Abstract
I have always known that I have exceptional residents. I have had the privilege of working with the emergency medicine (EM) residents at Sinai-Grace Hospital in Detroit since 2015, first as their Associate Program Director and now as their Vice Chair of Education. Detroit is a tough city and of the four academic emergency departments (EDs) in Detroit, of which I have worked at three, Sinai-Grace is arguably the toughest. Underlying general health in the communities surrounding Sinai-Grace is poor, access to primary healthcare is difficult, violence is high. The average life expectancy in some of the neighborhoods surrounding Sinai-Grace is sixteen years less than the state average for Michigan. 1You don’t choose to do a residency at Sinai-Grace if you’re looking for a cakewalk. Our residents knowingly sign up for a difficult residency that will make them exceptional attending physicians.
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