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Emergency Department Shift Structure

Shift Structure IconShifts in the emergency department are structured to maximize instruction and clinical experience.

Highlights include:

9-hour shifts with a built in 1-hour overlap with oncoming residents.

The overlap allows for a 'wrap up' period and eases the transition that must occur at the end of shifts.

Decreased shift responsibilities with increasing EM level.

Shifts per 28 day cycle change with each year:

    • EM-1:  21
    • EM-2:  20
    • EM-3:  19

Triple attending coverage 24/7.

Such coverage enhances both teaching and patient care.

Philosophy of “Graded Responsibility.”

During the progression from an EM-1 to an EM-3, residents will be expected to become more independent and more efficient. Senior-level residents will also assume a greater role in managing the overall department and assist in the instruction of both junior-level residents and medical students.

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