Introduction
The SMBD - Jewish General Hospital is a 659 bed McGill University tertiary care hospital strongly committed to research, academia, and training at both the undergraduate and graduate levels, including both CFPC(EM) and FRCP residents. The Emergency Department (full departmental status has existed for 19 years) is fully committed to the above, and has been recognized as a "Department of Excellence" by the hospital having received full support for research and academic growth.
The Emergency Department has approximately 60,000 visits per year, with the highest number of "stretcher" (heavy) cases in the province. This is based upon our high percentage of elderly, oncology, cardiac patients and diversely ethnic patients in the immediate area, as well as the hospital serving as a referral center for all other sub-specialties.
In July 1997, the new Emergency area was opened. This is a state of the art Emergency Department, with emphasis on its cardiac and critical care areas.
The Department is staffed by twenty four physicians. The physicians are either CCFP, CCFP(EM), ABEM , FRCPC or CSPQ in Emergency Medicine. Twelve members hold Assistant Professorship status at the university level with the Director holding an Associate Professorship status.
In addition to their clinical roles, all physicians are involved in extra-clinical activities - research, medico-administrative, academic/ teaching. This commitment to all of emergency medicine's facets make the JGH Emergency Department a unique and excellent opportunity for the training of residents.
General Description and Objectives
As a high volume adult tertiary care hospital, with the highest percentage and number of seriously ill patients in the province, and as a research and academic oriented Emergency Department, the JGH offers residents an intense academic Emergency Medicine experience.
The R3's are encouraged to review junior residents cases and organize the flow of the Emergency Department during their second month. As CCFP(EM) and FRCP Residents work alongside each other, there exists an atmosphere of friendly cooperation where residents develop a genuine and mutual respect for each other.
During the eight weeks in the JGH Emergency Department the resident will demonstrate the ability to recognize acute illnesses and injuries presenting to the Emergency Department and be able to gather appropriate data, develop a differential diagnosis and suggest management and treatment modalities. Concurrent to the clinical experience gained in the emergency, ample time is allotted for in-depth discussions of current cases with the attendings, access to our Emergency Department library and computer equipment. The resident will develop competence in the knowledge, clinical skills, technical skills, and attitudes consistent with the progression of his/her training.
By the end of their two months, the residents are expected to have an understanding of anatomy, physiology, pharmacology, toxicology and pathophysiology with the ability to demonstrate competency in the recognition, evaluation and management of acute illnesses and injuries.