In addition to time spent learning the core principles of
emergency care in the ED, the curriculum is designed to include
focused training in pediatrics, critical care, and trauma
management. The training is structured to allow a progressively
independent experience through the course of training, preparing
residents exceptionally well for competent, confident,
compassionate, and efficient patient care.
Residents spend five months training in various critical care
- First year residents rotate in MedStar Washington Hospital
Center's Coronary Care Unit (CCU) for one month.
- Second year residents rotate through the Pediatric Intensive
Care Unit (PICU) at Inova Fairfax Hospital, the Medical Intensive
Care Unit (MICU) at MedStar Georgetown University Hospital, and
the Surgical Intensive Care Unit (SICU) at MedStar Washington
Hospital Center. Second year residents also rotate for one month
at the R Adams Cowley Shock Trauma Center in Baltimore as part of
their trauma curriculum, which includes time spent in the Trauma
Surgical Intensive Care Unit.
MedStar Washington Hospital Center's trauma unit is the busiest
level I trauma center in D.C., with 24 hour in-house coverage by
attending trauma surgeons. As the regional burn center, the
trauma center sees a high volume of burn victims. The trauma unit
provides residents with extensive and progressively independent
experience in treating trauma patients.
First-year residents serve four weeks as a team member.
- First-year residents rotate fro one month as an integral
member of MedSTAR trauma team.
- Second-year residents rotate for one month at the R
Adams Cowley Shock Trauma Center in Baltimore to gain additional
experience as well as a diverse vantage point on trauma care.
- Third-year residents are assigned designated shifts in the
MedSTAR trauma bay during each ED month, where they alternate
roles as trauma team leader and trauma procedure leader with each
successive trauma. They also respond to all trauma codes during
normal ED shifts at MedStar Washington Hospital Center to provide
traumatic airway management.
Pediatrics is an essential component of emergency medicine
training. The clinical schedule incorporates pediatric training
in a variety of settings to create a diverse and comprehensive
experience which ensures continuous access to seasonal variations
in illness. Current pediatric experience includes:
- one-month rotations during the PGY1 and PGY3 years in the
Pediatric Emergency Department at Shady Grove Adventist Hospital,
a community hospital in Montgomery County, Maryland which is
staffed by physicians with subspecialty training and
certification in pediatric emergency medicine.
- clinical shifts during the PGY1 and PGY2 years in the
Children's National Medical Center Emergency Department which
occur during ED months at MedStar Washington Hospital Center,
allowing for a continuous pediatric emergency medicine experience
with exposure to seasonal variations in pediatric illness.
Children's National Medical Center is immediately adjacent to
MedStar Washington Hospital Center, sharing the same larger
- one-month rotation as a PGY2 in the Pediatric Intensive Care
Unit at Inova Fairfax Hospital providing experience with very
ill children and the procedures involved in their care.
- one-month rotation as a PGY3 at Inova Fairfax Hospital's busy
Pediatric Emergency Department.
- rotations at MedStar Georgetown University Hospital's
Emergency Department, during all three year of training, where
approximately 15 percent of their annual census is children.
For more information, please contact: Nancy L.
Department of Emergency Medicine
MedStar Washington Hospital Center
110 Irving Street, NW
Washington, DC 20010