Welcome to Kentucky! We have an amazing learning environment for you to train in. I have been on faculty here since 2007, initially as 4th year Clerkship Director, then also as Associate Program Director for the last 7 years. My vision and goals are simple—to train excellent leaders and clinicians in Emergency Medicine who will have healthy, life long careers. I am fortunate to have an amazing, ever-expanding faculty to assist me in achieving this goal.
Our ED is a state of the art high functioning department, with separate sections for Pediatrics, Fast Track, Critical Care, Trauma, as well as an Observation area. Our patients come from not just within Lexington, but throughout central and eastern Kentucky, and occasionally even the surrounding states. As we are in a predominantly rural state, our patients face challenges just to get to us, and we accept the challenge to give them the best care we can provide.
Residency here at UK will be demanding. If you choose to join our family, we have high expectations for you, as you should of us. I feel confident we have all the necessary tools present here to make you the best you can be. The final piece will be your determination. We strive to make sure our residents achieve wellness and learn to be resilient. We are proud to say that our residents leave UK able to face any challenges both in the department, as well as in their lives.
The University of Kentucky offers a 3-year emergency medicine residency program (PGY-1-2-3) with twelve positions in each year. While we believe that Emergency Medicine is best taught in the Emergency Department, residents are sent to other services for specialized training in critical care and obstetrics. The clinical experience takes place at the University of Kentucky Hospital for all rotations except for one month of community based Emergency Medicine in a local hospital, Ephraim McDowell Regional Medical Center.
The program emphasizes rotations in Emergency Medicine (25 months) and rotations in trauma and critical care (four months). In addition, there are months in pediatrics, Emergency orthopedics and hand service, obstetrics and gynecology, anesthesia, and EMS. Included in the PGY-3 year is one month of elective time. Research is incorporated throughout the residency experience. The clinical commitment during Emergency Medicine rotations will be no more than 60 hours per week along with five hours per week of conferences. The clinical commitment on other services will vary but will be in compliance with ACGME guidelines for each specialty.
The program is designed to have graded responsibility for patient care in the Emergency Department as the resident progresses through the program. In addition, senior residents will be responsible for clinical teaching of students and rotating residents from other specialties in the emergency department.
While moonlighting is not prohibited by the Department of Emergency Medicine or the University of Kentucky, the residency program director will monitor the number of hours of all residents who choose to moonlight in order to ensure that extracurricular activities do not interfere with the resident’s educational and clinical activities.
The PGY 1 year is focused on learning to function efficiently in the emergency department and to understand the basic philosophy of emergency medicine while gaining clinical competency and medical knowledge. During this year the residents establish the foundation for their clinical judgment and medical knowledge base. First-year residents also become proficient in most emergency medicine procedures during this year.
The second-year of residency is designed to hone the resident’s efficiency and critical care abilities. After completing the multiple critical care rotations of the PGY 2 year, our residents are masters at managing undifferentiated critically ill patients.
In the final year of training, residents spend a vast majority of their time in the Emergency Department continuing to hone their patient care skills, clinical judgment, and ability to manage the emergency department flow and function. This year is rounded out with 6 weeks of elective time and 2 weeks of time dedicated to development as a medical educator.
Senior level residents have scribe coverage, answer the EMS medical control phone, and respond to all codes in the hospital.
The department uses several tools to evaluate each resident and the program. The residency utilizes MedHub, a web-based residency management program for many aspects of evaluation and documentation. Each faculty member will complete shift evaluations evaluating the 23 core milestones developed by the ACGME. Residents will read from a variety of textbooks including Tintinalli’s, Rosen’s, and River’s. ROSH review quizzes will be used throughout the year to assess medical knowledge. Mock oral boards will occur semi-annually. Medical record documentation is evaluated on a monthly basis by the program director and billing office. The residents will perform a quarterly self review to evaluate how they feel they are progressing. Residents will meet semi-annually with the Residency Director to discuss their performance in the residency. The clinical competency committee meets every two months to assess resident progression.
In addition, a 360° evaluation performed by nursing staff, clerks, patients, and fellow residents will be done on each resident. Lastly, the annual American Board of Emergency Medicine in-service exam will be administered. To evaluate the program curriculum, the residents will complete an evaluation of each rotation and each conference attended as well as quarterly faculty evaluations.