Emergency Medicine

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The RCH/UCR Emergency Medicine program:

  • Three-year residency (PGY1-3)
  • 100,000+ ED visits a year (highest volume in Riverside County)
  • 26,000 + Pediatric visits a year
  • Only level 1 trauma center in Riverside County which has a population of 2.2 million people
  • The only comprehensive stroke center in Riverside County.
  • The busiest STEMI receiving center and busiest ambulance receiving center in Riverside County.
  • The only Joint Commission Certified Thrombectomy Capable Stroke Center in the Western United States (Only the second in the Nation)
  • 478 Bed Hospital and Referral Center
  • Pediatric EM rotation at CHOC, and CHLA, two of the busiest children’s hospitals in the nation.
  • Extensive EMS experience including aeromedicine
  • 2 miles to the University of California Riverside campus
  • Exceptionally high faculty to resident ratio
  • Abundant procedural experience beginning in PGY1

Riverside Community Hospital / University of California Riverside Emergency Medicine Residency Program: A unique three year program with university level care and high patient volume and acuity, all located in a supportive and collegial community setting, just minutes away from the beaches, mountains, and playgrounds of Southern California.

The Clinical Experience

The First Year

Incoming residents will start their clinical training as a cohesive group with the first block entirely in the RCH emergency department. This will help foster a safe and supportive atmosphere in an otherwise nerve-wracking start to the responsibilities of being a resident. After a steep learning curve in the ED, PGY 1 residents will move on to off-service block rotations in Cardiology/CCU, Trauma/Acute Care Surgery, Anesthesia, Intensive Care Medicine, ED Adventures, and Emergency Orthopedics, and a half-block rotation in Obstetrics. These off-service rotations will be interspersed between 5 blocks back in the ED. A half-block is dedicated ED ultrasound where residents learn the basics of point of care ultrasound under the supervision of our fellowship-trained ultrasound director. With our high volume of pediatric patients, residents will see children throughout their ED experience on all shifts in the ED. Additionally, they will be scheduled for specific shifts focused entirely on pediatric patients taught by pediatric emergency physicians. All residents have a block of ED Adventures, a blend of ED clinical experiences, flourishing and wellness activities, and exposures to the myriad of different careers EM has to offer. At the end of the PGY1 year, all residents return for a special week-long session of advanced training in early June in preparation for the increased responsibilities of becoming a PGY2.

The Second Year

Second year residents spend seven and a half blocks in the ED, expanding the number of patients they can safely treat, focusing on resuscitation and critically ill or injured patients and becoming more proficient in clinical procedures. The second year also exposes residents to critical care patients in the ICUs. PGY 2 residents will have six weeks in the very busy MICU/SICU (separated into two blocks) where they will have ample opportunities to further develop their resuscitative skills and procedural capabilities. They will spend half a block in the neuro ICU and respond to code strokes and code LVOs (large vessel occlusion strokes) alongside the Neurointerventional team. They will also spend four weeks in the RUHS-MC Pediatric ICU where they are taught directly by Pediatric Critical Care attending physicians. They cover all patients in the PICU including overnight calls where they are the senior physician in the hospital (with pediatric critical care attendings immediately available to come in if needed). They perform all of the procedures on these PICU patients and perform consults on pediatric inpatients who may need ICU level care. The residents gain additional experience in pediatric emergency medicine at Children’s Hospital Los Angeles, a level 1 pediatric trauma center with a census of over 66,000 patients and over 700 trauma activations per year. Residents in year two have a block long EMS rotation that will expose them to pre-hospital medicine, including ride-alongs with paramedics, police department, firefighters, and an optional air medical experience. In this rotation, they will learn to manage radio calls from the field and become certified base station physicians. PGY2 residents have an elective block divided into two 2-week rotations that can be chosen from existing electives or developed with the program director in an area of their interest.

The Third Year

Residents in their final year of residency training spend the vast majority of clinical experience in the emergency department with the exception of four weeks of Peds EM at Children’s Hospital Orange County and four weeks of electives. Residents will lead the trauma team, direct resuscitations, and assume the role of resident-in-charge of the ED. They will direct prehospital providers as a base station physician and will be integrated into the administrative team to assist in patient flow. An elective block can be chosen from existing electives or be developed with the program director.