Program Director: E. Parker Hays, Jr., MD, FACEP
Associate Program Director:Jennifer L. Isenhour, MD, FACEP
Program Coordinator: Mary Fiorillo

Our emergency medicine residency program is fully accredited by and conforms to the curriculum requirements of the American Council of Graduate Medical Education as set forth by the Residency Review Committee. A 2005 Residency Review Committee evaluation of the residency program resulted in maximum accreditation through 2013. The residency adheres to a PGY 1, 2, 3 format with 11 residents per year in addition to fellowship positions in research, toxicology, emergency medical services and ultrasound.

Residents in emergency medicine learn the practice and art of emergency medicine in a busy urban medical center that has a good blend of private and clinic patients. They are supervised 24 hours a day by experienced academic and clinical faculty who are actively involved in bedside teaching. Residents spend an average of 50 hours per week managing patients during emergency department months. Coordinated scheduling of medical students and residents at each postgraduate level allows for graded responsibility and teaching.

Our daily noon conference schedule includes five hours of didactics per week. The lecture curriculum includes core EM topics, weekly M & M conferences, a monthly evidence based medicine series, interdepartmental conferences, ultrasound, and clinical case conferences. There are dedicated week long symposia each year for ECG interpretation, airway management, wound care, shock and risk management.

The majority of conferences are given by emergency medicine faculty. Residents are responsible for one formal didactic presentation in each of the PGY-2 and -3 years. PGY-2's will also present a conference during their Pediatric and Ortho Pedic months.

Journal club is held monthly at an attending physician's home and is both a time for learning and enjoying each others' company.

Each year we have a Visiting Professor program in which distinguished and nationally recognized emergency physicians are invited to join us for bedside teaching, conferences, and socializing.

Current rotations for our emergency medicine residents include:

PGY-1

• 4 months in the emergency department/peds ED
• 1 month in general internal medicine
• 1 month in the medical intensive care unit
• 1 month in trauma surgery
• 1 month in general surgery
• 1 month in ob/gyn
• 1 month in pediatrics
• 1 month in anesthesia/ultrasound
• 1 month in neuro/cardio

PGY-2

• 5 months in the emergency department/peds ED
• 1 month in the cardiac intensive care unit
• 1 month in the medical intensive care unit
• 1 month in the trauma intensive care unit
• 1 month in orthopedics
• 1 month in Peds ED
• 1 month in toxicology
• 1 month EMS or research

PGY-3

• 8 months in the emergency department/peds ED
• 1 month in the pediatric intensive care unit
• 1 month in ophthalmology/ENT/Anesthesia/Dental/Psych
• 2 months elective (or 1 month elective/1 month EMS)

The emergency medicine resident spends the majority of his or her first year of training with other specialties outside the emergency department acquiring skills and knowledge that are fundamental and essential to the practice of emergency medicine. Because most services take care of their own patients in the intensive care units, the PGY-1 resident will have an opportunity to be involved with the management of critically ill and injured patients. Additionally, the first year residents have early critical care exposure for a month in the MICU.

In the PGY-2 year, the emergency medicine resident has increased responsibilities during the five months spent in the emergency department. Individual patient management is stressed, and opportunities to perform major procedures are provided. In addition, the resident acquires skills in the care of critically ill cardiac, medical, trauma and poisoned patients. All trauma or critically ill patients are initially evaluated and stabilized in the emergency department. Residents from other services are not present in the emergency department unless consulted or completing an elective in the department.

The specialty rotations during the second year are aimed at broadening the emergency physician's ability to handle acutely ill patients, while offering initial exposure to other surgical subspecialties and continuing exposure to pediatric patients. Instead of doing EMS in the second year, the resident may choose to do a month of research and take EMS during the third year (in place of an elective month in the third year). This allows the resident important educational flexibility and the opportunity to initiate an elective research project early in the second year of training.

The PGY-3 year involves increasing emergency department responsibility for teaching in addition to the management of critically ill and injured patients. A PGY-3 resident is present and responsible for managing the Major Treatment area at all times. The resident will also provide online medical control for both ground and aero-medical emergency medical services.

RESIDENCY APPLICANTS We appreciate your interest in our program here at Carolinas Medical Center (CMC) in Charlotte, N.C. We are no longer sending out paper information. We are utilizing the information superhighway here at CMC hoping to save the trees. Currently, if you would like to apply for our residency program, we are now only accepting applications through ERAS. Once the ERAS post office opens on September 1st, please submit your ERAS application to us. Our deadline for applications is November 1st. Addendums to applications will continue to be downloaded; however, complete applications received after the deadline are not guaranteed to be reviewed. Three letters of recommendation are required--one of which should be from an Emergency Medicine physician. We have no minimum requirement on Step 1 scores. Please contact your school for more information on the ERAS program. Thanks again for your interest in the Emergency Medicine Residency Program at Carolinas Medical Center. If you have any questions or concerns, please call our assistant at 704-355-3658 or e-mail EMresidency@carolinashealthcare.org.