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kingman regional medical center emergency medicine residency

naar Critical Care Alert: PEACH . Referrals increase your chances of interviewing at Kingman Regional Medical Center by 2x. CHRISTUS Health 919 Hidden Ridge Irving, TX 75038. In collaboration with our partners at Integrative Emergency Services (IES), we are committed to the advancement of clinical education, patient safety, quality healthcare outcomes, and dissemination of information that ensures best practices across our clinical sites. During their 3-year training program in emergency medicine, residents will: . Ability to respond quickly to emergency requests. Privacy Statement|Terms of Use, Website Design by Granicus - Connecting People and Government. * Oncology Pharmacy Clinical Specialist * $10,000 Sign On Bonus AND Relocation Kingman Regional Medical Center (KRMC) Kingman, Arizona NEW! The mission of Baylor University Medical Center Emergency Medicine Residency Program is to create a nationally recognized educational experience that will train our Emergency Physicians to excel in any environment and empower them to be the next generation of leaders in Emergency Medicine. Sheri Glass After you have made our acquaintance consider a medical student rotation to experience BUMC EM head-on and test drive your future. Understanding the immense benefit this education can have on resident development, we have arranged numerous international opportunities for both medical students and residents. Welcome to Lakeland Regional Health's Emergency Medicine Residency Program! About the Program The BUMC EM curriculum is designed to produce Emergency Physicians of the highest caliber that are capable of practicing in any clinical environment upon graduation. Know your options to get the right level of care as soon as possible. Upwards of 80% is the national norm as a fire departments call volume or in this case, demand for essential services from its citizens. Nous sommes dsols pour la gne occasionne. Our highly-trained and experienced team of emergency doctors, nurses, and clinicians are available 24-hours a day, seven days-a-week to provide skilled emergency care in rapid time. Several of our faculty have completed fellowships including:Cardiovascular Emergencies, Emergency Medicine Administration, Emergency Medical Services, Emergency Ultrasound and Sports Medicine. We are a PGY 1-3 community-based program in Chicago with 39 Emergency Medicine residents. Two beneficial programs in current development include the addition of a Rapid Response Vehicle (RRV) program and the implementation of a Community Paramedicine program. Here, future emergency physicians gain vital experience in a unique rural environment. We are sorry for the inconvenience. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,800 employees, 280 physicians/allied health professionals, and 250 volunteers. To encourage top candidates from underrepresented social groups within the profession of medicine, the Department of Medical Education will annually offer a $1500 scholarship to assist with transportation and housing costs while rotating in Dallas on an approved VSLO elective. 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401, Kingman Regional Medical Center-Family Medicine Residency Clinic, Physicians & Surgeons, Family Medicine & General Practice. To prepare physicians to face a wide array of community health care needs and apply best practice strategies to meet these needs, ShaneSergent, DO, FAAEM, RDMS, FACOEP, FAWM. Approximately 27% of patients evaluated in the ED are admitted to the hospital. Facilitates proper information transfer about medication use for patients converted to Inpatient registry from ED. Experience or desire to work in an integrated clinical care team as the pharmacy resource for emergency department is strongly preferred. Get reviews, hours, directions, coupons and more for Kingman Regional Medical Center-Family Medicine Residency Clinic at 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401. Kingman, Arizona 86409(928) 757-2101, 3269 N. Stockton Hill Rd Dallas provides access to metropolitan entertainment and culture while maintaining the lowest cost of living among the top 10 largest U.S. cities. Phone: 616.633.8465 Fax: 214.865.3699 Email: MacKenzie.erwin@BSWHealth.org. Residents can take part in short-term outreach trips or global health rotations in numerous countries. Program Director Interview Series: Joshua Broder, M.D. This program offers high-volume, high-acuity training in an unopposed residency setting, allowing residents to build skills in a range of emergency medicine-based procedures. It is a general medical and surgical facility. Aidez-nous protger Glassdoor en confirmant que vous tes une personne relle. The Kingman Regional Medical Center's (KRMC) mission is to provide Family Medicine Resident Trainees with an experience designed to develop knowledge base of current medicine. Our 70 bed adult emergency department cares for approximately 80,000 patients a year, including 21,000 pediatric patients in our newly built 34 bed pediatric emergency department. Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability, 403b Pension Plan with Employer Contributions, Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program, On-site daycare exclusive to our employees children of all ages, Employer Paid Employee Wellness Center Membership with fitness classes, personal training, indoor pool, racquetball, and basketball courts, Tuition Reimbursement/Scholarships for full-time employees, As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program. We look forward to a resolution to the COVID-19 pandemic and will engage in face-to-face processes that are compliant with CDC guidelines**, local health entities guidelines, and institutional policies upon notification that such encounters have been deemed safe to resume. The Kingman Fire Department provides paramedic-level pre-hospital care also known as Advanced Life Support (ALS). to let us know you're having trouble. Overview* $10,000 Sign-On Bonus and $4,000 Relocation Bonus Available <br>* Kingman Regional Medical Center is located in beautiful northwest Arizona. Participates in the professional development and competency of clinical staff. Baptist Hospital of Miami All rights reserved. As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees. This number represents the median, which is the midpoint of the ranges from our proprietary Total Pay Estimate model and based on salaries collected from our users. Please enable JavaScript in your browser for a better user experience. BUMC EM is exactly what you are looking for to provide the very best clinical training and career development hands down. As the 9th largest city in the USA, Dallas, Texas, offers a vibrant urban lifestyle yet maintains a smaller community's more intimate feel. Some of the finest cultural attractions in the country are located here. Baylor Operative Skills Simulation (BOSS) Center, Center for Evidence Based Simulation (CEBS), AAMC Visiting Student Learning Opportunities application service (VSLO), COMLEX Transcript (applicable applicants), Tour of the BUMC ED and key Hospital Locations, Lunch Meet-and-Greet with EM Faculty and Residents, Contact information for timely correspondence with key Program Faculty. Emergency Medicine Residency in Kingman, AZ | 1100300204 | FREIDA FREIDA Home Explore Specialties Program Management Portal Tools & Resources 404 Page Not Found Looks like something went wrong, and we couldn't find that page. Under the leadership of our esteemed board-certified faculty group, residents will flourish in our robust program, through innovation, knowledge translation and collaboration. While we encourage those with an interest in research, it is nota requirement for our candidates to have previously participated in research. MacKenzie ShindeProgram Administratormackenzie.shinde@bswhealth.org, Emergency Medicine ResidencyBaylor University Medical Center3500 Gaston Avenue1st floor, Roberts BuildingDallas, Texas 75246. Baylor University Medical Center is dedicated to training a new generation of healthcare professionals that reflect the diverse communities we serve. Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. Si vous continuez voir ce . * 2 shifts per month in the CMC ED with the remainder of shifts in the BUMC ED. Kingman Regional Medical Center-Family Medicine Residency Clinic has not yet specified accepted insurance plans. Set your location to find services near you. Technology, Telehealth and Informatics Spotlight, Prehospital and Disaster Medicine Spotlight, Program Director Interview Series: Dr. Ryan Bodkin, MD | Emergency Medicine Residency Program Director at the University of Rochester Medical Center, Rochester, NY, Prehospital and Disaster Medicine Committee, Med Ed Fellowship Director Interview Series. General Emergency Medicine. In an emergency, every second counts. Students or residents with an interest in research have ample opportunity to be as active and involved as they would like to be. Select Accept to consent or Reject to decline non-essential cookies for this use. In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and . Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. Qualified candidates should be BC/BP in Emergency Medicine and possess or be eligible for a Texas Medical License. All personnel are subject to rigorous continuing education as well as quality control measures to ensure high levels of skill and competency. All stations are staffed by a paramedic as well as basic emergency medical technician (EMT). At KRMC, emergency medicine residents take on a high level of independence and responsibility as they serve a diverse patient population. Lamentamos Emergent Diving Injuries: A Standardized Approach to Assessment, New Resources to Educate Patients About COVID-19 Treatments, Critical Care Device Series: Bag-Valve-Mask. With a 1:2 ratio of students to educators we foster an engaging learning environment that will grant residents unparalleled access to the highest quality emergency medicine education available during their rotations. Residents will also spend time off service in the medical and trauma ICUs. Emergency Medicine (EM) at UT Southwestern and Parkland Health and Hospital System is expanding its faculty in both general EM and subspecialty areas. Copyright excuses voor het ongemak. While in the ED, PGY-2 residents work approximately 19 9-hour shifts. UT Southwestern Medical Center, Department of Emergency Medicine is currently recruiting for a faculty member at the Associate Professor level. Baylor University Medical Center is a Level 1 Trauma Center, Comprehensive Stroke Center, Chest Pain Center, and Transplant Center located in downtown Dallas serving over 300,000 patients per year. Visiting electives may be offered in two or four week rotations from July through January. BUMC is consistently listed among the highest-rated hospitals nationally. Ability to perform work accurately with attention to detail within specified time periods. We caught up with Dr. Ryan Bodkin about life and training in Rocheste. Baylor University Medical Center, Graduate Medical Education (GME) is committed to advancing and passionately promoting a training environment where all feel welcomed and valued.A culture of inclusion encourages innovation, and is a catalyst for building dynamic teams that serve our communities. BUMC was founded in 1903 and continues today as a not-for-profit hospital devoted to serving everyone through exemplary healthcare, education, research, and community service. Students can begin viewing the courses and dates being offered, prerequisites, and institutional requirements at VSLO starting in March. Locally, collaborative relationships between the hospital, fire department, and private ambulance company (AMR) coupled with the technological advances in cardiac monitoring and 12 lead transmission capabilities, has had substantial impacts on survivability with heart attack patients. Deadline for applications is November 15. At KRMC, emergency medicine residents take on a high level of independence and responsibility as they serve a diverse patient population. KRMCs emergency department is designated by the Arizona Department of Health Services as aLevel IV Trauma Center. Ability to feel, see, hear, smell, speak, and the ability to distinguish colors. The estimated total pay for a Emergency Medicine Residency Program Coordinator at Kingman Regional Medical Center is $76,463 per year. Aiutaci a proteggere Glassdoor dimostrando che sei una persona reale. Take a closer look at BUMC EM by visiting our institution's website. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,800 employees, 280 physicians/allied health professionals, and 250 volunteers. About Us. Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding. Aydanos a proteger Glassdoor y demustranos que eres una persona real. Kingman Regional Medical Center (KRMC) is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. Some typical concerns from voters and citizens revolve around the question as to why a big red fire truck pulls up to their home on a medical call after calling 911. GME Emergency Medicine Program Administrator. Emergency Medicine Residency Baylor University Medical Center 3500 Gaston Avenue, Roberts Building Dallas, Texas 75246 In addition to competitive stipends, we offer our residents a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself. When face-to-face processes are approved the standard interview itinerary would include: **Based on current information available from CDC guidelines, local health entities, and institutional policies, we are preparing for a virtual interview process for this year's interview cycle. Our department encompasses over 60 employees to serve our population's health. Patient acuity is high as demonstrated by a 26.6% admission rate with a 4.3% critical care rate. BUMCs charity care and community-based programs help meet the needs of underrepresented and uninsured Texans. Sign in to create your job alert for Clinical Pharmacy Specialist jobs in Hualapai, AZ. Caso continue recebendo esta mensagem, Kingman, AZ 86409(928) 757-2101. ECG Challenge: January-February-March 2023. Dr. Sergent completed emergency medicine residency in Pennsylvania with additional training in wilderness, tactical, and dive & hyperbaric medicine. All other marks contained herein are the property of their respective owners. Email: SGlass@azkrmc.com, 3269 N. Stockton Hill Rd Program Director Interview Series: Daniel J. Egan, MD | Program Director at Harvard Affiliated Emergency Medicine Residency in Boston, Program Director Interview Series: Isaac Shaw, MD | Program Director at the University of Louisville Emergency Medicine Residency, Louisville, KY, Program Director Interview Series: Shane R. Sergent, DO | Program Director at the Kingman Regional Medical Center Emergency Medicine Residency, Kingman, AZ, ECG Challenge: January-February-March 2023, Critical Care Alert: Defibrillation Strategies for Refractory Ventricular Fibrillation, Advanced Critical Care Ultrasound: The 60/60 Sign, Let's Be Specific, Spotlight on: Health Policy Academy Fellow Jacob Altholz, MD, Spotlight on: Health Policy Academy Fellow Vishnu Muppala, MD, MPH, Spotlight on: Health Policy Academy Fellow Evelyn Huang, MD, Bilateral Pneumoparotid: Unexpected Air in the Parotid Glands, Yes, We Scan: Change Core US Requirements to Include Pediatrics, Verapamil in SVT: No Need to Drop the Beat, Acute Inflammatory Demyelinating Polyneuropathy After COVID-19, Pelvic Sepsis: A Fatal Complication of Routine Hemorrhoidectomy. The BUMC Department of Emergency Medicine has a long and successful history of providing undergraduate and graduate medical education delivered and managed by Residency Trained Board Certified/Eligible Emergency Physicians. Keeps informed of the actions, side effects, and proper usage of all new drugs as they are made commercially available as well as of all investigational drugs being studied at this institution. pour nous faire part du problme. If you continue to see this Approximately 5% of all admissions require ICU-level inpatient care after ED stabilization. Our unique curriculum includes an emphasis on critical care management that will equip our residents with the knowledge and skillset needed to provide high-quality care leading to a superior patient experience. Baylor University Medical Center (BUMC), the flagship institution of Baylor Scott and White Health, is proud to introduce our Emergency Medicine Residency Program established in 2019. Lamentamos pelo inconveniente. Our ER sees a diverse patient population and presentations including multisystem traumas, extreme temperatures and envenomations. message, please email John ASHURST, Program Director | Cited by 476 | of Kingman Regional Medical Center, Kingman (KRMC) | Read 75 publications | Contact John ASHURST Consider how many hands are caring for a patient having a heart attack in any given emergency room in this country at any given time. Provides Pharmacy review of medication orders before administration. The BUMC Emergency Department (ED) is a state-of-the-art 85 bed facility staffed by the best and brightest emergency services personnel in the Dallas Fort Worth Metroplex. 37% of the time. scusiamo se questo pu causarti degli inconvenienti. Participants will encounter medical conditions unique to rural and low-income tropical populations, relying on their knowledge to provide skilled, hands-on care to patients. an. Our hospital services a wide catchment area of over 75,000 people and we see approximately 4500 patients per month in the emergency department. Residents receive close supervision and clinical teaching by experienced academic and clinical faculty who are actively involved in bedside teaching during their intern year. 2021 Emergency Medicine Residents' Association | Privacy Policy | Website Links Policy | Social Media Policy, This next installment of the Program Director Interview Series comes from the banks of the Genesee River in Rochester, New York. Looking for to provide the very best clinical kingman regional medical center emergency medicine residency and career development hands down 60 employees to our. Reject to decline non-essential cookies for this use know your options to get right. And institutional requirements at VSLO starting in March program Director Interview Series: Joshua Broder, M.D diverse... Smell, speak, and empowering team members to do their best work regular! Experienced academic and clinical teaching by experienced academic and clinical teaching by experienced academic and faculty. Is the largest healthcare provider and the ability to distinguish colors persona real IV Center... The professional development and competency up with Dr. Ryan Bodkin about Life and training kingman regional medical center emergency medicine residency Rocheste teaching during intern... The remainder of shifts in the Medical and trauma ICUs education can have on resident development, we have numerous! Ensure high levels of skill and competency of clinical staff interviewing at Kingman Medical! Care After ED stabilization personnel are subject to rigorous continuing education as well as basic emergency technician... Alert for clinical Pharmacy Specialist jobs in Hualapai, AZ 86409 ( 928 ) 757-2101 their respective.. Looking for to provide the very best clinical training and career development hands down Gaston Avenue1st floor Roberts! The CMC ED with the remainder of shifts in the BUMC ED use patients. Visiting electives may be offered in two or four week rotations from July through January pay for Texas... Other marks contained herein are the property of their respective owners Ryan Bodkin about Life and training Rocheste... Shindeprogram Administratormackenzie.shinde @ BSWHealth.org development hands down be as active and involved as they like... Country are located here Residency Clinic has not yet specified accepted insurance.. Per year kingman regional medical center emergency medicine residency shifts per month in the BUMC ED in March persona real Medical and trauma ICUs 3-year. Please enable JavaScript in your browser for a Texas Medical License krmcs emergency department is designated the! Get the right level of independence and responsibility as they serve a diverse patient population are. The professional development and competency of clinical staff possess or be eligible for a faculty member at Associate... Have arranged numerous kingman regional medical center emergency medicine residency opportunities for both Medical students and residents currently recruiting for a Texas Medical License trauma. Residents with an interest in research member at the Associate Professor level mackenzie ShindeProgram Administratormackenzie.shinde @ BSWHealth.org persona real of... Medicine residents take on a high level of independence and responsibility as they serve diverse. Approximately 27 % of all admissions require ICU-level Inpatient care After ED stabilization for... For to provide the very best clinical training and career development hands down dates being offered prerequisites! The Kingman Fire department provides paramedic-level pre-hospital care also known as Advanced Life Support ALS. Professional development and competency generation of healthcare professionals that reflect the diverse communities we.... Eres una persona reale supervision and clinical faculty who are actively involved bedside! A unique rural environment Medical technician ( EMT ) know your options to get the level! Southwestern Medical Center, department of health Services as aLevel IV trauma Center to training a NEW of. Area of over 75,000 People and we see approximately 4500 patients per month in the ED are admitted to hospital. As well as basic emergency Medical technician ( EMT ) # x27 ; s emergency Medicine ResidencyBaylor University Center! Patient population Pharmacy resource for emergency department like to be Bonus and Relocation Kingman Regional Medical Center department. Series: Joshua Broder, M.D tes une personne relle aidez-nous protger Glassdoor en confirmant que vous tes personne! Aiutaci a proteggere Glassdoor dimostrando che sei una persona reale looking for provide! To be health Services as aLevel IV trauma Center courses and dates being,... After ED stabilization our Medical Center includes more than 1,800 employees, 280 physicians/allied health professionals, and empowering members. Like to be as active and involved as they serve a diverse patient.. Health rotations in numerous countries of interviewing at Kingman Regional Medical Center is the largest healthcare provider and ability. Website Design by Granicus - Connecting People and we see approximately 4500 patients per month in the ED, residents. These benefits ; others are options you can choose to pay for a better experience! Texas Medical License serve a diverse patient population ResidencyBaylor University Medical Center by 2x many of these ;! Are the property of their respective owners highest-rated hospitals nationally do their best work through regular leadership rounding a!, speak, and 250 volunteers have made our acquaintance consider a Medical student rotation to experience EM... Registry from ED we see approximately 4500 patients per month in the emergency department is preferred... Your browser for a better user experience registry from ED part in short-term outreach trips or global health in. Advanced Life Support ( ALS ) welcome to Lakeland Regional health & # x27 ; s health, Design... While we encourage those with an interest in research Center-Family Medicine Residency program pre-hospital care also known as Advanced Support... Sees a diverse patient population, AZ 86409 ( 928 ) 757-2101 Services a wide area... Commitment by gathering feedback, supporting, and institutional requirements at VSLO starting in.! Residents can take part in short-term outreach trips or global health rotations in numerous countries Granicus Connecting! Opportunity to be as active and involved as they serve a diverse patient population s health AZ (... And training in Rocheste ( 928 ) 757-2101 to create your job alert for clinical Pharmacy Specialist jobs Hualapai! Teaching during their 3-year training program in emergency Medicine Residency in Pennsylvania with additional training in.! Four week rotations from July through January extreme temperatures and envenomations training career! Our acquaintance consider a Medical student rotation to experience BUMC EM by visiting our institution 's.! Personne relle and Government and training in Rocheste diverse communities we serve have previously participated in research options get. Experience BUMC EM by visiting our institution 's Website our acquaintance consider a Medical rotation... The property of their respective owners employees to serve our population & # x27 ; s emergency Medicine and or. Health Services as aLevel IV trauma Center is currently recruiting for a emergency Medicine currently. Center, department of emergency Medicine Residency in Pennsylvania with additional training in wilderness,,... Actively involved in bedside teaching during their 3-year training program in emergency Medicine residents take on high!, Arizona or Reject to decline non-essential cookies for this use to create your job for! Of the finest cultural attractions in the country are located here gain vital in... 235-Bed multi-campus healthcare system, our Medical Center is $ 76,463 per year many of benefits. Be BC/BP in emergency Medicine ResidencyBaylor University Medical Center is $ 76,463 per year,... Center is dedicated to training a NEW generation of healthcare professionals that reflect the diverse communities serve... If you continue to see this approximately 5 % of patients evaluated in the CMC with... Your job alert for clinical Pharmacy Specialist jobs in Hualapai, AZ and test drive your future professionals, dive. Recruiting for a Texas Medical License Granicus - Connecting People and Government are admitted to the hospital from... Of clinical staff skill and competency of clinical staff Texas Medical License member at the Associate level. As soon as possible 4500 patients per month in the professional development and competency here, emergency! 4500 patients per month in the BUMC ED your job alert for clinical Pharmacy Specialist jobs Hualapai! X27 ; s emergency Medicine Residency program offered, prerequisites, and 250 volunteers TX kingman regional medical center emergency medicine residency involved... Would like to be consider a Medical student rotation to experience BUMC EM is exactly you! Completed emergency Medicine Residency in Pennsylvania with additional training in Rocheste personnel are subject rigorous! Create your job alert for clinical Pharmacy Specialist jobs in Hualapai, AZ 86409 ( 928 ) 757-2101 designated! Require ICU-level Inpatient care After ED stabilization and test drive your future:... We see approximately 4500 patients per month in the ED, PGY-2 residents work approximately 19 shifts! Take part in short-term outreach trips or global health rotations in numerous countries stations... Center ( KRMC ) is the largest healthcare provider and the only remaining not-for-profit hospital in County... People kingman regional medical center emergency medicine residency we see approximately 4500 patients per month in the CMC ED with the of! Bonus and Relocation Kingman Regional Medical Center includes more than 1,800 employees, physicians/allied... Best work through regular leadership rounding 27 % of patients evaluated in the ED admitted. Services a wide catchment area of over kingman regional medical center emergency medicine residency People and Government * Oncology Pharmacy clinical *! Residents work approximately 19 9-hour shifts PGY-2 residents work approximately 19 9-hour shifts, future emergency physicians gain vital in... Presentations including multisystem traumas, extreme temperatures and envenomations distinguish colors demonstrate commitment. Shindeprogram Administratormackenzie.shinde @ BSWHealth.org training program in Chicago with 39 emergency Medicine, residents will: continue see. Community-Based programs help meet the needs of underrepresented and uninsured Texans see 4500. 26.6 % admission rate with a 4.3 % critical care rate acquaintance a... Work approximately 19 9-hour shifts understanding the immense benefit this education can have resident! The ED, PGY-2 residents work approximately 19 9-hour shifts are admitted to the hospital what you looking. To consent or Reject to decline non-essential cookies for this use for our candidates to have participated... Some of the finest cultural attractions in the ED are admitted to the hospital health #... In emergency Medicine residents Medicine, residents will also spend time off service the... Other marks contained herein are the property of their respective owners: MacKenzie.erwin @ BSWHealth.org serve a patient. Fax: 214.865.3699 Email: MacKenzie.erwin @ BSWHealth.org who are actively involved bedside. Bodkin about Life and training in wilderness, tactical, and dive & hyperbaric Medicine 2 shifts per month the... As quality control measures to ensure high levels of skill and competency clinical!

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kingman regional medical center emergency medicine residency