Training Sites
The residency program has grown over the years, and now has affiliation with four major medical centers in the Bay Area. This provides residents with clinical practice in diverse community and academic settings. In addition to providing outstanding emergency medicine experience, Stanford offers a world-class tertiary care exposure, while Kaiser offers an award-winning experience in managed care. Santa Clara Valley and San Francisco General provide exceptional county experiences in suburban and urban communities.
Stanford University Medical Center
The Stanford University Medical Center is comprised of the Stanford Hospital and Clinics, the Stanford University School of Medicine and the Lucile Packard Children’ s Hospital at Stanford. Because Stanford University Hospital was designed and built in the late 1950’s, priority has been given in recent years to replacing clinical facilities. This has included a set of new wings that opened in 1989 with 200 patient beds, with 65 of the rooms specifically designed for intensive and coronary care, facilities for state-of-the-art diagnosis and treatment, and a new 20-room surgical suite. The Stanford Hospital has 611 licensed beds and the adjacent Lucile Salter Packard Children's Hospital has an additional 240. The Emergency Department serves as the emergency care facility for both the Stanford Hospital and the Lucile Packard Children's Hospital, and is a Level I Trauma Center.
The Emergency Department, currently consists of 24 patient beds, and is undergoing expansion to 31 by Fall 2004. There are 8 critical care beds and a trauma suite with 3 beds. The volume of patients in the Emergency Department is 40,000, with very high acuity, including 2,000 traumas annually. Approximately 20% of the patients are admitted to the hospital. Nearly 10,000 of the patients are children; pediatric patients are routinely seen by Emergency Medicine residents while in the ED.
Kaiser Permanente Med Center
Kaiser Permanente Medical Center is located in Santa Clara, approximately 15 miles southeast of Stanford University.
The current facility is a 320-bed facility that serves over 240,000 Kaiser Foundation Health Plan (KFHP) members in Santa Clara County , and is a major affiliated hospital of the Stanford University School of Medicine. A new state-of-the-art hospital has been built and will be opening in 2007. The center will be a regional referral hub for cardiovascular and pediatric patients; with a new Emergency Department, large Observation Unit and Chest Pain Center. Kaiser Permanente Medical Center has independent residency programs in Internal Medicine, Obstetrics and Gynecology, and Podiatry. These are complemented by residents in other specialties from Stanford University . Medical student core clerkships in Emergency Medicine, Internal Medicine, Pediatrics, Obstetrics and Gynecology, and General Surgery are taught to Stanford medical students as well as visiting students from around the country, in addition to preparation for clinical medicine and other electives.
The current Emergency Department consists of a 14-bed Minor Injury Area in addition to the 22-bed main Emergency Department. The two areas combined see approximately 55,000 patients a year and another 15,000 patients are triaged to clinics. The busy Emergency Department is a major receiving site for Santa Clara County paramedic units.
At Kaiser Permanente, unique learning opportunities exist for the EM resident; these include a 1:1 faculty to resident teaching ratio in the Kaiser ED, a Sports Medicine Clinic, an Industrial Medicine Clinic and a Fracture Clinic, which are run in conjunction with the Minor Injury Clinic. There is a Health Sciences Library with over 7,000 volumes and over 300 journals available to the house staff. Additionally, there is an Emergency Medicine library and access to electronic journals in the department.
Health Management Organizations are an integral part of health care delivery in California . Approximately one out of every three Northern Californians is a member of the Kaiser HMO; this number continues to grow. We eagerly await an expanded, new Medical Center in Santa Clara , estimated at $500 million. The first components of this new center will open its doors in 2004 and the hospital/ED component is expected to open in 2006.
Santa Clara Valley Medical Center
Santa Clara Valley Medical Center is a full-service, 461 bed county hospital located in the heart of downtown San Jose. Serving a population of 1.4 million, the hospital provides high quality, cost-effective health care to all persons in Santa Clara County, regardless of ability to pay.
Medical Education is of primary importance at Santa Clara Valley Medical Center. The hospital has a full affiliation with the Stanford University School of Medicine, and as a major county teaching hospital, plays a significant role in residency education. The departments of internal medicine, obstetrics/gynecology, radiology, and pathology maintain their own, independent residency programs.
The Emergency Department, newly built in 1989, is a 29 bed Level 1 Trauma Center, seeing over 56,000 patients per year. There are approximately 1,500 trauma patients each year. With specialized trauma and resuscitation rooms, and the ability to monitor 14 acutely ill or injured patients simultaneously, the department is fertile learning ground for the medical students, interns, internal medicine and Emergency Medicine residents who rotate monthly.
Housed within the Emergency Department is one of Santa Clara County 's major paramedic bases. Handling over 5,700 paramedic calls per year, the Emergency Medicine residents get invaluable first-hand experience in the management of pre-hospital care.
In addition to the high level of medical services at Santa Clara Valley Medical Center , the hospital provides many regional specialty-care programs with a comprehensive spinal cord and head injury unit, an 8 bed regional burn center, a Level III neonatal intensive care unit, a chronic dialysis unit, and a high-risk pregnancy program.
San Fransisco General Hospital
The SFGH Emergency Department serves the city and county of San Francisco and is a busy Level I trauma center. There are 57,000 patients seen annually with 3,300 of those arriving as traumas.
The ED consists of five clinical areas (Eastside, Medical Ward, Westside Urgent Care, Westside Fast Track, and Observation Ward) containing 36 beds subdivided as follows:
- 4 critical care rooms
- 5 Eastside exam rooms
- 11 Medical Ward beds
- 8 Observation Ward beds
- 4 Westside Urgent Care rooms
- 3 Westside Fast Track rooms
The mission at the SFGH Emergency Department is to provide competent, humanistic, and cost-effective emergency and trauma care to adults and children, and to respect our patients' cultural, socioeconomic, religious, lifestyle, and educational differences.
Internal Staff Login