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Kendall Regional Medical Center
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Pediatric ER
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Curriculum

We have developed an emergency medicine curriculum here at Kendall that is engaging, dynamic, robust and evidence based. The curriculum is designed to provide each of our residents with excellent clinical skills and also provide a foundation in other key areas of training to help you reach your career goals. For those who join us, your training starts with a 4 week orientation block followed by 38 4-week rotation blocks composed of clinical rotations, formal didactics, simulations, ultrasound training, bedside learning, online modules, journal clubs, and hands-on skills sessions. We also have a longitudinal curriculum in business and administration, patient safety, quality improvement, research, ethics, and leadership and professional development.


EM-1

Emergency Medicine 5 Blocks
Anesthesia 1 Block
Cardiology 1 Block
MICU 1 Block
Obstetrics & Gynecology 1 Block
Pediatric EM 1 Block and Longitudinal Exposure throughout Year, 2-3 Shifts per Rotation in ED
Trauma & Acute Care Surgery 1 Block
Orthopedics 1 Block

EM-2

Emergency Medicine 9 Blocks
EMS 1 Block
Pediatric ICU 1 Block
Trauma ICU 1 Block
Pediatric EM Longitudinal Exposure throughout Year, 2-3 Shifts per Rotation in ED

EM-3

Emergency Medicine 10 Blocks
MICU 1 Block
Elective 1 Block
Pediatric EM Longitudinal Exposure throughout Year, 2-3 Shifts per Rotation in ED

The required weekly didactic sessions are scheduled for every Wednesday throughout the academic year except for holidays. Each session is 5 hours long. During each 18 month period we will cover the core content of emergency medicine with a focus on learning objectives and teaching methodologies appropriate to the level of residency training. We are dedicated to our residents getting the most from every educational experience.

The didactic training content will be covered through a variety of educational methods such as:

  • Lectures
  • Small Group Discussions
  • Case Conferences
  • Morbidity and Mortality
  • Grand Rounds
  • Journal Club

Simulation

Simulation is a focal point of training at our residency program. Our affiliation with Florida International University gives us the privilege of the use of their state of the art simulation center. Here we run monthly simulations conferences where we focus on high acuity, low frequency cases along with procedural skills and team building.

Ultrasound

The Emergency Medicine Residency at Kendall Regional Medical Center is dedicated to providing a strong and comprehensive experience in ultrasound. Under the expert guidance of Dr. Nicole Aviles, our fellowship trained Ultrasound director and with the assistance of the ultrasound trained emergency medicine faculty who are ultrasound trained, you will develop a strong foundation in ultrasound performance and image interpretation. Training will include identification of Abdominal Aortic Aneurysms, 1st trimester OBGYN pathologies, Gallbladder pathologies, Deep Venous Thrombosis identification, Traumatic Emergencies among other studies. We will teach you how to interpret results and guide resuscitations in real-time and help you improve your efficiency and delivery of care.

Download our sample rotation schedule below.

Sample Rotation Schedule

Rotations PGY-1

Anesthesia

The Anesthesia rotation is primarily geared toward the peri-operative anesthetic management of patients undergoing surgery. Residents are assigned to work under the direct supervision of an attending anesthesiologist who oversees their participation. Responsibilities include performance of pre-operative history and physical examination, induction and maintenance of anesthesia, airway and ventilator management, intra-operative monitoring and post-operative evaluation.

Cardiology/CCU

This cardiology rotation is primarily geared toward the evaluation and management of in-patient cardiac illness. The Emergency Medicine Resident functions as the primary physician for cardiology specialty patients admitted by the senior residents and faculty. The focus of the rotation is to gain experience with acute and chronic cardiac conditions. Senior residents and faculty directly supervise the resident on-site. The resident may respond with team leaders for emergency and inpatient consultation requests. There are no clinic responsibilities.

ED at Kendall Regional

Six blocks are spent in the emergency department during the PGY-1 year, including the orientation month in July. The rotation is primarily geared towards learning the evaluation and management of minor acute and non-emergent conditions as well as assisting in the management of acute life-threatening conditions. The resident will focus on the management and care of all non-emergent patients to gain a foundation of experience, knowledge and clinical skills that will allow each resident to progress to management of the unstable patient in his or her PGY-2 year. After evaluating the patient, the resident will present the patient to the attending, who will be working one-on-one with each resident. Together, they will develop diagnostic and therapeutic plans. All procedures will be done under the direct or indirect supervision of the attending on duty.

ED Orientation

July of intern year is orientation month. All ED interns work a reduced number of shifts during this month and experience a curriculum designed to facilitate a smooth transition into residency. The interns participate in a number of different simulations, labs including splinting lab and suture lab, an ultrasound course, and didactics to prepare for intern year.

MICU

The Medical Intensive Care Unit (MICU) rotation is geared toward the evaluation and management of the critically ill medical patient. The resident assigned to the intensive care unit will be supervised by senior medicine residents and the MICU attending. The critical care teams serve as primary physicians to the unit patients, making daily rounds.

Obstetrics and Gynecology

The Obstetrics-Gynecology rotation is primarily designed to provide exposure to the obstetric and gynecological management of patients undergoing labor or emergent gynecological issues. Residents are assigned to work under the direct supervision of an attending gynecologist. The goal is to have a working knowledge of, and develop skills with, uncomplicated and complicated labor and delivery, as well as the management of gynecologic emergencies.

Orthopedics

The emergency orthopedics rotation focuses on the emergency department evaluation and management of musculoskeletal evaluation, reduction, and splinting. The resident works under the direct supervision of Emergency Medicine faculty in conjunction with, when indicated, residents and faculty from the Department of Orthopedics.

Pediatric EM

The pediatric emergency medicine rotation is designed to gain knowledge, experience and procedural skills in bread and butter pediatric emergency care. After evaluating the patient, the resident will present the patient to the attending, who will be working one-on-one with the resident. Together, they will develop diagnostic and therapeutic plans. All procedures will be done under the direct or indirect supervision of the attending on duty.

Trauma and Acute Care Surgery (TRACS)

Residents will be a member of the Trauma Surgery team and participate in the care of patients meeting trauma criteria, with primary emphasis on evaluation, resuscitation, proficiency in procedural skills, as well as post-operative monitoring and care. The resident is supervised by the team leader (senior surgical resident) and trauma faculty.

Rotations PGY-2

ED

Eight blocks are spent in the emergency department during the PGY-2 year. Time in the emergency department includes a focus on the evaluation and management of emergent and life-threatening conditions and more efficient delivery of patient care. This includes airway management of the trauma patients based on a rotational schedule with anesthesia, and complete medical management of critical patients seen in the ED. Several shifts in each block will also be dedicated to pediatric care so that each resident can experience the variety of pediatric illnesses that change from season to season. All patient care and procedures will be done under the direct supervision of the attending on duty.

EMS

This PGY-2 level EMS rotation is geared towards educating the resident about the structure and function of EMS and the role of the emergency physician in interacting with pre-hospital providers. The resident will work under the direct supervision of the attending physician or senior healthcare provider (RN or paramedic) on scene.

Surgical Anesthesia Intensive Care Unit (SAICU)

A 4 week rotation at the PGY-2 level in the SAICU is required of all residents. The rotation is designed to expand the resident's knowledge base regarding the evaluation and management of the critically ill surgical patient. The resident assigned to the intensive care unit will be supervised by senior surgical residents and SAICU faculty. The SAICU teams will round daily on all patients. Residents on this rotation will take overnight call approximately every fourth night.

Ultrasound

All PGY-2 residents have a dedicated 2 week ultrasound rotation under the direct supervision of the Ultrasound Director. The rotation better prepares the resident for independent practice by furthering their skills in ultrasound image acquisition and interpretation.

PICU

This PGY-2 level rotation, occurring over a four-week block, is required of all residents. The goal of this rotation is to develop the resident's knowledge base in the evaluation and management of critically ill pediatric patients. The residents will work in conjunction with the advanced practice clinicians. They will be supervised by the PICU faculty. The PICU team rounds daily on all patients. Residents will participate in a combination of overnight and weekend call.

Rotations PGY-3

Brief descriptions of educational objectives.

ED

Ten blocks are spent in the emergency department during the PGY-3 year. This rotation focuses on honing the clinical skills achieved during the first two years of residency and the development of supervisory and administrative abilities required to manage an emergency department and succeed as independent practitioners. PGY-3 residents will run resuscitations and cardiac arrests, and supervise junior residents. Several shifts in each block will also be dedicated to pediatric care so that each resident can experience the variety of pediatric illnesses that change from season to season. All patient care and procedures will be done under the direct supervision of the attending on duty.

MICU

A four-week block rotation at the PGY-3 level in the Medical Intensive Care Unit is required of all residents. This rotation provides an opportunity for the resident to further their skills in the evaluation and management of multiple critically ill medical and surgical patients. The resident assigned to the intensive care unit will be supervised by the MICU attending. The resident serves as primary physician to 4 to 8 of the MICU patients, making daily rounds.

Elective

All residents have a four-week elective rotation in their PGY-3 year. You may arrange an elective within the HCA system or you may gather information on an outside rotation and apply for approval through the GME office. Some options include hyperbarics at Mercy Hospital, one of our affiliates; although any other option presented by the resident is possible.