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.

Didactics

Our program hosts didactics for five hours on Wednesday mornings.  The lecture curriculum is varied, and emphasizes dynamic learning and interactive content.  Our lecture curriculum is devised by both faculty and resident leaders, and the topics/content are frequently evaluated and refined.  Evidence- based content and principles are identified and emphasized. 

Asynchronous Learning Curriculum

The Education Section has developed an innovative asynchronous learning curriculum to augment resident exposure to evidence-based learning. The curriculum consists of Free Open Access Medical (FOAM) education content, as well as selected high-impact journal articles. Residents earn conference credit for participating in online discussion forums and quizzes. Current residents can access the curriculum here.

Scholarly Tracks

Our program has pioneered a curriculum that includes an innovative track system which enables residents to gain formal training and mentorship in one of five distinct subspecialty areas of emergency medicine. Each track offers lectures, programs, and activities for both members of the track and the broader community of EM learners, encouraging resident scholarship and productivity across the field. The five tracks are:

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 training establishes a foundation in emergency medicine principles and management of common complaints.  Interns learn to approach the undifferentiated patient, and to devise and execute their own management plans, within the construct of the treatment team.  Interns are introduced to the management of critically ill patients in the trauma room, and progressively develop their multipatient management skills throughout that first year.

  • Orientation 1 week
  • BMC ED 14 weeks
  • Good Samaritan ED 4 weeks
  • Pedi ED 4 weeks
  • Ultrasound 4 weeks
  • SICU 2 weeks
  • Internal Medicine 4 weeks
  • MICU 4 weeks
  • Obstetrics 4 weeks
  • EMS / Ophthalmology / Orthopedics 4 weeks
  • Vacation 4 weeks
  • Intern Retreat 1 week

PGY2

PGY2 year is structured for learners to master procedural skills, and to learn to run a code, to lead a medical resuscitation.  Coined the “Resus Resident” (aka “The Procedure Residents”), our PGY2 has first priority for all procedures completed in the department, utilizing the principles of deliberate practice and spaced repetition to develop expertise.  The PGY2s are code leaders for every medical patient ill enough to require our ‘trauma rooms’. 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.

  • Advanced ED Skills 4 weeks
  • BMC ED  16 weeks
  • Anesthesia  4 weeks
  • Children’s ED  4 weeks
  • Lahey ED  4 weeks
  • St. Elizabeth ED  4 weeks
  • CCU  4 weeks
  • Neuro Critical Care  4 weeks
  • Elective  4 weeks
  • Vacation  4 weeks

PGY3

PGY3 year is the most rigorous year of training in our program.  In one role in our ED, our PGY3s serve as the ‘A side senior’, supervising the care provided to all the patients on one side of our ED, taking presentations from students and juniors, developing department oversight skills that are imperative to independent practice in emergency medicine.  On separate shifts, our PGY3s also serve as the ‘Trauma Resident’, supervising the care of critically injured patients presenting to the ED, coordinating care with consultants, managing every airway and intubation we perform in the ED. 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  32 weeks
  • MICU  4 weeks
  • Elective  8 weeks
  • Vacation  4 weeks
  • Good Samaritan ED 4 weeks

PGY4

PGY4 provides an opportunity to refine clinical skills of oversight, supervision and multipatient management, alongside advanced training in pediatric EM and toxicology.  That plus elective opportunities make the PGY4 year a favorite for many of our trainees. 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 24 weeks
  • Teaching Advanced ED Skills 4 weeks
  • Toxicology / Simulation 4 weeks
  • Children’s ED 4 weeks
  • Lahey ED 4 weeks
  • Elective 8 weeks
  • Vacation 4 weeks