Emergency Medicine

\\\Riverside GME Programs \\\

Frequently Asked Questions

What can PGY1 residents 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 start in the ED for July where they can begin to build basic knowledge and confidence. They then move on to the off-service rotations interspersed with ED months. Residents have superb instruction in hospitalist medicine, obstetrics and gynecology, cardiology, intensive care medicine, trauma and acute care surgery, orthopedic surgery, and anesthesia. They will return to the ED for the first week of June for advanced training prior to completing their first year of residency.

Will the program assist in finding EM faculty jobs in California or elsewhere after graduation?

Absolutely. HCA is one of the largest healthcare organizations nationwide and owns over 184 hospitals and numerous outpatient settings. Vituity 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 Vituity after graduation.

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 train with our core faculty, including Pediatric Emergency Medicine and Pediatric Intensive Care boarded attending physicians. Residents rotate 6 weeks at the Pediatric ICU at Riverside University Health Systems - Medical Center, working directly with pediatric ICU attendings to manage critically ill and injured children. PGY3 residents rotate at Children’s Hospital Orange County with an annual volume of 91,000 pediatric patients. Multiple year round simulations held both during our weekly didactic sessions and at the UCR simulations center allow for simulated experience with critically ill and injured pediatric patients.

How much procedural experience can I expect?

With 120,000+ patients a year coming through our ED 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 120,000+ 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 check in. Radiology and laboratory studies are completed and resulted within 90 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 any one 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 with emergency physician attendings holding the position of chief of staff and chair of the medical staff QI review committee among many others. 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. In addition to being a community hospital RCH has become a major university teaching hospital with extremely high patient volume, and serves as a major referral center for complicated patients from all over the Inland Empire.

How will residents learn ED ultrasound?

ED Ultrasound is used extensively at Riverside Community Hospital and residents use ultrasound from the first month of residency. Our fellowship trained ED ultrasound directors guide residents through the program from basic to advanced ultrasound skills. Those wishing to obtain an RDMS designation have ample opportunity to obtain the required number of studies. Ultrasound simulation and online education help develop a robust understanding of this critical ED skill.

Does your program use simulations?

The University of California Riverside campus 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 rotate through the simulation center on a routine basis. We are in the final stages of completing the construction of a building dedicated to GME with over 20,000 square feet dedicated solely to GME with an auditorium, simulation lab, sleep rooms, and team rooms.

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.

Does your program allow moonlighting?

Yes, with the residency program director’s written permission.