Residents receive excellent teaching both at the bedside and in formal conferences. The faculty are available in the department at all times, and staff cases with both junior and senior residents. Residents assume added responsibility and autonomy as their training progresses, but faculty backup is universal.

The didactic curriculum includes daily morning teaching rounds and a weekly five-hour Wednesday afternoon resident conference. In addition, the monthly four-hour Journal Club is held at faculty or resident homes and lends a family feeling to the residency. Meals are provided at most scheduled resident conferences. Residents are expected to come to conference each week and are relieved from clinical duties to attend on all outside rotations. The curriculum covers core diagnosis and management topics, critical case conference, weekly reading assignments, radiology and ECG conferences, and morbidity and mortality conferences. Each resident's critical case, procedure, and resuscitation experience is closely monitored, to assure proper breadth and depth of training. EMS education involves extensive hands-on patient care ride-alongs on ground ambulances with the busiest

paramedic units in the country.

By the end of the program, our residents have the following "Merit Badges": ACLS, BLS, PALS, ATLS. Many of the residents also gain instructor status for these courses, but this is not a requirement.

Residents are expected to give six formal presentations to their faculty and peers during the residency, offering ample opportunity to develop and practice teaching skills.