Residency Program Expectations and Curriculum

Our residency curriculum is divided into 39 blocks (each four weeks long) and includes many exiciting and unique rotations. This three-year curriculum provides an exciting, effective, and logical pathway for emergency medicine training.

In addition to these clinical rotations, a conference series covering the core content of emergency medicine, Journal Clubs, Grand Rounds, and many interactive small group discussions and simulation sessions complete the program’s curriculum. The result is a well-rounded, very knowledgeable, and clinically excellent graduate who is capable of practicing emergency medicine in any clinical environment and is highly recruited from emergency medicine physician groups around the country.

First Year

The first year (PGY-1) begins with a two-week orientation that includes Advanced Cardiovascular Life Support, Pediatric Advanced Life Support, and Advanced Trauma Life Support courses. Each of the blocks – four blocks in the Parkland Emergency Department, two blocks in the Children’s Medical Center Dallas Emergency Department, several critical care rotations, and other off-service experiences – are carefully designed to furnish important clinical background pertinent to the practice of emergency medicine.

We have a graduated Emergency Medicine intern orientation and a special Emergency Medicine intern conference series scheduled each month to provide didactic and hands-on workshops that target foundational skills in Emergency Medicine. These assist the intern in gaining the knowledge and skills necessary to practice emergency medicine at the resident level.

In the Parkland ED, each intern is paired with an upper-level resident and an Emergency Medicine attending who provide close supervision, guidance, and clinical teaching. There are approximately 18-20 shifts each block during the PGY-1 year.

First Year Curriculum

Parkland EM 4 blocks
Children’s Medical Center Dallas Pediatric EM 2 blocks
Dallas Veterans Affairs Medical Center Medical Intensive Care Unit 1 block
Parkland Medical Toxicology ½ block
William P. Clements Jr. University Hospital EM ½ block
Parkland Trauma 1 block
Parkland Labor and Delivery ½ block
Parkland Obstetrics and Gynecology ½ block
Parkland Adult Anesthesia 3/4 block
Children's Medical Center Dallas Pediatric Anesthesia 1/4 block
Parkland Clinical Ultrasound/Radiology Imaging 1 block
Parkland Burn ICU ½ block
Parkland Neuro-Critical Care ICU ½ block

Second Year

The second year (PGY-2) residents have a significant increase in autonomy and responsibility in the Parkland ED under the very close supervision and guidance of Emergency Medicine attendings. The clinical environment includes a large volume of underserved patients, providing an unparalleled opportunity to further develop the clinical skills required to practice emergency medicine.

This year includes a longitudinal experience in pediatric emergency medicine, in which these residents have several shifts in the Children’s Medical Center Dallas ED embedded into every Emergency Medicine rotation.

The trauma experience in the second year is offered at Texas Health Fort Worth, a very busy, level 2 trauma center, where Emergency Medicine residents are the only trainees. Second year residents also rotate in a viarety of ICU settings.

The second year experience is rounded off by a selective rotation in which these residents briefly rotate at Clements University Hospital and have two weeks to design their own elective based on their interest and experience. Residents also receive special training in prehospital care and are given multiple opportunities to do online medical direction and handle transfer calls from community emergency physicians requesting a higher level of care.

There is an average of 17-19 shifts each block in the Parkland ED during the PGY-2 year. Each shift is 10 hours with two hours of overlap in between.

Second Year Curriculum

Parkland EM 6 ½ blocks
Children’s Medical Center Dallas Pediatric EM Longitudinal
Clements University Hospital EM 1 block
Medical Toxicology ½ block
Texas Health Harris Methodist Hospital Fort Worth EM 1 block
Children’s Medical Center Dallas Pediatric ICU ½ block
Parkland Neonatal ICU ½ block
Parkland MICU 1 block
Plastic Surgery ½ block
Parkland Surgical ICU ½ block
Parkland Cardiovascular ICU ½ block
Selective ½ block

Third Year

During the third year (PGY-3), residents refine all skills acquired during the second year of training. They assume administrative responsibility for the ED including patient flow and more autonomous patient care. Emergency medicine skills are polished in five community rotation sites around the Dallas-Fort Worth area that help supplement the county emergency medicine experience at Parkland.

Management techniques and patient care skills are maximized during this year. Senior residents are required to do a scholarly activity and performance improvement project by the completion of their training.

PGY-3 residents work an average of 16-19 shifts each block in the Parkland ED. Each shift is 10 hours with two hours of overlap in between.

Third Year Curriculum

Parkland EM 7 blocks
Children’s Medical Center Dallas EM Longitudinal
Clements University Hospital EM 1 block
Parkland Teaching 1 block
Parkland Elective 2 blocks
    Hunt Regional Healthcare EM
    Medical City Dallas EM
    Methodist Dallas Medical Center EM
    Texas Health Dallas EM
    Texas Health Harris Methodist Hospital Fort Worth EM
2 blocks