Being a new residency, we expect you to have some questions about our program. This is an attempt to answer some of these questions:
Question: How many residents will be in each class?
Answer: 6 residents per year, for 3 years of residency training
Question: When can I apply? When will I hear anything about my application?
Answer: We are on ERAS now, so please apply. We will start reviewing applications as the MSPEs become available (but likely will start after ACEP ends) and aim to have our first wave of interview invites released by October 15th.
Question: Can I learn anything else about the program?
Answer: We would love to talk in person. We will be at the AAEM/RSA Conference at Loyola on September 22nd in Chicago, and the ACEP EMRA Residency Fair on October 1st in San Diego.
Question: What are some of the issues that are faced when designing a new program?
Answer(s): Admittedly, there are several. You need the presence and support of your hospitals GME (these are the individuals who make sure residencies provide everything needed for a successful program) – we are truly fortunate at Loyola to have a very present, very robust, very well-versed and involved GME office. We have over 50 current residency programs, so rest assured that as a new program, we have the structure and leadership to make this happen.
You also need to be aware of the desire of the department to bear the responsibilities of a residency program. As Dr. Cichon, our Chair, will tell you – it has been over 10 years of planning to get to the point where we could be approved for a program. The faculty have been working with the promise of a residency for many, many years. They are ready. They are excited. The Chair has made time and funds available for the faculty to support this venture, and we are very excited to get it started.
The clinical environment is something else that needs to be considered. A new EM residency usually means the introduction of clinical teaching to an EM attending, who may have been out of this environment for some time. In Loyola’s ED, given the teaching nature of our hospital, this is not the case. We have a very robust Medical Student Clerkship, which is required of all Stritch students. We also welcome the residents of many different residency programs to our ED to rotate, including Internal Medicine, Anesthesiology, ENT, and many others. Our faculty know how to provide an environment of teaching and support in the clinical setting, and we expect for this to flourish with the addition of our EM Residency.
Question: What are some of the challenges that residents of a new EM program will encounter?
Answer: First and foremost, you are going to be interns without any other EM residents around. There is no doubt this will be challenging. We are aware of this, and are building a support and mentoring structure to ensure you have everything needed to achieve your goals during this challenging opening year. The presence and involvement of your EM Leadership team is also crucial during this time.
There is also the lack of a true EM residency alumni network, which many feel is needed for success after residency. However, Loyola is not only a known name in medicine, but also in Emergency Medicine, through our Stritch School of Medicine graduates who are currently in training, and practicing throughout the country. Given the core characteristics of a Loyola graduate, there is a bond that does not weaken after graduating from medical school, and we have received words of support from so many of our Stritch graduates throughout the process of applying for a residency. We have attempted to showcase this SSOM EM Alumni network on our alumni page, and we feel very confident that new graduates from our EM program will not be heading into the EM world alone. Please also keep in mind that because we have not had a residency before now, every single one of our faculty trained at a residency outside of Loyola, thus adding to the network of people who will help you with process of both employment or further training in fellowship.
Question: As a new resident in a new program, what will be my role in the ED?
Answer: This is a crucial question to answer, and has many levels. Anything involving your clinical experience is vital to understand as you start to learn about the best programs for you:
First – Faculty: A new program has a unique place to build from. Residents will typically note frustration with faculty who do not help-out when the residents are really busy. This will not be an issue in a department where the faculty are very used to doing things without EM residents! This however doesn’t answer the bigger question, which is included above already, but to restate – our faculty already know how to integrate residents and students into their working day. We have a great number of learners already rotating through our ED, so the aspect of teaching and mentoring will not be an issue. Far from it.
Second – The Environment: So our faculty can teach and mentor, but how will that transfer to the clinical experience in the PGY1 year, and indeed later years? Also key to ask and answer. We are building an environment that is very much team based. When the resident walks into their shift, they know they have been assigned to an attending, and that attending will have them as their resident and no other resident, allowing for a 1-1 working relationship which we feel is so crucial in EM. Depending on the day & shift, the roles and responsibilities of that shift may change, but the team-based approach will not. There are very few current learners in the ED who want procedures – central lines, intubations, etc – so we predict the very first class will be faced with a very high demand for their desire and skills in this area. But from day 1 our EM residents will be the ‘primary providers’ for their patients, with the faculty there to provide insight and assistance.
As we move towards having all 3 classes filled, a few things will have to change in the ED – having ED Senior Residents is a mindset change for any emergency department, and our faculty support the educational and clinical vision of these residents ‘running’ the ED. As important, the Department Chair supports it too. We will make it so that the residents get the experience they need to be the strongest physicians possible. Just know that if needed, when things are really busy, our faculty are ready to step-in to help.
Question: How many SLOEs do I need to apply to your program?
Answer: Five. Only joking. One is the answer.
OK – this is a somewhat controversial area, as some programs absolutely state you need 2 or more. I (Snow) have a problem with this, as we have the ERAS part required by September 15th, and with the M4 year starting not too soon before this, it doesnt leave too much time to complete 2 rotations and get both SLOEs completed and submitted. Consider also that students are completing more rotations in EM than in years past, and again this gets harder. To ‘require’ 2 is something a program is absolutely allowed to do – we can all decide our own rules for such things – but requiring 2 is not what we will do.
I will not lie in furthering my answer – the presence of 2 or 3 SLOEs is certainly a great thing to have in any application, as the SLOEs are so vital in this process, so having more than 1 is a great additional data point. This is especially true if the application is lacking in regards to USMLE scores, or in the MSPE. The presence of additional SLOEs speaking highly about your clinical skills will remove fears PDs have about your knowledge.
Question: Will you recruit DO applicants?
Answer: It seems odd to have to answer this but it has been asked a lot already, so we are answering it here. Yes, we will absolutely be considering DO applicants.
Question: Salary offered by PGY level?
Answer: This is set by the GME office for every institution. Below are the amounts for 2018-2019. The amounts will likely go up for 2019-2020:
- PGY1: $57,699
- PGY2: $61,339
- PGY3: $63,232