Salary and Benefits

What is the salary for a resident at UAMS

Salaries for 2020-2021 are: PGY1 $53,615; PGY2 $54,365; and PGY3 $56,158. Chief Residents are given an additional $1000 on top of their PGY3 salary. You also receive comprehensive medical and dental insurance benefits at no cost. Little Rock enjoys an extremely reasonable cost of living.

Learn more about UAMS GME Benefits here: https://gme.uams.edu/residents/handbook/

What are the work hours like?

PGY-1s work 19 10-hour shifts during a UAMS ED block: shifts are scheduled 6a-4p, 3p-1a, and 9p-7a, so that there is an hour of overlap between shifts to allow residents to wrap up their patient care and also work on chart completion.

PGY-2 and PGY-3 typically work 9-hour shifts on weekdays and a mix of 9- and 12-hour shifts on weekends. PGY-2 residents work 18 shifts per ED block, and PGY-3 residents work 17 shifts per ED block. There are no required off-service rotations with overnight call for PGY-3s residents.

How many vacation days will I have?

Every year you will accrue 21 vacation days on July 1. These expire on the following June 30. There are certain rotations which do not allow vacation time so vacation is taken during other rotations such as during certain ED blocks, Anesthesiology, Ultrasound/Peds Sedation and OB. PGY1 residents may not take vacation during July since they participate in orientation during this month.

Each year you will also accrue 12 sick days. Maternity/paternity leave is arranged as needed. If you are in the military, national guard, or reserves you will be granted military leave should you be activated or sent on TDY.

Do I get an expense account?

You are given an allotment of $2000 continuing medical educational funds that covers your three years of residency. You may use this to pay the expenses of attending a national conference, taking an off-campus course (for example, for wilderness medicine certification), buying textbooks or equipment, etc. The only caveat of this allotment is that, should you repeatedly score below 75 on the in-service exam your first two years, you will use part of this money to attend a board review course during your PGY3 year.

Speaking of textbooks, what “freebies” do I receive from the department?

Your membership in national societies such as EMRA, AAEM, ACEP, and SAEM is paid by the department. The certification fees for PALS and ATLS, and your BLS/ACLS recertification fees are also paid by the department.  All EM residents receive individual subscriptions to the Rosh Review question bank to use for their independent study and in-training and board exam preparation. Web-based versions of Rosen’s and Tintinalli’s emergency medicine textbooks, as well as other EM study guides and texts, are provided free of charge through the UAMS Library system via Access Medicine and ClinicalKey.  Residents receive free parking at UAMS (in an enclosed garage that is attached to the hospital) and at all other affiliated hospitals as well. You also receive a generous allowance of meal credit money that may be used to purchase food at the hospital during each ED month.

Education

What is the curriculum like?

A block-by-block breakdown of our clinical curriculum can be found here.

In addition to our strong clinical curriculum, we take pride in providing an up-to-date and innovative non-clinical curriculum as well. Each week we have 4 hours of dedicated conference time with topics spanning the entire breadth of EM. This includes one week each month dedicated to simulation and procedure labs. Inter-departmental activities include monthly Trauma M&M session, one week of conference each month held jointly with Pediatric Emergency Medicine, and a quarterly EM/Radiology conference. We are also fortunate to host a number of guest speakers each year as well as having access to experts from other specialties here at UAMS. Highlights include Wilderness Medicine day, a Dive Medicine workshop with the opportunity to scuba dive, and a live podcast recording with Ken Milne of The Skeptics Guide to Emergency Medicine (listen to the podcast here).

Asynchronous learning resources are provided to supplement conference didactics and allow residents to earn additional conference credit while studying independently.

To round out our didactic curriculum, we hold a monthly journal club at a faculty member’s home. Second- and third-year residents work with a faculty mentor to lead this session as we learn EBM concepts while dissecting the literature in an attempt to answer a real-world clinical question. While always educational, journal clubs held in these off-campus settings also give us an opportunity to socialize and discuss topics in a more relaxed atmosphere. Take a look at the Journal Club Archives to see summaries of topics we’ve discussed in past years!

How far away are the other clinical sites?

Residents do clinical rotations at UAMS Medical Center, Arkansas Children’s Hospital, Baptist Health-Little Rock, and the John L. McClellan Memorial Veterans’ Hospital (VA).  The VA is directly across the street from UAMS. The other clinical sites are within 15 minutes of UAMS by car.

Need map with locations relative to UAMS?

Arkansas Children’s Hospital: https://www.archildrens.org/

Baptist Health: https://www.baptist-health.com/location/baptist-health-medical-center-little-rock/

Central Arkansas VA: https://www.littlerock.va.gov/index.asp

I don’t know what I’d like to do for my administrative project or scholarly project. What guidance is available?

Scholarly Project
Throughout your residency, you may meet with Dr. Carly Eastin, our residency research director, to discuss your research project. If you do not have a topic selected by the end of your first year, she can help you identify scholarly activities.

Past resident research projects have included: “Secondary Overtriage to UAMS During the Implementation of the State Trauma System”, “Clinical Scoring System for the Diagnosis of Acute Appendicitis”, “The Anion Gap in Patients with Diabetic Ketoacidosis: iSTAT versus Basic Metabolic Panel”, and “Missed Injuries in the Multiply Traumatized Patient.” We are fortunate to have access to a large data repository through the Arkansas Trauma System. Our department also has unique expertise in the study of behavioral emergencies, and we have several research faculty and an active research assistant program involved with ongoing studies.

We recognize that not all residents are interested in research, and believe that scholarship is more than just research. Accordingly, we have developed a scholarly activity guideline with a point system to allow residents to pursue the type of scholarly activities that interest them while receiving appropriate credit for their efforts.

See our department’s Division of Research section for additional information about EBM Education at UAMS: https://emergencymedicine.uams.edu/sections/research-program/

Administrative Project
Your administrative project can be done any time during your residency training but there is dedicated time to complete the project during the Admin rotation as a PGY-3. Faculty can assist you in selecting a topic. We are fortunate to have several faculty involved in quality improvement and patient safety– both at a department level and at the executive-level within our institution who can provide guidance. Past resident administrative project topics include: “What Causes the Delay in Cath Lab Wait Times – a 3 Month Study,” “Archiving Digital Ultrasound Studies for Availability by all UAMS Physicians,” and “Developing a Follow-up Clinic for ED Patients”

What is the ultrasound education like at UAMS?

Our department has four GE machines brand new in 2019 as well as three older Zonare machines. We have multiple ultrasound fellowship-trained faculty who provide hands-on instruction during residents’ dedicated ultrasound rotations and also facilitate an Ultrasound Journal Club. These faculty review every ultrasound study through QPath for quality assurance and provide feedback on residents’ scans. Ultrasound education– in the form of “‘Sound Rounds” also is a recurring part of our didactic conferences; PGY-1 residents have subscriptions to SonoSim for asynchronous learning during their intern year as well. Our department hosted the first annual Arkansas Ultrafest in 2018.

See our department’s Division of Ultrasound section for additional information: https://emergencymedicine.uams.edu/sections/ultrasound/

Life at UAMS

Tell me about UAMS Medical Center

Annual ED Patient Visits Last Year: 60,477

Admission Rate: 27%

The medical center provides medical care for patients throughout the state of Arkansas and from some surrounding states as well.  UAMS is the only level 1 trauma center in the state and receives all adult burn patients as well. Other specialty services that UAMS provides uniquely in Arkansas include advanced stroke care (including 24/7 Neurology and Neurosurgery coverage, and access to endovascular thrombectomy), care of vascular emergencies, Orthopedic Hand Surgery for complex hand injuries and treatment of complex eye conditions by Ophthalmology. The Winthrop P. Rockefeller Cancer Institute provides care for all types of oncologic diagnoses and is nationally renowned for multiple myeloma care.

The UAMS emergency department is a 35-bed emergency department.  Our ED has over 60,000  patient visits per year with a 27% admission rate. The ED includes private rooms for patients, a separate area for patients with behavioral emergencies, and three large medical/trauma resuscitation rooms.  X-ray and CT imaging are always available within the emergency department, and MRI is available within the medical center. Epic is used for electronic health record documentation for both UAMS hospital inpatients and outpatient clinic patients.  Social workers are available within our emergency department around the clock.

Our department also includes a 16 bed Clinical Decision Unit that provides observation care for patients.  This unit is staffed by EM attending physicians and advanced-practice providers and sees ***[need stat] observation patients annually.

Can you tell me about diversity at UAMS?

We strongly believe that diversity enhances our residency. We strive to include physicians of diverse backgrounds in our training program so that the emergency physician workforce reflects and respects the diversity of patients we encounter.

We value each member of our department and celebrate their unique qualities, background, and life experiences. Within the Department of Emergency Medicine, we’re proud to have faculty and residents who are diverse with respect to race, ethnicity, gender, religion, geographic origin, and training. Our program adheres to all institutional and GME policies on resident recruitment and appointment, anti-discrimination, and affirmative action.

Together with the UAMS Center for Diversity, we seek diversity and inclusion in all aspects of our department’s missions.

UAMS Center for Diversity: https://cda.uams.edu/

What do you do for resident wellness?

Our resident Wellness Committee plans events and education throughout the year to enhance resident wellness. Hands-on wellness education is incorporated into our didactic conferences with sessions on topics like yoga and nutrition. Our annual Wellderness Day replaces a morning of conference and is held outdoors off-campus and planned by residents: last year’s Wellderness Day focused on wilderness medicine skills and was held at Pinnacle Mountain State Park!

Our Mentorship Families bring together small groups of EM faculty and residents to discuss and normalize the challenges of residency and life in emergency medicine, build resilience, and provide career guidance.

We also hold resident retreats throughout the year to provide non-clinical education in an informal setting and build community by allowing residents and faculty to spend time together while having fun in a non-clinical environment. Residents frequently hold social gatherings– such as trivia night, river float trips, and kickball games– outside of work. Residents, faculty, and their families spend time together at a variety of department events throughout the year, including pumpkin carving before journal club in October, tailgating at War Memorial Stadium before the Razorbacks’ Little Rock football game, the department holiday party at Dr. Seupaul’s house, and the program’s annual Crawfish Boil every spring.

In coordination with UAMS and the GME Office, residents have 24/7 access to a full array of mental health services, including confidential psychiatric care and counseling. An innovative program allows residents to contact clinicians anonymously to begin the process of discussing mental health concerns.

Is UAMS involved in emergency medicine nationally?

Yes! We encourage our residents to participate in organized emergency medicine at a national level. Every year, our residents are invited to apply to participate in the ACEP Leadership and Advocacy Conference in Washington, D.C. Our residents also participate in EMRA and are members of CORD and SAEM/RAMS committees.

Additionally, our faculty serve on multiple committees within ACEP, CORD, and SAEM, several faculty are ABEM oral board examiners, and the President-Elect of the Arkansas ACEP chapter is our own Dr. Brian Hohertz!

Where do residency alumni practice?

We have program alumni practicing throughout the U.S.!  Many of our graduates work in community emergency medicine, but some pursue fellowship or opt for academic positions.

Alumni Practice Locations:
alumni states
Alabama, Arkansas, Arizona, California, Colorado, Florida, Georgia, Hawaii, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, (New Zealand- not on map), New Mexico, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, and Wyoming.

What is Arkansas like?

Arkansas is a four-season state with mild winters, long springs and autumns, and warm Southern summers. Residents enjoy an abundance of outdoor activities, including biking and hiking trails within minutes of work, climbing, rafting, boating, fishing, and camping. The Ozark mountains in the northwest part of the state are 2.5 hours from Little Rock, and there are plentiful lakes and rivers within central Arkansas. Arkansas boasts one of the only diamond mines that permits the public to search for diamonds. Multiple corporations including Tyson Foods, Walmart, J.B. Hunt, and Dillard’s have headquarters in Arkansas.

Little Rock is the capital city of Arkansas; the population of the metropolitan area exceeds 700,000 residents. Little Rock is home to parks, historical sites, and the Clinton Presidential Library. The city features a variety of neighborhoods, each with unique character, and abundant shopping and dining. Residents often choose to live in Hillcrest– which is a Little Rock neighborhood that is less than 5 minutes from work– or suburbs that are within 20 minutes of work, like West Little Rock, Maumelle, Benton, Bryant, and North Little Rock. Housing is affordable, and residents and faculty frequently enroll their children in the public school systems. The Little Rock airport is served by seven airlines and has nonstop flights to hub airports throughout the country.

Learn more about Little Rock here:
https://gme.uams.edu/applicants/about-little-rock/
https://www.littlerock.com/

Applying for Residency

What scores are required to apply?

Board scores are an important part of your application but are only one of the many criteria that we use when evaluating applications. As a general rule, all applicants must report a score for the first USMLE or COMLEX exam before submitting their application. We require that you have completed and passed Step 2 and posted this score in ERAS by early February in order to be included on our rank list.

Curious about letters? Like most programs, we prefer letters from emergency physicians as they are best positioned to evaluate your potential success as an EM resident. When possible, a Standardized Letter of Evaluation (SLOE) from an EM residency is preferred. We recognize, however, that not all applicants are able to obtain multiple SLOEs, in which case traditional letters of recommendation are acceptable. If you are already enrolled in a residency program, we would like to review a letter from your current program director, if at all possible.

All students who complete a visiting rotation with us are automatically invited to interview at UAMS during their visiting student rotation. You may apply for an away rotation through VSAS.

What is Interview Day like?

Interview Days are held on selected Wednesday afternoons and Thursdays, October-January. On the night before or after your interview, EM residents will host an informal dinner, giving you the opportunity to ask questions about residency and life in Arkansas. Wednesday afternoon interviews typically run 10:30 am- 4 pm; a typical interview Thursday runs from 8:30 AM – 3:00 PM. Our residency leadership team will meet with you to give you an overview of our program.  You’ll alternate in groups between a resident-led tour of the ED and interviews with program faculty and residents. Hungry yet? Good! You’ll have an opportunity to talk more with our residents over a catered lunch in the middle of the day.

Where can I learn more about UAMS EM?

Check us out on Twitter, Instagram, or Facebook!