An 18-month curriculum is in place that covers the “Model of the Clinical Practice of Emergency Medicine.”
In addition to lectures, the residency incorporates case presentations and small group discussions into the usual content. The Residency utilizes the "Foundations of Emergency Medicine" cases for interactive case discussion. Additionally, there are routinely hands on sessions that include simulation cases (including annual SimWars), procedures labs, ultrasound, as well as mock-oral boards.
The residency supports asynchronous learning through the utilization of ROSH Review question based learning as well as utilizing AliemU for online learning resources.
Journal Club
Journal Club is held monthly at a faculty member’s home. The articles are selected by faculty members as well as residents. The objective of journal club is two-fold: to keep up to date on medical literature pertinent to the practice of emergency medicine and to learn the essentials of evidence-based medicine. Food is provided by the faculty host!
Conferences
Topic: Musculoskeletal/TEAM Thursday/Critical Care
Topic Coordinator: Hogrefe/D. Miller/Shekem/Jackson
Location: EM Auditorium, 0070 RCP (Elevator F to LL, left off elevator, left at first doorway, through double doors, left at first hallway)
Clinical experiences
The Emergency Medicine residents get a longitudinal EMS experience starting as interns with exposure to local EMS agencies during orientation month, required ambulance ride along throughout all years of residency, and event medicine coverage at Iowa Hawkeyes football games, basketball games, and wrestling matches culminating in a 2-week EMS month during the third year.
Additional education opportunities
Fellowships are available in EMS, Critical Care, Sports Medicine, Medical Education, Social Medicine, Toxicology, Research, Ultrasound, and Palliative Care. Optional Wilderness Medicine course taught mainly in the mountains of Colorado by Iowa faculty. Moonlighting is available in the surrounding communities to eligible PGY-3 residents.
Medical simulation
Medical simulation is used extensively within the residency training program. The residency has a full-time simulation director who coordinates this area of the residency curriculum. Residents receive training using high-fidelity simulators to augment their clinical experience.
Cedar Rapids medical center
The residency program has a close relationship with our partner community hospital in Cedar Rapids, with residents spending several months learning there. This allows residents to experience patient care not only in a large academic center, but also at a large community hospital.
Washington rotation
Residents have access to an optional emergency medicine rotation at a nationally ranked critical access hospital in Washington, Iowa to gain experience in yet another patient care setting.
Rotations
All required Emergency Medicine and other required rotations are scheduled at the UI Health Care on University Campus or at St. Luke’s Medical Center in Cedar Rapids, Iowa. St. Luke’s is an approximate 30-minute drive from the University of Iowa (25 miles).
Elective rotations can be scheduled at UI Health Care, or in a number of other locations including internationally.
Our third-year emergency medicine residents have the opportunity to serve as flight physicians in Iowa's Air and Mobile Critical Care Services Program with bases across eastern Iowa. They respond to the scene of motor vehicle accidents and other major traumas. They also participate in the interfacility transfer of patients with conditions such as intracranial hemorrhage, stroke, myocardial infarction, and sepsis. Flight physicians have the ability to perform procedures on flights as well as assist the flight crew with management of these critically ill patients.
Rotations Schedule
Each rotation is 4 weeks, unless noted otherwise.
UI Health Care EM in second and third year will be comprised of both adult and pediatric EM shifts.
- Total Number of EM Weeks: 106
- Total Number of Weeks: 156
- Time in EM: 68%
Year 1
| Rotation | Location | Focus |
|---|---|---|
| 1 | UI Health Care | Intro to Emergency Medicine (EM) |
| 2-5 | UI Health Care | EM |
| 6 | UI Health Care | Ultrasound (1) EM (1) Pediatric EM (2) |
| 7 | UI Health Care – University | Anesthesia (3) Quality Improvement (1) |
| 8 | UI Health Care | Sports Medicine (2) EM Orthopedics (2) |
| 10 | UI Health Care | Pediatric Intensive Care Unit (PICU) |
| 11 | UI Health Care | Cardiovascular and Thoracic Surgery (2) Burn (2) |
| 12 | UI Health Care, St. Lukes | EM (1), Obstetrics (3) |
| 13 | UI Health Care | EM (2) Pediatric EM (2) |
Year 2
| Rotation | Location | Focus |
|---|---|---|
| 1-5 | UI Health Care | EM |
| 6-7 | St. Luke's | EM |
| 8 | UI Health Care | Toxicology |
| 9 | UI Health Care | Medical Intensive Care Unit (MICU) |
| 10 | UI Health Care | Surgical and Neuroscience Intensive Care Unit (SNICU) |
| 11 | UI Health Care | EM |
| 12-13 | UI Health Care | Elective |
Year 3
| Rotation | Location | Focus |
|---|---|---|
| 1-8 | UI Health Care | EM |
| 9 | St. Luke's | EM |
| 10 | UI Health Care | EMS (2) EM (2) |
| 11 | UI Health Care | SNICU |
| 12-13 | UI Health Care | Elective |