ORGANIZATIONAL STRUCTURE AND FACILITIES
The Department of Emergency Medicine has been an independent academic
unit within the College of Medicine since 1984. It is responsible for
the medical direction of the University Hospital Center for Emergency
Care (CEC) and the Emergency Medicine Residency Program. Most of the
Emergency Medicine training occurs within the University Hospital. The
Medical Center includes the Colleges of Medicine, Nursing, Pharmacy and
sponsors residency training in 42 specialties. The faculty of the
College of Medicine has complete responsibility for all professional
services in the University Hospital Center for Emergency Care.
University Hospital, Inc. is a 695-bed facility completed in 1969. It is designated a Level I Trauma Center by the American College of Surgeons. The Emergency Department sees over 91,000 adult patients annually. A satellite laboratory, pharmacy, x-ray facility, CT scanner and pre-hospital care base station are located in the Emergency Department, as is the dispatch center for University Air Care, a helicopter transport system. The CEC also has an Urgent Care Center staffed by Emergency Medicine faculty, residents, physician assistants and paramedics. Separate 24 hour per day Emergency Psychiatry and Social Service teams are also present in the Emergency Department.
The Medical Center includes several teaching and community facilities
in addition to University Hospital. Residents rotate to Children's
Hospital Medical Center, Veteran's Administration Hospital, Jewish Hospital and West Chester Medical Center.
The University of Cincinnati Emergency Medicine residents rotate primarily at University Hospital, but also spend significant time experiencing pediatric emergency medicine at Cincinnati Children’s Hospital. In addition, the equivalent of one month each year is dedicated to the practice of community emergency medicine with shifts at Jewish Kenwood Hospital. Below is information about each of our clinical sites.
- One of US News and World Reports "Top 100 Hospitals"
- 695 bed facility
- 91,000 visits to the ED annually
- Only level-1 trauma center in the area
- Serves both tertiary care patients and serves as the local county hospital
- Double and triple attending coverage, 24 hours a day
- Rapid Diagnostic and Treatment Center for observational medicine
- Home of the Cincinnati Stroke team-national leaders in the treatment of acute stroke
- Home of University Air Care & Mobile Care (www.aircareandmobilecare.com)
- PES-Psychiatric Emergency Services
- Excellent social services and ancillary staff 24 hours a day
Cincinnati Children’s Hospital and Medical Center
- Children’s Hospital is one of the top ten children’s hospitals in the country
- 90,000 visits to the ED annually
- Pediatric level one trauma center
- Staffed 24 hours a day by trained pediatric emergency physicians
- International reputation for patient care, education and outreach
West Chester Hospital
- Serving Cincinnati’s northern suburbs, 20 miles from the University
- 30,000+ ED visits annually
- 28 private treatment and exam rooms
- Serving Cincinnati’s northern suburbs, 10 miles from the University
- Includes 2 pods, a fast track area and resuscitation bays
- Active in research
Rapid Diagnostic Treatment Center (RDTC)
Observation medicine is playing an increasingly important role under health
care reform. Future diagnostic patient workups and low to moderate level
treatment are unlikely to be performed in traditional inpatients units. This
concept is being embraced by Emergency Medicine to further establish our
expanding role under managed care. Such emergency department care has found to
be more aggressive, timely, and cost effective than the older "23 hour"
inpatient admission. It is estimated that there will be well over 1,000
observation or rapid diagnosis and treatment centers in emergency departments
across the country by next year.
The RDTC at University Hospital is a ten-bed unit designed to meet diagnostic,
therapeutic and disposition needs of an ED patient subset. The assigned RDTC
faculty physician has overall responsibility for patients in the Center. Over
1200 patients were evaluated in the RDTC in 1999.
We believe experience with the RDTC concept is vital to emergency medicine
resident education. We are primarily committed to providing an experience that
will allow residents to effectively manage ED observation patients. We consider
this clinical expertise a mandatory and important component of emergency
medicine residency training.
Historically, our residents have been looked to for leadership in the
management of cutting-edge protocols. We secondarily desire to provide, on an
elective basis, education to allow future directorship of these emerging units.
The primary goals and objectives of all residents include:
Provide a clinical experience with the RDTC which allow residents to become
expert in ED-based observation medicine
Understand the patient selection process for optimum use of RDTC
Become adept at the diagnostic and therapeutic management of RDTC patients
Understand the interface between, and roles of, the physician and ancillary
staff in regards of RDTC management
Become comfortable with final disposition decisions
The Resident Education Laboratory
The department has an ongoing commitment to resident education. One example of
this commitment is a dedicated Residency Education Laboratory equipped with
multiple top of the line computer stations. The computer stations are connected to the department's
network and the Internet via high speed T1 gigabit lines on systems running Windows 7 Enterprise with Intel Core i7 processors. A wide variety of software packages
are maintained by the department including, but not limited to, Office 2010 Professional, Adobe Acrobat Professional, Peer VII, and a whole host of productivity and entertainment applications. Access to a document scanner, color laserjet printers, and loaner laptops is also available.