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Beth Israel Deaconess Medical Center
BIDMC, a teaching hospital of Harvard Medical School, is internationally recognized for excellence in patient care, biomedical research, teaching, and community service. It is a Level I Trauma Center and a major adult tertiary referral center for New England, as well as being a primary hospital for the surrounding communities.
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BIDMC is located in the heart of the Longwood Medical Area in Boston, next to Harvard Medical School and Boston Children's Hospital. Among independent teaching hospitals, BIDMC ranks third nationwide in NIH funds and this funding has been growing at a rate of twenty percent per year for the past three years. It is the only hospital in Massachusetts named to the Nation's "Top 100 in Interventional Cardiology."
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The BIDMC Emergency Department cares for both non-critical and serious medical and surgical adult patients. The annual patient census is approximately 57,000, with 36% percent of these patients requiring hospitalization after treatment and 7% requiring admission to intensive care units. 3% of these patients are taken directly to the operating suite following resuscitation. BIDMC is a consortium member of Boston Medflight, a critical care air transport service for New England. Through this membership, trauma patients are directed to the hospital on a rotating basis. The Department also provides medical control for the Advanced Life Support programs for several surrounding community EMS systems. The Department provides the only weekly EMS morbidity and mortality conference in the region.
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Emergency Medicine attendings and residents provide emergency care during all Boston Red Sox home games and Fenway Park special events.
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The BIDMC Emergency Department is a modern, 23,000 square foot facility that offers the latest in ED technology. Some of the new technological components include PACs, a system for rapidly sharing digital radiology images via computer instead of film, and a dedicated 64-slice CT scanner. There is also an innovative ED Dashboard which is a computerized patient tracking and electronic medical record system which CNN, The Wall Street Journal, Newsweek and Wired magazine have all spotlighted.
BIDMC - Needham
Beth Israel Deaconess Hospital-Needham is affiliated with Beth Israel Deaconess Medical Center. The ED is staffed by the same faculty that works at BIDMC. The hospital is a 41-bed community hospital with a seven bed intensive and cardiac care unit. The ED sees a volume of over 25,000 patients per year; 6% are pediatric patients.
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Residents spend 4 weeks rotating at BID-N during their PGY-1 and -3 years. PGY-2s and PGY-3s will occasionally work shifts at BIDN during BIDMC-ED blocks as well.
Brockton Hospital
Brockton Hospital is a community-based teaching hospital located 25 miles south of Boston in the city of Brockton, which is an urban environment with a diverse patient population. The hospital has 245 inpatient beds, while the emergency department sees an annual volume of 63,000 patients, including 9,000 pediatric patients. After ED evaluation, 18% of all patients are admitted, with 3% admitted to the ICU.
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PGY-3 residents typically spend one month rotating through the Intensive Care Unit at Brockton Hospital. This is a high-acuity mixed ICU, meaning that residents are exposed to critically ill patients with a variety of illness, including medical, neurologic, and traumatic pathology. Residents take call every fourth night, and during this time they are responsible for all facets of patient care, including procedures and other critical interventions, with back-up from an intensive care attending.
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This rotation is currently paused as Brockton Hospital sustained a significant fire and is currently closed. We plan to restart this rotation as soon as the hospital is operational again.
Boston Children's Hospital
Boston Children's Hospital is the largest pediatric medical center in the United States and is located next to Beth Israel Deaconess Medical Center and Harvard Medical School. It is a tertiary pediatric referral center for New England and the primary receiving hospital for Level 1 pediatric trauma. It also serves as the primary pediatric hospital for the surrounding communities. Children's Hospital Boston has the world's largest pediatric research facility and is the primary pediatric teaching hospital for Harvard Medical School.
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The Emergency Department at Children's Hospital cares for both non-critical as well as serious surgical and medical pediatric patients. It receives ambulatory patients as well as patients arriving by ground or air ambulances. The ED patient volume is over 53,000 visits per year. Following treatment, almost 20% of these patients are hospitalized and 2% are admitted to intensive care units.
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The Division of Emergency Medicine at Children's Hospital Boston is committed to education in the specialty through formal conferences as well as bedside teaching.
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The PGY-3 residents spend four weeks as members of the pediatric intensive care team at Boston Children’s Hospital. This team is composed of both Emergency Medicine and Pediatrics and team members are responsible for all facets of clinical management. As the primary physician for his/her patients, the EM resident is responsible for ordering all therapies and diagnostic studies. The educational curriculum includes mock codes, in situ simulation and daily didactic sessions.
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Residents will rotate through Boston Children's Hospital ED for 4 weeks as a PGY-1, 2 weeks as a PGY-2, and 4 weeks as a PGY-3. Residents will also rotate through the Pediatric ICU for 4 weeks as a PGY-3
Cambridge Health Alliance
Cambridge Hospital is one of three sites that form the Cambridge Health Alliance, a healthcare system primarily serving the communities west and north of Boston. This busy community emergency department sees over 48,000 patients annually, with 19% of visits being pediatric patients. Residents are responsible for the resuscitation and treatment of adult and pediatric patients under the care of Emergency Medicine trained physicians. The hospital serves a large patient population that are non-English speaking and have limited access to care, allowing for a different clinical experience from BIDMC.
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Residents spend 4 weeks as a PGY-1 rotating in the emergency room at CHA-Cambridge or CHA-Everett.
Mount Auburn Hospital
Mount Auburn Hospital is a busy state-of-the-art community hospital. The emergency department sees almost 35,000 patients each year with a wide variety of medical and surgical complaints. This is a high-acuity hospital with a 30% admission rate. The hospital is affiliated with Harvard Medical School and serves as medical control for a large suburban prehospital system.
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Residents spend 4 weeks during their PGY-2 year at Mount Auburn Hospital.
South Shore Hospital
South Shore Hospital is a suburban hospital that has an emergency department with an annual volume over 75,000 visits. They have a separate pediatric emergency department that is open twelve hours a day (seven days a week) and provides care for a volume of 21,000 children per year. The Pediatric Emergency Medicine faculty at South Shore Hospital are affiliated with Boston Children's Hospital and are all Pediatric Emergency Medicine trained.
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Residents spend a total of 6 weeks (three blocks of 2 weeks) during their PGY-2 year at South Shore Hospital.
St. Luke's Hospital
St. Luke's Hospital is a community hospital located in New Bedford, a large urban area with a culturally diverse population. The hospital has 325 inpatient beds and offers a full range of medical services and they are a Level 2 Trauma Center. The EM residents gain firsthand experience of practicing community Emergency Medicine as they are the only residents within the hospital. This high volume, high acuity emergency department provides additional experience in trauma resuscitations, with an emphasis on penetrating trauma and pediatric trauma. The hospital treats almost 95,000 patients per year.
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Residents will spend 4 weeks at St. Luke's Hospital as a PGY-3.
Tufts Medical Center
Located in downtown Boston, Tufts Medical Center has a recently renovated 25-bed emergency department featuring an 8-bed express care area. The Pediatric Emergency Department is staffed with physicians that are Pediatric Emergency Medicine trained and the residents work primarily with these faculty members during their rotation.
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As PGY1s, residents rotate through the dedicated pediatric emergency department for 4 weeks.