Rotations are scheduled as 4-week blocks equating to 13 rotations/academic year.
Our formal didactic series, Grand Rounds, occurs on Wednesday mornings, and we have five hours of protected lecture time from 8:00 AM to 1:00PM. The Emergency Department attending staff and all off-service rotation attendings realize 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 typically lively interactive discussions keep the mornings from becoming boring.
Twice a month we also have “Breakout Sessions” in addition to and 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 eight to ten residents, and a great deal of practical knowledge is usually passed on.
Trauma Lab is another asset. Residents are directly supervised by an attending while performing procedures such as venous cutdowns, intraosseous access, diagnostic peritoneal lavage, transvenous pacing, chest tube placement, emergent thoracotomy, cardiorrhaphy, cricothyroidotomy, retrograde intubations, and more. This is a great opportunity to hone your clinical skills.
Simulation training is provided to enhance the residents’ skills on certain procedures for care of critically ill patients, obstetrics care, and cardiac arrest cases. This program has dedicated faculty and time every week in the simulation center for training. There are specific simulation goals for each program year of training. This time gives residents an opportunity to demonstrate what they have learned and a chance to teach medical students on dedicated days weekly.
Oral board simulations provide good practice for the third-year residents and also an opportunity for first- and second-year residents to observe a mock exam case. Once a month, an attending will present a simulated oral board exam case to a third-year resident during Grand Rounds… nerve-wracking, but also incredibly helpful.
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. Two to three 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.
Ultrasound is a required rotation in the EM1 year. The program has dedicated faculty members for ultrasound education. Residents have the opportunity to earn their RDMS certificate while in the EM residency program.