Truman Medical Center – Hospital Hill
Truman Medical Center is the primary training site for the Emergency Medicine Residency. The Department of Emergency Medicine has held full departmental status since 1972 and is solely responsible for the operation of the Emergency Department. In addition to Emergency Medicine and Trauma Services, Truman is known for its Asthma and Women’s Health Centers of Excellence. Other areas of strength include Diabetes Care, Oral-maxillofacial surgery, Ophthalmology, and High-Risk Obstetrics.
In 2005, the emergency department completed a major renovation and expansion. The department now has 48 beds divided into several areas. There are 31 acute care rooms used for patients with significant medical or surgical problems. A seven bed special needs area is designated for patients who are intoxicated or have psychiatric problems. Seven beds are currently used for urgent care. The major resuscitation area has three large major case rooms that are utilized for major trauma and medical resuscitations. All areas are flexible in the types of patients they can care for and all have cardiac monitoring capabilities with central monitors. A family consultation room, a radiology area with fully digital radiographic imaging and display and including a 128 slice CT scanner, and three point of care testing laboratory facilities are also located within the ED, in addition to offices for social services staff and consultant physicians. The Department has fully integrated electronic medical records including computerized physician order entry (CPOE.)
An attending staff physician is on duty in the Emergency Department 24 hours per day; there is double staff coverage at least 16 hours/day and 24 hours/day on most weekdays. There are 2-3 APPs each day from 10am-10pm who work in the triage and urgent care areas.
Each shift is staffed by a minimum of three EM residents (2nd and 3rd year) and a combination of first-year residents, rotating residents, and medical students. These shifts are 7am-3pm, 3pm-11pm, and 11pm-7am. On weekdays there is also an additional teaching/administrative PGY-3 resident from 12pm-8pm.
There are dedicated admission personnel for bedside registration for all emergency patients. A medical social worker is in the department most of each day. There is also a behavioral health specialist on-site seven days a week. Spanish translators are always also available on site. We have added nursing case managers who assist with the admission, discharge, and follow up process for our patients.
Children’s Mercy Hospital
Since 1897, Children’s Mercy Hospital in Kansas City has been the pediatric provider of choice for families throughout Missouri and Kansas. Working closely with pediatricians and hospitals throughout the region, Children’s Mercy makes the highest quality pediatric expertise available for non-critical illnesses, as well as serious acute and chronic conditions. Children’s Mercy is committed to providing service excellence and efficiency to everyone it serves. CMH achieves this through leadership in education, research and clinical care; all focused exclusively on children and their unique needs. It is a not-for-profit hospital, providing more than $20 million in charity care each year.
EM residents complete three dedicated blocks of Pediatric Emergency Medicine at CMH each year of residency, as well as working a few shifts during each month they are assigned to the TMC Emergency Department. PICU and NICU rotations are also done under the auspice of CMH.
Saint Luke’s Hospital
Saint Luke’s Hospital is a 480-bed tertiary care hospital offering many specialized programs and services. The network of 550 skilled physicians represents more than 56 medical specialties and sub-specialties. Special strengths are the Level I Trauma Center and Level III Neonatal Intensive Care Nursery, the highest designations in the state, comprehensive cardiac treatment in the Mid America Heart Institute, a regional Center for High Risk Maternity Care, Ambulatory Surgery Center, Cancer Center, a Stroke Center, a state-designated Regional Arthritis Center, Sleep Lab, Sexual Assault Treatment Center, and Kidney Dialysis/Transplant Center.
The emergency department sees both adult and pediatric patients. EM residents rotate at Saint Luke’s for some specialty rotations: Pulmonary ICU, Neuro-ICU, Anesthesia, and Cardiology. They also complete a 2-week community block in the Emergency Department at Saint Luke’s.