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 including
6-8 weeks as Chief Resident.
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. The PGY III residents have significantly more autonomy in the ED. They are expected to see and present multiple patients to the attending at one time.
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, Holy Cross Hospital in Taos, St. Vincent's Hospital in Santa Fe, or Presbyterian Hospital in Albuquerque.
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.
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.
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.