The combined Emergency Medicine/Pediatrics Residency curriculum consists of 13 four-week blocks, providing a uniform experience in each clinical rotation.
The Emergency Medicine/Pediatrics Residency at IU School of Medicine is a five-year ACGME-accredited program that combines a traditional residency in emergency medicine with a traditional residency in pediatrics. Emergency medicine/pediatrics residents are fully immersed in both the Department of Emergency Medicine and the Department of Pediatrics categorical programs with a comprehensive curriculum adjusted to maximize clinical opportunities and learning.
The 60-Month Curriculum
- All residents get four weeks of vacation.
- Everything with a (v) is vacation eligible.
- All rotations in bold are with the categorical emergency medicine residency.
- All pediatrics rotations are designated as either X blocks, in which the resident will not attend continuity clinic, or Y blocks in which the residents will attend one or more full days of continuity clinic per week.
Year 1 |
|
|---|---|
| Pediatrics | Blocks |
| Riley NICU | 1-X |
| Peds heme/onc | 1-X |
| Complex care | 1-X |
| Newborns nursery | 1-Y |
| Elective (v) | 1-Y |
| Outpatient subspecialty/ambulatory medicine (v) | 1-Y |
| Emergency Medicine | Blocks |
| Orientation | 1 |
| Emergency department | 3 |
| Orthopedics (v) | 1 |
| Anesthesia/ultrasound (v) | 1 |
| Medical ICU | 1 |
Year 2 |
|
| Pediatrics | Blocks |
| PICU | 1-X |
| Hospitalist | 1-X |
| Developmental/behavioral pediatrics | 1-X |
| Elective (v) | 1-Y |
| Adolescent medicine | 1-Y |
| Child protection team (v) | 1-Y |
| Riley emergency department | 1-Y |
| Emergency Medicine | Blocks |
| Emergency department (v) | 3 |
| Obstetrics (v) | 1 |
| Medical ICU | 1 |
| Trauma nights | 1 |
Year 3 |
|
| Pediatrics | Blocks |
| Pulmonary | 1-X |
| Hospitalist | 1-X |
| Eskenazi NICU | 1-X |
| IU North ED and urgent care (v) | 1-Y |
|
Subspecialty In conjunction with program leadership, the resident will select subspecialty rotations to pursue their educational goals. Possible rotations include infectious disease, gastroenterology, endocrinology, rheumatology and nephrology. |
1-Y |
|
Gen peds ambulatory medicine (v) |
1-Y |
| Emergency Medicine | Blocks |
| Emergency department | 4 |
| ICU nights | 1 |
| Toxicology (v) | 1 |
| Pediatric anesthesia (v) | 1 |
Year 4 |
|
| Pediatrics | Blocks |
| Riley emergency department | 1-X |
| Cardiology | 1-X |
| PICU | 1-X |
|
Linked elective (v) Residents have a unique opportunity during Year 4 to take a "linked elective." During this experience, two electives will be scheduled back to back, merged into one unified eight week educational experience. |
1-X |
| Peds sedation/elective (v) | 1-Y |
| IU North pediatric hospitalist | 1-Y |
| Subspecialty outpatient/ambulatory medicine | 1-Y |
| Emergency Medicine | Blocks |
| Emergency department | 4 |
| Community emergency department (v) | 1 |
|
Linked elective (v) Residents have a unique opportunity during Year 4 to take a "linked elective." During this experience, two electives will be scheduled back to back, merged into one unified eight week educational experience. |
1 |
Year 5 |
|
| Pediatrics | Blocks |
|
Hospitalist capstone junior faculty experience During this rotation the resident will function as the junior faculty, leading the team on rounds, taking consults from local teams, taking calls from outside physicians and teaching junior residents and medical students. |
1-X |
|
Riley emergency department capstone junior faculty experience During this rotation the resident will function as the junior faculty, leading the team and staffing junior residents, taking calls from outside physicians and EMS agencies, managing their ED pod and teaching junior residents and medical students. |
1-X |
| PICU | 1-X |
| Night float/subspecialty | 1-X |
|
Subspecialty In conjunction with program leadership, the resident will select subspecialty rotations to pursue their educational goals. Possible rotations include infectious disease, gastroenterology, endocrinology, rheumatology and nephrology. |
1-Y |
| Admission team/mental health (v)(v) | 2-Y |
| Emergency Medicine | Blocks |
| Emergency epartment | 4 |
| Elective (v)(v) | 2 |
Didactic Learning
Didactic learning takes many forms at IU School of Medicine including weekly residency educational conference, a monthly year-directed series and yearly retreats for each class. Outside specialists as well as emergency physicians are also invited to lecture on selected topics for grand rounds. Residents are required to attend 70% of scheduled didactics.
Weekly Educational Conference
The foundation of the didactics at IU School of Medicine is our weekly educational conference on Thursday morning. These are held in our EM Residency Learning Center at IU Health Methodist Hospital, and residents are protected from clinical duties in the EDs to attend. Educational sessions take many forms including traditional lecture format, interactive sessions, small group sessions and hands-on procedural and simulation training. Some examples of our regular educational programming are:
- Oral boards
- EKG small groups
- Radiology small groups
- Faculty-led lectures
- Resident-led lectures
- Peds mock code
- Simulation lab
- Case conference
- M and M
- Community cases
- Cereal updates (a resident-only session to discuss operational and educational issues)
- Program direct town hall
- Chair’s update
- Vulnerable patient series
Year-Directed Series
In addition to weekly conferences, we also offer an integrated monthly “Year-Directed Series.” This is a series of class-specific lectures that teach residents topics appropriate to their level of training. These usually last for two hours and allow the entire R1, 2 or 3 cohort to assemble to learn about a topic of interest specifically relevant to the cohort’s stage in training. It’s also a time for residents to socialize with each other. For example:
- PGY 1: Efficiency in the ED, finding a mentor, physician wellness
- PGY 2: Developing and presenting didactics, teaching retreat
- PGY 3: Understanding employment contracts, medicolegal topics
Journal Club
Journal Club is held monthly and hosted by a faculty in their home. The session starts with a mini EBM lesson regarding approach to critical appraisal of current literature. Multiple journal articles are chosen surrounding a single topic and are discussed with residents, faculty and local experts in small groups. These groups then come together to draw conclusions and possible changes to current practice the articles may provoke. The department subspecialty divisions also host their own specific Journal Clubs, and residents are invited to attend (pediatric emergency medicine, toxicology, EMS, etc.).
Division Journal Club
In collaboration with our Pediatric Emergency Medicine Fellowship, the Emergency Medicine/Pediatric Residency hosts a dedicated journal club. Quarterly, the division faculty, fellows and combined residents attend a journal club dedicated to a pediatric emergency medicine topic. During this debate-style session, participants will review the literature relevant to a specific topic and explore current controversies and practice in pediatric acute care. Sessions are held in faculty homes and dinner is provided.
Visiting Professor Grand Rounds
Approximately once every month, the department hosts a visiting professor on campus to offer Grand Rounds.