Emergency Medicine Residency Program

Subspecialty opportunities

Loma Linda University Medical Center (LLUMC) prides itself on the vast array of additional experiences offered during residency training. Residents are actively involved in fields of emergency medicine that many other programs can't provide. Attendings with years of experience in the arenas of international emergency medicine, EMS/tactical/event medicine, wilderness medicine, ultrasound, and research enthusiastically involve EM residents at all stages of training.

  

INTERNATIONAL EMERGENCY MEDICINE (IEM)

CanoesLLUMC boasts the oldest international emergency medicine fellowship in the nation, providing residents unique opportunities not found in most emergency medicine residency programs. Directed by Debbie Washke, MD, the international emergency medicine program is actively working abroad throughout the year. The program plans and executes both humanitarian medical expeditions as well as projects designed to teach the practice of emergency medicine to countries developing the specialty. Interested residents are active participants in all aspects of these projects and many residents take the opportunity to travel and work abroad during their residency.

International Emergency Medicine Fellowship

Photo: Dugout canoes - Solomon Islands

  

EMERGENCY ULTRASOUND (US)

Ultrasound ScanThe Loma Linda University Department of Emergency Medicine offers a one-year fellowship in Emergency Ultrasound. The faculty in the Department of Emergency Medicine has been actively using ultrasound in their practice and publishing the results of their research since the mid 90’s.  The curriculum for the fellowship follows the guidelines established by the American College of Emergency Physicians Ultrasound Section.  Fellows in Emergency Ultrasound will become proficient in its application through protected, clinical time devoted solely to ultrasound;  furthermore, the Department of Emergency Medicine has also hired a sonographer who is able to provide advanced instruction in the ED on actual emergency patients one day a week.  All ultrasound scans performed in the ED are stored on the medical-center wide DICOM system.  Fellows will also develop the teaching and research skills necessary to become leaders in academia and the community.  Our fellows have the opportunity to teach ultrasound to a range of learners, from first year medical students to our senior residents, and are also expected to complete one scholarly project during the year.  Administrative experience, including QI of ultrasound scans, is part of the curriculum for fellows.  Fellows also work clinically as attending physicians in the Loma Linda ED and as members of the attending staff, fellows have a wide range of opportunities to participate in all of the activities of the Loma Linda Department of Emergency Medicine.

  

EMS / TACTICAL / EVENT MEDICINE (EMS)

Hoisting into helecopterFaculty physician Jeff Grange, MD coordinates the excellent opportunities offered by the program in EMS, tactical emergency medicine, and event medicine. EMS opportunities are available at both the local and national level. All residents can actively participate in pre-hospital training and education, as well as teaching ACLS, ITLS, and ATLS. See the Center for Prehospital Care web pages for further information about the EMS experience at Loma Linda.

Additional experiences available to interested residents include participation in the nationally deployed DMAT team, assuming positions as local medical directors for prehospital agencies, and disaster planning.  A new multimillion dollar project has brought a mobile telemedicine vehicle to the Loma Linda emergency department which has been implemented in disaster medicine training.

 

In addition to the activities listed above, interested residents are afforded the opportunity to actively participate in tactical EMS development and implementation. Local law enforcement agencies include physicians in both the education and tactical participation of their SWAT teams. Additionally, the San Bernardino County Sheriff's department provides mechanisms for physicians to become either citizen volunteers or deputized sheriffs. Both citizen volunteers and deputized sheriffs are able to then actively participate in the helicopter search and rescue teams.

Event medicine training opportunities are among the best in the nation due to Loma Linda's close associations with local concert venues and racetracks. The Glen Helen Racetrack is known for it's motorcross events while the San Manuel Pavilion, the country's largest amphitheater, is famous for hosting large outdoor concerts and gatherings. Click on the links below to see some of the events at these busy venues.

Photo, above left: LLU resident physician undergoes training with the San Bernardino Sheriff's Air Rescue Team. Right: A resident physician takes a break from duties to experience a lap on the track.

Glen Helen Racetrack

San Manuel Amphitheater

 

 WILDERNESS MEDICINE (ENVENOMATION) 

Animal Planet filming

Situated in the largest county in California, LLUMC is ideally located for wilderness medicine training. The local San Bernardino National Forest, nearby coastal communities, Mojave Desert, and regional mountains provide residents with extensive Wilderness Medicine opportunities. Much of the training and education in this field is overseen by Dr. Sean Bush, one of the world's foremost authorities on envenomations and star of Animal Planet's "Venom ER." A one year envenomation fellowship run by Dr. Bush was first implemented July 2006.  Additionally, the active international EM program at LLUMC integrates nicely with wilderness medicine by providing opportunities for residents to participate in personal expeditions in high altitude, jungle, and desert environments while overseas.

Photo, right: Sean Bush during filming of "Venom ER" for Animal Planet.

RESEARCH

The emergency medicine residency research program provides residents with a number of opportunities to participate in selected areas of interest. Loma Linda University emphasizes clinical research, leading the nation on such pertinent topics as sedation,  event medicine, international medicine, and pediatric emergency medicine. Animal and basic science research are also readily available within the University. The department has published significant numbers of peer-reviewed articles and citations in the last three years.