ROTATION Details pgy-1 AnesthesiaUltrasoundEmergency MedicineMedical Intensive Care UnitObstetricsOrthopedicsTrauma ICU Emergency Medicine EDUCATION OBJECTIVES 1. To learn how to approach emergency patients, manage multiple patients, recognize and triage ill patients, and manage these patients acutely and to be exposed to common ED problems (Patient care and practice-based learning). 2. To understand rational test ordering and test interpretation. To understand the cost-benefit ratio of routine tests such as radiographs, ultrasounds, CT scans, and nuclear medicine studies (Practice-based learning and system-based practice). 3. To become familiar with the management of both medical and surgical patients (especially laceration repair, minor trauma, and minor orthopedic injuries and splinting) (Practice based learning and improvement). 4. To learn about common procedures, including: slit lamp examination, central line placement, airway techniques, emergency ultrasound, dental blocks, wrist blocks, foot blocks, irrigation and debridement, and ACLS algorithms (Practice-based learning and improvement, patient care). 5. To become facile with gynecological and first trimester obstetric emergencies and pelvic examinations (Patient care and practice-based learning and improvement). 6. To learn how to deal with difficult patients and families, about common ethical issues in the ED, and how to avoid high risk legal situations (Professionalism, communication skills, practice-based learning). 7. To learn how to interact with nurses and ancillary health care providers (Communication skills and professionalism) 8. To learn how to communicate effectively with referring physicians, admitting physicians, and consultants (Practice-based learning and communication skills). DESCRIPTION OF CLINICAL EXPERIENCES · Each resident will spend the first month of residency (July) in a predominately didactic lecture series which includes a broad overview of Emergency Medicine topics as well as workshops on suturing, splinting, airway management, radiologic interpretation, spinal immobilization, and arrhythmia management. During this time, each resident will work approximately two eight hour shifts per week in the ED. · During the PGY-1 year, each resident will also spend three additional months in the ED. Each resident will work approximately twenty eight or twelve hour shifts seeing pediatric and adult patients. They will work under the guidance of upper-level emergency medicine residents, but the attending physicians will see all ED patients and ultimately be responsible for the care and disposition of each patient. DESCRIPTION OF DIDACTIC EXPERIENCE · EVALUATION PROCESS · Each resident receives written evaluations from each faculty member they work with. They also receive direct feedback at the bedside. FEEDBACK MECHANISM Direct bedside feedback, written formatted rotation evaluations, and written feedback from ED nursing personnel.