Interns spend their first month of residency in both the Emergency Department (10 shifts) and training sessions. Classroom training is used to introduce new residents to a broad range of patient concerns that ED physicians evaluate and treat. Residents also participate in simulation sessions to work through common ED presentations in addition to a 2-day ultrasound lab to learn and practice technique. In cadavar lab, residents have hands-on experience with essential procedures such as cricothyroidotomy, paracardiocentesis, intubation, central lines, chest tubes, and thoracotomy.
PROGRAM YEAR 1
PGY1 residents are able to evaluate the full range of patient complaints and presentations. A primary goal is obtaining accurate and concise history, and forming a good differential diagnosis. PGY-1 residents have no administrative or supervisory responsibilities and work at all times under the direction of an attending physician. PGY1 residents are expected to see one patient per hour.
PROGRAM YEAR 2
PGY2 residents continue to develop and hone their skills relative to the management of critically ill patients. They are responsible for in-depth evaluation of critically ill and injured patients and thoroughness is stressed over speed. The latter part of the year focuses on the development of independent functioning and residents begin honing skills necessary for teaching and instructing medical students. Overall, the PGY2 year is one of progressive independence, responsibility and the ability to care for the critically ill. PGY2 residents have no administrative responsibilities with the exception of instructing medical students, and may assist in undergraduate education by presenting lectures under the supervision of the staff. PGY2 residents are expected to see 1.5 patients per hour.
PROGRAM YEAR 3
PGY3 residents function in a more independent fashion than the prior two years. It is expected that PGY3 residents will be capable of managing the most critically ill patients who present to the ED; and residents now have the administrative task of directing and coordinating resources within the emergency department. Residents select cases for morbidity and mortality conference and continue to have access to the attending physician twenty-four hours a day. Near the end of the third year residents have developed superior communication skills and have the ability to integrate various system resources into their practice pattern while benefiting from a wide range of emergency patients.