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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.
EMS/US:
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 as scheduling ride-alongs and
meetings. Most of the EMS requirements can be completed during this month. The
resident will also be spending about 20 hours during the month doing bedside
ultrasound with the ED Ultrasound director and attending didactic US training
sessions. The US experience builds upon the first year rotation, allowing more autonomy and emphasizing the technically more difficult US applications. During this month the resident will work about 4-5 ED shifts primarily during weekday shifts.
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 rotation (2 weeks) 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.
Orthopedics:
This 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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