At DRHEM, residents rotate through four different sites in the Detroit-Metro area, ensuring a comprehensive exposure to county, academic, and community environments. Most of their emergency medicine training occurs at Detroit Receiving Hospital, our Level 1 Trauma and Burn Center.
Detroit Receiving Hospital (DRH)
Level 1 adult trauma center in downtown Detroit
High-volume, high-acuity urban population
At DRH, virtually all admissions are initially evaluated and managed in the ED, and residents are primarily responsible for the care of nearly every patient. You will have ample opportunity to care for high-acuity patients with undifferentiated complaints and will be integrally involved in decision-making regarding diagnosis, treatment, and disposition. This is a patient population with diverse pathology and advanced stages of disease with plenty of opportunities for procedural and resuscitative experience.
Children’s Hospital of Michigan (CHM)
Level 1 Pediatric Trauma and Burn Center
Tertiary pediatric care + “bread-and-butter” pediatric emergency medicine
CHM is adjacent to DRH on the medical campus and is the site of integrated pediatrics training throughout the residency. In this high-volume pediatric ED, you will care for infants and children with presentations typical of an inner-city emergency department side-by-side with pediatric patients with long-term, complex medical conditions. You will have concentrated pediatrics emergency medicine training for two months in the first year, spend one month in the second year managing patients in the Pediatric Intensive Care Unit (PICU), and have integrated pediatrics shifts during each emergency medicine block of the second and third years in the high acuity pod of the CHM ED.
Harper University Hospital (HUH)
Tertiary referral center for complex medical patients.
Routine and high-risk obstetrics and gynecology
Also co-located with DRH, Harper University Hospital will provide you experience managing patients with complex malignancies, organ transplants, and end-stage medical conditions in the Medical Intensive Care Unit (MICU) as second-year resident. In the EM3 and EM2 years, you will also be responsible for evaluating, stabilizing, and managing these patients Harper ED shifts integrated into emergency medicine blocks throughout the year.
During the first year, you will rotate on the busy obstetrics service at Hutzel Women’s Hospital inside HUH, with plenty of opportunity to perform routine and high-risk deliveries and to manage the complications that occur during the peripartum period. You will also become facile with obstetrical ultrasound while evaluating patients who present with pregnancy-related concerns.
Huron Valley Sinai Hospital (HVSH)
Community-Focused Care
Located in Commerce Township in suburban Metro Detroit, Huron Valley Sinai Hospital provides a robust, high-volume, community emergency medicine experience that begins as a EM2 and continues longitudinally for the remainder of residency. Routine adult and pediatric cases are the norm here, with a greater focus on ED management as opposed to consultant management. Residents gain valuable experience performing many orthopedic and minor surgical procedures here in a practice representative of community EM. HVSH also houses the EM1 anesthesia rotation, where interns gain experience in routine airway management and regional anesthesia.