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 Goals for this year are to expose
the resident to the broad range of conditions with which the resident will be
confronted during his or her career. The first-year resident curriculum consists
of 13 four-week blocks of the following rotations:
1.
Orientation to Emergency Medicine: 4 weeks
2. Emergency Department:
(2) - 4 week rotations
3. TSI: 4 weeks
4. Toxicology/UCC: 4
weeks
5. Pediatric Emergency
Medicine: 4 weeks
6. Anesthesiology/VA EM:
4 weeks
7. Burn and Trauma: 4
weeks
8. Medical Intensive Care
Unit: 4 weeks
9. Obstetrics/Gyn
Consult: 4 weeks
10. Cardiology VA: 4 weeks
11. PICU: 4 weeks
12. Internal Medicine Wards: 4 weeks
Orientation Block:
The goals of the block are to provide a smooth transition into residency, to
understand how the ED, hospital and community work and to get to know your
fellow residents and faculty. Some of the activities include:
 ACLS, PALS, ATLS,
a medical Spanish course, an EKG course, hospital tour, library tour and visits
to community resources. Didactic sessions are given on relevant EM topics. The
residents are introduced to programs related to emergency medicine including:
the medical flight service, the disaster medical assistance team, the center for
injury prevention and research and the urgent care center. Residents also work
about 15 hours weekly in the ED.
Emergency Department:
Residents spend two months in the ED during
the intern year. Each month the interns work 20 shifts in the main ED. There are
no pediatric ED shifts during these two months. The role of the intern is to see
patients in the main ED and to shadow the HO II/III residents into the critical
care areas.
TSI:
The HO I TSI rotation will provide an introduction to the care of critical
trauma and surgical patients. The resident will take call, round and work
closely with the residents and faculty from the Department of Surgery and
Critical Care. There is a series of weekly lectures, simulation and skills labs
to augment the bedside teaching. Drs. Marinaro and Tawil from EM/Surgery/CC
attend in the TSI 2-4 weeks out of the month.
Toxicology/Urgent Care (EDE):
Residents spend mornings in the New Mexico Poison Center participating in
lectures from the medical director of the poison center, using the learning
resources there and following calls to the poison center specialists. The
residents also perform consults and follow-ups for the medical toxicology
service. The resident will spend about 25 hours per week during afternoons and
evenings working in Urgent Care (EDE). The focus of the EDE clinical experience
is on the care of patients with dermatologic issues, wounds and minor ortho, URI
and other minor and moderate issues.
Pediatric Emergency Department:
During the PGY I year residents spend an entire month in the Pediatric ED. The
Peds ED is located in the brand new Pavilion next to the main ED. It has its own
clinical space, waiting room and nursing staff. The PGY I residents see the full
spectrum of acute pediatric illness and receive outstanding teaching by the
fellowship trained Peds ED faculty.
Anesthesiology/VA EM:
Residents spend the mornings at either the University or at the VA in the
operating suite performing intubations/LMA placement/nerve blocks and other
patient care under the supervision of the Department of Anesthesiology. In the
afternoons, the resident works in the ED of the VA with EM board certified
physicians.
Burn and Trauma:
Residents spend one month on the Burn and Trauma service. There role on the
service is to participate in patient care for the “Trauma Alert Patients” or
TAP’s in the Trauma room with the surgical and other residents on the team. The
resident also helps with patient care for the patients admitted to the floor and
sub acute care units. This month is a great introduction to care of trauma/burn
patients and to the skills needed to care for patients in the hospital.
MICU:
Residents spend a fantastic month in the MICU as an intern. They are primarily
supervised by the upper level ED residents in the MICU. This month builds the
foundations for the ongoing critical care training during the residency. Call is
every 4th night
OB/GYN:
Residents spend one month caring for patients in the OB Triage unit, Labor and
Delivery and doing OB/GYN consults in the ED. The primary goal of this month is
to learn the skills to assist with normal and abnormal vaginal delivery and care
of common OB/GYN emergencies. The intern is expected to do at least 10 vaginal
deliveries during this month.
Cardiology VA:
Residents spend a month on the cardiology service at the VA hospital learning
about the care of acute/chronic cardiac conditions.
PICU:
Residents spend one month in the Pediatric ICU caring for critically ill
children. This rotation is well known for its excellent teaching. Residents are
encouraged to be proactive about becoming involved in the care of unstable
patients and in doing procedures.
Internal Medicine Wards:
The PGY I residents do one month of the internal medicine inpatient service at
University Hospital. This is a busy service with high patient acuity and a wide
variety of pathology. This month helps to build the core skills needed to be an
effective EM physician. |
