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 Medical Center
Erie County Medical Center
Women & Children's Hospital of Buffalo
Millard Fillmore Suburban Hospital
Gates Vascular Institute
FDR / Batavia
Buffalo VA Medical Center
Formerly known as Buffalo General Medical Center, Buffalo General Medical Center provides access to the latest treatment, technology and expert physicians. On March 28, Buffalo General and Millard Fillmore Gates Circle Hospital are coming together, with the addition of the new Gates Vascular Institute adjacent toBuffalo General Medical Center.
Recent updates and improvements at Buffalo General Medical Center include:
A new helipad – A helipad is vital to our mission of providing the best possible care for critically ill patients throughout Western New York, and allows us to be at the patient's bedside much faster.
A new emergency department – Last fall, Kaleida Health officially opened its new emergency department on the ground floor of the Gates Vascular Institute, adjacent to Buffalo General Medical Center. With 53 private exam rooms in 37,400 square feet (one full acre) of new space, the emergency department is designed to handle 64,000 patient visits per year. It has dedicated diagnostic services with specialized support for Kaleida Health's accredited and award-winning cardiac, stroke and vascular programs.
Buffalo General Medical Center 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. Buffalo General Medical Center is also the site of most of the formal didactic teaching provided.
The Emergency Department (ED) 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 BGMC 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 BGMC include the following:
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.
Cardiac ICU (CCU): The CCU at BGMC 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.
Anesthesiology: The operating rooms at BGMC 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.
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.
Radiology: This combined module offers one-on-one sessions with attending radiologists.
Observation Medicine: Develop clinical expertise in the care of observation unit patients
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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 BGMC.
The ED patient population at ECMC differs from that at BGMC. 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 BGMC.
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Off service rotations at ECMC include the following:
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.
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.
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.
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.
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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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 WCHOB ED.
Women & Children's Hospital of Buffalo recently opened a brand new Mother-Baby Unit, with14 additional single rooms with private showers and enhanced amenities, and the completely renovated Labor & Delivery Unit with dramatically improved aesthetics throughout, including
Off service rotations at the WCHOB include the following:
each patient room.
Map of Children's Hospital of Buffalo
- Pediatric Intensive Care
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The patient population at Millard Fillmore Suburban differs considerably from that seen at the Buffalo General Medical Center 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.
In recognition of the growing needs of the community, Millard Fillmore Suburban recently completed a two-year, $64 million expansion, which added more than 100,000 square feet to the hospital. This expansion will minimize wait times, expand services, and afford more modern and comfortable accommodations to patients and visitors.
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Millard Fillmore Gates Circle Hospital is moving to a new location! As of 6 a.m. on Wednesday, March 28, all the services and staff that made Millard Fillmore Gates Circle Hospital great will move to the new Gates Vascular Institute and Buffalo General Medical Center, less than two miles away.
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The emergency medicine rotation at UMMC 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, UMMC 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.
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The Buffalo Veterans Affairs (VA) Medical Center is a 199-bed general medical and surgical referral center providing comprehensive medical, surgical, mental health and long term care services through a full range of inpatient and outpatient programs. Opened in 1950, the Buffalo facility is the principal referral center for cardiac surgery, cardiology and comprehensive cancer care, serving Central and Western New York and Northern Pennsylvania. In 1990, research capabilities were markedly expanded with the opening of a 38,000 square foot research building. Starting July 2012, the EM residents will complete an ED rotation here.
Map of Buffalo VA Medical Center
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