Emergency Medicine Residency

The learning environment at Baylor Scott & White – Fort Worth will be centered around the resident’s education and well-being during their three years of training.

The faculty are all board-certified in Emergency Medicine and come from a diverse background of training and expertise to help guide the residents.

The residents' growth will be cultivated in a clinical environment that emphasizes quality-patient care and resident wellness as a part of the Baylor Scott & White healthcare system and in an academic environment centered on the relationship with the Anne Burnett Marion School of Medicine at Texas Christian University.

Residents will find their time in residency will both prepare them for a rewarding and life-long career as an emergency medicine physician, and as a well-rounded physician in the 21st century of healthcare.

Residents receive comprehensive pediatrics training during their EM residency at BAS. Pediatric training, including critical care and procedural experiences, exceed ACGME minimum requirements.

• Longitudinal pediatrics in BAS ED
• Residents see 5-10% pediatric patients at BAS
• 4 week dedicated Pediatric EM rotation each year at MCH
• 4 week PICU rotation at MCH during PGY2 year
• 2 week NICU rotation at BAS during PGY2 year
• Longitudinal Pediatric Anesthesia at CCMC during PGY2 year
• Residents average 40-50 pediatric intubations
• Dedicated pediatric simulation experiences
• Pediatric sub-specialty guest lectures during didactics

Emphasizing the care of emergent and critically ill patients, the EM residents at Baylor Scott & White – Fort Worth will spend at least 65% of their time in the ED. This will consist of 10-hour shifts at the primary training site, and a longitudinal experience of two-shifts per month in the nearby ED at John Peter Smith Hospital (JPS).

Residents will experience all that Baylor Scott & White Healthcare system has to offer by receiving their pediatric training at the renowned McLane Children’s Hospital of Baylor Scott & White in Temple, TX. In order to facilitate a positive experience while out-of-town, residents will be provided a comfortable furnished one-bedroom apartment near the pediatric hospital.

The residency at Baylor Scott & White – Fort Worth will also emphasize critical care. Residents will spend a total of 6.5 rotations (26 weeks) in intensive care units. This includes a total of 4 MICU rotations; and SICU, PICU, and NICU rotations during the PGY-2 year. The ED at Baylor also has a very high acuity rate and the residents will receive an extensive critical care and procedural experience while in the ED.

PGY-1 rotations

• Orientation – 4 weeks
• ED – 24 weeks
• Medical ICU – 8 weeks
• Labor & Delivery / Women's Health – 4 weeks
• Anesthesia – 4 weeks
• Peds ED – 4 weeks
• Head and Neck Surgery - 2 weeks
• Ultrasound – 2 weeks

PGY-2 rotations

• ED – 30 weeks
• CVICU – 4 weeks
• Surgical ICU – 4 weeks
• Pediatric ICU – 4 weeks
• Neonatal ICU – 2 weeks
• Peds ED – 4 weeks
• Selective – 4 weeks
• Pediatric Anesthesia – Longitudinal

PGY-3 rotations

• ED – 36 Weeks
• Medical ICU – 4 weeks
• Peds ED – 4 weeks
• EMS – 4 weeks
• Selective – 4 weeks

Residents receive 4 weeks of PTO each year.

Residents will experience the latest in resident didactic education in a truly "flipped-classroom" environment.

• Residents will have four-hours of weekly conference with protected time beforehand to rest and prepare.
• The curriculum will be systems based, rotate annually, and emphasize different levels of training.
• Residents will also have one-hour per week of prepared material and board-training questions to enhance their clinical acumen and prepare them for the annual In-Training Exam and ultimately, Board Certification.
• Learners will experience a conference curriculum that emphasizes small groups, evidence-based medicine, and is supported by robust faculty participation and contributions.

The trauma experience at BAS is intended to prepare EM residents for a broad spectrum of career paths. Residents are exposed to a variety of ED's with varying trauma designations providing them with the skills to excel in a wide variety of clinical practice environments.

• Respond to all trauma activations at BAS
• EM residents always have airway management role
• EM residents work under supervision of both EM and Trauma Surgery faculty
• Oversee resuscitations
• Advanced procedures
• Work 2 shifts per EM block at JPS (Level 1 County Hospital) in Trauma Pod
• Unopposed access to trauma patients
• Airway management
• Resuscitative and procedural experience
• Total of ~45 shifts during three years of training
• Pediatric trauma experience at MCH (Level 1)
• EM rotation all three years
• PICU during PGY2 year
• Trauma/Surgical ICU rotation at JPS during PGY2 year

Residents will be required to complete a Quality Improvement project and scholarly activity during residency.

• This will be supported by our department’s Research Director, as well as the resources of Baylor Scott & White Research Institute and the TCU School of Medicine.
• Residents will also be assigned a faculty advisor during their intern year who can assist in these activities.

Residents receive 4 hours of simulation per organ system block, with an average of 10 sessions per academic year.

Simulation augments the system being emphasized during each educational block and provides training on core-procedures with emphases on critical care and point-of-care ultrasound. Simulation and procedure labs are delivered with the most up-to-date teaching models including high fidelity, rapid cycle debrief, and virtual/augmented reality.

Specific areas of focus include:

• Intern Procedure Boot Camp
• Difficult airway algorithms and advanced airway skills
• Advanced cardiopulmonary resuscitation including eCPR and LVAD management
• Trauma Resuscitations
• Obstetric, neonatal, and pediatric resuscitation

• Accredited in POCUS by the ACEP Clinical Ultrasound Accreditation Program (CUAP)
• Four fellowship-trained ultrasound faculty
• Extensive clinical and simulation-based ultrasound training
• Residency training in advanced topics such as regional anesthesia and TEE
• Two-week POCUS rotation in PGY-1 year and monthly US training during simulation sessions