Jackson Memorial Emergency Department, the main emergency department in the Jackson Health System helps make up the largest public hospital network in the nation. Jackson Memorial Hospital is a non-profit, tertiary care hospital and the major teaching facility for the University of Miami Leonard M. Miller School of Medicine. Located at the UM/Jackson Medical Center, the emergency department treats more than 110,000 patients each year. Jackson Memorial Hospital also serves as a receiving hospital for the Caribbean and Latin America which exposes residents to a variety of clinical cases. Jackson’s ED is divided into 3 separate pods which each have over 20 beds. Each pod is fully equipped with personnel and medical equipment to manage and assess critically ill patients. Pod A manages all of the transplant patient and STEMI alerts, Pod B receives all of the stroke alerts as Jackson is designated as a Comprehensive Stroke Center by the AHCA and Primary Stroke Center by The Joint Commission and Pod C houses our designated 2 bed Resuscitation Bay where cardiac and pulmonary arrests are managed.
Holy Cross Hospital in Ft. Lauderdale provides residents with experience working in the community setting. The hospital is both a Stroke and STEMI center. The patient population is largely made up of elderly patients, however residents also see a variety of pediatric patients. PGY-2 and PGY-3 residents work shifts in ER triage, which is a fast-paced environment focusing on wounds care, fractures, and the like.
Holy Cross Hospital functions much like many community departments where efficiency and patient experience are emphasized. This offers residents a realistic view of the way that many departments function.
University of Miami Hospital is a 560-bed hospital located on the UM/Jackson Medical Center. Residents spend one 4-week block per year at UMH. PGY-1, residents rotate in the Medical ICU, PGY-2, the Cardiac ICU and PGY-3, the UM Emergency Department.
On ICU rotations, residents are an integral part of the team which typically consists of an ED resident, a pulmonary/critical care fellow, and an attending. Being a part of this small team allows residents to have more hands-on experience in the ICU.
In the UMH Emergency Department, seniors work side-by-side with the attendings. The focus is on further developing the senior residents ability to function independently in a busy academic emergency department.
One month of the PGY-1 year is spent at the Miami Veterans Health Association located on the UM/Jackson Medical Center. The VA is the medical home for a large proportion of the medically complex veterans residing in South Florida. This rotation offers an opportunity to spend more time with individual patients who have extensive medical comorbidities.
Known worldwide for its trauma care, Ryder Trauma Center is the only Level 1 trauma center in Miami-Dade County for adults and children. Founded in 1992, Ryder has been dedicated in saving the lives of people with critical injuries, treating approximately 3,600 victims of major trauma each year. Ryder provides the following services to trauma victims: resuscitation, emergency surgical intervention, intensive care, rehabilitation, and outpatient care. Ryder also provides care to a large number of international patients transferred from the Caribbean, South America, and Central America. As Emergency Medicine residents, we participate in the initial evaluation and resuscitation of patients, including procedural interventions under the guidance of the trauma team. We continue to manage patients while they are in the resuscitation bay until they are admitted or discharge from the center.
The following video is a video made by the Jackson Health system further describing the Ryder experience:
Holtz Children’s Hospital, located on the UM/Jackson Medical Center is one of the largest children’s hospitals in the Southeast United States. The emergency department houses 20 beds providing for all levels of emergency care. The ICU has 24 beds providing for critically ill kids from newborns to 21 years of age. A unique feature of Holtz is the ability to care for both local and international patients.
EM residents spend a 4-week block in the Pediatric Emergency Department each year. In addition, PGY-2 and PGY-3 residents do longitudinal shifts throughout the year. The ED is fully staffed with residents from EM, Pediatrics, and Med-Peds. Residents spend an additional 4-week block in second year as a member of the PICU team.
Here are some youtube links in regards to Holtz:
Emergency Department: https://www.youtube.com/watch?v=GjExXGzgrSg
Holtz Childrens Hospital: https://www.youtube.com/watch?v=zKdzpD5RCAI