We are a four year training program offering training in the emergency departments at Denver Health Medical Center, the University of Colorado Hospital, the Children's Hospital of Colorado, and Saint Joseph Hospital for a mix of county, academic, and community learning environments.
In 2003, Denver Health Medical Center’s Residency in Emergency Medicine became an EM1-4 program, creating an EM1 year that lays a solid foundation for the EM 2-4 years. This curriculum is intentionally built like a traditional internship and is designed to “line the toolbelt” of interns with the clinical experience and skills needed for the rest of residency.
Rotations include a broad array of disciplines including core experiences in:
Medical Critical Care
Adult Emergency Medicine
Pediatric Emergency Medicine
Other high-yield rotations in Anesthesia, Electrocardiography, and Basic ED Ultrasound allow our interns to further develop essential clinical skills. Rotations primarily take place at Denver Health Medical Center, the Pediatric Emergency Department and Urgent Care Center (PEDUC) and the University of Colorado Hospital.
Ultimately interns have in-depth experiences in both surgical and medical disciplines, developing the broad foundational knowledge base and technical skills necessary to produce exceptional emergency physicians.
The EM3 year expands emergency medicine knowledge primarily through the additional responsibility of managing critically ill trauma patients at Denver Health and Children's Hospital Colorado.
The EM3 supervisory role at the University of Colorado Hospital introduces residents to the art of running and managing the flow of an emergency department. This supervisory role includes oversight over patient care delivered by medical students, EM and off-service interns, as well as second-year EM residents.
There is additional experience in pediatric EM and pediatric critical care at the Children's Hospital Colorado Emergency Department and Pediatric Intensive Care Unit. By the end of this year, our residents are ready to take on the supervisory, senior resident role in the Emergency Department at Denver Health.
The clinical education of EM3s is further developed through rotations in Toxicology, Advanced Ultrasound and Emergency Medical Services (EMS). During the EMS rotation, residents act as a third rider on a paramedic staffed ambulance, assisting in field resuscitations and critical care transfers. The EMS rotation is based out of the nationally-renowned Denver Health Paramedic Division. Lastly, elective time is built into the EM3 year to facilitate deliberate career exploration and development.
The primary goal of the EM2 year is to begin layering the technical skills and theoretical knowledge specific to emergency medicine. This is primarily accomplished through rotations in the emergency department in which the EM2 performs primary individual patient care.
At Denver Health Medical Center, EM2 residents primarily run the telemetry side of the department, managing a diverse number of medical, surgical and OB/GYN complaints. EM2s learn to manage fundamental chief complaints like chest pain, abdominal pain, dyspnea, acute diabetic complications and sepsis.
At the University of Colorado Hospital (UCH) Emergency Department, the EM2 role is expanded to include primary management of trauma patients and patients in need of major resuscitation.
At Saint Joseph’s Hospital, EM2s work directly with attending physicians in a private hospital setting to learn how medical emergencies are handled in different patient populations.
Continued rotations in Pediatric Emergency Medicine in the PEDUC and also at The Children’s Hospital (CHCO) teaches EM2s how to work-up and manage pediatric medical emergencies. Finally, rotations in Surgical Intensive Care and Burn Intensive Care Unit advance resident knowledge of how to care for the sickest of patients.
During the senior year, emphasis is placed on mastering clinical emergency medicine and developing tangible leadership skills. The flagship rotation of the EM4 year is the Senior Resident Rotation in the Denver Health Emergency Department. During this rotation, EM4s must balance patient flow, supervise and teach medical students and junior residents, direct resuscitation of all critically ill medical and trauma patients, run the ED-based observation unit and provide EMS medical control for the Denver Health Paramedic Division. The comprehensive nature of the Senior role teaches EM4s the leadership and communication skills needed to optimize the various components of the ED team. There is additional supervisory experience for EM4s in the PEDUC. Likewise, during shifts at the Saint Joseph’s emergency department, EM4s take full ownership of their patients, functioning with more autonomy than during previous years.
This year also emphasizes continued academic growth with substantial time allotted for electives. Other rotations included in the EM4 year include Toxicology, EMS, Medicolegal, Administration and OB-GYN. During the Medicolegal week, residents spend time at a non-profit, physician-run malpractice insurer, learning how the malpractice system works. During the 2-week OB-GYN rotation, the resident performs deliveries and provides care to patients over 20 weeks gestation. They also take part in high risk deliveries and neonatal resuscitations.
At the end of the EM4 year, our residents demonstrate clinical excellence and the ability to thrive in literally any emergency department environment.