Curriculum

Our residency is a four-year (PGY 1-4) program with twelve positions offered each year through the NRMP match. Our curriculum is repeatedly evaluated and refined to provide an environment of academic inquiry and to challenge residents to develop their clinical, teaching, administrative, and research skills. The residency works within a framework of evidence-based medicine and graduated clinical responsibility. As residents progress through the program, clinical responsibilities reflect their broadening knowledge and experience.

In addition, our program has pioneered a curriculum that includes an innovative College system. These optional “tracks” enable residents to formally gain expertise in one area of Emergency Medicine. The Colleges encourage resident scholarship and productivity. Each College offers lectures, programs, and activities for both members of the College and the Department as a whole. The four Colleges are Global & Public Health, Ultrasound, Education, and Administration.

BMC has a high level of expectation for our residents. Our graduates leave with the skills and confidence necessary to become leaders in the field of EM.


PGY1

Intern year establishes a foundation in emergency principles and management of common complaints. Interns learn to approach an undifferentiated patient, implement basic work-ups, function within the dynamic of the trauma room, and develop an appreciation for “sick” vs. “not-sick.”

  • Orientation 1 week
  • BMC ED  19 weeks
  • Pedi ED  4 weeks
  • Trauma Surgery / SICU  4 weeks
  • Medical Wards  3 weeks
  • MICU  4 weeks
  • Obstetrics  4 weeks
  • Orthopedics / Ultrasound  4 weeks
  • ENT / Ophthalmology  4 weeks
  • Vacation  4.5 weeks

PGY2

PGY2 year promotes strengthening of procedural and resuscitative skills. PGY2s have first access to all procedures in the ED during their “procedure resident” shifts. They run all medical resuscitations in the trauma rooms and care for the most critically-ill patients. PGY2s broaden their educational experience by rotating in the ED’s of our three affiliate hospitals: Boston Children’s HospitalLahey Medical Center, and St. Elizabeth’s Medical Center. In addition, all PGY2s receive time off and are funded to attend the annual Society for Academic Emergency Medicine (SAEM) conference each Spring.

  • BMC ED  16 weeks
  • Advanced ED Skills 4 weeks
  • Anesthesia / EMS  4 weeks
  • Children’s ED  4 weeks
  • Lahey ED  4 weeks
  • St. Elizabeth ED  4 weeks
  • CCU  4 weeks
  • SICU  4 weeks
  • Elective  4 weeks
  • Vacation  4 weeks

PGY3

PGY3 year teaches residents management of the Department. PGY3s run an entire side of the ED, supervising and managing teams of junior residents while in the “senior resident” role. This role has a steep learning curve and establishes a strong foundation in management and teaching principles. PGY3s also care for critically injured adult and pediatric patients while in the “trauma resident” role, in addition to managing their own patient panels. Because of BMC’s affiliation with Boston EMS, PGY3s provide on-line medical control for all 911 calls in the City of Boston through the regional Central Medical Emergency Direction (CMED) radio system.

  • BMC ED  36 weeks
  • MICU  4 weeks
  • Elective  8 weeks
  • Vacation  4 weeks

PGY4

PGY4 year encourages refinement of teaching, supervisory, clinical, and administrative skills. Generous elective time as a senior resident allows for self-directed learning and research. In addition, all PGY4s receive time off and are funded to attend the annual American College of Emergency Medicine (ACEP) conference each Fall.

  • BMC ED 20 weeks
  • Teaching Advanced ED Skills 4 weeks
  • Toxicology / Simulation 4 weeks
  • Children’s ED 4 weeks
  • Lahey ED 4 weeks
  • St. Elizabeth ED 4 weeks
  • Elective 8 weeks
  • Vacation 4 weeks