The Department of Emergency Medicine, Department of Medicine, and the Division of Pulmonary/Critical Care Medicine are all academically outstanding components of The University of Maryland School of Medicine. All faculty members within each specialty hold appointments within the School of Medicine. Many are nationally recognized for their efforts in teaching and/or primary investigational research. In addition, the categorical programs in emergency medicine and internal medicine, as well as the pulmonary/critical care fellowship program, are fully accredited by their respective Residency Review Committee (RRC).
The EM/IM/CC program at our institution is a logical extension of our already popular and successful 5-year EM/IM program. Residents in both programs have nearly identical rotations, schedules, and responsibilities for the first four years of their respective programs. Please see the EM/IM section for information regarding these rotations. Beginning in PGY-5, residents in the EM/IM/CC track assume a supervisory role equivalent to that of a critical care fellow. During PGY-5 and PGY-6 years, EM/IM/CC residents perform 11 months of dedicated critical care patient responsibilities. These 11 months primarily consist of training in the Medical Intensive Care Unit (MICU), Coronary Care Unit (CCU), and Cardiothoracic Intensive Care Unit (CTICU) at The University of Maryland Medical Center. In addition, EM/IM/CC residents also rotate through the Trauma Intensive Care Units at the world-renowned Shock Trauma Center. Aside from dedicated patient care months, 4 contiguous months are provided for the initiation of critical care research. The remaining months in the latter two years are spent in rotations of Internal Medicine and Emergency Medicine. Please see the block schedule below for a sample grid of rotations.
Founded in 1823, The University of Maryland Medical Center is one of the nation’s oldest teaching hospitals. The Medical Center is a major tertiary and primary care center with many world-renowned specialized programs. Currently, The Medical Center treats approximately 30,000 inpatients and over 200,000 outpatients per year. The Medical Center is primarily comprised of University Hospital and its affiliated outpatient clinics. University Hospital has outstanding new state-of-the-art facilities in Emergency Medicine and Critical Care.
In November 2002, The Medical Center opened a 54 bed Emergency Department. Our Emergency Department has an annual census of approximately 47,000 patient visits per year; 20% of these patients are admitted with 5% of these admissions to intensive care units. Thirty-eight percent of all hospital admissions are through our Emergency Department.In May 2006, the Medical Center unveiled a new 29-bed Medical Intensive Care Unit (MICU). The MICU is now the largest unit in The Medical Center. It supports nearly every other specialty area of the hospital. The MICU is staffed with 24-hour attending supervision. At present, staffing of the MICU is divided into two provider teams, both of which have dedicated critical care attending and fellow supervision.
In addition to the new Emergency Department and MICU, The Medical Center has also opened a new 30 bed Cardiac Surgery Intensive Care Unit and Telemetry Unit, as well as a new 32 bed Surgical Acute Care Unit. With over 240 critical care beds, The University of Maryland Medical Center is one of the largest providers of intensive care in the Mid-Atlantic region.
The R Adams Cowley Shock Trauma Center is the nation’s only dedicated Trauma Hospital. Each year, the Trauma Center treats over 7,500 critically injured patients. It is regarded as one of the international standard-setters for the care of injury. Here, EM/IM/CC residents will rotate through the Neuro-critical Care Unit and the Multi-trauma Critical Care Unit.
It is important to understand that the creation of our EM/IM/CC program does not increase the overall number of combined resident positions. This 6-year program is offered as an extension of our current 5-year EM/IM program. If EM/IM residents are interested and dedicated to critical care training and certification, they have until the start of their PGY-4 year to transition into the 6-year track. Therefore, prospective applicants interested in the EM/IM/CC track should apply and interview for our 5-year EM/IM residency program.