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Residency Program Expectations and Curriculum

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

A conference series covering the core content of emergency medicine, Journal Clubs, Grand Rounds, interactive small group discussions, and simulation sessions supplement the clinical rotations to complete the program’s curriculum. This results in well-rounded, knowledgeable, and clinically adept graduates that are capable of practicing emergency medicine in any clinical environment and 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 -- at the Parkland Memorial Hospital Emergency Department, Children’s Medical Center Dallas Emergency Department, critical care rotations, and other off-service experiences -- are carefully designed to provide important clinical background pertinent to the practice of emergency medicine. These blocks include rotations in more traditional critical care medicine in the North Texas VA Medical ICU and unique experiences like working alongside our burn surgeons in the Parkland Burn ICU.

Additionally, we have intern-focused didactics such as a graduated Emergency Medicine orientation, a monthly conference series, and hands-on workshops that target foundational skills in emergency medicine.

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. In terms of scheduling, the interns work approximately 18-20 11-hour shifts each block during the PGY-1 year.

First Year Curriculum

ServiceLength
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 ¾ block
Children's Medical Center Dallas Pediatric Anesthesia ¼ block
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 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.

The pediatric emergency medicine curriculum continues for second-year residents via a longitudinal experience with shifts scheduled at the Children’s Medical Center Dallas ED during every Emergency Medicine block. The second-year residents also rotate in a variety of critical care settings. One of the highlights is the rotation at Texas Health Harris Methodist Hospital Fort Worth, a busy level 2-trauma center. While there, the residents are the trauma and procedure doctors for the ED.

The second-year experience is rounded off by a selective rotation and EMS experience. For selective, residents design their own two-week block based on their interest. For EMS, residents receive special training in prehospital care and are given multiple opportunities to do online medical direction and handle transfer calls from community emergency physicians.

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

Second Year Curriculum

ServiceLength
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
Hand Surgery ½ block
Parkland Surgical ICU ½ block
Clements Univeristy Hospital Cardiovascular ICU ½ block
Selective ½ block

Third Year

During their third year (PGY-3), residents refine their skills. They assume greater administrative responsibility for the emergency department, including patient flow and autonomous patient care. They become resident leaders within the Parkland Hospital & Health System, representing the Emergency Medicine Residency Program before departmental leaders and setting precedent among subsequent resident classes.

Furthering the trend from the PGY-2 year, the longitudinal experience continues in pediatric emergency medicine at Children’s Medical Center Dallas. Moreover, longitudinal shifts at Clements University Hospital are added to further diversify the wealth of emergency medical management and care.

Finally, five community rotation sites around the Dallas-Fort Worth metroplex supplement the community emergency medicine experience at Parkland. This polishes the private emergency medical framework and procedural experience to prepare our graduates for the subtle nuances of any clinical environment. Community emergency medicine shifts are mixed with Parkland emergency medicine shifts.

For academic pursuits, senior residents are required to complete a scholarly activity and performance improvement project by the time of the culmination of their training. Each resident is also scheduled for a four-week teaching rotation, during which the resident is responsible for the education of current residents as well as medical students rotating through the ED. This is accomplished through a mix of didactics, simulation, and teaching shifts mixed with clinical shifts throughout this block.

Third year residents work an average of 15-17 shifts each Parkland ED block. Like the PGY-2s, each shift is 10 hours long with two hours of overlap.

PGY-3 residents have 8 weeks of elective time, during which they may pursue their choice of academic interests. Year-after-year, most popular among these interests is a paid employment position with one of our partnering hospitals in New Zealand.

Third Year Curriculum

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