Curriculum Schedule & Rotations

Our Emergency Medicine curriculum is designed to provide each of our residents with excellent clinical skills and a foundation in other key areas of training to help you reach your career goals. 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 additionally have a longitudinal curriculum in business and administration, patient safety, quality improvement, research, ethics, and leadership and professional development.

EM-1

Rotation Duration
Anesthesia 1 Block
Cardiology 1 Block
Emergency medicine 5 Blocks
MICU 1 Block
Obstetrics & gynecology 1 Block
Orthopedics 1 Block
Pediatric emergency medicine 1 Block
Longitudinal exposure throughout year
2-3 shifts per rotation in ED
Trauma & acute care surgery 1 Block

EM-2

Rotation Duration
Emergency medicine 9 Blocks
EMS 1 Block
Pediatric emergency medicine Longitudinal exposure throughout year
2-3 shifts per rotation in ED
Pediatric ICU 1 Block
Trauma ICU 1 Block

EM-3

Rotation Duration
Emergency medicine 10 Blocks
MICU 1 Block
Pediatric emergency medicine Longitudinal exposure throughout year
2-3 shifts per rotation in ED
Elective 1 Block

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 performing 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.

Emergency Department at Kendall Regional

Six blocks are spent in the emergency department (ED) 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 managing 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 the 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.

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.

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.

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, as well as 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.

Elective

An additional elective month during the second year of training has been added. The goal is to allow residents time to explore different facets of Emergency Medicine and help them make an educated decision in regards to their future training.

Electrophysiology

The EP cardiology rotation is a two-week rotation geared toward further development of skills with advanced cardiology topics and electrophysiology relevant to emergency medicine providers. The Emergency Medicine Resident functions as a consulting physician for the cardiology attending.

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.

Trauma/Burn ICU

A four-week rotation at the PGY-2 level in the Trauma/Burn ICU is required of all residents. The rotation is designed to expand the resident's knowledge base regarding the evaluation and management of critically ill surgical and burn patients.

The resident assigned to the intensive care unit will be supervised by senior surgical residents and TICU faculty. The TICU teams will round daily on all patients.

Rotations PGY-3

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, as well as 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.

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.

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.