The goal of any residency program is to prepare physicians for practice in their chosen fields. The Residency in Emergency Medicine at the State University of New York at Buffalo takes this aim a step further. Upon graduation from our three-year program, emergency medicine residents are equipped to treat emergent patients in any setting, whether urban, suburban, or rural.
Our program provides the opportunity to rotate throughout diverse hospital settings: regional trauma center, children's hospital, community hospitals, and an inner-city tertiary care center. This provides exposure to a diverse patient population and allows for a well-balanced clinical experience.
Buffalo General Hospital
Erie County Medical Center
Women & Children's Hospital of Buffalo
Millard Fillmore Hospitals
Brooks Memorial Hospital
BGH is one of two “core hospitals” in the program. The offices of the Chair and Program Director are located there. Office space for the Chief Residents is also provided at that site. BGH is also the site of most of the formal didactic teaching provided.
The Emergency Department (ED) at BGH is a high acuity site with a high proportion of sick adult medical patients. Over 25-30% of the patients require inpatient admission, many to intensive care or monitored beds. The level of acuity and types of illness encountered in the BGH ED provide a good patient base for training in adult emergency medicine with the exception of major trauma (see the entry for Erie County Medical Center below). There is a Chest Pain Unit, managed by the ED staff, which admits patients with low risk chest pain, asthma and decompensated heart failure who have anticipated observation periods of < 24 hours.
Off-service rotations at BGH include the following:
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Medical ICU (MICU): In the MICU, residents participate in the care of critically ill patients with a wide variety of illnesses. The MICU is a high volume, high acuity setting.
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Cardiac ICU (CCU): The CCU at BGH is a busy unit with a patient population that includes a full spectrum of cardiac disease. In this unit, EM residents help care for a large volume of patients, many admitted directly from the ED.
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Anesthesiology: The operating rooms at BGH are busy. As a consequence, EM residents rotating on this service have the opportunity to gain exposure to airway and anesthetic management in a high volume population of patients with a wide variety of underlying pathology.
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Oral/Maxillofacial Surgery: The OMFS service offers a full range of clinical service related to oral and facial structures. Resident will have an opportunity to be exposed to the diagnosis and treatment of a wide range of pathology on this service.
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Ophthalmology: This hospital clinic-based part of the OMFS/Ophtho/Radiology module offers a one-on-one opportunity to train with an ophthalmolgist.
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Radiology: This combined module offers one-on-one sessions with attending radiologists.
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 ECMC is the second “core hospital” in the program. The offices of the Vice Chair, Assistant Program Director, Research Director, and Director of Prehospital Care are located here. There are an equal number of ED rotations at ECMC and BGH.
The ED patient population at ECMC differs from that at BGH. ECMC is the regional adult trauma and burn center for Western New York and consequently receives a large number of adult major trauma patients. ECMC also is the major local site where care for immunocompromised and incarcerated patients is delivered. This variety of patients complements the patient population at BGH.
Off service rotations at ECMC include the following:
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Trauma: EM residents participate in the acute and definitive care of major trauma and burn patients at ECMC. EM residents spend a total of three months on the Trauma service.
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Trauma ICU: 1 month in the EM2 year. Rotation with surgical residents in Trauma/Surgical ICU. Residents participate in initial management and definitive care of critically ill surgical patients and trauma victims.
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Orthopedics: Most orthopedic patients at ECMC have traumatic conditions and are initially treated in the ED. As such they constitute an excellent patient population for the teaching of Orthopedics to EM residents.
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Ultrasound: A highlight of our program is the rotation in Emergency Ultrasound that is based at ECMC. Residents will also have the opportunity to learn about Telemedicine while on this rotation.
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Emergency Medical Services: This rotation is based at ECMC, which serves as the primary site for medical direction, training, and research in prehospital care in Western New York.
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.jpg) WCHOB is the major site for pediatric emergency, trauma, inpatient, and specialty care in the region. As such it is the logical site for training in Pediatrics for Emergency Medicine residents. Residents rotate for a total of four months in the CHOB ED.
Off service rotations at the WCHOB include the following:
- OB/GYN
- Anesthesiology
- Toxicology
- Pediatric Intensive Care
Map of Women & Children's Hospital of Buffalo
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The patient population at the suburban branch of Millard Fillmore differs considerably from that seen at BGH and ECMC. A full spectrum of ages is treated and the patients are from a more privileged socioeconomic group. Many graduated EM residents will practice in a department similar to that of Millard Fillmore Suburban.. The two-month rotation of EM residents in the ED at Surburban thus serves to “round out” and complete the EM experience of the resident.
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Off service rotations at Millard Fillmore Gates Circle include the Hand Surgery rotation and Acute Geriatrics Service. This is an acute inpatient medicine rotation with one of the few services in the United States which has dedicated geriatric hospitalists and fellows. The Hand Center of Western New York is at Millard Fillmore Gates Circle. Rotating on this service is the primary route to gain experience in this important area and also represents an opportunity to practice surgical skills with wide applicability.
Map of Millard Fillmore Gates Circle Hospital
Map of Millard Fillmore Suburban Hospital
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The emergency medicine rotation at Brooks is an opportunity for EM residents to practice in moderate volume single coverage department serving both a small town and a substantial rural population. As such, Brooks represents a setting similar to that in which many EM graduates will practice. A unique set of skills are needed in this environment and the rotation is a chance to learn these skills as well as gain exposure to small town / rural emergency medicine practice.
Map of Brooks Memorial Hospital
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