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Emergency Department:
Second year residents are expected to see the critically ill patients in the
emergency department. These patients include but are not limited to: major
trauma victims, patients who are unconscious or with altered mental status, all
patients with grossly abnormal vital signs, or a critical condition such as
myocardial infarction or ischemia, pulmonary edema, status epilepticus, etc.
During this year the resident also learns the EMS protocols and services and
begins to communicate via the radio with pre-hospital personnel. Pediatric ED
shifts are integrated into every ED month in the PGY II and III years.
ED/EMS:
This month is focused on gaining the core skills related to EMS through
readings, ride alongs, and projects. The month begins with a meeting with one of
the EMS faculty to orient the resident to the expectations. Advance planning is
required to make the most out of the month – such a scheduling ride alongs and
meetings. Most of the EMS requirements can be completed during this month. The
resident will also work about 8 shifts in the main ED during this month.
MICU:
Second year residents are the senior residents in the MICU and as such make
admission and management decisions. Strong backup is provided by fellows and
attendings. Call is every fourth night.
Neuro
ICU: This fantastic month allows the HO
II to run the critical care operations of the NSI. There is a significant amount
of autonomy and one on one teaching from critical care faculty. In addition, the
resident will learn about neurosurgical and neurological emergencies.
CardiologyUNM:
This month allows the HO II resident to build on the skills acquired during the
intern cardiology month. The resident will be admitting and providing primary
care for the inpatient cardiology service. This is a busy month with a high
acuity patient load and a lot of opportunities to learn.
TSI:
Residents spend this month building on the experience of the intern month and
working with more independence. 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.
Orthopedics:
is included in the PGY2 year because we have found the PGY2 resident is given
much more responsibility than a PGY1 resident, so has the opportunity to learn
more from the experiential level. Orthopedics is quite busy at UNM, so the EM
PGY2 gets to work independently in terms of manipulating bones and joints,
suturing tendons, injecting joints, etc..
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The PGY2 year is the critical
care year. This is the time we expect our residents to become comfortable caring
for critically ill patients. Second-year residents engage in seven emergency
medicine rotations, critical care experience in internal medicine, TSI,
cardiology, orthopedics and neurosurgery. Shifts in the
Pediatric ED are done throughout the ED months.