EMERGENCY MEDICINE EDUCATION

The MSU Emergency Medicine Residency Program – Lansing was designed to produce the most gifted emergency medicine physicians possible. The educational mission of this Residency Program is to develop emergency medicine specialists who are clinically outstanding, academically sound, and who approach patients with compassion. Residents develop considerable experience in Emergency Department Administration, Emergency Medicine Services and community education.

This Residency Program is based in Lansing, the state capital of Michigan. Neighboring the hospital campus is Michigan State University, a Big Ten, and Land Grant University. The Residency Program is affiliated with Lansing’s two (2) premier tertiary care hospitals: Sparrow Hospital and Ingham Regional Medical Center.

The MSU-EM Residency Program-Lansing is one of the first Emergency Medicine Residency Program in the nation. The Residency Program has evolved into a synergistic partnership supported by Ingham Regional Medical Center, Sparrow Hospital and Michigan State University. It is the first Emergency Medicine Residency to be accredited by both the American Osteopathic Association and the Accreditation Council on Graduate Medical Education.

Dr. Wiegenstein was the founder and first president of the American College of Emergency Physicians (ACEP) and past president of the American Board of Emergency Medicine (ABEM). Locally, he founded the Tri-County Emergency Medicine Services Council. Dr. Wiegenstein served as Emergency Medicine’s first delegate to the American Medical Association (AMA) and the American Board of Medical Specialties (ABMS). He was the leader of the negotiating team, which won official recognition from the AMA and the ABMS for the American Board of Emergency Medicine in 1979. Dr. Wiegenstein was the Founding Father of our program, also.

Over the last 35 years of our program, our graduating classes have distinguished themselves in both academic and clinical emergency medicine. Our graduates span the coasts of the United States and include Hawaii and Alaska. Our graduates excel in emergency medicine with a pass rate for the American Board of Emergency Medicine examination approaching 90%. In 2007, the Residency Program was reviewed by the Residency Review Committee and was reaccredited with the highest of accolades.



THE RESIDENCY PROGRAM

The Residency Program is based at Lansing’s two (2) premier tertiary care hospitals and maintains strong ties to Michigan State University. Its three-year M.D. program is fully accredited and accepts ten new residents yearly, including those from the incoming class of D.O. interns. The EM-1 curriculum encompasses two Critical Care rotations, as well as rotations in Trauma Surgery, Medicine, Pulmonology, Cardiology, Pediatrics, Ob/Gyn, and an introduction to Emergency Medicine. The EM-3 curriculum is spent primarily in the Emergency Department with rotations in Critical Care Medicine as well as elective rotations. The EM-3 year places an emphasis on Emergency Department management. The EM resident are required to lecture to EMT’s and paramedics, ride with paramedics, and learn radio communication. As an EM-1 resident, our residents will be certified as a provider in the pre-hospital care medicine and base station protocol course. All EM residents are required to ride on ground ambulance units.

Our faculty is committed to providing research opportunities and an introduction to evidence-based medicine. Several of our faculty members have recently published new textbooks, and several residents have presented papers at state and national meetings.

Indicated below is a typical EM-1 schedule:
Allopathic EM-1 Resident

PGY-1

Sparrow ED - 4 weeks
Basic U/S - 2 weeks
Critical Care - 8 weeks
Obstetrics - 4 weeks
NICU - 2 weeks
Peds EM - 2 weeks
Peds ICU - 2 weeks
ENT - 1 week
Ingham ED - 4 weeks
Cardiology - 4 weeks
Medicine - 4 weeks
Trauma Surgery - 4 weeks
Pulmonary Critical Care - 4 weeks
Oral Surgery - 1 week
Anesthesia - 2 week
Orthopedics - 3 weeks
Vacation - 2 weeks

Osteopathic EM-1 Resident

PGY-1

Sparrow ED - 8 weeks
Basic U/S - 2 weeks
Critical Care - 4 weeks
Neurosurgery - 4 weeks
NICU - 2 weeks
Peds EM - 2 weeks
Peds ICU - 2 weeks
Anesthesia - 2 week
Ingham ED - 12 weeks
Cardiology - 4 weeks
Medicine - 4 weeks
Trauma Surgery - 4 weeks
Pulmonary Critical Care - 4 weeks
OS - 1 week
Vacation - 2 weeks


THE HOSPITALS

Sparrow Hospital

Sparrow Hospital is a university-affiliated 587-bed Level 1 Trauma facility within sight of the Michigan Capitol Building, and just west of the campus of Michigan State University. In addition to several MSU-affiliated residencies, Sparrow Hospital also offers training program in Family Practice, Internal Medicine, Pediatrics, Surgery, Ob/Gyn, Neurology, Psychiatry, Sports Medicine Fellowship and Transitional Internship. Special care units include Neonate ICU, Pediatric ICU, Neuro ICU, Cardiac ICU, Hemodialysis Unit, and Rehabilitation Services. The hospital takes great pride in its care of children and is a part of the Children’s Miracle Network. Sparrow Hospital has nearly completed an $80 million expansion project, including facilities for a new state of the art Emergency Department with four resuscitation rooms, a dedicated Pediatric Emergency Department, new ICU, CCU, and Cardiovascular Surgery. Our new Emergency Department features 51 adult beds, 14 dedicated pediatric beds; a new T-System based electronic tracking and medical record system, which are fully integrated with the hospital's laboratory and radiology systems.

Sparrow Hospital’s Emergency Department annual census includes more than 70,000 high-acuity and complex patients yearly, nearly one-third of those are children. 64% of Critical Care admissions come from Sparrow Hospital’s Emergency Department. It offers an excellent educational opportunity and is a site for teaching residents, medical students, paramedics, and nurses. There is excellent diagnostic support including 64-slice CT scanner, MRI, and bedside diagnostic ultrasonography. Since it is a Level 1 Trauma facility, residents receive their trauma training onsite.


Ingham Regional Medical Center

Ingham Regional Medical Center is a 483-bed acute care institution. It has one of the finest cardiovascular surgery programs in the country with approximately 900 open-heart surgeries performed yearly. Arthroscopic Surgery was developed at Ingham Regional Medical Center and its Arthroscopic Surgery Center was the world’s first. The Pulmonary facilities include the Lung Institute and Sleep Disorder Program. Michigan State affiliated residents include Orthopedic Surgery, Anesthesiology, and Internal Medicine, Family Practice, Ob/Gyn, Surgery, PMR, Urology as well as Osteopathic Internship. Michigan State University affiliated Fellowships include Cardiology, Cardiovascular Surgery, Hematology/Oncology, Pulmonary, Cardiovascular, Anesthesiology and Gastroenterology.

Ingham’s Emergency Department provides care for more than 50,000 patients annually.
22% of Unit admissions come from Ingham Medical Center’s Emergency Department.

Yearly Emergency Department Census
The Emergency Department’s yearly patient census of the combined hospitals (Sparrow Hospital and Ingham Regional Medical Center) has more than 120,000 Emergency Department patient exposures to the Emergency Medicine Resident.

Admission Rates from the Emergency Departments: (Sparrow Hospital and Ingham Regional Medical Center)

Sparrow Hospital’s Emergency Department’s admission rate is 26%
Ingham Regional Medical Center’s Emergency Department’s admission rate is 25%

The national average for admission rate for emergency department visits is 12%.


THE COMMUNITY

The Greater Lansing area is located in the center of Michigan’s southern peninsula, 90 miles west of Detroit and 250 miles northeast of Chicago. Greater Lansing has a population of nearly one-half million people, with many occupational opportunities provided by the State government, the automotive industry, and Michigan State University. It has the attributes of a mid-size city and small town hospitality.

The Lansing area not only contains the historic State Capitol, but also houses numerous museums, including Michigan Historic Museum, the Impression Five Science Museum for children, and the R.E. Olds Museum. There are numerous theaters for the performing arts such as Boarshead Theater, Riverwalk Theater, and the Wharton Center. Potter Park Zoo allows viewing of a variety of animals in their natural settings. Lake Lansing, Fenner Arboretum and Woldumar Nature Center offer a variety of nature activities, including canoeing, fishing and water skiing.

Michigan State University (MSU) has more than 40,000 students and 2,500 faculty and staff. MSU is a leader in education and has one of the largest and most picturesque campuses in the country. On campus, there are a number of intramural sports and exercise facilities, tennis courts, softball fields, swimming pools, basketball course, and the Forest Akers Gold Course. Big Ten sports events take place year round at Spartan Stadium, Munn Ice Arena, Kobs Baseball Field, and the Jack Breslin Student Events Center. Cultural opportunities are also available through the MSU Museum, Kresge Art Museum, Abrams Planetarium, and the Wharton Center for Performing Arts, which offers a full schedule of touring Broadway shows, leading dance troupes and world famous soloists and ensembles.

The Greater Lansing area is the headquarters of the American Board of Emergency medicine (ABEM) and the Society of Academic Emergency Medicine (SAEM). Many of our residents attend local conferences as well as national conferences sponsored by ABEM & SAEM as well as MCEP (the Michigan College of Emergency Physicians) and EMRAM (the Emergency Medicine Residents Association Michigan chapter). Many regional and international conferences are held locally.


EMERGENCY MEDICINE FACULTY

The Emergency Medicine faculty has distinguished themselves both nationally and internationally. Collectively, faculty members have served as presidents to the American Board of Emergency Medicine, the national American College of Emergency Physicians, and the Michigan Chapter of the American College of Emergency Physicians. Faculty members remain active on regional and national committees serving the interest and development of Emergency Medicine. They also serve as examiners for the American Board of Emergency Medicine and sit on the review panels for Annals of Emergency Medicine, Academic Emergency Medicine and the Yearbook of Emergency Medicine.

Faculty has contributed to publications such as Emergency Medicine Clinics of North America, Emergency Medicine: A Comprehensive Study Guide and Principles and Practice of Emergency Medicine (Schwartz). Faculty members have, in the past, edited Pediatric Emergency Medicine, an 1150-page text published by W.B. Saunders. Recent publications by faculty include Radiology of Emergency Medicine and Emergency Neurology: Principles and Practice, and most recently Emergency Neurology: Principles and Practice Companion Handbook for Emergency Physicians published by Cambridge University Press.

Many of our faculty members have worked to improve Emergency Medicine internationally. They have served in advisory positions to the People’s Republic of China, the former Soviet Union, and most recently, Bulgaria. We are fortunate to have two EM physicians trained in toxicology, and residents may participate in a dedicated toxicology elective rotation. Consistent with these impressive accomplishments, the faculty is resolute in their commitment to resident education and considers the clinical and didactic teaching of residents to be of paramount importance.

The American College of Emergency Physicians honored two of our attendings, Dr Mary Hughes DO and Dr Michael Clark MD, as "Heroes of Emergency Medicine" during the 40th anniversary of our specialty college. In addition to her attending duties at Sparrow Hospital, Dr Hughes is the Program Director of the osteopathic residency program in Emergency Medicine. She also received the Outstanding Clinical Science Educator from the MSU-COM Class of 2008. Dr Clark was chosen to be Chief of Medical Staff Elect in 2008. In addition to mentoring many of the resident research projects that have recently won first place in local and national presentations, our program director, Dr Ted Glynn MD, was recognized as the EMRA-M "Teacher of the Year" for 2008. Dr Earl Reisdorff, another of our esteemed faculty members, was presented with the ACEP National "Teacher of the Year" award at the October 2008 Scientific Assembly in Chicago. Dr Reisdorff also was granted the MCEP "Ronald L Krome Meritorious Service Award" in 2007. Residents have the unique opportunity to attend "Sage Rounds" with Dr Reisdorff, which are always both intellectually stimulating and amiably lighthearted.