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Resident Interviews

 

Program: East Carolina University

Location: Greenville, NC

Years: 3

Class Size: 12

Resident Responding: Allen Holmes, Chief Resident

Date of Response: June 2006
 

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1. What makes your program different from other programs, or what made you choose your program? 

     I chose ECU because my primary criteria for a program was one that would make me an excellent clinician that could handle any patient that came into my community ED, where I planned to practice.    ECU is somewhat unique in that there is an almost equal amount of academic and private physicians that we as EM residents work with.  That provides a diverse experience in both working with consultants as well as the patient population.

2. If not answered above, what's the best aspect of your program?

     The diversity and acuity of the pathology.

3. Are there any major upcoming changes to your program?

     We recently changed Chairmen (about 3 months ago).  And we are changing from 12 hours shifts to 9 hours shifts beginning July 1 2006.

4. Is there anything you would change about your program if you could?

     No.

5. How much are you responsible for blood draws, putting in IVs, etc.?

     We only do blood draws or IVs if the nurses (after multiple attempts) are unable to.   We have very strong ancillary staff, so we are freed from those duties, in order to concentrate on the patient and the pathology.

6. Do you learn mostly from attendings, other residents, or textbooks? Does this vary when you do off-service rotations?

     All residents present directly to the attending.  Most of our learning is from the attendings, although, of course we learn from each other as well as reading.

7. How does EMed rank in your hospital's hierarchy?

     Without bragging, we are at the top of the hierarchy.  Our program has been here for 25 years, and we are very well respected by the hospital as well as the other departments.

8. What are the perks that your school provides (PDAs, textbooks, conference fees, meal tickets, etc.)?

     We get a PDA, a copy of Tintinalli, travel expenses to SAEM as PGY 2 and ACEP as PGY 3, meal allowance to cafeteria each month.

9. How do you rate your rotations outside of the emergency department?

     I would say fair to good, with exception of Trauma, which is excellent.

10. What's the best elective you've done?

     A community ED elective. 

11. How much does your program focus on research?

     It is not a huge focus, in general.  However, there are constantly multiple projects and studies going on.  We have two board certified toxicologists that are frequently doing projects.  We also do a fair amount of bench research.  Other research interests are NEAR airway registry, public safety, domestic violence.  So, although research is not "shoved down our throats" opportunities are numerous.

12. What do you love and hate most about the city you're in?

     Love - great size (certainly not a metropolis), and only about 1 1/2 hours from the beach.

     Hate:  the city is growing in population, and so the infrastructure is lagging a bit.

13. Please describe your typical month in terms of work hours and days off.

     As of July 1, we will be doing 9 hour shifts (7-4, 3-12, 11-8) with an hour of overlap to clean things up and not see new patients.  Also a 12 hour swing shift from 12-12. PGY 1 approx 23 shifts per month.  PGY 2 approx 21.  PGY3 approx 19.   

14. How much time do you spend off-duty with the other residents?

     Quite a bit.  We are a pretty close knit group that has a lot of fun together outside the ED. 

15. Do you have any international experience?

     No.

16. What are your plans after residency?

     I will be practicing in a private democratic group at a community hospital that sees approx. 55k a year.

17. How prepared do you feel?

     Very. 

18. Is there anything you'd like to tell us that we haven't asked?

     Of course I am biased, but ECU rocks!  Even though ECU is located in a smaller city in rural NC, its catchment area, as the only tertiary referral center and Level 1 Trauma center, is 29 counties and over 1.2 million people.  So the pathology, experience, number of procedures, and teaching are second to none. 

19. Do you have any advice for current applicants, or is there anything you wish you'd known when you were applying?

     Do away rotations at places you think you may like to train.  It increases your odds of getting accepted, and it gives you an opportunity to really get to know a program. 
 

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