Emergency Medicine Residency

Saint Louis University’s emergency medicine residency teaches fundamental skills, knowledge and humanistic qualities that constitute the foundation of emergency medicine practice.

Emergency Medicine Training

Our three-year training program challenges residents to achieve their best in an excellent scholarly environment and supplies highly trained emergency physicians both regionally and nationally.  

SSM Health Saint Louis University Hospital, an urban hospital with a high acuity emergency department, provides residents with an extensive, heterogeneous patient population from which to learn. Our large trauma volume provides an extraordinary clinical experience. A well- developed city prehospital system, the Missouri Poison Center located at SSM Health Cardinal Glennon Children's Medical Center, and aero-medical services provide excellent resources and learning opportunities for our residents.

The division's energetic faculty supervises the residents' clinical experience and teaches at the bedside to provide immediate feedback, along with weekly didactic sessions.

Through progressive responsibility, residents acquire the skills to manage the flow of an emergency department, learn administrative skills and apply team care treatment and management processes to their future careers.

They also develop additional skills as future teachers through mentoring of medical students in clinical and research settings. For example, in our one-of-a-kind Air Force C-STAR program, residents educate physicians, physician assistants and nurse practitioners in preparation for combat deployment. We also provide unique educational exercises in the simulation laboratory and cadaver laboratory.  

Saint Louis University's tradition of excellence in basic and clinical medical research are exemplified through a curriculum designed to allow residents to acquire the skills necessary to carefully assess the medical literature, understand research methodologies and develop and complete a research project. Residents may also participate in an undergraduate course, Introduction to Medical Research, which is taught by emergency medicine faculty and prepares interested individuals for a career in emergency medicine research.

Emergency Medicine Residency Program Didactic Curriculum

Follow-up Case Conference
This conference provides an interactive forum for discussion of a follow-up case of educational value. Case discussion is focused not only on the content of the eventual diagnosis but also on the decision-making process and the eventual outcomes of patients seen in the emergency department by residents that changed their practices. Every emergency medicine resident is required to present cases in cooperation with attendings and provide evidence-based presentations on those cases.
Interesting Case Conference (M&M)

 

This conference provides an interactive forum for discussion of a case of educational value. Case discussion is focused not only on the content of the eventual diagnosis but also on the decision-making process in evaluating critically ill patients with limited immediate data.

Core Content Lectures
The core content lectors reinforce the knowledge that is gained on clinical rotations as well as supplements the clinical experience. The first set of this lecture series is given by faculty members and residents and follows the core topic of the month. First-year residents present one lecture during the second half of the first year. Second and third-year residents present two lectures per year. The second set of this lecture series is presented by faculty members and covers additional core topics.
Journal Club
Held on a monthly basis, the journal club covers very timely topics in emergency medicine. It incorporates the Academic Life in Emergency Medicine (ALiEM) “52 articles in 52 weeks” and the current literature as recommended by Emergency Medicine Literature of Note, a website from the University of Texas. 
Joint Conferences  
 

Collaborative joint conferences are held in conjunction with other departments such as trauma services and internal medicine to discuss related areas of interest.

Simulation Sessions
 

Monthly sessions held at the simulation center in the School of Medicine focus on the core content of the month. They also include simulations of procedures and provide for team simulations with nursing staff and the trauma team.

Practical Anatomy Workshop
 A yearly procedure practical anatomy workshop is held in which all residents perform multiple procedures on cadavers. The procedures include lateral canthotomy, cricothyrotomy, tube thoracostomy, lateral thoracotomy, endotracheal intubation and central venous access.
Pharmacy Emergency Conferences
 

Monthly conferences by pharmacy staff cover a variety of pharmacotherapeutic topics. These conferences also try to focus on the core topic of the month.

Pediatric Emergency Conferences
 

Monthly conferences by pediatric emergency medicine faculty cover a variety of pediatric emergency medicine topics. These conferences also try to focus on the core topic of the month.

Emergency Medicine Grand Rounds  
In-depth monthly conferences by experts in their field cover a variety of emergency medicine topics. These conferences also try to focus on the core topic of the month. 
Bedside Teaching and Small Group Modules
In following the monthly topics throughout the year, there are several learning modules to be presented in small groups. These modules include basic and advanced EKG reading, emergency medicine radiology, ultrasound, EMS base station, quality assurance, mock oral exams and a mock malpractice trial. 
SLU Women in Emergency Medicine Event Series

Biannual events for the female faculty and residents cover the management of specific challenges related to being a woman in medicine. This series has explored topics such as work-life balance, contract negotiations and leadership for female physicians. It also celebrates the promotions of female faculty, new mothers and graduating residents.  

 
Research College: An Innovative Approach to Teaching Scholarly Work

This scholarly tract program, Research College enhances specialized research training thought to be essential to residency. All junior residents and two main research faculty members participate in the yearly curriculum. The curriculum focuses on collaborative and experiential learning through a mandatory group-based research study.

The college meets monthly during the academic year as a large group for one-hour meetings during protected conference time. The objective is to develop a linear curriculum of the clinical research process that can help residents develop scholarly work.

Through the research college, the residents collaborate on a single project to learn each step of the research process with the objectives to:

  • Develop a research question
  • Develop a protocol
  • Submit to the IRB
  • Perform data analysis and statistical review
  • Write an abstract
  • Prepare scientific writing and manuscript
  • Prepare for presentation

Bibliography

Racial differences in opiate administration for pain relief at an academic emergency department.
Dickason RM, Chauhan V, Mor A, Ibler E, Kuehnle S, Mahoney D, Armbrecht E, Dalawari P.West J Emerg Med. 2015 May;16(3):372-80. doi: 10.5811/westjem.2015.3.23893. Epub 2015 Apr 21.PMID: 25987909

Oligoanalgesia in blunt geriatric trauma.
Quattromani E, Normansell D, Storkan M, Gerdelman G, Krits S, Pennix C, Sprowls D, Armbrecht E, Dalawari P.
J Emerg Med. 2015 Jun;48(6):653-9. doi: 10.1016/j.jemermed.2014.12.043. Epub 2015 Mar 18. PMID: 25797941

Short answer question case series: a case of total body pain.
Normansell D, Dalawari P, Jang T. Emerg Med J. 2014 Dec;31(12):1027-8. doi: 10.1136/emermed-2014-203806. PMID: 25411399

Knowledge of alcohol impairment in boaters in southern Illinois.
Dalawari P, Scarbrough ML. J Emerg Med. 2014 Apr;46(4):567-71. doi: 10.1016/j.jemermed.2013.08.115. Epub 2014 Jan 17. PMID: 24440622

Neck pain and swelling in a young man.
Le LT, Dalawari P, Jang T. Emerg Med J. 2013 Dec;30(12):1058-9. doi: 10.1136/emermed-2013-203268. No abstract available. PMID: 24232005

Short answer question case series: noisy breathing in an adult.
Chong K, Dalawari P, Walline J, Jang TB. Emerg Med J. 2013 Oct;30(10):861-2. doi: 10.1136/emermed-2013-202934. No abstract available. PMID: 24014693

Short answer question case series: unique chest x-ray following blunt trauma.
Slater B, Dalawari P, Jang T. Emerg Med J. 2013 Jul;30(7):600-1. doi: 10.1136/emermed-2013-202775. No abstract available. PMID: 23765769

Rotation Schedule

EM I
Emergency Medicine Orientation One month
Adult Emergency Medicine* Four months
Pediatric/Neonatal Intensive Care Unit (PICU/NICU) - SSM Health Cardinal Glennon Children's Hospital One month
Pediatric Emergency - SSM Health Cardinal Glennon Children's Hospital One month
Orthopedic Surgery One month
Medical Intensive Care Unit (MICU) One month
Trauma Surgery One month
Adult Anesthesiology / Pediatric Anesthesiology One month
Obstetrics/Gynecology - SSM Health St. Mary's Hospital One month
 
EM II
Adult Emergency Medicine* Eight  months
Community Emergency Medicine - Belleville Memorial Hospital/St. Anthony's Hospital Two months
Pediatric Emergency - SSM Health Cardinal Glennon Children's Hospital One month
Surgical Intensive Care Unit (SICU) One month
 
EM III
Adult Emergency Medicine* Nine months
Community Emergency Medicine - Belleville Memorial Hospital/St. Anthony's Hospital Two months
Pediatric Emergency - SSM Health Cardinal Glennon Children's Hospital One month
Selective - (With program Director approval) One month
   
* One pediatric emergency medicine shift is done during each adult emergency medicine month.  
   

Facilities

Learn More About Our Facilities

Emergency Medical Services

Saint Louis University Medical Center prides itself on the close alliance of our local emergency medical services. Our prehospital brethren are considered colleagues for whom we hold great respect. During the emergency medicine residency, the resident will learn the capabilities and limitations of the prehospital system. While out in the field with various ambulance services, the resident will learn how to interact with a variety of emergency services personnel. The residents will observe the practice of emergency care in the prehospital environment. The resident will also attend regional medical advisory committees, learn emergency medical services (EMS) management and organization, and be able to establish 'scene safety.'

Upon successful completion of the residency, the resident will be expected to have a working knowledge of:

  • A. Communication system, radio configuration, dispatch and communication protocols. (Practice-based learning and improvement, system-based practice)
  • B. Patient care protocols. (System-based practice and medical knowledge)
  • C. Medical control, system quality assurance and skill maintenance. (System-based practice and medical knowledge)
  • D. Transport vehicles (type, availability).
  • (Medical knowledge, system-based practice)
  • E. EMS administration and quality assurance methods. (System-based practice and medical knowledge)

Our Emergency Medical Services Affiliates

Application Process

The emergency medicine residency program at Saint Louis University exclusively uses the Electronic Residency Application Service (ERAS).

The following materials must be transmitted to us through ERAS:

  • CAF (Common Application Form)
  • Dean's letter
  • Medical school transcript
  • Up to four letters of recommendation (with at least one from an emergency medicine physician)*
  • Copy of certified transcript of board scores
  • Personal statement

Each resident's application is reviewed and selected candidates will be invited to interview mid-November through late January.

The emergency medicine residency program at Saint Louis University participates in the National Residency Matching Process. Final selection of candidates who interview at Saint Louis University is made following the interview process with entry to the match scheduled the second week in February.

*Please be aware that emergency medicine faculty writing letters of recommendations should use the Council of Residency Directors (CORD) Standardized Letter of Evaluation (SLOE) form. This can be downloaded from the CORD website.