Rotations and Curriculum — Emergency Medicine Residency at St. Rita's Medical Center

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Facilities

Graduate Medical Education Center

Mercy Health St. Rita’s Medical Center and the Lima community have invested in Graduate Medical Education by purchasing state-of-the-art simulation equipment and housing it in a new GME Center. Full-time simulation center director, David Faulkner, ACSM, RCEP, provides an amazing resource for hands-on, procedure-based education.

Mercy Health St. Rita's Medical Center Emergency Department

Simulation Lab

Simulation is an essential part of Emergency Medicine education. You will have monthly directed simulation sessions at our simulation lab with our faculty, including radiology speed rounds, splinting, wound repair, basic and advanced airway, lumbar puncture, eye exam, central venous access, open thoracotomy and full case-based simulation, among others.

Rotation Schedule

PGY 1 Rotation	Duration
Bootcamp	2 weeks
Emergency Medicine	26 weeks
Ultrasound	2 weeks
Trauma ICU	4 weeks
Cardiology	2 weeks
Inpatient	2 weeks
Anesthesia	2 weeks
Medical ICU	4 weeks
Pediatric Emergency Medicine	4 weeks
Vacation	2 – 2-week blocks

PGY 2 Rotation	Duration
Orthopedics/Physical Therapy	2 weeks
Emergency Medicine	30 weeks
Obstetrics	2 weeks
Ultrasound	2 weeks
Pediatric ICU	4 weeks
Medical ICU	4 weeks
Trauma Service	4 weeks
Vacation	2 – 2-week blocks

PGY 3 Rotation	Duration
Emergency Medicine	36 weeks
Toxicology	2 weeks
EMS	2 weeks
Pediatric Emergency Medicine	4 weeks
Elective	4 weeks
Vacation	2 – 2-week blocks

Electives

Ultrasound
Anesthesia
ED
Interventional Radiology
Neurology
Pediatric Emergency Medicine
Toxicology
EMS
Diagnostic Radiology
Critical Care
Other electives of your choice will be evaluated for type and length on a case-by-case basis depending on your educational goals.

Didactic Curriculum

In the spirit of collaboration, well known to Mercy Health St. Rita’s Medical Center and is locally known by the term “Lima Nice,” all residents at St. Rita’s participate in hospital-wide joint M&M, grand rounds and CPC conference (Clinical and Pathological Case). Leadership is an important aspect of practicing medicine particularly for emergency physicians. Therefore, all our residents have opportunity to participate on hospital, regional and national committees, the resident Wellness Advisory Group (WAG) and Residency Council with full support from the residency program.

In addition, to the Emergency Medicine journal club, leadership conferences and didactics, you will participate in GME-wide journal club and leadership sessions called GME Serving Up Knowledge.

There are constant teaching activities available, including medical student skills lab, and the opportunity to participate as resident director of simulation, ultrasound, student education, administration and research, giving you additional opportunity to learn and practice leadership skills.

Research and Scholarly Activity

The Emergency Medicine Residency Program is involved in the Lima community and takes education outside of the walls of the hospital when possible. Within a few miles of the hospital, there are multiple large manufacturing and chemical industry facilities, including the Husky Energy Refinery and Potash Corporation. Our residency has planned education programs with the Shawnee Fire Department and the refinery, both of which are equipped to handle industrial disasters. Routine tabletop drills and disaster planning also comprises of an important component of the education commitment for our residents.

The Emergency Medicine Residency Program supports the Lima community through service projects and education.

To focus on your wellness, quarterly recreational activities are conducted. Wellness and career enhancement activities are also woven into the EM didactic curriculum.

Presentations and Publications

Lightfoot A, Chan J. Unexpected severe intra-abdominal injuries resulting from a ground-level fall in an elderly patient with a large staghorn calculus. BMJ Case Rep. 2021;14(3):e239829.

Oswald, D., Davis, D., & Toro, D. (2020, November 4). Ultrasound [Medical Student Skills Lab].

Barbee, E. (2021, January 7). Teaching Medical Students [Graduate Medical Education Faculty Development].

Toro, D. (2020, December 16). Doctor on the Plane [Wilderness Medicine Interest Group].

McMillan, E., & Toro, D. (2021, March 2). Table Top Disaster Scenarios [Medical Student Skills Lab].

Toro, D. (2021, March 10). Artic Emergencies, A Wilderness Medicine Approach of Hypothermia and Cold Related Injuries [Miami Valley Hospital Regional Trauma Symposium].

Lightfoot, A. (2020b, November 18). Don’t Trust Your Elders [Morbid & Mortality Conference].

Morrison, E. (2021, April 7). 11F with Acute Urinary Retention [Pediatric Emergency Medicine Case Presentation].

Nock, C. (2020, December 9). Everything that Shines isn’t Golden [Clinical Pathological Case Conference].

Rohrback, C. (2021, March 17). I’ve Fallen and I Can’t Get Up [Morbid and Mortality Conference].

Toro, D. (2020a, February 6). ‎The Foreign and International Medical Graduate Podcast. Apple Podcasts. https://podcasts.apple.com/us/podcast/dr-david-toro/id1493282221?i=1000464848434

Toro, D. (2020b, February 15). Wilderness Patient Transport. Case Western Reserve University School of Medicine Wilderness Medicine Workshop.