The University of Texas Medical School at Houston Department of Emergency Medicine
Department of Emergency Medicine
The Department of Emergency Medicine

Residency Program

The Department of Emergency Medicine Residency Program at the University of Texas Medical School at Houston is dedicated to improving the health and welfare of urgent and emergent patients of all ages.

The University of Texas Health Science Center at Houston Department of Emergency Medicine residency was founded in 1992. We are a PGY1–3 program with 18 residents per training year. The residents are supervised in the ED 24 hours per day by faculty who are board certified in Emergency Medicine with 48 hours per day of EM faculty coverage and an additional 20 hours per day of Pediatric faculty coverage by EM and Pediatric EM board-certified physicians. The residency is fully accredited by the ACGME and Emergency Medicine Residency Review Committee.

Residents rotate in the emergency department for five and a half months as an EM 1, nine months as an EM 2, and nine months as an EM 3, with progressive increases in responsibility each training year.

Make sure you check out our resident run website at WWW.EMHOUSTON.ORG

EM 1
ED / Pedi ED (MHH) MICU (MHH or LBJ) CCU (MHH) Ortho (MHH) US/Radiol (MHH) Anes
EM 2
Pedi ED (TCH) EM Critical Care (LBJ) STICU (MHH) Elective
EM 3
Location Key:   Rotation Key:
MHH Memorial Hermann Hospital  
TCH Texas Children’s Hospital Pediatric ED   Anes Anesthesiology
LBJ Lyndon B. Johnson General Hospital (County ED)   CCU Cardiac Care Unit
MC Memorial Hermann Memorial City Medical Center (Community ED)   MICU Medical ICU
      NTICU Neuro/Trauma ICU
      OB Obstetrics
      Ortho Orthopedics
      PICU Pediatric ICU
      Radiol Radiology
      STICU Shock/Trauma ICU

The Memorial Hermann-Texas Medical Center emergency department sees approximately 60,000 patients per year and has high acuity with an approximately 40% admission rate from the ED. As such, our residents develop excellent resuscitation and critical care skills. The approximate mix of patient pathology is:

  • Trauma/Surgical: 27%
  • Medical: 33%
  • Ob/Gyn: 4%
  • Pediatric: 34%
  • Psychiatric: 2%

Residents are involved first hand with critical patient care and ongoing multispecialty research, including research in trauma resuscitation, prehospital thrombolytics/cardiac resuscitation, early goal directed therapy in sepsis, thrombolytics and early interventional therapies for acute stroke, emergency ultrasound, pediatric emergency medicine, neurologic emergency treatment trials (NETT), educational research, and error reduction, among others.

EMS experience: EMS orientation occurs during the EM 1 orientation month. EMS shifts are then spread throughout the EM 1 year during ED months.

Trauma experience: We have very close working relationships with our trauma colleagues. EM residents develop extensive experience managing multiple critically injured trauma patients through experience on the orthopedic trauma service, the STICU, NTICU, and PICU.

Pediatric experience: Our residents gain extensive pediatric experience. Each ED month throughout the residency involves specific pediatric shifts. Pediatric patients also may be seen in the adult side of the ED. The EM 1 year dedicates two weeks to the Pedi ED at Memorial Hermann-Texas Medical Center, and the EM 2 year has a full month at Texas Children’s Hospital ED. The EM 3 year includes a PICU rotation for additional pediatric critical care experience.

Four incoming EM 3 residents are chosen as Chief Residents in the late EM 2 year by the faculty based on many factors: patient care, didactic and academic standing, patient and resident advocacy, leadership and communication skills. The position includes a stipend, attendance at the SAEM chief residents’ conference, and responsibilities for resident scheduling, mediation, participation in monthly Education Committee meetings and monthly faculty meetings, and other leadership activities with the administration of the residency.

We provide specific class retreats for the EM 2 and EM 3 years. We also provide specific skills and procedure labs focused on each training year, such as our resuscitation skills for the EM 2 class to prepare for upper level responsibilities.

Our residents’ comments on what makes our residency program special:

  • High volume and acuity, and unlimited resources are always available.
  • The people. From the faculty, other residents, nurses, and staff, everyone is so friendly and makes coming to work feel like hanging out with a big family.
  • I am a graduate from the med school, and I chose to stay because of the people. The faculty make this program awesome! They are here to foster your career and want to make you the best you can be. Plus, when you leave here, you can do anything!
  • Lots of trauma, autonomy, time in the ED, procedures, and complicated patients. No ward months.
  • Lots of trauma exposure and opportunities for procedures, nice intro month, emphasis on teaching, and the opportunity to practice Spanish often.
  • The people! The largest Medical Center in the world! A great hospital.
  • Busy ED; cool, laidback attendings; cool residents. Everyone is always willing to teach.
  • Orientation month, more ED months than many programs.
  • I believe our program has a solid foundation because of our faculty and staff. They are always there to help us reach our full potential as doctors and always have our best interests in mind.
  • The amazing people you get to work with.
  • Great residents, faculty who like to teach, and being treated with respect. Our orientation month prepares you with lectures and procedure labs to be ready to take shifts in the ED with confidence.
  • This is a great place to learn and train. We see all types of patients and pathology. We have faculty who love to teach. We also have a dedicated ultrasound faculty, and so we get a lot of experience and are adept at it when we leave.
  • Fantastically perfect assimilation of people, facility, and patients. Fourth largest city in nation and highest Apache score in the nation for trauma admits.