The Army-Baylor DScPAS residency is an 18-month curriculum of 16 didactic sections and 20 clinical rotations. This includes 4,300 clinical training hours and 740 hours of classroom instruction. The degree curriculum requirements are based on the ACGME 2007 Model of Clinical Practice of Emergency Medicine. The EM model is divided into three focus components: 1) an assessment of patient acuity; 2) a description of the tasks that must be performed to provide appropriate emergency medical care; and 3) a listing of common conditions, symptoms, and disease presentations. The EM Model represents essential information and skills necessary for the clinical practice of Emergency Medicine.
The didactic portion provides the technical foundation for further learning and development through emergency medicine lectures, conferences, and presentations. It is divided into 16 blocks of emergency medicine topics with reading assignments and monthly exams; multiple choice exams for the first 8 didactic reading assignments, essay exams for the second 8 reading assignments. The didactic portion consists of the following:
• A two week research introductory course at the beginning of the residency designed to familiarize the residents with the research process and, more importantly, to facilitate the development of the skills necessary to critically analyze published scientific articles.
•A one-month introduction to emergency medicine consisting of lectures and ACLS/APLS certification, structured to allow each EMPA student to make a smooth transition into the program.
•Grand rounds, morning reports, procedure lab, trauma/radiology/EKG/M&M conferences, and participation in emergency medicine research.
•Academic evaluation through; rotation exams on required readings, midterm and final written/oral examinations, case presentations, and continuing evaluation of skills during each rotation.
•Research project suitable for publication.
•Lectures to attendants of the Emergency Medicine Basic Skills Course or during grand rounds.
The clinical rotation practicum is designed to bridge the gap between theory and practice through one-on-one supervised hands-on training. To be effective, the Clinical Practicum must be conducted in a true patient care environment. The EMPA resident applies the principles and procedures he has learned during the didactic phase. It is imperative this hands-on experience be an integral part of the entire program rather than a separate, unrelated experience. Because the projected assignments for EMPA residents will be in the outpatient setting, emergency and ambulatory care is emphasized. The Clinical curriculum consist of 8 emergency department rotations (1,472 clinical hours), 3 intensive care rotations (960 clinical hours), 1 trauma surgery rotation (320 clinical hours), 2 pediatric rotations (640 clinical hours), 1 toxicology rotation (80 clinical hours), 1 radiology/ultrasound rotation (160 clinical hours), 1 oral maxillofacial rotation (80 clinical hours), 2 elective rotations (240 clinical hours) and dedicated research blocks (416 clinical hours).
Graded midterm and final written and oral boards are based on the standards set by the American Board of Emergency Medicine (ABEM). Further, this curriculum was selected by the American College of Emergency Physicians (ACEP) as the example for developing emergency medicine training residencies for mid-level providers. The emphasis on individual research and evidence-based practice, combined with the excellent clinical curriculum, make the residency unique and desirable.
The research concentration of the program consists of a didactic phase during the first month of training, dedicated research blocks and individual research days scheduled throughout the 18 month course. The research course is designed to familiarize the residents with the research process and more importantly, to facilitate the development of the skills necessary to critically analyze published scientific articles. This research curriculum is based closely on the Brooke Army Medical Center, Emergency Medicine Physician Residency research curriculum.
There are several different Emergency Medicine and off service rotations throughout the 18 month residency. The focus of these rotations is to build a foundation for professional emergency medicine practice. Residents are expected to be proactive in learning the art and science of emergency medicine and to attain a degree of proficiency in the profession to perform in an unsupervised setting upon graduation. All Residents are held to the high standards of the program and will be closely evaluated by the faculty.