Residents in the EVMS Emergency Medicine residency program work in three hospitals in the Sentara Healthcare System, in addition to the Childrens Hospital of the Kings Daughters (CHKD), the only dedicated pediatric hospital in the Commonwealth of Virginia. Sentara Healthcare System is an integrated, not-for-profit healthcare system based in Tidewater, Virginia, serving over two million residents. Tracing its roots back to a single hospital established in Norfolk in 1888, the system has grown to over 100 sites of care, including eight hospitals with almost 2,000 inpatient beds and six outpatient care campuses.
Sentara’s achievements are recognized nationally. Sentara Healthcare has been on the list of 100 most Integrated Health Systems in the country, as ranked by Modern Healthcare magazine for the last 13 years. In 2010, Sentara was rated the # 1 System on that list. In addition, Sentara has regularly appeared on the U.S. News and World Report Best Hospitals list for a number of its clinical programs. For the last 11 years, the Heart program has been in the Top 50 in the U.S.
With over 3,400 medical staff members and 20,000 employees, Sentara is a major medical and economic force in Tidewater. Sentara was honored in 2008 with an Employer of Choice® Award by Employer of Choice, Inc., which certifies outstanding employers.
Sentara is committed to patient safety and quality and has integrated this commitment into its strategic goals. Sentara promises the community that the organization will always keep patients safe; always treat patients with dignity, respect and compassion; always listen and respond to patients; always keep patients informed and involved; and always work together as a team to provide patients with quality healthcare. Sentara sponsors an Emergency Medicine Clinical Effectiveness Council that helps the system focus on quality and safety in the Emergency Department, and works with providers and staff to fulfill these promises to our patients.
One of the primary tools Sentara uses to achieve quality and safety is the eCare health network. Built around a nationally recognized, integrated electronic medical record (EMR), clinicians and patients have constant, immediate access to a shared medical record, enabling collaboration and communication at a level previously impossible on paper. The EMR is used for real-time clinician documentation and computerized physician order entry, and provides additional levels of safety through alerts and clinical decision support. Sentara is one of only a handful of hospitals in the nation that has achieved Healthcare Information and Management Systems
Society (HIMMS) Level 7 and the prestigious Davies IT Award.
Sentara is a fiscally sound, well managed healthcare system in which Emergency Medicine is well recognized, respected and supported. Our Emergency Departments have a strong esprit-de-corps; providers and staff closely together, with a team approach, to provide timely and effective care to our patients.
Sentara Norfolk General Hospital, Norfolk
Sentara Norfolk General Hospital (SNGH) serves as the primary training site for our Emergency Medicine residency program. It is the only Level 1 Trauma, tertiary care referral center in the Tidewater area. SNGH has a Heart Hospital, a wing dedicated to cardiac and cardiothoracic services. Sentara Norfolk General Hospital has 644 beds and provides state of the art services, such as coronary artery bypass surgery, cardiac and renal transplant, in-vitro fertilization, renal dialysis and intensive burn care. There are approximately 1,200 attending physicians on staff.
The Emergency Department (ED) has approximately 60,000 patient visits; 23% of our ED patients are admitted to the hospital. As a university-type teaching hospital, EVMS residents from all major specialties are available for consultation on a 24 hour basis. The Emergency Department was renovated in 2007, and has a 14 room Main Treatment Area (MTA), eight room Minor Care Area, two room Trauma Bay, seven Critical Care Rooms, six observation rooms, five psychiatric/observation rooms and two triage bays. The majority of the rooms can be transitioned to higher care rooms (ie, from an Observation Room to a Main Treatment Area room) if necessary.
In addition, there is: a HAZMAT decontamination room with a shower; a Family Consultation Room; and a Rescue Squad office. All Trauma, Critical Care, MTA and Minor Care rooms are monitored, containing Space Lab monitors with blood pressure, pulse, cardiac monitoring and pulse oximetry capability. A Stat Lab is adjacent to the Emergency Department; in addition, point-of-care testing is available for the most commonly ordered laboratory studies.
The Radiology department is located adjacent to the ED on the first floor. All Radiology studies are on PACS. The ED has two dedicated Ultrasound machines, which allow residents to gain valuable experience and expertise in performing ED Ultrasound.
Sentara Virginia Beach General Hospital
Sentara Virginia Beach General Hospital (SVBGH) is located just a few minutes from the Atlantic Ocean resort district, and approximately 20 minutes driving distance from the primary training site. It provides our residents with valuable experience working in the Emergency Department of a busy community hospital.
As a Level III Trauma Center, there is ample opportunity for residents to evaluate and manage critically ill and injured patients. Emergency Medicine attending physicians and residents manage all trauma patients. Residents also have the opportunity to gain experience in evaluating environmental injuries, including dysbaric injury, marine envenomation and poisoning, drowning/near drowning, hypothermia and hyperthermia.
The Emergency Department at SVBGH has an annual census of 55,000 patients. The ED has 25,000 square feet of patient care space with 40 beds. This includes seven Critical Care beds, three Trauma Bays, a six bed Fast Track and two seclusion rooms. Point-of-care laboratory studies are available and plain films are performed in the Emergency Department; specialty studies are performed in Radiology, immediately adjacent to the ED. All Radiology studies are on PACS. The SVBGH ED has a dedicated ED ultrasound machine.
During the first year, EM interns complete one month of EM and one month of Orthopedics at SVBGH. For the remaining two years, they complete two months of EM rotations each year.
Sentara Obici Hospital, Suffolk
Sentara Obici Hospital (SOH) is located approximately 25 minutes driving distance from the primary training site. It is located in a mixed suburban/rural area providing valuable exposure to rural and community Emergency Medicine.
The ED at SOH has an annual census of approximately 40,000 patients. The ED has nearly 9,000 square feet of patient care space and 23 beds, including four Resuscitation rooms, two dedicated Gyn rooms, one Psychiatric/seclusion room and a five bed Minor Care Area. All radiology films are on PACS.
The EM residents spend one month in the ED during each year of training.
Childrens Hospital of the Kings Daughters (CHKD), Norfolk
The Childrens Hospital of the Kings Daughters (CHKD) is the only dedicated pediatric hospital in the Commonwealth of Virginia. The hospital is attached to Sentara Norfolk General Hospital, the primary training site. The Emergency Department consists of nearly 20,000 square feet of patient care and administrative space. There are 32 patient care beds: two Critical Care beds; one ENT room; two Gyn rooms; one Orthopedic room; seven Minor Care/Fast Track rooms; one Bereavement/Grief room; one locked Psychiatric room; two Suture Rooms and 15 general medical beds. The Emergency Department has an annual census of nearly 40,000 patients with an approximate 12% admission rate.
Emergency Medicine residents spend one month of training each year in the CHKD Emergency Department. During the second year, EM residents complete one month of Pediatric Intensive Care Unit (PICU) and two weeks of Pediatric Anesthesia at CHKD.