Emergency Medicine / Family Medicine Residency

The combined EM/FM program is one of two in the country, and has been in existence since 2009. Our program accepts 2 residents a year, and integrates two 3 year residencies into a 5 year period. The intern year for each residency is remarkably similar, so there is not much to distinguish the first year of the combined program. Thereafter, our residents alternate between ER and FM rotations in quarterly segments throughout the year, spending three months focusing on ER or FM rotations at a time. Residents fulfill the graduation requirements of each residency independently; there is nothing missed that one would be exposed to if only doing ER or FM training. This means that throughout the 5 years our residents receive weekly didactics in ER and also have a weekly FM clinic.

There are several complimentary aspects of combining ER and FM training; the FM training is strengthened by education in trauma management and emergency procedures (intubation, chest tubes, bedside ultrasound) and the EM training is broadened by increased pediatrics and Ob/Gyn exposure, as well as training in skin procedures and endoscopy. The intended result is the production of physicians who are well equipped to handle most circumstances which may present to a health care setting in a rural or suburban environment, presumably in an underserved area.

LSU Health Shreveport has the distinct advantage of being a safety net hospital, which translates into the healthcare net which addresses the needs of a largely underserved populace within roughly a 100 mile radius. This exposes our residents to a broad spectrum of pathology; besides getting plentiful exposure to "bread and butter" diseases like CHF, DM, and ACS, our residents thus far have seen more exotic diseases like Maple syrup urine disease, Caliphylaxis, and acute respiratory distress secondary to inhalation of snake venom. Our residents can expect to see a good representative sample of pathology which awaits them in their future practices, and they will be well prepared to care for the patients at the sicker end of the spectrum.

One of the most appealing aspects of the combined program is the people it involves - residents, faculty, and patients. Our faculty are extremely knowledgeable (some are authors of widely recognized texts), supportive, and understand the residents foremost as people. Additionally, our residents tend to be hard working, affable, and have a broad range of life experience. Finally, our patients are friendly and appreciative of the care they receive.

There is no call schedule for ER rotations. All offservice rotations have their own schedule, which generally ranges from Q3 to Q6 day call. Family Medicine ward rotations range from 4 to 5 calls a month, although the upper levels cover the intern call as well. This may add 2 to 4 call days a month, but the upper level only comes to the hospital to support the intern for ER visits or admissions. The usual schedule for call during FM rotations is overnight call 2 to 3 times per month.