Detroit Receiving Hospital Emergency Medicine Residency

Wayne State University/Detroit Medical Center

A premier emergency medicine residency program in the heart of downtown Detroit

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Our Mission

Our program trains emergency medicine physicians who render the finest patient care with compassion while contributing to the specialty of emergency medicine through leadership in both academic and community medicine.

Volume. Acuity. Diversity.

Our residents gain unparalleled exposure by training at an urban level 1 trauma center with >100k annual ED visits as well as at one of the busiest pediatric hospitals in the nation- Children's Hospital of Michigan.

Read Program Director's Welcome

Our Legacy

Detroit Receiving has a long history and strong tradition of training physicians in emergency medicine. Founded in 1976, before emergency medicine was recognized as a specialty, it is one of the nation's first emergency medicine residency programs.

View a timeline of our history

Today, the program boasts one of the largest and most expansive alumni network in emergency medicine, including legends and pioneers such as Drs. Ron Krome, Brooks Bock, Hal Jayne, and Judith Tintinalli.

See where our graduates go

Our Hospitals

Exterior of Detroit Receiving Hospital
Detroit Receiving Hospital
Resuscitation bay at Detroit Receiving Hospital

Detroit Receiving Hospital (DRH)

Level 1 adult trauma center in the heart of Detroit
101,000 annual ED visits
High-volume, high-acuity urban population

At DRH, virtually all admissions are initially evaluated and managed in the ED, and residents are primarily responsible for the care of nearly every patient. You will have ample opportunity to care for patients with undifferentiated complaints and will be integrally involved in decision-making regarding diagnosis, treatment, and disposition. This is a patient population with diverse pathology and advanced stages of disease with plenty of opportunities for procedural and resuscitative experience.

Exterior of Children's Hospital of Michigan
Children's Hospital of Michigan
Interior of Children's Hospital of Michigan

Children's Hospital of Michigan (CHM)

Level 1 pediatric trauma center
93,000 annual ED visits
Tertiary pediatric care + “bread-and-butter” emergency medicine

CHM is adjacent to DRH on the medical campus and is the site of integrated pediatrics training throughout the residency. In this high-volume pediatric ED, you will care for infants and children with presentations typical of an inner-city emergency department side-by-side with pediatric patients with long-term, complex medical conditions. You will have concentrated pediatrics emergency medicine training for two months in the first year, spend one month in the second year managing patients in the Pediatric Intensive Care Unit (PICU), and have integrated pediatrics shifts during each emergency medicine block of the second and third years.

Exterior of Harper Hospital
Harper/ Hutzel Women's Hospital
Interior of Harper Hospital

Harper University Hospital & Hutzel Women's Hospital

36,000 annual ED visits
Tertiary referral center for complex medical patients.
Routine and high-risk obstetrics and gynecology

Also co-located with DRH, Harper University Hospital will provide you experience managing patients with complex malignancies, organ transplants, and end-stage medical conditions in the Medical Intensive Care Unit (MICU) as second-year resident. In the third year, you will be responsible for evaluating, stabilizing, and managing these patients Harper ED shifts integrated into emergency medicine blocks throughout the year.

During the first year, you will rotate on the busy obstetrics service at Hutzel Women’s Hospital, with plenty of opportunity to perform routine and high-risk deliveries and to manage the complications that occur during the peripartum period. You will also become facile with obstetrical ultrasound while evaluating patients who present with pregnancy-related concerns.

Exterior of Huron Valley-Sinai Hospital
Huron Valley-Sinai Hospital
Interior of Huron Valley-Sinai Hospital

Huron Valley-Sinai Hospital

33,000 annual ED visits
Community emergency medicine that enrichens the training experience

Located approximately 45 minutes from DRH, Huron Valley-Sinai Hospital will diversify your training experience and provide you with exposure to emergency medicine outside of a large academic center. Don’t be fooled, however—EM residents are the only residents assigned to the ED, allowing maximal procedural, resuscitative, and patient management experience, under the supervision of our EM faculty.

Our Curriculum

A picture of medical textbooks
Overview

Program Overview

A tabulated overview of the 3 year curriculum

Our program is designed to provide you with a robust and diverse clinical experience by rotating through four different EM clinical sites within the Detroit Medical Center. Take a look at our hospitals.

In the first year, you will build a foundation of core EM clinical skills and knowledge with about half of your time spent inside the Department of Emergency Medicine and the remainder of your time spent rotating on other services to learn how to apply principles of a variety of specialties to your career as an emergency physician.

Your second year will provide concentrated experience in the emergency department with a few additional months of critical care training, where you will have progressive decision-making responsibility. The structure of the DRH emergency department is somewhat unique in its modular design, and you will be responsible for managing your own “mini-ED” of approximately 14 beds, under the guidance of a dedicated attending faculty member.

In the third year, you will broaden your skillset and challenge yourself with additional responsibility in the Receiving ED and at the tertiary Harper University Hospital ED and suburban community emergency department at Huron Valley/Sinai Hospital.

A picture of first year residents at work
Year 1

Year 1 Curriculum

A tabulated overview of the first year curriculum


Your experience during the first year serves as the foundation for your emergency medicine career and emphasizes training in the emergency department and experience resuscitating and stabilizing critically ill or injured patients.


Orientation

Your entire first-year class will begin residency with one month of interactive discussions, focused chief complaint-based educational sessions, and hands-on skills labs during the highly regarded orientation block. Interspersed throughout the month will be shifts in the DRH ED, where you can apply your skills and knowledge while getting to know the staff, flow, logistics, and routine of our ED.


Emergency Medicine

Ten additional weeks in the DRH ED are built into the first year, and for most shifts, you will work with a dedicated attending and third year resident to learn to run your own “mini-ED” module of approximately 14 beds. First year residents aren’t “protected” from seeing high-acuity patients or patients with certain chief complaints. You will take care of the regular mix of ED patients and are responsible for running resuscitations with one-on-one coaching from a faculty member.


Pediatric Emergency Medicine

To develop a strong foundation in pediatric emergency medicine, you will spend two months in the ED at The Children’s Hospital of Michigan. For the remainder of your residency, your Children’s shifts will be spread throughout each EM block during the year, so you can also appreciate the seasonal trends in pediatric emergency medicine.


Critical Care

Two well-received critical care months anchor the off-service experience in the first year. In the Neurocritical Care Unit, you will be responsible for managing patients with complex neurologic and neurosurgical emergencies, such as strokes, intracranial hemorrhage, and traumatic brain injuries. In the Medical Intensive Care Unit, you will care for a population of patients with diverse critical care needs and gain experience with ventilator management, vascular access procedures, invasive hemodynamic monitoring, and bedside ultrasound. Both critical care rotations are structured to maximize your return on investment with transportable knowledge and skills that you can apply in the emergency department setting.


Ultrasound

Three weeks of full-time emergency department ultrasound training will lay the foundation for integration of bedside imaging into your everyday practice as an emergency physician. The rotation is entirely in the ED and is team-taught by fellowship-trained EM ultrasound faculty and a registered diagnostic sonographer.


Trauma Surgery

While on the surgical service, you will manage patients with both traumatic and non-traumatic perioperative surgical concerns. You will also develop further experience participating in trauma resuscitations in the emergency department and will have the advantage of exposure to these situations from both an emergency medicine and surgical perspective.


Anesthesia

The anesthesia block at Huron Valley/Sinai Hospital is structured to provide you with intensive experience in airway management, rapid sequence intubation, difficult airways, pediatric airway management, and procedures such as fiberoptic intubation and use of intubating LMAs. In addition, you will learn more about anesthesia pharmacology from faculty anesthesiologists and will apply your knowledge to intubation, procedural sedation, and pain management in the ED. There are also opportunities to learn techniques of regional anesthesia and nerve blocks.


Orthopedics

In addition to integrated hand surgery and spine surgery experience, you will rotate on the Orthopedic Trauma service at DRH and hone your skills in x-ray interpretation, wound management, fracture and dislocation reduction, immobilization, and splinting.


Obstetrics and Gynecology

During your two weeks at Hutzel Women’s Hospital, you will have plenty of opportunity to perform routine and high-risk deliveries and to manage the complications that occur during the peripartum period. You will also become facile with obstetrical ultrasound while evaluating patients who present with pregnancy-related concerns.


Elective

Everybody has unique interests, and this is your opportunity to pursue training in an area of your choice. Popular electives include oral surgery, toxicology, EMS, international medicine, and clinical or basic science research. You are also free to design your own.

A smiling second year resident
Year 2

Year 2 Curriculum

A tabulated overview of the second year curriculum


The second year emphasizes the development of clinical skills necessary to evaluate and treat patients in the emergency department setting. You will work closely with EM faculty to effectively investigate the chief complaint, consider diagnoses “not to miss,” and discern which diagnostic tests or studies are necessary to either identify or exclude emergency conditions. You will be the team leader in resuscitations and learn to approach patients with life or limb threats in an organized and prioritized manner. You will multitask and work to maintain patient flow as you gain confidence in your clinical decisions and enhance your ability to disposition patients effectively and safely.


ED Critical Care

Quite unique to DRH is the ED Critical Care block, during which you will spend a month in the DRH ED garnering concentrated bedside experience managing critically ill ED patients. You will spend 100% of your time participating in, learning from, and gaining perspective about critical care management IN the emergency department. This is not an ICU-based rotation. With built-in faculty support, you will be responsible for participating in all medical and trauma codes and function as an adjunct “floating” resident for critical patients throughout the ED. During downtime, you will receive focused didactic training in areas such as sepsis, oxygen delivery, shock, therapeutic hypothermia, mechanical ventilation, difficult airway management, pharmacology, and pre-hospital critical care. By the end of the block, you can expect to have been involved in the care of approximately 80 critical patients and have performed dozens of critical care procedures, all within the emergency department.


Pediatric Intensive Care Unit

We also provide a unique EM-based rotation called ED Critical Care (ED-CC). The main objectives of this rotation focus on providing EM-2 residents with a concentrated bedside experience managing critically ill ED patients. You will spend 100% of your time participating in, learning from, and gaining perspective about critical care management IN the emergency department; this is NOT an ICU-based rotation. Dr. Rob Sherwin is the rotation supervisor and provides educational support throughout the block. The ED-CC resident is responsible for participating in all medical and trauma codes during their shift. You function as an adjunct floating resident and operate under the clinical supervision of the treating physician. Furthermore, you may be paged to assist with other ED patients deemed to be appropriate for critical care by the treating EM attending physician. The ED-CC resident can expect to benefit from 70-80 critical care ED cases during the rotation in addition to assisting with a number of procedures. “Downtime” activities include completing a required reading list, patient follow-up assessments and patient logs. Every resident completes the online NIH Stroke Scale Certification course thus providing comprehensive training in stroke care. DRH is a stroke care center so it is important to be well trained in acute stroke care. Didactic lectures will be provided on several pertinent critical care topics, including sepsis, oxygen delivery, shock, induced hypothermia, mechanical ventilation, difficult airway, antibiotics, vasopressors, ACLS pharmacy, RSI pharmacology and pre-hospital critical care. Overall the goal of the ED-CC rotation is to make you competent in providing state-of-the-art care to the patients most critically ill


Harper Medical Intensive Care Unit

In the Harper MICU, you will have senior resident responsibilities for managing critically ill patients with complex malignancies, organ transplants, and end-stage medical conditions at this tertiary care center.

A third year resident intubating a patient
Year 3

Year 3 Curriculum

A tabulated overview of the third year curriculum

This year is dedicated to the “complete” practice of emergency medicine. During each EM block, you work shifts at DRH, CHM, Harper University Hospital, Huron Valley/Sinai Hospital, covering the entire spectrum of emergency care. At each site, you will be exposed to a unique clinical experience, the sum of which will prepare you for virtually any academic or clinical practice for your emergency medicine career.

At DRH, you will assume responsibility for your entire module with teaching responsibility toward junior residents and medical students. You will also see patients in the DRH Ambulatory Rapid Care clinic, an urgent care setting.

At CHM, you will work under the guidance and supervision of board certified pediatric emergency medicine physicians and fellows-in-training.

At the busy Huron Valley/Sinai Hospital, you will see both adult and pediatric patients in a community ED setting. This experience will develop your communication skills in dealing with primary care physicians and consultants, and you will gain perspective into determining when patients need to be transferred to a higher level of care.

In the ED at Harper University Hospital , you will gain valuable experience treating challenging adult medical patients with multiple complex co-morbid conditions.


Administration

Finally, an administrative month spent working with emergency medicine practice managers, hospital administrators, and your fellow residents and attendings will give you insight into the business of medicine, contract negotiation, quality improvement and patient safety oversight, and the inner workings of an academic department of emergency medicine.

Life in the D

Detroit Red Wings player in a hockey game
Sports

Tigers. Red Wings. Lions. Pistons. Detroit is the ultimate sports city.

A panorama of Comerica Park, the Tiger's stadium

The ultimate sports city

Detroit is the home of the Detroit Tigers, Lions and Red Wings. The Tiger's and Lion's Stadiums are minutes from Detroit Receiving Hospital. Detroit has a rich history in sports and is definitely a "sports town". The Red Wings play at Joe Louis Arena located downtown along the waterfront. The Detroit Pistons play in the Palace of Auburn Hills, located in Auburn Hills, a suburb located north of the city.

Sliders from Green Dot Stables
Food

Eating in Detroit is an adventure, with something to please every palate.

A steak dinner

Ethnic. Diverse. Daringly Delicious.

While dining in metro Detroit, you can sample Middle Eastern, Greek, Mexican, Italian and Polish cuisines right alongside culinary creations from renowned master chefs such as Wolfgang Puck and Michael Symon. In between, you can also grab some unforgettable barbeque, maybe a little soul food, and wash it down with a great selection of Michigan-crafted brews and crisp vinos. As if that’s not enough yummy goodness, there are also two unassuming downtown Detroit restaurants living next door to each other that both sell a little piece of heaven tucked in a bun (aka the Coney dog). No trip to Detroit is complete without sampling these dueling world-famous, chili-smothered concoctions. Soooo good.

Apply

We offer fourteen categorical PGY-1 Emergency Medicine Resident positions each year through the National Resident Matching Program (NRMP). Applications are only accepted through the Electronic Resident Application System (ERAS). We look forward to learning more about you and wish you the best of luck in your application process.

For more information, contact our Program Coordinator Gloria Daniels at gdaniel@med.wayne.edu or use the form below.

Visit ERAS

Contact

Detroit Receiving Hospital
4201 St. Antoine, UHC-6G
Detroit, MI 48201

313-993-2529

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