Program Pages 1   2   3   4   5   6   7   8   9   10   11   12

PGY3

This year the goals are to help the resident learn supervisory and management skills in the ED, consolidate knowledge base, experience other models for the provision of emergency care in the community, and explore areas of special interest through electives.    1.   Emergency Department (8):  4 week rotations    2.   Elective:  (2) 4 week rotations    3.   ED Community/Rural:  (2) 4 week rotations    4.   Medical Intensive Care Unit:  4 weeks Emergency Department: The resident assumes supervisory skills through the teaching of students and PGY1's in the ED. He or she works with the charge nurse and attending to assure patient flow and troubleshoot. The PGY3 continues to supervise paramedics over the EMS radio. Pediatric ED shifts are integrated into every ED month in the PGY II and III years.

Electives:  Two blocks of elective are available of which one may be spent out of the state. Since the Department of Emergency Medicine is committed to working with developing countries, this residency program offers international health opportunities, allowing residents to acquire firsthand knowledge of disasters, border health problems and the application of U.S. emergency-care principles to problems of a developing country whenever possible.  Our residents chose international experiences in: Mexico, Turkey, Nepal, Malaysia, Ireland, and Bosnia. Our faculty have contacts in Mexico, Turkey, Nepal, Guatemala India, Malaysia, and Costa Rica to aid in developing electives. Other residents have chosen to do away rotations in other medical centers across the country, including toxicology at San Francisco General Hospital, neurology at Duke University, cardiology at Dartmouth Medical School, and pediatric EM at Toronto Children's Hospital. Residents have worked in many venues in New Mexico, including EM and Surgery experience at Gallup Indian Medical Center, the medical clinic at Taos ski valley, and with the Public Health Department in Santa Fe. Local electives have included suturing and splinting, PHI Air Medical and Lifeguard Air Emergency Services, research, dermatology, sexually transmitted disease clinic, Office of the Medical Investigator, cardiology, infectious disease and so forth.

Community/Rural Hospitals: The resident works in a variety of community EDs in order to gain experience with the “private world.”  The PGY3 learns to work with private physicians, learns the constraints of working within different health plans which includes a managed care system, and sees a different patient population. The residents can choose from:  Lovelace Medical Center, Rehoboth McKinley Christian Hospital in Gallup, San Juan Regional Hospital in Farmington, or St. Vincent’s Hospital in Santa Fe. In a rural setting, residents learn the constraints of care in small towns without access to tertiary care.

MICU: Third 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. This is the final cap to our extensive critical care experiences.

continue next page>> Back          Return to Top          EM Home          Contact Us