ERAS provides a list of the specialties and programs currently participating in ERAS. In: Kristin E. Harkin & Jeremy T. Cushman (Eds.). Emergency / Family Medicine Residency Program . EM/IM applicants often have a diverse and distinct personal background with a wide variety of experiences. © 2019 The Authors. What should you know before you apply? What are some of the advantages and disadvantages of dual training? There are currently 5 combined residencies in emergency medicine (EM), namely EM/pediatrics, EM/internal medicine, EM/internal medicine/critical care, EM/family medicine and EM/anesthesiology. Others are interested in combining work in the ED with work as a hospitalist or in pursuing subspecialty training in fields such as critical care medicine. EM/IM doctors can confidently manage emergency situations in internal medicine settings and are able to take care of the minor surgical problems of their medical patients as they would in an acute setting like the ED. Like categorical programs, the decision to enter a 5- or 6-year program should be an informed and comprehensive decision. Kessler CS, Stallings LA, Gonzalez AA, Templemann TA (2009). Participating in the section’s activities is a great way to network with current residents in and graduates of dual training programs. Many “combined” residents feel that their internal medicine exposure helps them to better understand the pathophysiology of medical patients seen in the ED. The section is also a good place to learn about ongoing and upcoming research projects. Additionally, it enables both the applicant and the program leadership to see if there is a good fit. These combined programs vary from 5–6 years in length. Programs and their residents, graduates, and faculty are responsible for keeping their information up to date. Copyright © 2020 Elsevier B.V. or its licensors or contributors. The high acuity care provided in the ED and in the ICU is complementary and a career working in both settings can provide many challenges and rewards. Dually trained physicians are also well suited for work in international medicine. The Medical Student Survival Guide: 68-71. We describe the history and current status of the combined EM programs, discuss the process of applying to a combined EM program, describe the life of combined EM residents, and explore common career opportunities available to combined EM program graduates. Additionally, three EM/IM programs offer an optional EM/IM/Critical Care training. We use cookies to help provide and enhance our service and tailor content and ads. Additionally, applicants should have a vision for incorporating both components of dual training into their career. The Medical Student Survival Guide: 65-68. Refer to the ERAS Specialty Information Report for a comprehensive list of important specialty information. These combined programs vary from 5–6 years in length. The Northwest Washington Family Medicine Residency is an ACGME-accredited, unopposed, 8/8/8 residency program, located in a state–of–the–art ambulatory care center in Bremerton. A fourth-year rotation at an institution with an EM/IM program is highly recommended. This first-hand experience can lend credibility to your EM/IM residency application and personal statement. Applicants to combined EM/IM residency training programs, like categorical EM applicants, are often some of the best in their class. Applications for new combined training programs are reviewed and approved by the participating Boards. Such a rotation provides the opportunity to interact directly with EM/IM residents. Successful candidates to the combined Emergency Medicine/Pediatrics Residency program must have a strong desire for both specialties and meet the requirements for both programs. EM/IM residents have the unique opportunity to integrate the knowledge base and skill sets of both specialties into their daily practice. Many of them express a great interest in academic careers, in international health or research opportunities. There are currently 5 combined residencies in emergency medicine (EM), namely EM/pediatrics, EM/internal medicine, EM/internal medicine/critical care, EM/family medicine and EM/anesthesiology. EM/IM training also leads to a unique understanding of the particularities of the patient population typically seen at Veterans’ Affairs medical centers. Candidates should submit at least one SLOE (standardized letter of evaluation), obtained from an emergency medicine rotation at a site that has a residency program. “Combined Residency Training in Emergency Medicine and Internal Medicine: An Update on Career Outcomes and Job Satisfaction”. Tom Becker, MSIV, cand. HMC is a high-volume trauma center with the third-highest trauma volume of any ED in the country, has the first Joint Commission certified Comprehensive Stroke Center in Washington State, and is also the county hospital for King County. The Accreditation Council for Graduate Medical Education does not have a process in place to review and accredit most combined training programs; thus, this accreditation is the … Acad Emerg Med 2009(16): 894-899. This list and their links are a crowd-sourced presentation of emergency medicine residency programs throughout the world, for use as a central repository by applicants and other users. In areas with few resources, the ability to manage both acute and chronic problems is essential. Each of these programs has a five-year curriculum, through which residents become eligible for board certification in both EM and IM. To view participating programs in a specific specialty, click on the specialty name below. Have you ever considered applying to combined emergency medicine – internal medicine (EM/IM) residency programs? The American Boards of Emergency Medicine and Internal Medicine (ABEM & ABIM respectively) approved the concept of combined EM/IM training in 1989. Combined Residency Programs in Emergency Medicine. About 10% work in internal medicine or a medical subspecialty only and about one out of four graduates has pursued formal fellowship training after residency. ChristianaCare ranks in the top 30 in the country for admissions and is Delaware’s only Level I trauma center that treats adults and children – the only center of its kind between Philadelphia and Baltimore. Winters M (2007):“Combined Programs – Emergency Medicine/Internal Medicine”. Katz DE, Katz JT (2002). Currently, there are eleven allopathic EM/IM programs in the country, with a twelfth one starting in July of 2010. Our two primary training sites are Harborview Medical Center (HMC) and the University of Washington Medical Center(UWMC). Dually trained physicians are uniquely equipped to be systemic problem solvers and leaders in managing administrative issues because they have trained in almost every hospital setting and have worked with nearly every specialty. Lewandowski C (²2007):“Combined Programs – Emergency Medicine/Internal Medicine/Critical Care”. Additionally, EM/IM trained physicians with board certification in both IM and EM are ideal candidates for leadership roles in the growing field of observation medicine where efficiency and continuity of care must be balanced. The adaptive and innovative skills enhanced by five-years of combined training are particularly useful in the often difficult or make-shift conditions faced in international and disaster medicine. But the integration of internal medicine considerations into the clinical management of these patients is a very demanding task for which dual training offers excellent preparation. ERAS 2021 Participating Specialties & Programs. These patients often suffer from acute exacerbations of their multiple and chronic medical issues, and the emergency care therefore benefits from the knowledge of both specialties. Whatever their career aspirations or personal background, applicants to EM/IM programs should certainly love both EM and IM and be willing to spend five years training in both. Ever wondered why anyone would want to spend more time in residency? Additionally, three EM/IM programs offer an optional EM/IM/Critical Care training. Below are some suggestions for further reading. Dual training is probably not the best choice for applicants who simply cannot decide between EM and IM training or who only see themselves practicing in one field in the future. “Careers of Graduates of Combined Emergency Medicine/Internal Medicine Programs”. Each of these programs has a five-year curriculum, through which residents become eligible for board certification in both EM and IM. Acad Emerg Med 2002(12): 1457-1459. The American Boards of Emergency Medicine and Internal Medicine (ABEM & ABIM respectively) approved the concept of combined EM/IM training in 1989. Like categorical programs, the decision to enter a 5- or 6-year program should be an informed and comprehensive decision. Dual board certification highlights commitment and EM/IM training enhances leadership abilities – both essential elements of a successful career in academic medicine and the key to successful administration. Dually trained EM/IM residents are able to confidently face acute illness and injury as well as chronic disease in the ED, the ICU, on the wards and in the clinic. Applicants should be prepared for a demanding five-year training that integrates the large volume of knowledge and skills of both specialties. Published by Elsevier Inc. https://doi.org/10.1016/j.jemermed.2019.06.001. Please update the materials if you find old information. Although about half of dual training graduates are working primarily in an Emergency Department (ED), more than one-third of recent EM/IM graduates practice both in the EM and IM and more than two thirds practice in an academic setting. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. This adds one year to the training (six years total) and board eligibility in Critical Care Medicine on completion. Currently, there are eleven allopathic EM/IM programs in the country, with a twelfth one starting in July of 2010. Collaborating with residents in different programs and learning how to share the knowledge of both specialties are important experiences which help to become a successful educator and mediator. HMC has a mission population comprising society’s most disenfranchised patients including immigrant populations, non-English speaking patients… Furthermore, EMRA members can join one ACEP section for free! The Residency operates the new CHI Franciscan Family Medicine Clinic. Included content often includes: history, curriculum, leadership, fellowships, and contact information. In: Kristin E. Harkin & Jeremy T. Cushman (Eds.). Reprints are not available from the authors. Stay involved in EMRA and consider joining ACEP’s Emergency Medicine – Internal Medicine Dual Training Section. Working with emergency patients in this setting means less exposure to trauma or pediatric cases. med.International Representative 2009-2010, EMRA Medical Student CouncilSection Member, ACEP Emergency Medicine - Internal Medicine Dual Training Section, J. Daniel Hess, MDSecretary/Newsletter editor, ACEP Emergency Medicine - Internal Medicine Dual Training Section, Chad Kessler, MD, FACEP, FAAEMChair, ACEP Emergency Medicine - Internal Medicine Dual Training SectionSection Chief, Emergency MedicineJesse Brown VA HospitalAssistant Professor, Departments of Internal Medicine and Emergency Medicine Associate Program Director, Combined Internal Medicine/Emergency Medicine Residency, Emergency Medicine Interest Groups (EMIG), The Top 10 Medical Malpractice Issues Every Resident Should Know, Effective Consultation In Emergency Medicine, Preparing for a Successful Fourth Year of Med School, Skill Demonstration Videos and Topics Pertaining to EM, Student Advising Task Force Advising Resource List, Emergency Medicine Services and your EMIG, Health Policy Basics for Residents and Medical Students, Search EM FOAMed, ALiEM, and other EM Resources, ACEP’s Emergency Medicine – Internal Medicine Dual Training Section. 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