PGY-1

1  Anesthesia
1  Cardiology
4  ER
1  Pediatric ER
2  Trauma
1  Ultrasound
1  Pediatric ICU
1  Obstetrics
1  Observation Unit

Residents will spend 4 weeks on service for each number of rotations assigned (e.g. you'll have 16 weeks in the ER during PGY-1).

PGY-2

8  ER
1  Pediatric ER
1  Trauma
1  Neurology
1  Neurosurgery
1  ICU

PGY-2 residents will also participate in Life Flight/Mobile Life Critical Care Transport Network. Learn more about our Life Flight network here.

PGY-3

9  ER
1  EMS
1  ICU
1  Pediatric ER/Teach
1  Elective

During electives, we have seen residents select a particular service that interests them or provide medical services in Africa, Haiti, Australia, Nepal, Japan, Mexico, Canada, England and Taiwan. Residents also continue their work with Life Flight during PGY-3.

Scholarly Activity

Our formal didactic series, Grand Rounds, occurs on Wednesday mornings, and we have five hours of protected lecture time from 8 a.m.–1 p.m. The Emergency Department attending staff and all off-service rotation attendings are informed that our residents will be at Rounds every Wednesday morning. Grand Rounds usually consists of lectures and presentations from residents, faculty, staff and guest lecturers. A mix of case presentations, lectures, x-ray and ECG readings, medicolegal review and lively, interactive discussion keep the mornings from becoming boring.

Twice a month we also have breakout sessions following Rounds. These are small group sessions ranging from case presentations to question-and-answer sessions to demonstration labs. One attending is usually present with 8-10 residents, and a great deal of practical knowledge is usually passed on.

Trauma Lab is another asset for our Emergency Medicine residents. An attending directly supervises while residents perform procedures such as venous cut-downs, intraosseous access, diagnostic peritoneal lavage, transvenous pacing, chest tube placement, emergent thoracotomy, cardiorrhaphy, cricothyroidotomy, retrograde intubations and more. This is a great opportunity to improve your clinical skills.

Simulation training is also provided to enhance the residents’ skills on certain procedures for care of critically ill patients, obstetrics care and cardiac arrest cases. There are specific simulation goals for each program year. This program has dedicated faculty and weekly hours to give residents an opportunity to demonstrate what they have learned and a chance to teach medical students.

Oral board simulations provide good practice for the third-year residents and also an opportunity for PGY-1 and PGY-2 residents to observe a mock exam case. Once a month, an attending will present a simulated oral board exam case to a PGY-3 resident during Grand Rounds… This nerve-wracking experience is incredibly helpful for learning.

Written exams are administered periodically, based on assigned readings in Tintinalli and Rosen. Answers are provided for discussion and future reference. This provides a great preparation for the annual in-service exam as well as for the Emergency Medicine written boards.

Journal Club is held monthly, usually over breakfast or dinner. Each month an assigned resident selects several articles and another resident presents each article assigned to facilitate discussion and critical evaluation. A few times a year, articles are selected focusing primarily on Pediatrics. Journal Club is an informal way to remain current in the literature and to learn to critically evaluate published studies.