Louisiana State University School of Medicine Program

Program Overview and Philosophy

The Louisiana State University School of Medicine Program offers an innovative Combined Residency Program in Emergency Medicine and Pediatrics based in New Orleans, LA. Established in 2014, this program is one of only four in the United States that provides dual training in these distinct yet interrelated medical specialties1. The overarching philosophy is to equip residents with comprehensive skills to excel in both emergency and pediatric care, addressing a diverse range of medical challenges across various demographics1.

Upon completion, graduates are eligible to obtain board certifications in both Pediatrics and Emergency Medicine1. This dual certification advantage positions graduates for diverse career paths, including academic settings, private practice, and leadership roles within medical institutions. The program is committed to developing physicians who are proficient in handling acute medical scenarios while also emphasizing preventative care and wellness in pediatric patients.

Curriculum and Rotations

The program implements a meticulously structured curriculum that alternates residents between Emergency Medicine and Pediatrics. As interns, residents rotate every six months; as upper-level residents, the rotation frequency increases to every three months2. This alternating schedule ensures that residents gain a balanced exposure to both specialties.

PGY 1

• Pediatric Emergency Department (ED)
• Behavioral/Developmental Pediatrics
• Medical Intensive Care Unit (ICU)
• Obstetrics

PGY 2 to PGY 5

• Pediatric ICU
• Trauma ICU
• Medical ICU
• Rotations in various community settings
• Electives

Residents participate in robust didactic activities covering both domains. Additionally, educational experiences are enhanced with board reviews, journal clubs, and residency forums, supporting residents' academic and professional growth2.

Training Sites and Facilities

A plethora of training environments is available within the program, comprising renowned institutions like:

• University Medical Center New Orleans
• Ochsner Health System
• Slidell Memorial Hospital
• West Jefferson Medical Center
• Our Lady of the Lake Regional Medical Center
• Children’s Hospital of New Orleans
• Lallie Kemp Regional Medical Center
• Southeast Louisiana Veterans Health Care System
• Terrebonne General

These sites collectively provide a broad spectrum of clinical experiences, from a Level I Trauma Center to rural emergency medicine settings. This diversity enhances residents' ability to handle a comprehensive range of medical situations effectively3.

Application Requirements and Competitiveness

Candidates seeking entry into the program should be prepared for an intensive application process. All interviews for the 2024-2025 cycle will be conducted virtually. Applications are accepted through ERAS, with the following materials required:

• Medical Student Performance Evaluation (MSPE)
• Official medical school transcript
• Minimum of three letters of recommendation
• USMLE and/or COMLEX scores (USMLE preferred)
• Personal statement

Prospective residents must achieve a passing Step 1 score to be eligible for interviews, and a passing Step 2 CK score is necessary before the rank list certification1.

Visa Support

The program welcomes international medical graduates; however, specific visa support details are managed on a case-by-case basis. Prospective applicants should discuss their visa needs with the program during the application process to ensure compliance with residency requirements.

Research Opportunities

Participating in research is a cornerstone of the program, with residents encouraged to engage in multiple scholarly activities. Monthly Pediatric Emergency Medicine journal clubs foster a collaborative intellectual environment. Additionally, residents are involved in community projects targeting social determinants of health4. An extensive elective and selective period totaling 22 weeks allows for in-depth exploration of subspecialty interests, facilitating a well-rounded educational experience1.

Unique Program Features

Charge Resident System

A distinct feature of the program is the Charge Resident System, which entails graduated responsibility. Charge Residents take the lead in managing patient care and making critical medical decisions in the Emergency Department. This framework promotes leadership skills and clinical autonomy4.

Social Emergency Medicine Curriculum

The program integrates an innovative Social Emergency Medicine curriculum that focuses on the intersection of health outcomes and societal factors. An academic track is available for residents committed to this domain, providing a platform for advocacy and community engagement4.

Fellowship Opportunities

Graduates of the Combined Residency Program in Emergency Medicine and Pediatrics possess credentials qualifying them to pursue fellowship opportunities compatible with either specialty. The dual training equips residents with expansive knowledge and skills, enhancing their competitiveness in assorted fellowship applications.

Resident Wellness and Support

The program places considerable emphasis on resident well-being, fostering a supportive community through academic and social events. Residents are encouraged to participate in community engagement activities, bolstering a sense of belonging and professional satisfaction. Moonlighting opportunities are available at Lallie Kemp Regional Medical Center, offering additional clinical experience and financial benefits4.