EVMS Emergency Medicine Program Overview

Program Director Message

Our Program

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.

National Prominence 

  • 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.

                

Clinical Experiences

Emergency Department

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.

 

Critical Care

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.

 

Educational Program

Grand Rounds

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.

 

Simulation

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 Club

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

Ultrasound

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.

 

Research

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.

 

Fellowships

If a post-residency Fellowship is what you seek, we are excited to offer Fellowships in Ultrasound, International Emergency Medicine, and Emergency Medical Services (EMS).

 

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 Faculty profile photo

Barry Knapp, MD, RDMS, FACEP
Residency Program Director
Professor
Department of Emergency Medicine
Eastern Virginia Medical School
(757) 388-3397
knappbj@evms.edu

EVMS Emergency Medicine

 Message from Program Director

 

Barry Knapp Faculty profile photo

Welcome to the Emergency Medicine (EM) residency program at Eastern Virginia Medical School (EVMS). Our program was founded in 1981. EVMS EM is the oldest EM training program in the state of Virginia. We are located in beautiful southeastern Virginia. We border the Atlantic Ocean and Chesapeake Bay, just north of the Outer Banks.

Our program is perfectly suited for those who desire an intense clinical and academic experience taught by a nationally renowned faculty. Our program graduates residents who are highly qualified to enter careers in either clinical or academic medicine. We emphasize bedside teaching/learning and pride ourselves in our resident’s clinical expertise upon graduation. Our program instills an evidenced-based approach to clinical problem solving which benefits residents throughout their entire career.

Clinical rotations emphasize acute and critical care. Twenty-two months of your training is spent in the emergency department (ED). Our primary teaching hospital, Sentara Norfolk General Hospital (SNGH; 70,000+ annual visits) is the tertiary care referral and Level I Trauma and Burn Center for the entire region, including northeastern North Carolina. The ED patient population is high-acuity, with an admission rate of 20%; nearly one-third of admissions go to the ICU. At our Level I Trauma Center you will see an equal mix of penetrating and blunt trauma. In addition, our residents benefit from “real world” community emergency medicine experiences at a Level III Trauma Center- Sentara Virginia Beach General Hospital (SVBGH; 49,000 annual visits) and a rural emergency experience at Sentara Obici Hospital (SOH; 44,000 annual visits).

In addition, EVMS EM residents rotate at Children’s Hospital of the King’s Daughter’s (CHKD; over 51,000 annual pediatric ED visits). CHKD is the only specialized pediatric hospital in the state of Virginia and is physically connected to our primary teaching hospital (SNGH). Residents rotate through the Pediatric ED for one month during each of their PGY years. As a PGY-II, residents spend one month in the Pediatric ICU. Pediatric airway and procedural sedation skills are advanced during a two-week Pediatric Anesthesia / Sedation rotation. Along with the dedicated pediatric experience at CHKD, pediatric skills are reinforced during general ED rotations (SNGH, SVBGH, SOH). On average, 20% of the ED population is less than 18 years old.

Our weekly Grand Rounds and monthly evidenced-based Journal Club format allow for extended faculty exposure and exchange of clinical ideas and information. To augment the didactic experience, residents spend half of each Grand Rounds day in the Sentara Center for Simulation and Immersive Learning. In the simulation center, residents rotate through faculty-lead small group educational sessions that help to reinforce didactic teaching. Topics are educational block specific but usually include ultrasound, resuscitation scenarios and “hands-on” procedural competency. Our program currently pays for resident subscriptions to both HIPPO EM and ROSH Review to ensure ready access to educational and study materials. It’s not surprising that our residents routinely score in the top one-third in the nation on the annual ABEM In-training Examination. To stimulate both research and class team building, we send our PGY-I class to the Annual Meeting of the Society for Academic Emergency Medicine (SAEM) each year.

The EVMS Emergency Medicine faculty are well established and nationally recognized. Five faculty have received the ACEP National Faculty Teaching Award. Four faculty are Oral Board Examiners for the American Board of Emergency Medicine (ABEM). Our Chairman, Dr. Counselman, is a nationally recognized leader in Emergency Medicine and recently served as President of the American Board of Emergency Medicine. He is a former recipient of EMRA’s Residency Director of the Year Award (2003) and the ACGME Parker Palmer Courage to Teach Award (2005). Our faculty engage in many different areas of research, including: asthma; pneumonia; ultrasound; EMS; simulation; ED administration; and evidenced-based teaching. We are well published in peer-reviewed literature (see Research section).

Ultrasound experience is a critical tool for today’s graduating resident to succeed in emergency medicine. Our dedication to ultrasound education is rivaled only by the best of training programs. We have three Registered Diagnostic Medical Sonographers (RDMS) in our core faculty. Ultrasound education begins during the first-year orientation, continues through frequent bedside teaching, our monthly lecture series, required ultrasound rotation and month long elective. Our Ultrasound Fellowship helps to stimulate your advanced ultrasound interests and research.

Our curricula includes significant exposure to emergency medical services (EMS). Residents have a one-month rotation that requires riding with a medic unit from Norfolk Fire Rescue. Our faculty serve as medical directors for all major EMS systems within the Tidewater area. Faculty 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. Residents also have the option of flying with Nightingale Air Ambulance. Nightingale is the only local area air ambulance and serves the region, including the Outer Banks of North Carolina.

If you would like to train at an outstanding Emergency Medicine residency program, while living in a warm climate near the beach, we encourage you take a hard look at our program. Please feel free to give us a call (757.388.3397) or e-mail me with any questions (knappbj@evms.edu).

 

Barry Knapp, MD, RDMS, FACEP
Residency Program Director
Professor
Department of Emergency Medicine
Eastern Virginia Medical School