Genesys - Emergency Medicine Residency

1.    What is the role of the faculty in the program?
2.    What types of patients are transferred to other facilities?
3.    What are the work hours of the residents?
4.    Is the resident responsibility graded?
5.    What is the proximity of the ED to X-Ray/Lab?
6.    Who reads the films when they are done?
7.    What are the salary and fringe benefits?
8.    Do the residents teach other house officers?
9.    How often are the residents evaluated?
10. How is the faculty evaluated?
11. What is the trauma experience like at Genesys?
12. Are the residents allowed to moonlight?

What is the role of the faculty in the program?
Residents work exclusively with Board Certified or Board Eligible faculty at all Emergency Department facilities. Certification for faculty is through the American Osteopathic Board of Emergency Medicine or the American Board of Emergency Medicine. All residents and house officers are supervised by these faculty members. Responsibility given to residents is graded based on resident level of experience, and year of training.

What types of patients are transferred to other facilities?
Genesys Regional Medical Center transfers few patients to other facilities. There are several rare exceptions for patient with special needs. Patients with extensive burns, and critical pediatric patients requiring a Pediatric Intensive Care Unit.   All such cases are stabilized first at Genesys, and then transferred to the appropriate receiving facility.

What are the work hours of the residents?
Resident work hours are consistent with current work duty guidelines, and is graded based on level of training. The following represents this structure:

PGY I 19 shifts per month
PGY - II 19 shifts per month
PGY-III 18 shifts per month
PGY – IV 18 shifts per month
Chief Resident 17 shifts per month
All shifts are 9 hours.

Is the resident responsibility graded?
Yes. We have found that residents learn at various levels. The best educational experience depends on the resident, and this can vary with individual and year of training. This ranges from presenting all cases to the attending with immediate review, to making the attending aware of the case followed by a separate interview by the attending. Regardless, all cases are seen by the attending with feedback given to the responsible resident.

What is the proximity of the ED to X-Ray/Lab?
The Emergency Department at Genesys was designed in part by the Emergency Physicians. As such, many of the department features were created with the concept of function in mind. For example, the department possesses two full radiographic suites with dedicated staff. This means that patients don’t leave the area for routine studies, and therefore turn around time for such studies is short. Likewise there is a Stat Lab located in the department, and dedicated to completing lab studies for the emergency medicine patients only.

Who reads the films when they are done?
All plain films are read by Emergency Physicians. This equates to faster turn around time, and more satisfied patients. Other special studies are read by radiologists 24 hours per day. These studies are immediately available for review by the emergency physicians. This is especially important for educational purposes.

What are the salary and fringe benefits?
Click here for summary

Benefits in 2008:

PGY- I $ 43,705
PGY-II $45,239
PGY-III $46,815
PGY-IV $48,459

Fringe Benefits include lab jackets (3 per year), meal stipend ($2400/yr), health insurance, Optical and Dental Coverage, Life Insurance, Professional Liability Insurance, On-call Quarters, Professional Development and Educational Allowance $2,500 - $3500 based on year.

Do the residents teach other house officers?
All residents actively participate in the didactic and clinical education of house officers. We feel this is a valuable feature of the academic process.

How often are the residents evaluated?
Resident evaluations are completed on a quarterly basis. Input for the evaluations are given by all EM faculty. Evaluations are reviewed by the Program Director, and Assistant Program Director. Evaluations are based on the Core Competencies as outlined by the ACOEP and ACGME.

How are the faculty evaluated?
All residents are asked to anonymously evaluate all EM faculty. These evaluations are subsequently given and reviewed by faculty at the monthly Core Faculty meetings.

What is the trauma experience like at Genesys?
Genesys has been verified by the stringent guidelines by the American College of Surgeons as a Level II trauma center. The facility receives a significant number of trauma patients per year. The trauma experience itself is unique among Emergency Medicine Residencies. The training is designed to provide the full spectrum of trauma care, not just initial stabilization in the ED. Trauma care is jointly managed by the Emergency and Trauma services. Procedures on Trauma patients are preformed by each department on an every other day basis. The exception to this rule is management of the airway, which is always the role of the Emergency Medicine specialist.

Are the residents allowed to moonlight?
Residents are allowed to moonlight consistent with the program policy. In summary, residents may moonlight after the PGY-II year. Maximum hours per month will be 36, and must not violate the AOA/ACGME work duty standards.

In all years of instruction, the residents are under the constant guidance and supervision of qualified teaching faculty and senior residents. This program is designed to allow residents to develop the skills necessary to provide the highest quality emergency medical care considered to be benchmark in our profession.