Thomas Jefferson University

Clinical Education

A well-rounded clinical experience is vital in the preparation of the emergency physician.  Our curriculum was designed to provide an intense clinical experience both in and out of the emergency department to assure the acquisition of the skills needed to practice the specialty. The rotations outside of the ED include the intensive care unit (ICU), pediatric intensive care unit (PICU), coronary care unit (CCU), trauma and trauma intensive care and labor and delivery. These rotations, coupled with the emergency medicine rotations throughout the three year residency, provide the resident with the skills necessary to practice emergency medicine.

Emergency Medicine Experience

The basis of training for the resident is the emergency medicine experience and it includes both the ED as well as the prehospital care setting.

The emergency medicine experience is divided amongst seven hospitals - Thomas Jefferson University Hospital, Methodist Hospital, Our Lady of Lourdes Hospital, The A. I. DuPont Hospital for Children, The Children’s Hospital of Philadelphia, Cooper Hospital and Paoli Hospital.  These seven settings provide the resident with a wide variety of clinical experiences and practice settings. Given that variety is inherent in the field of emergency medicine, this prepares the graduate for practice in practically any environment.

During the PGY-I year, the resident spends fiver months in emergency medicine at Thomas Jefferson University Hospital and one month at A.I. DuPont Hospital for Children. In the PGY-II and PGY-III years, the resident spends eight months in emergency medicine with approximately 60 percent of this time at Jefferson, 10 percent at Methodist Hospital, 10 percent at Our Lady of Lourdes Hospital and 10 percent at Paoli Memorial Hospital. 

Thomas Jefferson University Hospital

Thomas Jefferson University Hospital

Located in downtown Philadelphia, Thomas Jefferson University Hospital is a historic and nationally recognized hospital (including attaining MAGNET designation). Our state-of-the-science emergency department is a 28,000 square-foot facility which includes 60 acute emergency examination rooms, three resuscitation bays, a trauma operating room and our own dedicated radiology suite including a CT scanner. Additionally, the Emergency Department also oversees a separate observation/telemetry unit comprised of 23 beds. TJUH is a Level I Trauma Center as designated by the American College of Surgeons, and treats approximately 1400 major trauma cases each year. We are also a regional spinal cord injury center (treating approximately 1000 acute spinal cord injuries per year), an accredited Comprehensive Stroke Center and a NCI-designated cancer center. To add to these designations, our nurses won the 2017 Emergency Nurses Association’s Lantern Award.

The department treats more than 65, 000 adult and pediatric patients annually. Approximately 20% of all ED patients are admitted. Twenty-five percent of all TJUH admissions come from the ED and of those admitted to the hospital’s critical care units, 25% have been seen by the ED.

Incorporated into the EM rotation during the PGY2 and PGY3 years at TJUH is experience with Telehealth. Thomas Jefferson is leading the way with this innovative approach to interfacing with patients.  The resident experience is structured to allow for them to follow-up on their patients at scheduled times via the Telehealth platform. This unique opportunity blends patient care, quality improvement, interpersonal skills and practice-based learning principles. 

Methodist Campus

Methodist Campus

Located approximately 5 miles from Main Campus, the Methodist Campus of TJUH provides acute care services to the South Philadelphia community. The ED is a modern, 12,000 square-foot facility which includes 19 acute emergency examination rooms and a four bed fast track area. The department treats 43,000 patients per year, of which 12% are pediatric patients.

Patients requiring a higher level of service (including acute neurosurgical intervention, acute stroke, major trauma, cardiac catheterization, obstetrical services) are transferred to Main Campus by JeffSTAT (Jefferson’s Prehospital and Emergency Medical Services provider).

Our Lady of Lourdes Hospital

Our Lady of Lourdes Hospital

Our Lady of Lourdes Hospital is located approximately 5 miles from TJUH in Camden, NJ and represents another community EM experience. The annual volume is 43,000 visits per year.  One quarter of the patients seen in the ED are admitted to the hospital. What makes this site unique is the relatively high (20-25%) percentage of pediatric patients when compared to the typical ED. This experience allows the resident to see pediatric patients in a non-pediatric hospital setting.

A.I. Dupont Hospital

A.I. Dupont Hospital

The A.I. DuPont Hospital is TJUH's children's hospital and is located approximately 45 minutes south of Philadelphia in Wilmington, Delaware. The emergency department sees approximately 42,000 pediatric patient visits per year. The EM resident will spend one month in the ED during their first year along with one month in the intensive care unit and one week in anesthesiology during their second year.

The Children's Hospital of Philadelphia

The Childrens Hospital of Philadelphia

This world famous pediatric hospital is located approximately 2 miles from TJUH. The department sees over 90,000 pediatric patient visits per year and is one of two pediatric hospitals in the city of Philadelphia. The EM resident spends one month in the ED during both their second and third years.

Paoli Hospital

Paoli Hospital in Paoli, Pennsylvania, is a community hospital situated in the suburbs of Philadelphia. The hospital has a 28 bed ED and a total of 240 inpatient beds. It is the only trauma center (Level 2) for all of Chester County and serves a750 square mile area with a population of 491,000. Residents have the opportunity to participate first-hand, while working under the supervision of community emergency physicians, in a pure suburban community hospital experience (aside from Podiatry, there are no resident physicians at the hospital). In addition, residents have a unique trauma experience. TJUH Department of Surgery operated the trauma service with no other residents. Residents have the opportunity to work directly with our trauma surgeons under their supervision and run all trauma codes.

Emergency Medical Services

Emergency Medical Services

Thomas Jefferson University Hospital is a medical command base hospital for the City of Philadelphia and provides medical direction for the Philadelphia Fire Rescue System (the main prehospital care provider for the city of Philadelphia).  It is also the home the the JeffSTAT Paramedic Training College. Jefferson and Methodist are also major receiving hospitals for Philadelphia’s emergency medical service squads.

The Emergency Medical Services experience includes direct contact with prehospital personnel, on line telephone medical command, ground transport experiences and provision of health care at mass gatherings.

image of Jefferson

The PGY 1 resident has a one-week rotation that is incorporated into the intern year.  During this time, the resident rides along with prehospital care transport through Philadelphia Fire Rescue.  They also spend a day in the Philadelphia Fire Rescue Communications Center learning about the operational aspects of prehospital care. .   

In preparation for providing daily online medical command in the third year, residents complete a base station medical command course. The PGY 3 residents function as medical commander for six advanced paramedic units and are responsible for answering the medical command phone.

One unique experience at Jefferson is the provision of on-site medical command at mass gatherings. PGY3 residents provide medical direction to paramedics and EMTs at mass gatherings at events at venues such as Citizens' Bank Park (Philadelphia Phillies, concerts), Lincoln Financial Field (Philadelphia Eagles, Army-Navy, concerts), and a variety of other events throughout the city.

Dr. Christopher

Theodore A. Christopher, MD, FACEP
Professor and Chair, Department of Emergency Medicine

Robin Naples, MD

Robin Naples, MD
Residency Program Director
Department of Emergency Medicine

Dimitrios Papanagnou

Dimitrios Papanagnou, MD, MPHL, EdD(c)
Vice Chair, Education
Department of Emergency Medicine

1020 Sansom Street
Suite 239
Philadelphia, PA 19107

We participate in the National Residency Match Program and utilized the Electronic Residency Application Service (ERAS).

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