EVMS Emergency Medicine Program Overview
Program Director Message
The EVMS Emergency Medicine residency program is a fully accredited PGY-I through PGY-III program located in costal Virginia (Norfolk / Virginia Beach).
Our program offers an intense clinical and academic experience taught by nationally renowned faculty. Graduates of our program are uniquely qualified to enter careers in both clinical and academic emergency medicine.
Our educational program instills an evidenced-based approach to clinical problem-solving, benefiting residents throughout their career. The program places a strong emphasis on bedside teaching, maximizing the resident clinical acumen.
Since the program’s inception (1981), we have always maintained full ACGME accreditation, receiving a full eight year accreditation during our most recent review.
- We are one of only ten academic departments of emergency medicine in the U.S. that have both an Endowed Chairman and an Endowed Professorship.
- Five of our faculty have received the ACEP National Faculty Teaching Awards.
- Our Chairman, Dr. Counselman, is the recent past-president of ABEM. He is also the recipient of American College of Emergency Physicians (ACEP) Leadership and Excellence Award for Outstanding Contribution in Education and the ACGME’s Parker J. Palmer Courage to Teach Award.
- Dr. Lo, our ED Director, is the current Virginia ACEP (VACEP) President.
- Our Program Director has received the Council of Residency Directors (CORD) Faculty Teaching Award.
- Five of our faculty are American Board of Emergency Medicine (ABEM) oral board examiners.
- Three of our faculty are current or past Item Writers for the ABEM.
Our emergency medicine (EM) curriculum emphasizes critical care training in both the emergency department (ED) and intensive care units.
Residents spend 23 four-week blocks in the ED blended between four hospitals.
- Sentara Norfolk General Hospital (SNGH; 71,000+ annual ED visits)
- Our primary teaching hospital
- A quaternary care referral and Level 1 Trauma and Burn Center for the entire region including eastern North Carolina.
- Sentara Virginia Beach General Hospital (SVBGH; 53,000 annual ED visits)
- Busy community hospital
- Level III Trauma Center
- Sentara Obici Hospital (SOH; 44,000 annual ED visits)
- A suburban / rural emergency medicine experience.
- Children’s Hospital of the King’s Daughter’s (CHKD; over 51,000 annual pediatric ED visits)
- Only free-standing pediatric hospital in Virginia
- One of only two Level 1 Pediatric Trauma Centers in Virginia
PGY-3 residents spend a 4-week block on the E.D.-based critical care rotation called the R.E.S.T. rotation. Residents rotate in the Medical Intensive Care Unit (MICU) during all three years of their residency. In addition, residents rotate in the Pediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Units (NICU).
Residents evaluate and treat trauma and burn patients in both the E.D. and Burn Trauma Unit (BTU).
Our trauma experiences are both dedicated during PGY-1 and PGY-2 rotation blocks at Sentara Norfolk General (SNGH; Level 1 Trauma Center) and longitudinal throughout residency during EM blocks at Sentara Virginia Beach General Hospital (SVBGH; Level 3 Trauma Center).
Our pediatric experience rivals the best EM programs in the country. In addition to the PICU and NICU rotations, PGY-1 residents spend a dedicated block in the pediatric ED at Children's Hospital of the King's Daughters (CHKD). In the PGY-2 and PGY-3 years, CHKD Pediatric EM shifts are longitudinally integrated in to the monthly EM block schedule. PGY-2 residents rotate in both the Pediatric Anesthesia service as well as the Pediatric Sedation service.
Residents attend weekly Didactics which includes lectures from faculty and subject matter experts from throughout the country. Residents have the opportunity to develop and present at least one lecture each academic year.
As we understand how learners learn best, didactic presentations are de-emphasized. We put a strong emphasis on small-group team-based exercises and simulation-based learning. At least half of protected education time is spent in our state of the art simulation lab.
Journal clubs are held on the last Monday of each month and are an opportunity for the program to get together and engage in discussion on evidence-based practices and critical reviews of the recent literature. Journal Clubs are held at a local resident and sponsored by our private democratic group, Emergency Physicians of Tidewater (EPT). Family and significant others are welcome to attend.
Additional Educational Experiences
Our program places a strong emphasis on the development of resident ultrasound skills. Our philosophy is rooted in developing ultrasound skills to create a modern era of EM physicians who take even better care of their patients. Our ultrasound faculty teach locally and nationally. The resident ultrasound experience begins during PGY-1 orientation and continues longitudinally throughout residency. Our department oversees a state-of-the-art ultrasound lab and the entire medical student ultrasound experience. In addition, all PGY-1 residents are provided SonoSim.
An excellent ultrasound education resource devloped by one of our faculty, Dr. Matt Jones, can be accessed at ultrasoundidiots.com.
Society for Academic Emergency Medicine (SAEM)
Each year, all PGY-I residents to the annual SAEM meeting. Our program pays for travel, lodging, registration and per diem. It's not only a great learning opportunity, it's an excellent team-building experience.
Emergency Medical Services (EMS) and Disaster Response
Our Curriculum includes significant exposure to Emergency Medical Services (EMS). Residents spend one block rotating and riding with medic units from Norfolk Fire Rescue. Residents participate in a tactical and heavy rescue program each year.
Our faculty serves as Medical Directors for all major EMS systems within the region. We are heavily involved in Emergency Preparedness & Response, including FEMA, MMRS, and Disaster Medical Assistance Teams (DMAT).
There are ample opportunities for more intense involvement with these organizations along with the opportunity to fly with Nightingale Air Ambulance. Nightingale is the premier air ambulance serving our region, including the Outer Banks of North Carolina.
Faculty and resdients engage in many areas of scholarly activity including: asthma; pneumonia; ultrasound; EMS; simulation; ED administration; and evidenced-based teaching; expressed through a large volume of published articles in peer-reviewed literature.
If you would like to train at an outstanding Emergency Medicine residency program, while living in a delightful climate near the beach, we encourage you take a hard look at our program.
Please feel free to give us a call or e-mail me with any questions.
Barry Knapp, MD, RDMS, FACEP
Residency Program Director
Department of Emergency Medicine
Eastern Virginia Medical School