Department of Emergency Medicine
Orlando Regional Medical Center
1414 Kuhl Avenue
Orlando, FL 32806-2093
(407) 237-6329
Fax: (407) 649-3083
Email: sal.silvestri@orlandohealth.com
Home page: www.OrlandoHealth.com/EMResidency
Department Chairman: Gary A. Parrish, MD, FACEP
Academic Chairman: Jay L. Falk MD jay.falk@orlandohealth.com
Program Director: Salvatore Silvestri, MD sal.silvestri@orlandohealth.com
Assistant Program Director: John F. O'Brien, MD job2rob@gmail.com
Contact Person and Phone: Ann or Mary; phone: 407-237-6329 ann.hill@orlandohealth.com and Mary.McNatt@orlandohealth.com
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Program Type: 1,2,3
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Year Started: 1986
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Combined Programs: No
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Institutional Status: Department
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Institutions:
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Primary
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Secondary
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Name(s):
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Orlando Regional Medical Center
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Number of beds in hospital
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581
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Number of beds in E.D.
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59
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Number of adult patient visits per year
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66,968
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Number of pediatric patient visits per year
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24,769
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Overall admission rate (% of total visits)
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29%
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Acuity: ICU admission rate (% of admissions)
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7%
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Number of months (ED/total) at institution
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20
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Distance from primary site
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Faculty
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Full time: 21
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Part time: 0
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EM residency trained: 17 (Three faculty are primarily Pediatric / Pediatric EM trained)
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EM Board certified/eligible: 21
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Women: 5
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Minorities: 5
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R1: 14 - 14
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R2: 14 - 14
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R3: 14 - 14
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R4: - -
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Women: 25
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Minorities: 6
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Applicants with previous training considered? Yes
Interviews: By invitation after completed application. Interview days are Tuesdays or Thursdays beginning at 7:00 a.m., include conference, faculty/director interview, lunch with residents, and facility tour. Day ends by 2:00 p.m. November - February.
EMS Exposure: Base station MD for ground and helicopter units. Field exposure at scene accompanying duty officer of the day in large urban paramedic system. Paramedic teaching. Didactic program in core curriculum. Faculty members recently appointed EMS medical directors. Expanded role for residents in EMS development. EMS Fellowship started July 2007.
Aeromedical Program: Yes, residents may ride on helicopter missions - not required.
Research Director(s): Philip A. Giordano MD pgiordano@cfl.rr.com Phone: 407-237-6329 Fax: 407-649-3083
Resident Requirement? Completion of scholarly project required.
Laboratory space/resources available to EM residents? No
Current research activities (list no more than 3 focus areas and the number of peer-review publications in last 3 years, please do not submit bibliographies): (1) Traumatic Brain Injury issues; 3; (2) EMS 9; (3) Soft tissue infections and antibiotic use. 2; 71 peer review publications in last 3 years.
Curriculum (* rotation at other than primary institution)
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PGY 1
Orientation 1 mo
ED 3 mos
Int Med 1 mo
MICU 1 mo
OB/Gyn 1 mo
Ortho 1 mo
Anesthesia/Ultrasound 1 mo
Trauma Surg 2 mos
Peds ED 1 mo
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PGY2
ED 6 mos
Crit Care Med* 1 mo
Peds ICU 1 mo
Surgical ICU 1 mo
EMS 1mo
MICU 1 mo
Elective 1 mo
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PGY3
ED 8 mos
Teaching Resident 1 mo
Community ED 1 mo
Elective 2 mos
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Elective program features: Full range of electives on and off campus. Extensive visiting professor program.
Other curriculum features: 24 hour contemporaneous double or triple attending clinical supervision in a resident run department. Excellent patient population with wide spectrum of age, illness, and socio-economic class and overall high acuity level (2500 multiple trauma admissions per year). Faculty with special expertise in toxicology, pediatrics, internal medicine, critical care medicine, EMS, ultrasound and research. Separate pediatric ED supervised by Peds EM faculty integrated into the program. High fidelity simulation is now incorporated into our educational curriculum.
Pediatric exposure:
% of ED pediatric visits: 28%
Pediatric inpatient months: 1 Ward, 1 PICU, 1 Peds ED
Fellowships:
1) Administrative: PGY4 hospital salary and clinical hours with additional stipend. Active involvement in running multiple satellite EDs with focus on cost-effective care and Q/A. Training in the use of access database with focus on impact of informatics on clinical care and cost. EMS fellowship to begin July 1, 2007.
2) Ultrasound: The fellow is fully integrated into the residency ultrasound curriculum and will complete in excess of 800 bedside ultrasound exams in the course of the program. In addition, the fellow will develop expertise in DVD-based ultrasound exam review and will be prepared to function in an academic setting.
3) EMS: Partnership between local county government and Department of Emergency Medicine at ORMC. The fellow is an Orange County employee and serves in the capacity of Assistant Medical Director for the Orange County EMS System. Additional clinical time supplements the fellowship salary.
Level accepted: MS4
Reading material provided: Yes
Number of hours of formal didactics: 6 per week
EMS/Aeromedical experience allowed: yes
Director(s): Paula Mueller, MD
Rotation specifics: 4 weeks, free meals, housing provided at minimal fee. Full EM conference schedule including lectures specifically designed for students. Opportunity to participate in on-going clinical research projects. This is a unique program with a pleasant community hospital environment and an exceptionally well qualified staff.
Dues: ACEP for PGY1, PGY 2 and PGY 3
Subscriptions: Resident & Staff Physician
Book allowance: Yes
Conference stipend: PGY3 - full support for either national ACEP or SAEM meeting. Full support to present research abstracts.
Other: