The Emergency Medicine residency program at Akron General prepares you for the real world, whether clinical practice, academics or advanced training. Emergency Medicine is evolving with the rest of health care, with new practice environments (Freestanding EDs), advancing technologies, increased focus on patient satisfaction, incorporation of quality measures, as well as EMR documentation within the ED. We can help you prepare for all of these challenges!
The residency program consists of rotations at Akron General Medical Center, Children's Hospital of Akron and at two of three Akron General freestanding Emergency Departments. The main Emergency Department consists of 35 beds, and treats 60,000 patients per year. Our ED length of stay is one of the lowest for academic Emergency Departments in the United States. Children's Hospital Emergency Department also sees 60,000 patients per year, and is staffed by Pediatric EM Fellowship graduates. Our Freestanding EDs are busy, and will challenge you in terms of managing a busy ED. The Freestanding EDs are staffed by the same attending staff as the ones you will work with in the downtown ED.
You will receive real world training in the following ways:
Designated as a Level I Trauma Center by the American College of Surgeons
Akron’s first accredited Stroke Center
Akron’s only accredited Chest Pain Center
Medical Control for multiple EMS squads, including the cities of Akron, Cuyahoga Falls, Stow, and Green, the busiest EMS squads in Summit County
A diverse attending staff, with residency and medical school training from across the country
Rotations in Freestanding EDs, an increasingly common response by hospitals to remain competitive
Use of an EMR within the ED
Inclusion of Press-Ganey scores and RVU/encounter in your six month evaluations
The Akron General Medical Center Emergency Medicine residency program celebrated its 40 year anniversary in 2013. We were the first community teaching hospital EM residency in the country. We are fully accredited for 11 residents at each year level by the Accreditation Council for Graduate Medical Education (ACGME).
Our residents become expert clinicians in Emergency Medicine. However, many of our residents go on to fellowship training. In the last five years, our graduates have gone on to fellowship training in EMS, Ultrasound, Academic and Pediatric Emergency Medicine. Current senior residents are pursuing fellowships in Toxicology and Sports Medicine. If you have an interest in academic Emergency Medicine, we can prepare you well. Many of our residents publish case reports, formal research studies, chapters and monographs in recongized Emergency Medicine publications.
The Emergency Medicine residency program is known for its innovations in education. The Chair of the Department is Dr. Nick Jouriles, a recent past president of the American College of Emergency Physicians (ACEP). He is also Chair of the medical school Department of Emergency Medicine at Northeast Ohio Medical University (NEOMED). At one time, Dr. Jouriles was a residency director, pioneering several important aspects of EM residency training, including the concept of direct observation of resident encounters with patients in the ED. This has led to the well-accepted practice of the use of the Standardized Direct Observation Tool (SDOT) throughout the country. He has chaired the Ohio ACEP, ACEP and International Federation of Emergency Medicine education committees. Dr. Michael S. Beeson is the residency director, with nearly 20 years of experience as a residency director and a recent previous President of the Council of Emergency Medicine Residency Directors (CORD). Dr. Beeson has pioneered multiple aspects of Emergency Medicine resident education, including the development of an online resident testing service, used by the majority of EM residencies in the country (www.cordtests.org). Dr. Beeson also manages the SAEM medical student online testing service, www.saemtests.org. He has received the EMRA residency director of the year award and served on the Residency Review Committee for Emergency Medicine (RRC-EM)
With Drs. Jouriles and Beeson directing the department and residency, there are several exciting innovations in resident education:
EM1 protected time, equivalent to three clinical shifts monthly, for reading, completion of residency requirements, online testing, online lecture viewing, ultrasound practice, Simulation Center practice, and resident wellness activities
In the EM1 year a decrease in monthly clinical ED shifts to compensate for the three monthly academic shifts (18 clinical shifts monthly in a 30 day month)
The curriculum is electronic, including rotation goals and objectives, textbooks and testing
Weekly readings from Tintialli's Study Guide of Emergency Medicine, coupled with weekly online quizzes
Individual clinical scenarios with individual faculty - 12 for EM1s, 18 each for EM2s and EM3s
A Simulation Learning Center run by the Program Director, focused on your procedural proficiency
Emergency Medicine residents receive a significant amount of pediatric training. The Emergency Department at Children’s Hospital Medical Center of Akron treats 55,000 patients yearly. EM residents have the following experiences at Children’s Hospital:
One dedicated month of pediatric EM as a EM1
One dedicated month of pediatric EM as a EM2
During the EM2 and EM3 EM rotations, 2-4 pediatric EM shifts monthly
A one month Pediatric ICU (PICU) rotation as a EM3
A two week experience with the Pediatric Conscious Sedation service as a EM2
At least two dedicated days in the Children’s Hospital OR intubating pediatric patients under anesthesia supervision
Freestanding ED shifts in which typical community pediatric patients are seen
A monthly pediatric EM education series of lectures provided by the Akron Children’s Hospital Department of Emergency Medicine
We have incorporated scenario simulation and task training into the EM residency experience. Dr. Beeson is the medical director of the Simulation Learning Center, and this ensures that a simulation experience is a significant focus of attention. Dr. Beeson is active nationally with Simulation education, with numerous related national presentations and articles.
The Simulation Learning Center provides:
An intense procedural learning experience during the EM1 Orientation month
Task training in:
Scenario training with a dedicated Simulation Technician
Multiple research opportunities related to simulation
- Intubation (including use of Glidescope)
- Central lines (internal jugular, subclavian, femoral and external jugular)
- Ultrasound-guided central lines
- Chest tube insertion
- Peripheral IV placement
- Lumbar puncture
- Casting and splinting
- Wound closure
Scholarly activity and teaching are important aspects of the educational program at Akron General Medical Center. It is the strong belief of the program director that as a resident becomes a better teacher, they also become a better physician, able to better teach patients about their disease, care, and expected outcome. During the residency, residents will have multiple opportunities for scholarly and teaching activity including:
Lectures to rotating medical students from our programmed monthly set of lectures
Participation in teaching medical students within the Simulation Learning Center
Working directly with medical students and junior residents in the ED, overseeing and supervising their patient care
Drug Box articles within Critical Decisions in Emergency Medicine, the main educational publication of the American College of Emergency Physicians
Main articles within Critical Decisions in Emergency Medicine
Research opportunities within the Simulation Learning Center
Many other research opportunities including case reports, freestanding ED studies, educational initiatives, etc.
The EM residency has a longstanding tradition of EMS education experience with faculty who are recognized experts on a national level in EMS, Disaster Management and Tactical Medicine. EM residents will be assigned to an EMS squad where they will assist in the provision of monthly continuing education to their EMS squad. There are ample opportunities to teach within our Paramedic School. We are proud of our heritage in training EM residents, and take this commitment seriously. We continue to introduce new educational initiatives. We believe that we offer a tremendous educational program and invite you to investigate further. Real world training for real world practice.
Please feel free to contact the Program director, Dr. Michael S. Beeson (Michael.firstname.lastname@example.org) with any questions or comments you may have.
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Date Updated: 02-OCT-2015