Monday, November 11, 2019

The Interview Trail in EM-All Your Questions Answered

All your questions about EM interviews answered

How many interviews is too many?
10 interviews will give you a 95% chance of matching according to NRMP data. It can be difficult to stay engaged and be interested in more than ten-so if you are in the enviable position of having more, critically look at your list and cancel those you are less likely to work for you.

What if I only have 6?
As many have discovered you only need one, but as your interview numbers go down your risk of going unmatched increases. At 6 you still have a 75% chance of matching. You should go to all 6 and discuss with your advisor if and when to develop a back up plan.

What are programs looking for?
Programs are looking for applicants who will succeed. Most have a set of traits they have noticed overtime that successful residents share. Kind, honest and hardworking top the list. The NRMP program director's survey is a great place to look for these traits.


Should I contact programs if I haven't heard from them?
This is a tough one to answer as this can pay off but can also drive program directors crazy making them less likely to offer you an interview. In general only contact a program if you have a supreme interest and you question if this may not have come across in your application. An example would be loving and wanting to move back to an area that wasn't referenced in your ERAS application.

Who should I be?
Firstly recognize you are trying on each program and they are doing the same. For this reason you must be yourself. I well dressed, non-trash talking, non-swearing best version of yourself. Avoid the pitfall of being too superficial or restrained to get to really experience each program and imagine yourself there.

How do I show I want to be there?
Be interested. This is reflected throughout your interview-you will be on stage the whole time, but so are they. Attend the pre-night social event so you can meet residents and see their interactions away from medicine. Be on time for your interview, since you will often be in a new area-leave twice the amount of time you'd expect it to take so you don't sweat through those spiffy clothes because you are running late. Have questions-genuine questions about the area, people and program. If you run out engage your interviewer in conversation.

What if I loose my luggage, get in an accident, or get lost?
Programs are real people too and we can adapt, just let them know what is going on. Then relax-stop perseverating and do what needs doing, it will make a great story.


Should I send thank you emails or cards?
Feel free to send or not send-this is pretty unlikely to change you likelihood of matching but if you enjoy doing so go right ahead.

Will programs be insulted if I cancel?
No, we understand and want applicants to focus on programs they are interested in. Just please give as much notice as possible at least 2 weeks, so the spot can be filled.

Overall the interview trail can be both exhilarating and exhausting. If you can, take time to spend a few hours in each place exploring and picturing yourself in this new area. When you go to rank your programs reflect back on how you felt and go with your instincts.

Good luck and travel well.

Lucienne Lutfy-Clayton is an Associate Program Director and Medical Education co-Fellowship Director at UMMS Baystate. While she never got lost, ended up late or lost her luggage she did spend a magical snowy night in Portland Maine and ended up living there for four years post residency. 










Tuesday, October 22, 2019

Another New Program: Nazareth in Philadelphia

There is another new EM Residency Program already accredited for the 2020 Match.  In most cases, now is too late in the cycle to apply to more EM programs and expect them to take your application seriously, but a new program is going to be different.

From their Program Director, Kanika Gupta:

Nazareth Hospital is a new ACGME accredited program located in northeast Philadelphia. We are a three year program looking for both PGY 1 and 2 residents to start July 2020.  Please spread the word! Thanks!
Kanika Gupta, M.D.
Residency Program Director
Department of Emergency Medicine
Nazareth Hospital
https://www.trinityhealthma.org/healthcare-professionals/gme/nazareth/emergency-medicine/




Tuesday, October 1, 2019

The Unified Program Release Date

In an effort to add some additional standardization to the interview scheduling process a group of EM Residency Programs has agreed to use a common interview release date.  Only a subset of programs are able to wait until this date to offer interviews.  Hopefully this can give some reassurance to anyone who is already worried they have not received enough interview offers. 

Here are the details sent out by Dr. Jennie Buchanon, APD at Denver Health:

The County Program of Community Practice is proceeding with the unified interview release date again this year.

  • Unified Release Date October 15th invites out at 12pm Eastern Standard Time
  • October 16th 12pm Eastern Standard Time Interview Broker Opens for scheduling
***************
The following institutions are participating:
UCSF Fresno
Boston Medical Center
Kingman Regional Medical Center
Mount Sinai Medical Center Miami Beach
UT Health San Antonio
SUNY Upstate
Cook County
LAC+USC
Denver Health
UT Southwestern
Emory
UF Jacksonville
UMKC University of Missouri-Kansas City
Metro - Cleveland
SUNY Downstate
Jacobi/Montefiore
JPS (John Peter Smith)
Arrowhead Regional Medical Center
Hennepin
Highland
UC Irvine
McGovern Med at UTHealth (formerly UT Houston)
Loyola University Medical Center
UCSF-SFGH
University of New Mexico (UNM)
Virginia Tech Carilion
Newark Beth Israel Medical Center
LSU New Orleans
Henry Ford Hospital
Mount Sinai in NYC (for clarification The Mount Sinai Hospital program not Mount Sinai- St Lukes/West)
University at Buffalo

Wednesday, September 25, 2019

New Program: Ochsner in New Orleans!

We are in new program announcement season!  Another new program has announced that they are recruiting for the 2020 match:

"The Emergency Medicine Residency Program at Ochsner Clinic Foundation in New Orleans, Louisiana has received its initial accreditation and that we will be accepting applications through ERAS for our first class of 6 residents to begin July 1, 2020.

The Emergency Department at Ochsner is a busy tertiary medical center in New Orleans. We are a multi-specialty tertiary care receiving facility and the hub of the Ochsner Healthcare System. We currently have residency programs in Anesthesiology, Internal Medicine, Neurology, OB-GYN, Orthopedics Surgery, Pediatrics, Podiatry, Psychiatry, Radiology, Surgery and Urology, and will be looking to add additional programs in future years.

For residents looking to get in on the ground floor of a program with a tremendous educational opportunity, this is an ideal fit!  Ochsner has made a commitment to the growth of Graduate Medical Education and I am very excited about the future of medical education at Ochsner.

Please let your students know to look for us in ERAS (1102100171) and to contact me with any questions about the program. Our website is:
 
_______________________________________________________________________

------------------------------
Sal J. Suau, MD
Program Director
Ochsner Health System
New Orleans, LA

Monday, September 23, 2019

New Programs: Summa Health in Ohio and HealthQuest in New York

A couple more programs have announced that they will be interviewing for the match this year.  Summa Health is re-establishing an EM residency and HealthQuest will be based in a new hospital in Poughkeepsie, NY.  Please read the messages below from their Program Directors to learn more about these  atypical programs.  Many reading this will say, "I don't want any part of a new program".  That means that these are exactly what some other folks are looking for (places that may not get inundated with applications). 

Summa Health - Akron, Ohio


"I am excited to announce that the ACGME has granted Summa Health initial accreditation for emergency medicine. As some of you know, I began my career at Summa and came back to facilitate the accreditation. We have wonderful facilities, 85,000 patient volume in our main ED, great metrics, great faculty, and a dedicated system-wide GME apparatus. I am excited to begin interviewing for our first class!"

Michael S. Beeson, M.D., MBA, FACEP
Program Director, Department of Emergency Medicine
President-elect, American Board of Emergency Medicine
Professor of Emergency Medicine, Northeast Ohio Medical University
Summa Health
525 E. Market St.
PO Box 2090 | Akron, OH 44309-2090
p 330.375.6876 f 330.375.3008beesonm@summahealth.org


HealthQuest Vassar Brothers in Poughkeepsie, NY


The HealthQuest EM Residency Program with a primary clinical training site at Vassar Brothers Medical Center, Poughkeepsie, NY will be reviewed for accreditation by the ACGME RRC-EM in January, 2020. We are optimistic that we will be successful in receiving initial accreditation at that time and in anticipation of that we will begin interviews for an inaugural class to start July, 2020. We are not able to participate in ERAS yet but we are accepting applications via e-mail that must include your recommendation letters, CV, personal statement, Dean's letter, and USMLE scores. Sending a copy of your common ERAS applications is encouraged. Please send all application materials and further inquiries to Julia Demboski, Program Manager, jdembos1@health-quest.org or Marc Borenstein, MD, Program Director, mborenst@health-quest.org. Please visit the HealthQuest/Nuvance website www.healthquest.org for further information about the HealthQuest/Nuvance organization as well as the opening of a new Vassar Brothers Medical Center Hospital and Emergency Department in early 2020 as well as plans that are underway for the opening of a medical school in partnership with Marist College in 2022-2023.

------------------------------
Marc Borenstein
Program Director
Brookdale University Hospital and Medical Center
Poughkeepsie NY

Tuesday, September 17, 2019

New Program: Valley Health System in Las Vegas!

For those looking to expand their search or escape to warm weather, there is a new program in Las Vegas:

 "I am pleased to announce that our new EM program at Valley Health System in Las Vegas, NV has just received initial accreditation.  We will be using ERAS and NRMP to obtain our initial class of 8 residents for July, 2020. Our program utilizes a diverse group of four teaching ED's and a rural EM curriculum.  Although we welcome applicants of diverse backgrounds, we are not able to sponsor any visas.
 Please feel free to forward this notice to any EM residency applicant that you feel would benefit from the opportunities presented by our new program. Our program should be listed in ERAS starting today.  Qualified applicants will be scheduled for in-person interviews.

 Anyone with specific questions, please feel free to contact me."
------------------------------
Thomas Swoboda, MD, MS, CPE
Residency Program Director
The Valley Health System
Las Vegas NV

Wednesday, September 11, 2019

ERAS is about to open to programs-are you ready?



ERAS opens to programs in just 4 days and applicants around the world are making their finishing touches. Here are answers to the questions we get asked the most:

How many programs should I apply to?
This depends on your competitiveness and where you ideally want to apply. Consider using EMATCH to look for risks within your own application and develop a targeted strategy.

What if I only have one SLOE posted on 9/15?
So this is multipart depending on if and when you will have a second SLOE:
If you have a second SLOE that will be posted within the next few weeks, you will be fine. It takes time for programs to review applications and many will wait a few weeks expecting another SLOE.

If you have a second SLOE coming later and you are not getting many interviews, consider sending an email to your top programs once the letter is posted. This is not necessary but might get you moved back into the review pile. Don't send 40 emails, only contact programs you are most interested in and email once, not over and over.

If you will only have one SLOE use EMRA Match to identify programs that will offer an interview with only one SLOE and apply to these to improve your odds.

When will I hear about interviews?
This will vary widely by program. Most programs will use a booking service and many try to send invitations in the evening to minimize interruptions to your clinical duties. There are also a group of programs that have agreed to a common release date of October 15th. As a generality you should expect most of your interview invitations to come in the month of October.

How many interviews is enough?
10-12 interviews is plenty. Ten will get you to a 95% probability of matching and twelve will get you to 99% per NRMP match data for EM.

Aren't more interviews better?
Not always, firstly it is hard to fit more than 2 interviews per week, travel is very expensive, and many applicants become exhausted during this process. You need to be on the whole time and it can get hard to appear interested and enthusiastic week after week. Those extra interviews are unlikely to improve your outcomes in the match, so put your time and money in the programs you are most interested in.

How can I ace my interviews?
Firstly make sure you know what to expect and how to determine what you need and want. This is different for every person but focus on what makes helps you learn and keeps you well. Make sure you leave enough time to make it to the pre-inteview social with residents and get the rest you need to be your best self. A classic blunder is getting your luggage lost, don't let it happen to you, so carry ons only.

Is it rude to cancel interviews?
No, if you have other opportunities that better match your needs simply let programs know with enough notice to offer the interview to another applicant. Please Please Please be generous with one another and cancel with at least 2 weeks notice so your spot can go to someone else.

While stressful the reward at the end of this application is well worth it - hang in and find ways to enjoy the ride

Lucienne Lutfy-Clayton is an APD at UMMS Baystate and the immediate past chair of CORD's API committee. 

Tuesday, August 6, 2019

EMATCH - the tool to develop your EM application strategy


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Wondering if you will be competitive in EM? Worried you might have trouble with your match in EM? Wish you knew what program directors are looking for? - Then EMATCH is the tool for you

The Emergency Medicine Applicant Tool of Common Hangups(EMATCH) is a tool developed by the Council of Residency Directors in Emergency Medicine(CORD EM) Application Process Improvement Committee to help EM applicants identify at risk characteristics within their application and help all applicants strategize to maximize their EM application. This tool uses NRMP data, AAMC data, best practice advising from CORD's Advising Student Committee(ASC EM) with links to their numerous resources, and AAMC's Apply Smart. It also links to Emergency Medicine Residents' Association Match tool, your best resource as you develop your individualized application plan. 

If you are interested in using the tool please read the consent below and click this EMATCH link.

Dear Emergency Medicine Applicant:

You are being invited to take part in a research study seeking to understand perceptions of competitiveness in Emergency Medicine.  As part of this study, we invite you to complete the online Emergency Medicine Application Tool for Common Hang-ups (EMATCH) questionnaire. 

Your responses will help inform and improve our understanding of current applicant perceptions of competitiveness. Your responses are anonymous. The demographic data we are collecting includes your Medical School year, gender, ethnicity, and race. These will be used to ensure we have a representative sample. No identifying information is included in the survey. 

Taking part in this research study is totally your choice. You can decide not to participate or to stop taking part in this research study at any time for any reason by stopping the survey. Doing so will not affect how you are treated at Baystate Medical Center and will not affect your educational standing or applicant status.

We hope to recruit at least 250 subjects to complete the questionnaire.

Risks and Costs: There are no risks or costs associated with this study. Though unlikely, you may feel uncomfortable answering some questions on the survey, so you may choose to skip questions. However, your participation in this study benefits your education and the education of future applicants by contributing to a better understanding of perceptions of competitiveness and giving you direct access to evidence based advising. 

If you agree to take part in this research study, your personal information will not be linked back to you. Data will be kept in a password-protected database, accessible only by the PI, Dr. Lucienne Lutfy-Clayton.

Who to Contact:For questions about the study or if you believe you have experienced a complication or injury as a result of participating in this study, please contact the PI, Lucienne Lutfy-Clayton, by phone or email (see below). If you have question about your rights as a research study subject, call the Baystate Medical Center Institutional Review Board (IRB) at (413) 794-4356.  

Next Steps:  If you choose to participate, please complete the EMATCH Questionnaire. Your completed survey will serve as your consent to participate in the study. 
If you choose not to participate in the study, you may keep this consent sheet for your future information. 

This research study has been reviewed and approved by the IRB of Baystate Medical Center. 

PRINCIPAL INVESTIGATOR (PI) CONTACT INFORMATION:
Lucienne Lutfy-Clayton MD, Assistant Professor UMMS Baystate
Email: lucienne.lutfy-clayton@baystatehealth.org; Phone number 413-794-5999
Department of Emergency Medicine, 759 Chestnut St, Springfield MA 01199

Lucienne Lutfy-Clayton is an APD at UMMS Baystate and the immediate past chair of CORD's API committee. This tool has been her white whale over the past few years and is finally ready for prime time. Let us know what you think and how we can help.

Monday, July 22, 2019

Guide to Sub-Internship Success - Be a Rotation Rockstar


[This guest post is a guide to succeeding on EM rotations by Dr. Duncan Grossman, a first year resident at Maimonedes Medical Center in Brooklyn, NY.  Originally created for his fellow EM bound students at the University of New England, the guide has been adapted for all and is a great perspective on how to succeed on EM rotations. 
- Adam]


This guide reviews what to expect on your sub-internships and how you can look like a rockstar. I'll also include a list of resources -- some of which you *must* use, some of which will be up to you.


CHAPTER ONE -- WHAT TO EXPECT


Typically your first day will consist of some sort of orientation. You'll meet your clerkship director and other rotators, do some paperwork, maybe meet a resident or two. You'll get a tour of the ED and they'll set some sort of outline about what to expect for your four weeks. They'll mention SLOEs this day too, probably -- since you're rotating during prime SLOE months, they kind of already know you want one.

You'll work a variety of shifts. These may include nights, fast-track, shifts on the ambulance, or any combination.

Remember, you're at a residency program, so there are weekly lectures for the residents that you'll attend. In addition, you may have specific med-student lectures. During these they may do skills labs (central lines, splinting, lumbar punctures), SIM labs, and they may have you do a presentation. Don't stress about presentations -- no one is looking to eviscerate you, just to see that you put some effort in and learned something.

Some places have a test on the last day. Some don't.

Most places will offer you a guaranteed interview at the end. Some will not.


CHAPTER TWO -- ON SHIFT


Consider listening to a podcast or quickly reviewing a topic on your way in, just to get in the mindset.

The hardest part of these rotations (in my opinion) is that you'll likely be paired up with a new attending for every shift. That means you need to establish rapport and trust at the beginning every single time. Don't get lazy with your appearance or enthusiasm -- remember, you are always auditioning.

At the beginning of the shift, introduce yourself to the attending, residents, and even to some of the nurses & techs (these people can be a gold mine of knowledge and may grab you for cool stuff). You might say something like, "Hey there, I know you're busy, but I just wanted to introduce myself: my name is Duncan and I'm your med student for today for the 7a-7p shift." 

(Pro-tip: I try to say the hours of my shift at the beginning because sometimes your attending will be working different hours, so instead of awkwardly saying no when they ask you to see a patient at 6:59pm, you set the expectation.)

If it's not crazy busy, I always try to ask, "What are your expectations of me for this shift?" This does three things. 1 -- It shows you are enthusiastic and you care. 2 -- It sets what you should be doing. 3 -- It allows your attending/resident to realize what they want out of you, so you're all on the same page.

See patients (obvs). There's a fine line between being proactive and being annoying, so ask if there's anyone to see and if your preceptor says not yet, then just chill out. Read, go walk someone to x-ray, familiarize yourself with the equipment carts -- always be doing something, even if it's small. Some places will steer you toward patients, some will tell you to sign up for them... It just depends.

Seeing patients is the fun part -- we'll address some pearls later in the email.

Once you've seen them, you need to present. We'll cover *how* to present later, but when you're ready, you should say, "Dr. Johnson, I saw the patient in room 3 and I'm ready to present whenever you're free." Sometimes you'll present immediately. Sometimes an hour later. Sometimes you'll never present it. That's just the ED for you.

Volunteer to do procedures (suturing, IVs, splinting) for all the patients, but especially your own.

**Fun Tip** I scribbled down super interesting patients and little knowledge nuggets in the back of my notebook and kept a running list through the whole rotation. It may be as simple as "Lovers Fx = b/l calcaneal fx" or a chief complaint like "central retinal artery occlusion." It could also be something for you to look up later, like, "Pics of ultrasound fetal pole."


CHAPTER THREE -- END OF SHIFT


You'll likely turn in an evaluation sheet to your preceptor at the end of your shift. (Consider doing it 30min before the end so you're not giving it to them while they're running out the door.) They know they have to do it, so you don't have to make a huge production out of it. A simple, "Dr. Johnson, can I leave my evaluation at your computer?" will suffice.

But you're NOT DONE THERE -- this is your time to shine, peeps. This is when you ask, "What can I do to be better on my next shift? What can I improve on?" This is gold on your evaluation. Be humble, don't be defensive about critical feedback, and thank them sincerely. Then thank everyone around you.

Pat yourself on the back, take a breath, and chill out.

__________________________________
__________________________________

RESOURCES


Just like studying for boards and school, when looking at this insane list of resources, find what works for you.

With that said, there are a couple of mandatory (in my opinion) resources that you need to have under your belt. I listed those under "Mandatory." Then just pick a couple from the other lists.


MANDATORY:

1) Patient Presentations -- Document

2) Patient Presentations -- Video

3) Clinical rules -- App (Download onto your phone!)

4) Chief complaint driven guide to differentials -- *BEFORE YOU BUY* you may get this for free with an EMRA membership, which you should def get. If it's not free, I'd still recommend buying it -- it's a great resource to start organizing your thoughts with regard to chief complaints.


PODCASTS:

1) EM Basic Podcast -- 30 min episodes -- Super dry but really covers the nuts and bolts of stuff you need to know for routine emergency medicine. Listen to him on 2x speed. He also has "show notes" which are a GOLD MINE of information, and I'm actually making flashcards out of them before internship.

2) EM Clerkship Podcast -- 6 min episodes -- Really short but awesome overviews of chief complaints, ddx's, procedures, etc. Good to cover a lot of info in a little time.

3) EM:RAP -- Variable time -- I just started listening to this but everyone raves about it. Free with your EMRA membership. Their "C3" lectures will cover Core Clinical Content. All the rest is gravy. They have their own app.

4) EMCrit -- 30-60min -- So these are pretty advanced and honestly, I don't think they're going to be particularly high-yield for your rotations. But I have friends who love it.

5) The Emergency Medical Minute -- 5min -- This is just a whole bunch of recordings of residents lecturing their co-residents on tiny topics. Kind of like the clerkship podcast above but less formal and tackling less core content.

6) Core EM Podcast -- 20min -- Great podcast covering core content. Two hosts.

7) PEM Playbook -- 60min -- Pure gold for pediatric emergency medicine. Listen to this if you have a couple peds EM shifts thrown in or if you're doing a PEM rotation.


BOOKS:

1) Tintinalli's Manual -- Small version of the biggest name in EM textbooks. Carried this with me in my backpack and would bring it to shift, looking up diagnoses and treatments of patients I had. Highly recommend.

2) Tintinalli's Just The Facts -- I think it's physically bigger, but more succint?

3) Rapid Interpretation of EKGs -- If you have NO IDEA where to start with EKGs, make sure you read through this.

4) ECGs for the Emergency Physician -- A whole book of EKGs to quiz yourself.

5) Antibiotic Guide -- Should be free with EMRA. Used it a couple times, def not mandatory. They have an app, too.


APPS:

1) MD Calc, as listed above. Learn how to use PERC, Canadian Head CT, PECARN, Wells (PE and DVT), San Francisco Syncope.

2) Epocrates for drugs

3) Medscape -- good for drugs and diseases but is occasionally incorrect

4) WikEM -- a wikipedia page specifically for emergency medicine. Really great resource -- you can plug in chief complaints and it'll give you an EM specific wiki page.

5) PalmEM -- recommended to me but I couldn't justify $20 for an app. Looks cool.


VIDEOS: (My favorite, personally!)

1) EM:RAP -- Just found this. Def gonna watch these.

2) EM in 5 -- This is my absolute favorite. Biased because it's done by the clerkship director at my soon-to-be-residency, but I think this is my absolute favorite resource.

3) Emergency Medicine Cases -- These guys have a podcast too


Good luck out there!
-Duncan

Tuesday, May 14, 2019

Non-VSAS Rotation Option

This time of year many applicants are frustrated by their lack of progress getting EM Away elective rotations scheduled.  Looking at non-VSAS sites can work really well.  And this service we just heard about might help too.

Robyn Hoelle, the program director from North Florida Regional Medical Center in Gainesville sent this out:
I wanted to make sure that all of you out there who are mentoring students looking for EM rotations knew that many of us have withdrawn from VSAS. We are a part of Clinical Nexus which manages our rotations. There are 60 Hospitals on this system and the students only have to put in one application to be able to apply for rotations in all of the participating hospitals. It is free for the students. 

We don't know much about this resource, but it could be really helpful to those looking for rotations in the Southeast. Please share your experiences using Clinical Nexus in the comments.  

Friday, May 10, 2019

EM Rotations - getting in and getting it right

This data driven guide will walk you step by step through your EM application
The active hyperlink is below
Getting In:
If you haven't already you should be applying to and beginning your EM rotations ASAP. Data supports doing two EM rotations at programs with residencies between May and October. This allows you to have 2 SLOE included in your application, which is what program directors look for and trust as a reflection of your strength within EM.

Current map of open positions in June through September
If you haven't already used EMRA Match Clerkship to look for open rotations - there is a feature that will actively update open spots so you can apply to programs that have openings. If you are having trouble getting two rotations look in the Southeast, Midwest, and Southwest as these locations have more open positions for visiting students.



This filter allows you to search for programs that will
offer and interview with your number of SLOE
If you will only have one SLOE on September 15th - use the EMRA Match Residency filter to search for residencies that review applications with one SLOE and strategize to apply to these rather than programs that are less likely to review your application.



Getting it Right:
SLOE letter writers want to see rotators who perform well clinically, have no professionalism issues, and actively apply feedback.

The secret to performing well clinically is easy - learn to give a great EM presentation. Succinct, EM directed, focused on worst first differential for this patient's chief complaint. After giving a great presentation own your patient - know the labs, recheck interventions, review radiographs and be one step ahead.
This video does a great job of summing up all you need in your presentation and is worth the watch

Be Professional - show up early, never lie (even when you forgot to ask or look - acknowledge and correct), be eager at all times. This includes non-clinical responsibilities as well as clinical. It is just as important to ask questions and appear interested even during the less engaging didactics - that teacher likely still has a lot to share.

Feedback - If you can accept and actively apply feedback you are teachable and can improve from whatever level you are currently performing at. If you can't, you may never get better than your current level. Those who are hard to teach are going to receive poorer letters because the ceiling on their EM trajectory is low. Listen, Accept, and Apply the near constant feedback you are getting. It may not seem it but you are always getting feedback, it may not be overtly labeled as feedback. The supervisor who is typing, texting or dictating while you are presenting is not engaged. You aren't telling the story in a way to gain their attention. Pay attention to tone, facial expressions and spoken feedback. You are getting feedback all shift long - notice it and act.

Lucienne Lutfy-Clayton is an APD and Education Fellowship co-Director at UMMS Baystate
She has sat through approximately 10,000 lousy disengaging presentations and literally jumps for joy when she hears a good one - make her happy

Thursday, April 11, 2019

New Program in Pennsylvania - Recruiting for THIS JULY?

A new Emergency Medicine residency program just announced receiving accreditation and are considering recruiting a class to start THIS JULY (2019). 

From their PD:

I am happy to announce that UPMC Pinnacle (located in Harrisburg, Pennsylvania) has received Initial ACGME Accreditation for a new, 3-year EM Residency program for a total of 18 residents.  The residency will be based at UPMC Pinnacle Harrisburg Hospital.  Our team has been providing bedside teaching and EM-training to medical students, off-service residents from within our own institution, and EM-residents from a neighboring program for many years and has now taken the next step to start our own residency!

We are considering the possibility of accepting residents starting this July.  If you are aware of any interested candidates for an EM residency beginning this summer, please share with them this opportunity and my contact information.



 
We are incredibly excited to start training our own residents and look forward to working together with all of you!

Sincerely,
Erik

Erik Kochert, MD, FACEP
Emergency Medicine Residency Program Director
UPMC Pinnacle
Department of Emergency Services

111 South Front Street
Harrisburg, PA 17101
T (717)782-5206
C (267)254-7378
F (717)782-5716
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