EM Curriculum

Emergency Medicine Residency Program 



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Conference:  Our conference schedule (6 hours protected time on Wednesdays) provides vital educational exposure to the core curriculum of Emergency Medicine. In addition, each resident will be given direct supervision and mentoring in order to achieve academic success and to prepare for oral and written boards. We have recently added an interactive evidence based medicine curriculum, asynchronous learning curriculum, small group discussions and several flipped classroom sessions to our conference schedule. 

Simulation:  Lakeland Health has established a high fidelity Simulation Center that provides advanced clinical training for EM residents.  Simulation scenarios occur monthly to enhance the residents’ decision-making skills and clinical reasoning.  Learners will also have the opportunity to become simulation trainers during the residency program.                                                                                                        

Procedural Competency:  Teaching and monitoring of standard ACGME EM procedures including ultrasound are conducted monthly via multiple modalities including procedural task trainers and simulation.

As an affiliate of and training site for the Statewide Campus System of Michigan State University College of Osteopathic Medicine, supplemental yearly hands-on lab sessions include: 

  • Advanced Ultrasound Resuscitation
  • Obstetrical Emergencies
  • Anatomy/Cadaver Procedure Labs  
  • Dental
  • Advanced Slit Lamp
  • HAZMAT Training
  • Ballistics
  • Advanced Airway Courses


Clinical Rotation Schedule Post Graduate Year 1-4

Year 1

The first year is demanding but provides residents with well-rounded experiences in both traditional internship rotations and emergency medicine. Residents will develop their core medical knowledge in order to formulate critical decisions in the Emergency Department. Year 1 includes the following block rotations:

  • 6 Emergency Medicine (includes 1 week of EM Ultrasound)
  • 1 Anesthesiology
  • 1 Cardiology
  • 1 Critical Care/ICU
  • 1 General Surgery
  • 1 Internal Medicine
  • 1 Obstetrics/Gynecology
  • 1 Pediatrics

Year 2

The second year will focus on expanding skills which will lead to efficiency in managing several patients including major trauma and medical resuscitations. Year 2 rotations are as follows:

  • 7 Emergency Medicine
  • 1 Critical Care/ICU 
  • 1 Emergency Medicine Ultrasound
  • 1 Orthopedics 
  • 1 PICU (at Spectrum Health - Helen DeVos Children's Hospital in Grand Rapids, MI) 
  • 1 Trauma (at Spectrum Health - Butterworth Hospital in Grand Rapids, MI)
  • 1 Elective

Year 3

The third year is focused on improving the residents' ability to manage patient flow in the Emergency Department and develop academic competency through supervising/teaching junior residents and students. The residents will also be introduced to EMS which will enable them to develop vital out-of-hospital communication skills. Year 3 rotations are as follows:

  • 7 Emergency Medicine
  • 1 Critical Care/ICU
  • 1 EM Clinical Investigation
  • 1 EMS
  • 1 Toxicology (Stroger Cook County Hospital in Chicago, IL)
  • 1 Trauma (at Spectrum Health - Butterworth Hospital in Grand Rapids, MI)
  • 1 Elective

Year 4
In the final year, residents will refine the ability to problem-solve, perfect patient disposition and provide efficient medical care. Each resident will be given time to examine his/her own personal academic interests through two additional blocks of electives. In addition, an administrative block will enable each resident to experience different supervisory roles required within an Emergency Department. Year 4 rotations are as follows:

  • 9 Emergency Medicine
  • 1 Critical Care/ICU
  • 1 EM Administration
  • 2 Electives
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