OHSU Hospital and Doernbecher Children's Hospital
The Emergency Medicine Residency Program is based at OHSU Hospital, the major teaching hospital for the School of Medicine, School of Nursing and School of Dentistry at OHSU. Residency programs are available in all major specialties and subspecialties. OHSU Hospital is the tertiary care center for Oregon and one of only two Level I trauma centers in the state. It serves as the only base station for on-line control of prehospital care in the greater Portland area.
All care provided in the ED, which serves both OHSU Hospital and Doernbecher Children's Hospital, is under the direct supervision of attending staffing which is provided 24 hours a day by Department of Emergency Medicine faculty.
Emergency medicine residents (EM II or III) provide the main staffing for the ED. They are also responsible for supervising students, managing patients primarily and responding to all major trauma cases. Residents from anesthesiology, medicine, surgery, pediatrics, family practice, and emergency medicine interns rotate through the OHSU and VA Emergency Departments. In 1993 the academic faculty of the Emergency Departments of OHSU Hospital and the Portland Veterans Affairs Medical Center Emergency Department were formally combined. The Portland VA provides a high volume, high acuity experience with an enhanced degree of resident responsibility. The two emergency units will see a combined annual volume of over 69,000 ED visits.
Providence St. Vincent Medical Center
The rotation at Providence St. Vincent Medical Center, a modern, suburban hospital in the Portland area, provides an emergency medicine experience in the private community setting.
The Emergency Department sees approximately 76,000 patients per year with an additional 12,000 patients triaged to the adjoining Fast-Track pod system. Residents get first-hand experience working in a busy ED, with private physicians who are EM board-certified/eligible.
Legacy Emanuel Hospital and Health Center
There are 29 beds total in the combined pediatric and adult ED's at Emanuel. The Children's Emergency and After Hours at Emanuel is a five-bed unit in addition to a sixth pediatric critical/trauma bay in the main emergency department, where more than 19,000 children are seen annually. Residents work in concert with emergency physicians trained in pediatrics, pediatricians, and pediatric emergency specialists, all of whom bring a unique perspective to the care of the ill and injured child. The focus of this rotation is the continued development of clinical and procedural skills necessary for the successful management of seriously ill children. In addition, residents have the opportunity to spend one month in the adult ED at Emanuel where nearly 40,000 adults are seen annually.
Kaiser Sunnyside Medical Center
Kaiser Sunnyside is a tertiary care community based hospital located in Clackamas, Oregon. Emergency department visits total that sees over 53,000 patients per year. Residents in the emergency department at Kaiser Sunnyside Medical Center are primarily responsible for seeing patients across a full spectrum of disease states. Given the nature of emergency medicine in general and the specific patient populations seen at Kaiser Sunnyside in particular, residents are exposed to a wide variety of patients on this rotation. The patient mix includes the full age spectrum (newborn-geriatric), both genders, patients from a variety of ethnic and cultural backgrounds, a combination of medical, surgical, traumatic, gynecologic, and pediatric complaints, and a varied level of acuity (from ambulatory to those in cardiovascular arrest). The resident is eligible to perform any available procedures in the Sunnyside ED. The patient population of this ED consists of a large proportion of geriatric patients and thus critically ill patients are common. Residents participate in the evaluation and management of patients entered in the trauma system at a level appropriate for their training.