Emergency Medicine

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Emergency Medicine Residency Program at a glance:

The RCH/UCR Emergency Medicine program:

  • Three year residency (PGY1-3)
  • 120,000+ ED visits a year
  • 26,000 + Pediatric visits a year
  • Largest ED and Busiest Trauma Center in the Inland Empire
  • Regional STEMI, Stroke, Sepsis, and Trauma Center
  • 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
  • Extensive EMS experience including aeromedicine
  • 2 miles to the University of California 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 month 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 month long rotations in Hospitalist Medicine, Cardiology/CCU, Trauma/Acute Care Surgery, Anesthesia, Intensive Care Medicine, and Emergency Orthopedics, and a half-month rotation in Obstetrics. These off-service rotations will be interspersed between 4 ½ months back in the ED. One of these months is a dedicated ED ultrasound month 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. 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 a five and a half months 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 two months in the very busy MICU/SICU (separated into two 1 month blocks) where they will have ample opportunities to further develop their resuscitative skills and procedural capabilities. They will also spend six 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 call 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 in-patients who may need ICU level care. Residents in year two have a month long EMS rotation that will expose them to pre-hospital medicine, including ride-alongs with paramedics and 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 a month of elective clinical activity that can be chosen from existing electives or developed with the program director in an area of their interest. Rounding out the PGY2 year is a second month of ED Ultrasound to further refine the residents point of care ultrasound capabilities.

The Third Year

Residents in their final year of residency training spend their entire clinical experience in the emergency department with the exception of 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 month can be chosen from existing electives or be developed with the program director.