Letter from the Program Director
From the Program Director:
Welcome to the CMU Healthcare Emergency Medicine Residency Program’s web site! Throughout our website, we have tried to provide you with a glimpse into the EM program here in Saginaw, Michigan.
Our training sites:
Our program is based out of the CMU Healthcare, a medical education institution that is part of a 40+ year-old consortium. We work primarily at the two large hospitals in Saginaw. The two hospitals, Covenant and St. Mary’s of Michigan are unique for teaching facilities. Covenant is a large ED with 85,000 patients per year and a broad mix of patients including approximately 25,000 pediatric patients annually. St. Mary’s is a smaller ED, with 25,000 patients annually a very high acuity and a facility design that allows the senior residents to run the entire ED. Each hospital has a helicopter service, bringing patients from a surrounding 150-mile radius. Our EDs have a wide variety of patients, including classic inner city urban problems, suburban and rural issues. We are very excited to be a part of the new medical school (Central Michigan University College of Medicine) and the new academic center they are building.
Our clinical curriculum:
In the Emergency Department, our residents work a combination of 8, 9 & 10-hour shifts averaging no more than 190 hours per month on the ED rotations. Our current off-service curriculum has only 4 months of in-house call during the 36 months of training. This allows our residents to maintain a healthy balance in their lives. The off-service rotations emphasize critical care patients, with 5 months of critical care including Trauma critical care, CCU, MICU and PICU rotations. Other rotations are chosen for their award-winning faculty teaching and individualized opportunities for residents. Due to the flexibility of our system, we are able to change off-service rotations as needed to provide the maximum educational opportunities for our residents.
Our didactic curriculum:
Our program is designed to allow every resident to become competent in performing procedures through both extensive training in the simulation center and completing many procedures on patients. Our graduates routinely have completed 4 times the minimum training requirements in intubations and resuscitations. The average number of ultrasounds performed by last years’ graduates was more than 250. With a great patient per learner ratio compared to most training sites, there is no competition for patients, procedures and the individual teaching by the faculty. Our conference curriculum emphasizes hands on and interactive sessions as well as emphasizing learning the basics with weekly Tintinalli book review and oral boards practice monthly.
Our residents hail from all regions of the country, having trained in various allopathic and osteopathic medical schools. With the new Michigan licensing laws, we are now able to accept osteopathic students directly after medical school graduation if they are willing to consider applying for an AOA resolution #42 exemption after their first year here at CMU Healthcare. Starting in 2009, we also have had two residents per year through a special program with the Saudi Arabian Cultural Mission. They are training here to become board certified in exactly the same manner as our other residents and then plan on returning to Saudi Arabia to continue to practice emergency medicine there. Many of our residents are married and have families. As housing costs are so reasonable in Saginaw, many of our residents have owned their homes including several of our single residents.
Our emergency medicine faculty trained in many different facilities, bringing a wealth of knowledge and different skill sets to teach our residents. Several of our faculty members are involved nationally in emergency medicine organizations including American College of Emergency Physicians, Council of EM Residency Directors and National Association of EMS Physicians. These faculty members bring a national perspective to the program and have a rich network of colleagues that is especially helpful to our seniors as they look for jobs all over the country.
After training in our three different Emergency Departments (including a one month rotation at Hurley an urban high volume ED in Flint, MI), the residents have had the opportunity to understand and work with different styles of hospitals, nursing staffs and patients. They have easily transitioned into in 30 different states and 3 different countries -- in large cities and small towns, in academic and community-based practices. Feedback from our graduates’ employers has been excellent – telling us that our graduates are uniformly well prepared for clinical practice and are praised for their efficiency, communication skills and knowledge of billing and coding. Residents from Saginaw tell us that this is the perfect place to train just as you will practice. They find an easy transition to their first job since they have spent their whole residency program talking to private attendings (not just admitting residents), performing all their own procedures including all intubations and reducing dislocations, and caring for trauma patients from start to finish in the ED. They are ready to work in any ED the day they graduate.
We invite you to look at our website for further information and contact us if you have any questions. We encourage you to come to Saginaw to meet our residents and faculty and see why we are all proud to practice here!
Mary Jo Wagner, MD
Program Director and Chair
Department of Emergency Medicine