Frequently Asked Questions
What can interns expect the first year of the program?
We understand how stressful the first year of training in any residency
can feel. At RCH/UCR we want our first year residents to work hard and
grow, but to do so in a very supportive environment with help easily available
when they need it. Our entire class of PGY1s will start in the ED for
July where they can begin to build basic knowledge and confidence. They
will then move on to the off-service rotations interspersed with ED months.
Residents will have superb instruction in internal medicine, obstetrics
and gynecology, cardiology/CCU, trauma and acute care surgery, orthopedic
surgery, and anesthesia. They will return to the ED as a class in June
for advanced training prior to completing their first year of residency.
Are residents required to fly in helicopters or fixed wing aircraft?
No. While opportunities abound to partake in our region’s aeromedicine
programs, residents are not required to fly.
Will the program assist in finding EM faculty jobs in California or elsewhere
Absolutely. HCA is one of the largest healthcare organizations nationwide
and owns 169 hospitals and numerous outpatient settings. CEP America staffs
the emergency department at RCH and is a leading provider of acute care
management with over 250 practices throughout the United States. We would
be delighted to have qualified residents continue with HCA and CEP America
How will residents build experience with pediatric patients?
Riverside Community Hospital sees over 26,000 pediatric patients a year,
including critically ill and injured children. A busy NICU provides on-site
neonatology attendings to assist with our littlest patients when needed.
Residents will train with our core faculty, including Pediatric Emergency
Medicine and Pediatric Intensive Care boarded attending physicians. Residents
will rotate 2 months at the Pediatric ICU at Riverside University Health
Systems - Medical Center, working directly with pediatric ICU attendings
to manage critically ill and injured children.
How much procedural experience can I expect?
With 114,000 patients a year coming through our ED and relatively few learners
we have an abundance of procedures from simple laceration repair, to joint
reductions, procedural sedation, central lines, intubation, chest tube
placement, and ED thoracotomy.
What is the advantage of training at a community hospital?
Community hospitals clearly differ from university hospitals in many ways.
First, at Riverside Community Hospital our 114,000 ED patients benefit
from impressive efficiencies not often found in other settings. Patients
are seen by a provider in an average of 8 minutes from checking in. Radiology
and laboratory studies are completed and resulted within 50 minutes. Our
length of stay for discharged patients is under 3 hours, low acuity patients
are discharged in under 90 minutes, and admitted patients leave the ED
as an inpatient in under 5 hours. All this means residents can see more
cases during a shift and better learn from a case because data needed
for decisions returns rapidly. Residents will also benefit from learning
how to run an efficient emergency department. Second, community hospitals
also tend to be more collegial with less academic hierarchy and adversarial
interactions. Our ED providers are highly regarded at our hospital (the
chief of staff is one of our emergency physician) and the hospital functions
as a team. You will find consultants are generally happy to help and appreciate
the emergency department providers taking care of their patients. Third,
the vast majority of emergency physicians will graduate residency and
work in community hospitals. Understanding the community hospital background,
policies, and protocols will allow for a smoother transition after graduation.
How will residents learn ED ultrasound?
ED Ultrasound is used extensively at Riverside Community Hospital and residents
will use ultrasound from the first month of residency. Our fellowship
trained ED ultrasound director will guide residents through the program
from basic to advanced ultrasound skills. Ultrasound simulation and online
education will help develop a robust understanding of this critical ED skill.
Does your program use simulations?
Yes! The University of California Riverside located only 10 minutes away
has a fully developed simulation lab with high fidelity simulation that
allows for interactive scenarios, procedures, team management training,
and immediate feedback while reviewing audio video recordings of the simulation.
Residents will rotate through the simulation center on a routine basis.
Does your program allow moonlighting?
Yes, with the residency program director’s written permission.