Stanford/Kaiser Residency Curriculum

We have invested great thought into designing a four-year curriculum that maximizes opportunities for our residents to grow as clinicians, researchers, and leaders. The ACCEL program is also integrated through all four years.

FIRST YEAR

The first year starts with a 4-week orientation to familiarize interns with the emergency department, refresh emergency medicine topics, provide hands-on skills labs, and foster connections with classmates. Rotations during the intern year cover the essential areas of emergency medicine, as well as Neonatal ICU and Medical ICU. Interns also begin to explore ACCEL.

Blocks are 3-4 weeks.

  • Orientation: 1 block

  • Emergency Medicine: 4 blocks

  • Pediatric EM: 1 block dedicated (other blocks also include pediatric exposure)

  • Trauma: 2 blocks

  • MICU:  1 block

  • Anesthesia: 1 block

  • Orthopedics: 1 block
  • 
CCU: 1 block
  • 
Ob/Gyn: 1 block

  • NICU: 0.5 block

  • ED Ultrasound: 0.5 block dedicated (also integrated into other areas)

  • Selective: 0.5 block
  • 
Vacation: 1 block

SECOND YEAR

Residents spend the majority of this year in the emergency department  and ICU's, learning how to multi-task. Residents are given additional ACCEL time for further experience in their niche of focus or clinical elective.

  • Emergency Medicine: 8.5 blocks

  • MICU: 1 block

  • SICU: 1 block

  • PICU: 1 block

  • QI project: 0.25 block
  • 
Selective: 1 block

  • Vacation: 1 block

THIRD YEAR

Residents refine clinical skills  through increased graduated responsibilities. Residents have clinical elective time and ACCEL time to develop expertise in a sub-specialty.

  • Emergency Medicine: 8.5 blocks
  • 
Pediatric EM: 1 block
  • 
Critical Care: 1 block

  • Fast Track: 0.5 block

  • EMS: 0.5 block

  • Selectives: 2 blocks

  • QI Project: 0.25 block
  • 
Vacation: 1 block

FOURTH YEAR

Our goal is for residents to transition to even greater autonomy, with additional supervisory and graduated responsibility within our new state of the art emergency department projected to open in fall 2019. 

  • Emergency Medicine: 8 blocks

  • Pediatric EM: 1 block

  • Critical Care: 1 block

  • Selectives: 2.5 blocks

  • QI Project: 0.25 block

  • Vacation: 1 block

CORE CONFERENCE

Residents are excused from clinical duties every Wednesday morning to attend 4 hours of educational programming. Lectures and workshops are conducted by emergency medicine faculty, visiting faculty, and residents from all stages of training. Curriculum includes joint lectures with other training programs (e.g. critical care, surgery, pediatrics, and internal medicine), as well as topics such as:

  • 
leadership
  • career planning
  • insurance
  • medicolegal issues

 

Grand Rounds (given by outside invited leaders in emergency medicine), EM-ICU case conference, Trauma case conference, and Pediatrics case conference are held monthly.

In addition to lectures, core conference includes:

Airway Labs

National experts teach hands-on advanced airway techniques, including fiberoptics, intubating LMAs, glidescopes, trachlights, cricothyrotomy kits, and more on mannequins and cadavers.

Cadaver Labs

Residents practice advanced procedures, including chest tubes, thorocotomies, cricothyrotomies, lateral canthotomies, DPL, central lines, and more.

Simulation

In our state-of-art adult and pediatric simulation centers, residents manage progressively more complex cases, including multiple patient scenarios and difficult critical care codes.

Ultrasound Labs

Hands-on labs teach basic (FAST, aorta, cardiac, gallbladder, renal) and advanced ultrasound techniques (venous access, orbital, procedural, etc); as well as rapid ultrasound in shock.


JOURNAL CLUB

Journal Club, held one evening a month, allows residents and faculty to connect in an informal setting. Emphasis is on learning to critically read medical literature, foster discussion, and evolve residents’ medical practice. Journal Clubs also include joint meetings with other programs (e.g. pediatrics, internal medicine, surgery).