The Chi Mei Emergency Department

The Chi Mei Emergency Department is one of the most influential emergency medicine training hospital in Taiwan with 20 resident physicians currently in training. We are well known for our quick, efficient treatment and our department being staffed by 24-hour on duty board-certified emergency physicians. Since 2001, we have also applied mobile medical services thus improving outcomes of time-limited disorders such as acute coronary syndrome, acute stroke, and major trauma cases.

Our Training Program

Our resident physicians are trained according to the plans of the Taiwan Society of Emergency Medicine, which include the distributed training program, the EM model, and the Emergency Medicine Milestones Project. Due to the delicate nature of particular situations in an emergency setting, lectures regarding consultation, transfer, communication and negotiation techniques, medical ethics, violence in the emergency department, responding and mediating medical disputes, and writing medical records are also provided. “Resident Day” is a day when resident physicians may focus on learning, listening, and sharing their clinical experiences with their fellow colleagues and senior physicians.

A chance to witness and practice surgical airway is provided once a month on a pig cadaver.  We work with our hospital’s department of Chest Surgery to supervise and guide one resident physician to be the main surgeon for practicing this invasive emergency procedure.

Team Resource Management is also a vital part of our hospital and our department’s staff training. Training simulations based on the 2015 AHA guidelines for CPR are held regularly with mandatory participation from our resident physicians and ER nurses of different levels and seniority.

Resident physicians are also arranged to work at our Liouying and Chiali branch emergency departments. Practicing at different levels of hospitals allows resident physicians to understand how district and regional hospitals operate and to utilize limited resources to provide the most optimal care for patients at these hospitals and to arrange hospital transfer as needed.

After acquiring accreditation to become an emergency medicine specialist, we encourage and provide subspecialty training programs such as toxicology, hyperbaric medicine, hospice care medicine, and geriatric medicine. Special lectures are arranged regularly to address topics such as career planning and how to prevent physician burnout.

Our Teaching Qualifications

Requirements
1. Currently employed as an attending physician in our EM department
2. Must acquire the following listed education accreditation:
– Requirements per Taiwan Society of Emergency Medicine (minimum 6 credits within 2 years)
– Requirements per Chi Mei Medical Center’s Center of Faculty Development

Responsibilities
1. Guiding and coaching resident physicians clinically
2. Lecturing and composing course slides and materials
3. Critiquing and reviewing resident physicians’ research reports and other medical journal writings
4. Providing assessment feedback regarding resident physicians’ performance
5. Suggesting and improving teaching methods and materials

Resident Physician Salary and Benefits

1. Salary according to our Emergency Medicine Department policies.
2. Full reimbursement for academic participation fees and associated travel expenses.
3. Incentives for getting published in domestic and international medical journals.
4. Full reimbursement to resident physicians who present their papers in overseas conventions.

Workload
1. Resident physicians rotate 3 shifts per day, working 9~11 hours per shift. 2 hours are added to each shift as work hours for patient hand-off and discussion.
2. Patient Per Hour are calculated to control appropriate resident physician workload.

Work & Vacation Days
1. Emergency medicine training stipulates 180 clinical hours per month. Shifts are arranged in response to predicted patient demand and staff availability according to the day and shift of the week.
2. Paid vacation days follow hospital terms and limits.

Continuing Education and Specialty Advancement
1. Applying simulation training as emergency teaching method.
2. Expanding basic emergency patient care to holistic care.
3. Developing geriatric and palliative care medicine in the emergency setting.
4. Acquiring emergency subspecialty certifications: emergency ultrasound, hyperbaric medicine, toxicology, emergency medical services.
5. Engaging in clinical research and supporting resident physicians’ research interests.
6. Working alongside the department of Holistic Care Medicine to improve patient care in the observation bay and to exchange expertise and data for further research and publication.
7. Practicing good team work, within the department, with other departments, and with other hospitals.
8. Maintaining good academic and clinical relationships with other emergency departments of the greater Tainan area.