University of Maryland School of Medicine

Department of Emergency Medicine

University of Maryland School of Medicine Department of Emergency Medicine

EMPEDs Info

Length of Training
The 60 months of training will be divided such that each trainee spends 30 months in pediatrics and 30 months in emergency medicine. Residents will be assigned to either pediatrics or emergency medicine for 3-6 month intervals. The reason for spending both three and six month blocks in each field is to allow the trainees to experience the seasonal variation of illness that is particularly important in pediatric practice.
ResidentsWe will recruit two residents each year for a total of ten residents in the combined program. Currently, the pediatric program has 36 categorical positions and the emergency medicine program has 30. There are also combined programs in Internal Medicine/Emergency Medicine and Internal Medicine/Pediatrics.

Clinical Rotations/Core Curriculum Requirements

PGY1
During this year, there is a broad exposure to many medical disciplines including pediatrics, emergency medicine, critical care medicine, anesthesia/ultrasound and trauma. This will enable the resident to develop basic skills in each of these areas upon which he/she can build in subsequent years of training.

PGY2
Once basic skills have been attained, the resident will be exposed to more critical care (MICU, NICU) and subspecialty experience. This will be balanced with continued exposure in both adult and pediatric Emergency Departments. A formal rotation in OB/GYN will enable the resident to become proficient in performing pelvic examinations, delivering newborns, and treating common gynecologic problems and emergencies.

PGY3
This year begins the transition to senior resident status. The resident will be expected to assume more of a supervisory role and be afforded greater responsibilities in both the pediatric and adult populations. The R Adams Cowley Shock Trauma Center here on campus, will continue to serve as the site for residents to learn about trauma since it is the center of the state coordinated trauma system. Transport medicine, as a formal emergency medicine service (EMS) rotation, will be offered.

PGY4
This year continues the emphasis on supervisory/ leadership skills that were initiated in the PGY3 year. The resident will now assume a supervisory role on the inpatient pediatric services. Elective experiences will be chosen by individual residents in order to round out their knowledge/ experience. Each resident will be assigned to a pediatric trauma rotation. The resident will also continue to assume a supervisory role in the pediatric and adult emergency departments.

PGY5
The final year of the program will provide a major exposure to both the pediatric and adult emergency departments. A final senior NICU rotation, trauma, pediatric anesthesia and ultrasound will round out the curriculum. A continuity experience is an important aspect of pediatric practice and will be provided as a half day/week continuity clinic panel during each rotation in pediatrics. Thus during training, each of two residents will have 30 months of continuity clinic. These two residents will act as "partners" by sharing a patient panel. This insures that one partner is always available for care of patients in their continuity practice. The residents will also be given an in depth didactic experience throughout all 5 years in both pediatrics and emergency medicine.

Clinical Care
We are responsible for 142 inpatient beds -- 106 at University Hospital (32 general inpatient, 14 intermediate care, 10 PICU, 30 NICU, and 10 NICU step-down) and 36 at Mercy Medical Center, our community affiliate as well as two full term nursery practices -- There are approximately 4,500 admissions annually, including 1,000 admissions to the PICU/IMC. Ambulatory visits total over 100,000 annually -- 75,000 at University and 25,000 at Mercy. Our services range from primary care to highly specialized treatment programs that attract patients from the entire mid-Atlantic region.

Our Mercy Medical Center operation, staffed by full-time faculty, is an integral part of our program. It affords housestaff opportunities which complement the University Hospital experience. The Community Practice Program allows our residents to develop a longitudinal one-on-one relationship with a community pediatrician. They gain insight into the role that the practicing pediatrician plays in the community, with families, and in child advocacy.Active working relationships exist with virtually all clinical departments in the hospital. Especially strong are the department’s linkages with psychiatry, OB/GYN, internal medicine, emergency medicine, and surgery.

Physical Facilities
The department of pediatrics has over 130,000 square feet of space in the Medical Center. All inpatients are on two floors, creating a "hospital within a hospital" dedicated to pediatrics. A new state of the art pediatric emergency department is now contiguous with the new adult emergency department.

All inpatient rooms are private or semi-private and afford rooming-in for family. On-call rooms, convenient for housestaff, are in all inpatient areas and in the emergency room. A pediatric pharmacy and a NICU lab are also located in the central inpatient area.

Pediatric Research and Education
Our department ranks in the top ten among all state university pediatric departments in federal research grant awards. Overall, grants and contracts total more than $19 million.

To Apply to Our Combined Program:
If you are interested in applying for both the Emergency Medicine/Pediatrics program as well as the categorical emergency medicine program, you must submit a separate ERAS application for Emergency Medicine and Emergency Medicine/Pediatrics. If, on the other hand, you are interested in applying for the Emergency Medicine/ Pediatrics program as well as the categorical pediatrics program, you must submit an ERAS application for Pediatrics and one for Emergency Medicine/Pediatrics.