The Detroit Medical Center/Wayne State University Sinai-Grace Emergency Medicine Residency was established in 1981 as a PGY 1-3 program. We are fully accredited by ACGME to train 12 Emergency Medicine residents per year. We take care of some of the sickest patients in the world, and we have fun while learning how to be the best at it. We firmly believe that by training at Sinai-Grace, you will be prepared to work anywhere in the world.

Sinai-Grace is the only hospital serving Northwest Detroit, caring for an urban, sick population with many medical co-morbidities. Sinai-Grace is one of the busiest emergency departments in Michigan, previously seeing ~100,000 patient visits/year prior to the COVID-19 pandemic (and now recovering back to this). We see approximately 2,500 trauma codes each year, with a large amount of penetrating trauma from gunshot wounds and stab injuries. Our residents run all trauma codes and perform all procedures on trauma patients – every day. All in our 59,000 square foot, 75-bed ED, recently constructed in 2014. We receive more Priority 1 (life/limb threatening) EMS runs than any other ED in Detroit. You will see and do everything.

Our clinical exposure extends beyond trauma resuscitations. Sinai-Grace resides in the zip code with the highest density of dialysis patients in the country. Our residents are frequently managing high acuity patients with acute exacerbations of chronic disease. Additionally, pediatrics comprise 17% of our patients – including pediatric medical and trauma resuscitations. This is supplemented by rotations at DMC Children’s Hospital of Michigan, our region’s pediatric tertiary-care center. As the majority of our patients at Sinai-Grace Hospital are so complex and sick, we also have dedicated shifts at Huron Valley Hospital to experience a more “bread and butter” emergency department community setting.

We have an extraordinarily strong ultrasound program, with multiple fellowship-trained attendings on staff, one ultrasound fellow, and a total of five ultrasounds in the department. Our interns complete 3 dedicated ultrasound shifts per block with a dedicated session of image review with an ultrasound faculty member. Senior residents have continued exposure both in their everyday clinical practice as well as senior scanning shifts with the ultrasound fellow and attending. Additionally, many seniors choose to do an ultrasound elective block. By graduation, all residents are extremely capable with adequate exposure and experience to achieve certification in the essential emergency medicine ultrasound scans.

Our residency is particularly strengthened by immersive experiences in critical care. As an intern, you will attend all medical and trauma resuscitation codes during your 5 months in the department, and you will be responsible for nearly all procedures done in the resuscitation rooms. On average, we see 24 medical/trauma code activations per day. The codes are run by the PGY-IIs and PGY-IIIs (and by the interns towards the end of the year), with all procedures belonging to the ED team.  As a PGY-II, you will run a MICU team (without any fellows). Then, as a PGY-III, you will complete a dedicated “critical care” block in the department, focused on resuscitation and care for all the critically ill patient in the emergency department. Additionally, our residents complete rotations in the SICU, PICU, and NICU for a well-rounded critical care experience.

We have an engaging Toxicology program with several fellowship-trained attendings on staff. We participate in quarterly grand rounds with all the emergency medicine programs in the area and have a dedicated two week toxicology rotation with the opportunity to complete an additional 2-4 week elective. Additionally, we have an EMS fellowship affiliated with DMC, with full rotations available for interested residents. We also have fellowship-trained attendings and DMC fellowships in Research, Medical Education, EMS, Toxicology, Sports Medicine, Ultrasound, Global Health, and more. Please see our Fellowship Tab for more details on the fellowships offered at DMC. If you are interested in research, many faculty at SGH have ongoing projects and welcome resident involvement. WSU-EM consistently ranks in the top 15 in NIH research funding nationally each year.

Graduates of the Sinai-Grace Emergency Medicine Residency have gone on to practice all across the country. Training at Sinai-Grace means you will be prepared to work in any setting, perform any life-saving procedure, and care for absolutely any patient. Not because you’ve read or heard about it before – but because you’ve done it.