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Residency Curriculum

First Year

The first year of training provides residents with the skills and knowledge they need to become well-rounded physicians. A unique aspect of the first-year curriculum is the orientation program, which takes place in July and August. During the orientation month, the first-year resident spends clinical time in the emergency department (ED) and attends a special lecture/hands-on series intended to orient the resident to emergency medicine. Outside of the orientation month, first-year residents receive clinical training in a number of specialty areas including emergency medicine, burn, ultrasound, opthalmology, trauma, medical and cardiac intensive care, pediatric emergency medicine, airway management, and obstetrics. While assuming primary responsibility for patient care, first-year residents also receive close supervision and clinical teaching designed to permit them to reach their full potential as physicians. 

Rotation Schedule:

Johns Hopkins ED – 18 weeks
Johns Hopkins Pediatric ED – 4 weeks
Howard County General Hospital Pediatric ED – 4 weeks
Johns Hopkins CCU – 4 weeks
Johns Hopkins MICU – 4 weeks
Sinai Anesthesia– 2 weeks
OB - 3 weeks
Johns Hopkins Trauma – 2 weeks
Johns Hopkins Bayview Medical Center Burn Unit – 2 weeks
Ophthalmology / UltraSound - 2 weeks
Toxicology - 2 weeks
EMS- 2 weeks

Vacation - 3 weeks

Second Year

The second year of training builds on the foundation established during the first year. Residents gain experience in caring for critically ill patients and receive specialized training in pediatric anesthesia and intensive care, trauma, hand and EMS. This year also provides elective time during which residents may develop their individual interests. Second-year residents also begin to assume responsibility for educating medical students. At the end of this year, residents are well prepared to handle most emergency situations.

Rotation Schedule:

Johns Hopkins ED – 30 weeks
Johns Hopkins PICU – 4 weeks
University of Maryland Shock Trauma – 4 weeks
University of Maryland Shock Anesthesia - 4 weeks
Pediatric Anesthesia – 2 weeks
EMS – 2 weeks
Johns Hopkins Bayview Medical Center - Hand  Unit – 2 weeks
UltraSound – 2 weeks
Vacation - 4 weeks

Third Year

Third-year residents hone their clinical skills and continue the training needed to become qualified Emergency Medicine specialists. Residents continue to work in both academic and community settings, assuming greater responsibility for patient care. Each resident also serves as a Senior Administrative Resident (SAR). The SAR functions as a junior attending physician, developing teaching, supervisory and department management skills. Additional elective time is provided for the further pursuit of clinical or research interests, as well as dedicated time in toxicology training.

Rotation Schedule:

Johns Hopkins ED- 26 weeks
Johns Hopkins Bayview Medical Center ED – 8 weeks
Howard County General Hospital ED – 6 weeks (4 weeks Adult ED, 2 weeks Peds ED)
Elective – 4 weeks
Toxicology – 2 weeks
Research – 2 weeks
Vacation – 4 weeks

Fourth Year (Focused Advanced Speciality Training)

The final year of residency will be individualized depending on the interests of the resident and on the advice of their FAST Track advisors. Each resident will spend 1,008 clinical hours working in our ED's. This experience will occur simultaneously to a longitudinal professional development experience. The balance of their professional time will be devoted to developing expertise in their Focused Advanced Specialized Training. Each resident will choose a specialty area from one of our offered areas of expertise. Each track has a faculty leader, as well as clearly stated goals and objectives for the resident to work towards.

The Schedule:

1,008 total clinical hours per year; 21 hours per week.
Johns Hopkins ED -46 weeks
Howard County General Hospital Pediatric ED - 2 weeks
Vacation- 4 weeks



The Johns Hopkins Department of Emergency Medicine Residency Program
1830 E. Monument Street, Suite 6-100
Baltimore, MD 21287 · 410-955-5107



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