Emergency Medicine

At William Osler Health Centre we have 2 Emergency Departments namely : Brampton Civic Hospital and Etobicoke General Hospital.

Both hospitals have an extremely busy, high-acuity urban emergency department. The resident will be exposed to a wide variety of clinical encounters, including major trauma, advanced cardiac resuscitation, pediatrics and complex medical patients; in addition, there is a large volume of minor trauma and a significant opportunity to hone procedural skills.

The emergency medicine clinical teaching units (CTU) have a dedicated group of experienced physicians who are enthusiastic about teaching. Residents will have the opportunity to work one on one with a number of different clinicians during their rotation. The size of the CTU ensure that there will be little or no overlap with other learners, so that the resident is free to participate in the care of any patient who presents to the ED during their shift. Residents will also have the opportunity to go on ambulance transfers with critically ill patients, if they wish.

The shift schedule in emergency medicine is very generous, offering a considerable amount of free time; this will give the resident the opportunity to read around cases, pursue other academic interests, and enjoy life outside residency. We recognize that the practice in our ED is intense and emotionally demanding, and we urge residents to use their time in between shifts to recharge and relax.

We encourage residents to prepare a brief case presentation during each month of their rotation based upon a clinical experience they had in the ED; this case will then be presented at our monthly emergency department rounds. In addition to these rounds, residents are welcome to participate in the many educational events that occur at William Osler Health System.

Electives in Emergency Medicine are coveted for many reasons.  It is extremely busy with approximately 135 thousand visits a year.  There are more than 52 thousand visits that are CTAS 1 or 2, while Credit Valley Hospital and New York General Hospital are around 35 thousand.  Residents work mostly in the acute sections of the ER.

There is significant variety of clinical diseases including tropical diseases, toxicology, cardio-pulmonary resuscitations and about 30% pediatric patients.

There are a great deal of procedures including intubations, temporary pacemaker placements and line placements.  Orthopedic and Plastic Surgery procedures are always present and there is no need to share with other learners.  Faculty with specialized interest and expertise in echo-guided resuscitation is also present.

The main reason that this remains a favourite core ER rotation for many McMaster FRCP residents is the one to one teaching with enthusiastic and engaged faculty.

Why do an elective at Brampton Civic Hospital?

Busy : ~135 K visits a year (> KGH +HDH combined)

High Acuity : >52K visits are CTAS 1 or 2. (by comparison CVH and NYGH at around 35k). Residents work mostly in acute section.

Variety : ~30% peds, lots of tropical disease, toxicology, trauma, cardio-pulmonary resuscitations

Procedures : Lots of them. Intubations, lines, pacers, orthopedic/plastics procedures. No need to share.

Cardiac/Lung Ultrasound : Opportunity to work with staff with special interest and expertise in echo guided resuscitation.

1 on 1 Teaching : Favorite core ER rotation for many Mac FRCP residents.

Contact information for Osler and Non-Osler Residents wishing to sign up for an elective at BCH.

CTU Director: Dr. Phil Vayalumkal

px.vayalumkal@utoronto.ca

 Administrative Assistant: Marta Kozakowska

Marta.Kozakowska@williamoslerhs.ca

Why do an elective at Etobicoke General Hospital?

Busy: One of the busiest community Emergency Departments in the GTA with 75-80K visits per year and growing.

High Acuity: High volume CTAS 1 and 2 cases. Residents encouraged to work up and manage high acuity patients including trauma and cardio-pulmonary resuscitations.

Variety: Closest urban community ED to Lestor B. Pearson International Airport. Interesting pathology from tropical and aviation medicine including high volume paediatric and toxicology cases.

Procedures: Many opportunities for basic and advanced procedures including joint relocations, fracture reductions, chest tube insertions, intubations, central lines, and ED ultrasound.

Teaching: 2-3 residents per month allowing for maximum clinical exposure and bedside teaching. Residents completing 2 month electives have the opportunity to spend a dedicated period of time with an ED Orthopedic technician during their second month.

Contact information for Osler and Non-Osler Residents wishing to sign up for an elective at EGH.

CTU Director:  Dr. Kamil Haider

Kamil.Haider@williamoslerhs.ca                  

Administrative Assistant: Luciana Laviola

luciana.laviola@williamoslerhs.ca