Medical Residency Program - EM Program

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General Information

Our program is a strong community-based emergency medicine experience! We work at two sister facilities with a combined yearly visit total of about 50,000. Our facilities are located on either side of the state line between West Virginia and Ohio allowing our residents to learn the nuances of different state laws and how they affect medical practice. Ohio Valley Medical Center (OVMC), our larger facility, has a Level II trauma designation from the American College of Surgeons. Additionally, OVMC acts as a regional referral center for several smaller facilities in the surrounding area. Our staffing model allows residents to take a progressively larger role in the operation of the ED as they move through the program. Our senior residents see attending-level numbers of patients in each shift. Feedback we have received from graduates confirms that they have had no difficulty with patient volumes of the "real-world" ED. Additionally, we are an unopposed residency. Our residents become proficient in a broad range of procedures through repeated, hand-on exposure. Typically, our residents have fulfilled the procedural requirement of the program by the end of their first year. We emphasize the practical use of ultrasound in many aspects of our ED care and our residents develop proficiency through practice, online teaching modules, and workshops. We are the only facility in our area where our attending staff is all Emergency Medicine Board Certified. We have a very stable attending staff and do not have any locums providers. Our facilities are staffed by US Acute Care Solutions who are fully committed to the residency program and have been for more than a decade. Residents have the opportunity to be involved in monthly Quality Improvement and Business meetings as well as accompanying our attendings national leadership meetings for USACS. This rounds out our medical education with an equally important education in the aspects of medicine as a business. Many of our senior residents moonlight at other facilities providing desperately needed EM trained physicians to smaller hospitals who struggle to fill staffing needs or at other, larger regional facilities. Our graduates have stepped directly into attending roles at a large variety of facilities from the rural ED to urban Level I facilities without missing a step. In addition to consistently demonstrating clinical excellence after graduation, our graduates have demonstrated academic excellence as well with a 100% first-time board pass rate for the last three years.  We will fill five spots this year and have filled all of our spots for the last several years. We strongly encourage an audition rotation. We typically have auditioning students July through December. There are a limited number of audition spots so make arrangements early. Contact Megan Caruso at 304-234-8177 or at megancaruso@ovrh.org for more information.

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ACGME/AOA Status

We are a dually accredited residency program. We received top marks on our last AOA inspection and received the maximum five year accreditation. We received ACGME accreditation in 2016. We will be transitioning from a 4 year program to a 3 year program starting with the incoming class of 2017.  

Starting with the 2017 match we will only be participating in the NRMP (ACGME) match. There was an error in ERAS which had us listed under the NMS (Osteopathic) match. We will only be accepting applications for the NRMP match.

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Didactics Program

The full 2016-2017 lecture and reading schedule is located here.

We have a strong didactics program at OVMC. Our didactics occur every Thursday from 7:30 AM until 1 PM. This is “protected time”. The ED resident staffing schedule is modified so no resident works overnight the day before didactics allowing us all to be fresh and ready for this important educational activity. Didactics is a mandatory event for the residents. Usually, the didactic sessions starts with a case presentation by a medical student. We then review the answer and explanation for our weekly ECG quiz. We review interesting cases in a constructive, abbreviated M&M style with and open discussion between the residents and attendings about the case. There are resident prepared lectures, oral and written board preparation, and attending lectures. We reserve time for simulation lab on a monthly bases. We close each session with a joint internal medicine/emergency medicine lecture given by an attending or physician guest lecturer from 12 - 1 PM. We are fortunate to have an association with Ohio State University's Wexner Medical center through which we receive exclusive lectures from their faculty both onsite in-person and via exclusive video teleconference. We alternate using Rosen's and Tintinelli's Emergency Medicine texts as the core of our didactics. Once a month, we also have journal club in which two residents present carefully selected articles relevant to the practice of emergency medicine. The program provides us with a subscription to Rosh Review, an excellent board preparation question bank, and we have required quizzes ever other weeks. We also are provided with a subscription for HippoEM, an excellent Emergency Medicine training suite put out by the same people that make the famed EMRap podcast. We also incorporate Last but not least, our fantastic librarian emails us landmark articles from the world of emergency medicine on a weekly basis.

Our didactics program is always improving! If residents have ideas about how to enhance our didactics, we can make changes! This is one of the great aspects of our program. Several of the biggest improvements in our didactics program were entirely resident driven.  We also strongly encourage our residents to utilize the many reputable free and open access meducation (FOAM) resources available. 

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Simulation Lab

At OVMC we have a great simulation center. Dr. Posin, one of our most experienced attendings, is the director of our simulation lab. During the first week of residency, senior residents teach the interns procedures including central lines, chest tubes, intubations, lumbar punctures, etc. We include simulation in our didactics time at least monthly. We have models that teach pericardiocentesis, cricothyroidotomy, transvenous pacing, and many more. There is an OB SimBot to practice vaginal deliveries. There is also a high fidelity SimMan with broad capabilities. We also have infant and pediatric simulators to practice neonatal and pediatric resuscitation and pediatric procedures. Last but not least we have ultrasound simulators and a full ultrasound machine for training purposes. In addition to using the simulation lab for our own training, we host procedural training sessions for medical students and continuing education credit events for local EMS providers. We also use our high fidelity mannequin for un-announced Code Blue simulations at various locations in the hospital. This provides our interns as well as nursing and ancillary staff with more realistic training that helps prepare them for the real thing. 

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Wilderness Medicine

Our program offers a unique opportunity for residents and medical students to rotate at New River Gorge, Fayetteville, WV, with hands-on experience through workshops and great didactics for practical medicine in the wilderness. This program was setup by Dr. Hrutkay, one of our ED attendings, and has gained regional renown. For more information, see the Wildness Medicine website.  

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Special Events

Some of the unique opportunities of our program allow us to work in special events within Wheeling and the surrounding areas. For some of these events you do need to be a PGY-2 or higher.

  • Jamboree in the Hills (Jambo) - A large annual outside music festival that has such headliners a Keith Urban, Tim McGraw, Alan Jackson, Kid Rock, Brad Paisley, Lady Antebellum and others. It has been referred to as "The Superbowl of Country Music" and sees around 100,000 attendees. As residents, we are given the opportunity to work the medical tent during the weekend long festival and all the country music your ears can take in!
  • St. Clairsville School District Physicals - We are honored the St. Clairsville school district gives us the opportunity to perform school physicals a few select times of year to the students.
  • Battle of the Gorge - After learning vertical/technical rescue skills and outdoor medicine during the Wilderness Medicine rotation, our residents get to test their newly learned skills against Fire and EMS professionals from all over the region in high-intensity, life-like scenarios. In 2017 our resident team won the top award in the competition in the Top Gun/Best of the Best category. 
  • WV chapter of ACEP Annual Summit - We are invited the the annual summit which is usually held at the Resort in Stonewall, West Virginia. After a day of educational lectures and camaraderie with other EM providers and resident from all over the state there is an evening social event to round out the summit. 

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