Community Emergency Medicine - Strathroy Middlesex General Hospital

Contact person:

Dr. Daniel Grushka, MD, CCFP(EM) – Resident Rotation Supervisor


The Emergency Department at the Strathroy Middlesex General Hospital (SMGH), located approximately 30 minutes west of London, is a medium-volume community emergency department seeing approximately 28,000 visits/annum. We are proud of our modern facilities and have access to many technologies such as CT, bedside ultrasound, video-laryngoscope, C-arm fluoroscopy, etc. We see a wide patient spectrum and a nice mix of high acuity and medium acuity patients. SMGH is a family medicine run full service community hospital with most consultant services found at larger hospitals including internal medicine, obstetrics, pediatrics, plastic surgery, general surgery, orthopedic surgery, ENT, urology, ophthalmology, anesthesia, physiotherapy and psychiatry. Apart from normal emergency duties, we are involved with patient admissions, provide neonatal, pediatric and adult code blue services for the hospital and tend to do almost all of our own fracture reductions and procedures.

Our emergency department is staffed by both UWO faculty and non faculty members who have either CCFP or CCFP(EM) certification. We enjoy a good relationship with our community family physicians, specialists and major tertiary care center (LHSC).

The ER treats a wide variety of patients, similar to any larger emergency department. We insist on maintaining a one-to-one staff to resident ratio, which provides easy access to staff and an excellent learning opportunity that has been well received by previous residents.

Scheduling: Can take 1-2 residents per 4 week rotation block.

Shifts: 14 shifts in the ER, 1 shift in the OR with a GP-Anesthetist

PGY Level / Type of Rotation: PGY1, PGY2, PGY3 / Elective Rotation