Our Clinical Sites

Our Network Department of Emergency Medicine provides clinical coverage at hospital sites across the University of Vermont Health Network (UVMHN) in Vermont and upstate New York. Collectively, we serve approximately 200,000 patient visits annually, and the Network hospitals serve a catchment of 40,000 square miles and 1.4M people. LCOM students and Emergency Medicine residents train clinically at three of our Network sites with elective rotations at multiple other sites. Our primary teaching campus is the University of Vermont Medical Center, the only Level 1 trauma center in the greater region. The majority of academic faculty provide clinical coverage at multiple sites in Network, including our rural and critical access sites, underscoring our commitment to high quality rural acute care delivery. 

University of Vermont Medical Center 

UVMMC

The University of Vermont Medical Center (UVMMC) is a regional referral center for approximately 1 million people in Vermont and Northeastern New York, and a community hospital for 160,000 residents of Chittenden and Grand Isle counties in Vermont. Currently with 562 beds, UVMMC serves as the primary academic medical center for the Robert Larner College of Medicine, and includes a Level 1 Adult Trauma Center, Level 2 Pediatric Trauma Center, the UVM Children’s Hospital, the UVM Cancer Center, and the only Neonatal ICU in Vermont. As the only academic medical center in Vermont, UVMMC provides a training environment for approximately 300 residents across 17 different training programs, as well as 25 fellowship programs. With about 69,000 visits per year, the ED at UVMMC sees the full spectrum of clinical presentations. 

Within the UVMMC ED, all of our EM physicians have a range of clinical experiences. Some include working alongside and teaching EM and off-service residents or medical students, a shift may involve supervising a Physician Assistant, and some also allow the opportunity to individually see patients without learners or PAs. Specialty and subspecialty services are available for consultation. There is 24hr access to full radiology services including MRI and 24hr social work/case management support. UVMMC is also a site for paramedic students and new graduate nurses with a strong focus on team collaboration, teaching, and collegiality.

Central Vermont Medical Center

Central Vermont Medical Center

The Central Vermont Medical Center (CVMC) is a rural hospital located just outside the capital city of Montpelier, in the heart of the Green Mountain State. Our catchment area includes the small cities of Barre, Montpelier, and Waterbury, as well as beautiful rural areas like Orange County and the Mad River Valley. Our emergency department has 24 beds, sees about 26,000 patient visits per year, and is staffed by board-certified emergency physicians, physician assistants, and nurse practitioners. The patient population is generally from the local community, and there is a strong emphasis on providing a quality patient experience close to home and treating the patients like the friends and neighbors they often are. While we are supported by a collaborative first tier of on-site specialists, we manage and coordinate all the clinical care in our department. We are the primary proceduralists, and often cross-cover to provide those services throughout the hospital after hours. We provide cutting-edge substance abuse care, a robust point-of-care ultrasound practice, and the opportunity to help teach a great group of emergency medicine residents and students from our Network partner hospital, UVMMC in Burlington.  We are a self-sufficient, supportive, and collaborative group that values high quality bedside care, collegiality, mutual support, and longevity. We strive to be a model of what rural clinical emergency medicine can be, and seek applicants with a focus and desire to become top-quality rural clinicians. For those with academic career goals, faculty appointments are available through UVM, but they are not required. The hospital is licensed for 122 beds and serves a population of roughly 66,000, and recently received primary stroke center certification.

Champlain Valley Physicians Hospital

CVPH

Champlain Valley Physicians Hospital (CVPH) is one of the UVM Health Network community affiliates located in Plattsburgh, NY on the shores of Lake Champlain. CVPH houses 300 inpatient beds serving a wide catchment area of northeastern New York, northcentral New York, and reaching as far as the Canadian border. CVPH is located in a rural setting in the middle of downtown Plattsburgh directly adjacent to the State University of New York, Plattsburgh. The ED cares for roughly 40,000 patients per year and is staffed by board-certified emergency physicians including many faculty members from UVMMC, emergency medicine residents from UVMMC, and highly qualified and trained physician's assistants.  Students and residents benefit from a relatively high volume, high acuity ED experience, with access to private attending consultants during daytime hours, as well as 24-hour cardiac catheterization lab access.

Porter Medical Center (PMC)

Porter HospitalPorter Medical Center (PMC) is a 25-bed critical access hospital located in the scenic small college town of Middlebury, Vermont.  Middlebury sits at the foothills of the beautiful Green Mountains and offers a welcoming and vibrant community for many to live and explore.  The hospital serves a catchment area that includes much of the Champlain Valley including towns of Vergennes, Bristol and Brandon.  The hospital has enjoyed the benefits of being located in a college town and has a wide array of subspecialties available to its community including non-invasive cardiology, orthopedics, OB/Gyn, ENT, pediatrics, and general surgery.  The ED has 10 patient beds and sees about 14,000 patients visits per year and is staffed by board-certified emergency physicians, physician assistants, nurse practitioners, and a fantastic nursing team.  The patients we see are usually local to the community, although we do have a healthy amount of visitors from afar.  We try and collaborate with our local primary care providers to ensure safe dispositions from the ED and we equally place value on strong relations with our hospitalists so that admitted patients receive the best care possible as well. While we are supported by a collaborative first tier of on-site specialists, we manage and coordinate all the clinical care in our department. Much like the ED physicians at CVMC, we are the primary proceduralists, and often cross-cover to provide those services throughout the hospital after hours.  Our current group is deeply committed to Porter and has over 100 years of combined service to the department.  At a minimum, we are soccer coaches, friends, beekeepers, triathletes, hikers, bikers, volunteers, and caregivers to our elderly parents.  We seek providers curious about practicing rural clinical emergency medicine in a supportive, academic, and collaborative space.   For those with academic career goals, faculty appointments are available.

Elizabethtown Community Hospital (ECH)

ECH ED

Elizabethtown Community Hospital (ECH) is a rural critical access hospital serving Elizabethtown, NY, & multiple surrounding communities, nestled in the scenic Adirondacks.  It has 25 inpatient beds, radiology, laboratory, clinic & ED services. There is no L&D, no ICU, no OR & no specialty physician services for the inpatient unit.    The annual ED volume is growing & is now close to 8000 visits per year.  There are 6 ED rooms with all the necessary equipment for advanced resuscitation.  

Currently there is single ED provider coverage with 100% board certified residency trained emergency physicians, most of whom also work at UVMMC or one of the other UVMHN ED sites. It is a critical access, rural site with limited resources, but an enthusiastic & supportive staff. Critically ill patients requiring hospitalization are sent to other Network sites, via the Network Care Coordination Center.  It shares the same EHR (Epic) & radiology system as the rest of the Network.  The ED hosts family medicine & emergency medicine residents from CVPH & UVMMC as well as occasional medical students from UVMMC.  

It is a great place for a flexible, independent, forward-thinking emergency physician to practice - who is comfortable working in a low resource ED setting.  Shifts are 12 or 24 hours in duration. Many of our physicians also work shifts at ECH-Ticonderoga.

ECH-Ticonderoga ED

ECH Ti ED

Ticonderoga ED is a satellite campus of Elizabethtown Community Hospital (ECH).  It serves as a free-standing ED, coupled with outpatient laboratory, radiology, & multi- specialty clinic services. There are 7 regular beds   & 4 observation rooms in the recently rebuilt ED stocked with advanced resuscitation equipment.  The ED serves the local community of Ticonderoga, NY,  (home of the historic Fort Ticonderoga) as well as the surrounding communities extending south into the northern towns along beautiful Lake George and west into the foothills of the Adirondacks.  The annual volume is growing & is now close to 8000 visits per year.  There are no inpatient beds at Ticonderoga.

Currently there is single ED provider coverage with 100% board certified residency trained emergency physicians, most of whom also work at UVMMC or one of the other UVMHN ED sites. It is a critical access, rural site with limited resources, but an enthusiastic & supportive staff. All patients requiring hospitalization are sent to other Network sites, via the Network Care Coordination Center.  It shares the same EHR (Epic) & radiology system as the rest of the Network.  The ED hosts family medicine & emergency medicine residents from CVPH & UVMMC as well as occasional medical students from UVMMC.  

It is a great place for a flexible, independent, forward-thinking emergency physician to practice - who is comfortable working in a low resource ED setting.  Shifts are 12 or 24 hours in duration. 

Alice Hyde Medical Center (AHMC)

Alice Hyde Medical Center from the airNestled in the northern foothills of the Adirondack Mountains amongst dairy farms, forests and the Saint Lawrence River valley, rests Malone, NY.  Alice Hyde Medical Center (AHMC) has served patients in Malone and surrounding rural communities for over 100 years and provides an invaluable link to healthcare for tens of thousands of patients who would otherwise be medically isolated, far from resources more readily available in larger urban centers.  The AHMC Emergency Medicine Department (ED) is a gold standard bearer for providing state-of-the art emergency care by Board Certified, residency-trained emergency medicine physicians who also often provide care at the University of Vermont (UVM) Health Network's other emergency departments and serve clinical, academic and community service roles.  Though AHMC is now a federally designated 25-bed Critical Access Hospital (CAH), the ED still sees 15-18k patients per year, including trauma presentations, who are just as medically complex as the patients seen at the Network's larger hospital centers in Plattsburgh, NY and Burlington, VT.   In many aspects, the unique nature of rural emergency medicine at AHMC is similar to the Network's other rural locations in NY and VT, though the geographical isolation and lack of in-house specialty consultation is more pronounced.  Patient care, however, remains uncompromised.  Many ED patients remain locally for inpatient care by the hospitalist attending staff or outpatient follow-up but, when required, the UVM Network Care Coordination System helps expedite and coordinate all medically necessary transfers.  Critical, real-time telemedicine support from Network ICU, Stroke Neurology and other subspecialty expertise is available to support ED patient care.  In-house ultrasound (U/S), CT and MRI imaging services are maintained.  Point of Care U/S is frequently employed and many of our physicians are U/S fellowship trained.  The relatively high volume and high acuity of the ED patient population in this Network-supported rural environment is fertile ground for a very exciting and gratifying emergency medicine practice.  The ED is staffed by a single board-certified ED physician at all times with a slight overlap in shifts (13hr) and supported by a single APP provider during the busier daytime hours.  UVM emergency medicine residents and medical students rotate at AHMC for the stellar educational opportunity while caring for rural and indigenous communities.