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Letter from the Program Director, Why Choose a 4 Year Program, The Interview Process

A Letter from the Program Director
Welcome! I am happy that you found our website and are possibly considering us for your specialty training. I am proud of our program, and feel we offer an outstanding program for you to build the foundation of your career. I would like to mention a few things about our program, and then some suggestions as you move through this important time of audition rotations, applications and interviews.

Our program started in 1993 with twelve positions. We were originally accredited through the American Osteopathic Association (AOA).Our base hospital at that time was Flint Osteopathic Hospital. As often occurs, health systems develop and merge, and in 1997 our facility consolidated and moved to a new hospital in Grand Blanc, MI. This new facility, Genesys Regional Medical Center is our current base institution. Over the years our program has developed into a 24 resident program. In 2007 we became accredited by the Accreditation Council for Graduate Medical Education (ACGME). This means that we are recognized by both the AOA as well as the ACGME, and need to meet the rigorous standards of both organizations. We were the fourth emergency medicine residency program in the country to attain this dually accredited status. Today there are only a total of 5 such programs that hold this same standard. We feel that this together with an incredibly dedicated faculty and cohesive resident group is what allows us to offer a premier Emergency Medicine program in the country in which to train.

As a student entering the application process this can all be over whelming. I would offer a few suggestions of advice. The first recommendation is to apply early. We are catering to applicants who will go through the Osteopathic Match process as well as applicants that are going through the Allopathic Match. These matches occur about a month apart, but that means we need to expose ourselves to all applicants earlier, and that pushes our timeline up. Second, for any potential residency to which you are interested in applying, I would highly suggest spending time in that program’s emergency department. I know schedules are tight and some schools are more flexible than others, but investing some time at the department (even a day)will allow you to get a feel for the culture of the program, meet the residents and faculty in a less formal setting, and help you decide if this is a good “fit” for you. It also will demonstrate to the program your level of interest. Third, look at program quality. The education that you receive is going to mold you into the physician you will be for the rest of your career. Be willing to live with and sacrifice certain conditions if it means receiving the best educational foundation (yes, even a cold winter in Michigan). It will be worthwhile if you walk away with great emergency medicine clinical skills and being marketable to any emergency department anywhere in the country. The graduates of our program have received positions in states all over the US.

I hope this helps you as you move through this process. Please feel free to reach out to me or anyone in our program for information or advice (even if it is not about our program). Life is a long journey, and it is important that you make the best decisions in choosing the right specialty and the right program in which to train. Our job as educators is to not only educate, but to also help you make the decisions that are right for YOU. Best of luck and I hope our paths cross in the future.

Program Director

Why Choose a Four Year Program?
Why would you choose a 4 year program? There are both 3 and 4 year training formats for training in emergency medicine. The truth is there is no solid consensus on which is the best format to provide the best training for a career inemergency medicine. A good 3 year program is probably sufficient to minimally prepare a physician to practice emergency medicine. It comes as no surprise that residents are tired of being in school. They want to get out, be done,and make money. Many probablysee the extra 4th year as a $200, 000 loss of income. Objectively, however, emergency medicine has changed incredibly over the years. Our practice has morphed from a clinical scenario that was once filled by GP’s and dermatologists who were assigned by their medical staffto“ do their fair share” and work in the “ER” twice a month into a complex specialty practice. We now do things that weren’t even considered a few years ago. The body of knowledge and skills necessary to practice emergency medicine (ultrasound, procedural sedation, criticalcare, etc.) continues to grow every year. That doesn’t even include the incredible array of practice opportunities available and the fellowships that accompany them. Add to all of this the demands forhigh quality and the importance of safety, and youhave a recipe for mediocrity if training is limited to only 3 years. To end up with a satisfying career, residents need the extra time to considerall their options, to discover the possible avenues liketeaching, research, administration or involvement inadvocacy and policy making at state or national levels. Almost all positions now require physicians to contribute something other than just their clinical work. We believe that our four year program will allow the resident to not only maximally prepare for their practice in emergency medicine,but also will provide them with thefoundationandexperience to create a satisfying life long career that will give them the bestexperiencefor the rest of their life. Is an extra year that provides you with an optimal education, and prepares youfor all aspects of your professional and personal life allowing you to have maximum flexibility in the future worth it? That is a question a physician entering this specialty has to answer for themselves. Hopefully this perspective will help you make the best decision for yourself as you consider residency programs.

About the Interview Process
Our interviews are half-day sessions that include an introduction to the program, a tour of the emergency department and Genesys Regional Medical Center grounds, small sessions with various members of the Core Faculty and Chief Residents, an opportunity to speak with current residents, and a lunch that allows time to chat with faculty members and residents.

Upon arrival, intervieweesare greeted by the Program Manager and a group of current residents. Interviewees will thenbe providewith an introduction to the program and a basic overview. Interviewees follow a schedule that consists of several one-on-one sessions with various members of the Core Faculty as well as a session with our Chief Residents. These sessions are designed to allow interviewees to shine as an individual as well as ask any questions you may have. Between these sessions interviewees will be able to talk with current residents. We encourage you to ask anything that might be on your mind! We have all been through this process and know that it can be daunting--while we want to get to know eachinterviewee as an individual, the process is alsodesigned for you to know us as well! The day concludes with a tour of the department and a lunch. We hope you take the opportunity to experience what four years in our program looks like and to explore any and all questions and concerns you may have. To learn more about our program and requirements, visit the FAQ section of the website.


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