Emergency ultrasound is a strength of the NMCP EM Residency. We offer the latest equipment, access to faculty credentialed in the full range of emergency ultrasound applications and graduate residents who competently integrate these applications into their daily practice. Graduating residents are comfortable utilizing bedside ultrasound in all core emergency applications as defined in the 2008 American College of Emergency Physicians Emergency Ultrasound Guidelines including: trauma, intrauterine pregnancy, abdominal aortic aneurysm, cardiac, biliary, urinary tract, deep venous thrombosis, soft tissue/musculoskeletal, thoracic, ocular, and procedural guidance. In addition, motivated residents can gain experience in advanced ultrasound applications: advanced echocardiography, bowel/appendix ultrasound, adnexal pathology, regional anesthesia, and testicular. Our program recognizes that emergency ultrasound has extremely important tactical military applications and is committed to ensuring that every emergency medicine resident graduates with these proficiencies.
The department currently has four of the latest Sonosite ultrasound machines. Collectively, our residents perform more than 6,000 scans/year and that number increases annually. Our attending physicians are credentialed and a quality assurance program audits every ultrasound that is performed in the department. In 2012, the department developed an Emergency Ultrasound Faculty Development Program which trains one faculty member per year and mirrors the training and experience which normally accompanies a civilian Emergency Ultrasound Fellowship.
NMCP EM maintains the most robust international medicine program in the DoD Physician Graduate Medical Education system. This program provides an excellent opportunity for residents to assist in broadening the scope of both military and emergency medicine and the international face of Navy Medicine. NMCP EM International Emergency Medicine is a 2-4 week elective that can be pursued in the EM-3 or EM-4 years. The rotation is self-paced with lectures, current literature, web resources, travel health, and Navy predeployment standards to review prior to leaving for an international rotation site. The elective can be tailored according to resident interest and expertise. Recent location sites include the Dominican Republic, Panama, Bhutan, Ghana as well as evolving SOUTHCOM, AFRICOM, and other PACOM sites. International Medicine includes systems development (EMS, EM program development, training programs), humanitarian and disaster assistance (assessing needs and providing care in complex disasters, displaced populations, etc) and integration with civilian organizations (NGOs, Red Cross, UNHCR). The department also sponsors the only International Medicine Fellowship in the Navy.
Military Unique Curriculum
We pride ourselves as a Navy residency grounded in core military values, drawing on these values as a source of identity that separates us from other EM training programs. As such, we sponsor a robust multifaceted military unique curriculum dedicated to preparing our physician officers for their future careers in the Navy. These distinctive experiences and responsibilities include operational exercises and experiences, military unique conferences, advisor teams, the officer professional portfolio, organizational days, senior resident leadership positions, and operational capstone, among others.
Emergency Medicine Medical Student Clerkship
The Emergency Medicine residency is affiliated with the Uniformed Services University of Health Sciences in Bethesda, MD and provides an Emergency Medicine Clerkship as well as teaching at USUHS’s EM procedure and Ultrasound sessions. The EM clerkship is designed to provide medical students exposure to the practice of military emergency medicine via clinical shifts alongside teaching faculty and senior residents. Students also attend Wednesday academic conferences and are invited to attend our monthly journal clubs. While on clerkship, students receive small group instruction and hands-on training in emergency procedures at NMCP’s simulation center and at our monthly emergency procedures lab. Rotators routinely cite NMCP EM as the best opportunity to gain experience with procedures and learn important skills in emergent and acute first contact medicine.