Base Hospital: 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.
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."
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 thirty percent of these patients requiring hospitalization after treatment and seven percent requiring admission to intensive care units. Three percent 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.
Emergency Medicine attendings and residents provide emergency care during all Boston Red Sox home games and Fenway Park special events.
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 15,000 patients per year; 15% are pediatric patients.
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. PGY3 residents work in the mixed ICU taking care of critically ill patients. After ED evaluation, 18% of all patients are admitted, with 3% admitted to the ICU.
PGY3 Rotation - 4 Weeks (ICU)
PGY3 residents 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. The team is composed of senior residents in Emergency Medicine and Internal Medicine from BIDMC. 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.
Boston Children's Hospital
PGY 1 Rotation - 4 Weeks
PGY 3 Rotation - 4 Weeks
Children's Hospital Boston 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.
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 50,000 visits per year. Following treatment, twenty percent of these patients are hospitalized and one percent are admitted to intensive care units.
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.
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. PGY1 and PGY2 residents rotate in the emergency room, which sees an annual volume of 31,000 patients, including 6,600 pediatric patients.
PGY1 Rotation - 4 Weeks
Residents spend four weeks during the first year rotating in the emergency room at CHA-Cambridge or CHA-Everett. Cambridge Hospital is a teaching hospital for Harvard and Tufts medical schools.
This busy community emergency department sees 31,000 patients annually. 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.
Mount Auburn Hospital
PGY2 Rotation - 4 Weeks
Mount Auburn Hospital is a busy state-of-the-art community hospital. The emergency department sees 28,000 patients each year with a wide variety of medical and surgical complaints. The hospital is affiliated with Harvard Medical School and serves as medical control for a large suburban prehospital system.
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 12,600 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.
St. Luke's Hospital
PGY 3 Rotation - 4 Weeks
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. 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.
St. Vincent Hospital
PGY 3 Rotation - 4 Weeks
St. Vincent Hospital located in downtown Worcester, is a high volume, high acuity teaching hospital within Worchester Medical Center. The emergency department is staffed by BIDMC affiliated attendings and sees 50,000 patients each year. St. Vincent Hospital has an active cardiac cath lab, inpatient pediatrics, all surgical subspecialties, and a large volume of trauma patients.
Tufts Medical Center
PGY 2 Rotation - 4 Weeks
PGY 3 Rotation - 4 Weeks
As PGY2s, residents rotate through the dedicated pediatric emergency department. As PGY3s, residents rotate through the pediatric intensive care unit. Located in downtown Boston, Tufts Medical Center has a recently renovated 25-bed emergency department featuring an 8-bed express care area, an extended care unit, a large acute care unit and a dedicated pediatric treatment area. As Tufts is a Level 1 Pediatric Trauma Center, the rotation gives residents an opportunity to gain further experience caring for critically ill children both through the emergency department and as a member of the pediatric intensive care team. The new Pediatric Emergency Department is staffed with physicians that are Pediatric Emergency Medicine trained and the residents work primarily with these faculty members during their 2nd year rotation rotation. The pediatric ICU affords our residents to work with board certified pediatric intensivists and allows for close teaching of pediatric procedures and resuscitations.
|Nicole McShane, M.Ed
Education Manager, Department of Emergency Medicine
Beth Israel Deaconess Medical Center
Rosenberg Building - 2nd Floor
1 Deaconess Road
Boston, MA 02115