curriculum will have the tools upon graduation to assist them in future roles which may include Ultrasound Fellow, Emergency Ultrasound Director, Academic Faculty member, or Ultrasound Course Faculty.

All ACES participants will have met the residency credentialing guidelines for emergency bedside ultrasound and will have completed the requirements for RDMS certification by the end of their PGY-3 year. The rigorous ACES curriculum also requires participation in and development of departmental ultrasound research, ultrasound education, and submission of a written paper for consideration in a peer reviewed journal.

For more information about our Ultrasound Curriculum please see the section above.

EMS

Residents participating in the EMS track will have a variety of opportunities to learn about clinical prehospital medicine, paramedic education, mass gathering medicine, disaster medicine, as well as the administrative aspects of being a medical director. Our residents can participate in prehospital scene response with a number of fire based services in the area including Tampa Fire Rescue, Hillsborough County Fire Rescue, and Pinellas County Fire Rescue. Our residents can also gain aeromedical experience by participating with our hospital-based helicopter EMS service, Aeromed. We offer a variety of experiences in paramedic education, from training in new protocols, to new recruit teaching and certification, and annual recertification and competency training. Mass gathering medicine opportunities include the ability to work at medical tents for our annual Gasparilla races, PGA golf tournaments, and Sebring auto races to name a few. Residents in the EMS track are integral in the planning for our annual county and hospital disaster drills, and may help develop disaster scenarios/cases, as well as provide response at the disaster scene, at our hospital, or serve as disaster response surveyors at other county hospitals. We invite our residents to join the state DMAT team and to provide in medical response to disasters in the region if they occur. We have six faculty actively involved in EMS direction in the region, and welcome resident participation in QA activities, protocol revision, research, and more. Lastly, we have an ACGME accredited EMS fellowship that offers further opportunities to become trained in this exciting specialty.

Administrative

Our residents attend a course that serves as a primer on leadership in medicine that is usually reserved only for medical directors. This exceptional course, call LEAD (Leadership Education And Development), covers a variety of topics such as: performance conversations, maintaining hospital contracts, corporate overview, negotiation skills, C-Suite conversations, conflict management, recruitment, patient experience, practice development initiatives, and risk mitigation. Within our facility at Tampa General Hospital there are opportunities to be involved in health delivery type research related to flow, crowding and length of stay outcomes. There are also opportunities to participate in our process improvement teams and of course to stay on for additional training as an administrative fellow.For those interested in a more in depth experience we can integrate more of the administrative fellowship experiences into residency.

Academic

For residents interested in an academic career we offer a teaching selective month each year. During this time the resident will essentially “learn to teach”. Activities during this month include medical student teaching shifts, simulation, Suture/Procedure lab, 30 min high yield / rapid fire lectures for medical students, EMIG involvement, and residency recruitment activities. The ACEP Teaching Fellowship may be included as part of the Academic Track, to be accomplished as the resident’s elective, contingent upon an open spot and funding being available. Residents who desire to participate in this option must identify themselves during the second year of training. Their elective time will be split to allow attendance at the fall and spring sessions of the Teaching Fellowship. Required reading: “Practical Teaching in Emergency Medicine” by Rogers et al.

Rotation Schedule

EM 1

Adult EM (3 months)

Pediatric EM

Medicine, Adult EM, or teaching selective

Trauma (ED based)

Orthopedics (ED based)

Anesthesia / Ophtho (2 weeks each)

Neurology or neurosurgery

CCU

MICU

OB GYN

EM2

Adult EM (6 months)

Pediatric EM

Toxicology/adult EM (4 shifts)

EMS

PICU

MICU

Selective (CCU, MICU, EM or teaching)*

*can swap to PGY‐3 year in place of US/Admin

EM3

EM (8 months‐ mix of adult and peds)

Elective

Research

US/Admin /radiology*

Trauma / SICU