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EM-2 Rotation Schedule

The hallmark of the EM-2 year (and one of the highlights of our residency as a whole) is the role of the "trigger resident". Any patient with unstable vital signs or high risk presentations such as stroke or trauma activations will be activated as a "trigger" overhead, bringing the EM-2, senior resident, and attending to bedside immediately. This results in a high-acuity, face-paced shift to expand upon the fundamentals learned EM-1 year, hone speed and efficiency, and provide plenty of procedural and critical care exposure.

Emergency Medicine

BIDMC:  PGY2 residents manage the resuscitation of medical and surgical emergencies under the supervision of the  Emergency Medicine attending and senior Emergency Medicine residents, and are team members in the resuscitation of major trauma patients. The majority of the critically ill patients are managed by the PGY2 resident during this year and they perform all necessary emergency department procedures required to manage these patients. A large number of PGY2 shifts will be "trigger shifts", where they will respond to all critically-ill patients in the ED such as patients with unstable vital signs, trauma activations, and stroke alerts. This high-acuity, high-volume year of training is one of the hallmarks of EM training at BIDMC.

 

Mount Auburn Hospital: At this busy, state-of-the-art community hospital, PGY2 residents manage the resuscitation of medical and surgical emergencies under the supervision of the Emergency Medicine attendings. The emergency department sees 28,000 patients each year with a wide variety of medical and surgical complaints. The hospital is affiliated with Harvard Medical School and serves as medical control for a large suburban prehospital system.

 

Pediatric Emergency Medicine

South Shore Hospital: South Shore Hospital is a suburban hospital that has an emergency department with an annual volume over 75,000 visits. They have a separate pediatric emergency department that is open twelve hours a day (seven days a week) and provides care for a volume of 12,600 children per year. As PGY2s, the residents work one on one with the attendings who are all trained in Pediatric Emergency Medicine and are concurrently faculty at Boston Children’s Hospital. There are no other trainees in the pediatric emergency department, which allows our PGY2 resident first access to resuscitations and procedures. PGY2 residents will spend 4 dedicated weeks at South Shore Hospital, and another 2 weeks split between South Shore and Boston Children's Hospital. 

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Boston Children’s Hospital: PGY2 residents spend 2 weeks split between South Shore Hospital and Boston Children's Hospital. This time will allow residents to build upon their foundational pediatric emergency medicine experience from intern year. Residents have the opportunity to become credentialed to perform procedural sedations, in addition to managing a wide variety of pediatric emergencies, resuscitations, and procedures. 

Medical Intensive Care Unit (MICU)

Mount Auburn Hospital: PGY2 Residents spend four weeks as a PGY2 resident in the MAH ICU. They are involved in the resuscitation and inpatient management of critical patients. The residents develop proficiency in procedures such as central line placement, endotracheal intubation, and abdominal and cardiac ultrasound under the supervision of critical care attendings.

Orthopedic Surgery

BIDMC: PGY2 residents spend 4 weeks on the orthopedic surgery service and take first call for orthopedic consults from the emergency department and inpatient wards. They acquire an understanding of the anatomy, mechanism of injury, presentations, complications, management, and prognosis of common musculoskeletal injuries. They perform orthopedic procedures commensurate with their level of experience under appropriate supervision. They will gain experience with general orthopedics, spine surgery, and hand surgery.

Toxicology

PGY2 residents spend three weeks on the toxicology service of the Massachusetts Poison Control Center as integral members of the team. The residents answer incoming calls from both the general public and health professionals throughout the state of Massachusetts and also serve as medical consultant on call under the supervision of the toxicologist. They also rotate through the inpatient toxicology service at BIDMC.

Ultrasound

BIDMC: PGY1 residents spend three weeks on the ultrasound rotation. Designed to complement the residency ultrasound curriculum, the resident further refines his or her skills in ED bedside ultrasound. Abdominal, OB-GYN, trauma, echo, and procedural ultrasound are emphasized. Hands-on experience is supplemented by computer simulations and readings. 

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