.png)
EM3 Rotation Schedule
The goal of the PGY3 year is to make the transition to being an attending an easier one, and to teach you how to run an ED under the careful mentorship of our outstanding attendings. Instead of caring for one patient at a time, as senior resident you will be supervising all other EM residents, off-service residents, and medical students in the highest acuity areas of the BI emergency department. You will be the team leader for medical and trauma resuscitations and will also be the first one to read all EKGs performed in the department. What we have tried to do with our Senior Resident supervisory role is simulate for you what the attending job is.
Emergency Medicine
BIDMC: The third year rotation in Emergency Medicine stresses the development of emergency physician leadership. PGY3 residents assume the role of clinical leader in the emergency department with close emergency faculty supervision. They direct patient care in critical medical, surgical, trauma, psychiatric, and obstetric/gynecologic care situations. The PGY3 resident is responsible for supervising junior residents and medical students in the emergency department.
​
Beth Israel Deaconess Needham: Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut consequat semper viverra nam. Mi in nulla posuere sollicitudin aliquam. Nunc mattis enim ut tellus elementum sagittis vitae.
St. Luke's Hospital: As the only emergency medicine residents at this busy community hospital, the PGY 3 residents are responsible for seeing the sickest medical and surgical patients and performing all the procedures. The residents gain firsthand experience of practicing in high-volume, high-acuity community hospitals.
Pediatric Emergency Medicine
Boston Children’s Hospital: The PGY3 residents are responsible for all facets of the patient’s clinical management while rotating in the Emergency Department at Children’s Hospital Boston. They have the opportunity to direct pediatric medical and trauma resuscitations and perform advanced procedures.
Pediatric Intensive Care Unit (PICU)
Boston Children's Hospital: The PGY3 residents spend four weeks as members of the pediatric intensive care team at Boston Children’s Hospital. This team is composed of both Emergency Medicine and Pediatrics and team members are responsible for all facets of clinical management. As the primary physician for his/her patients, the EM resident is responsible for ordering all therapies and diagnostic studies. The educational curriculum includes mock codes, in situ simulation and daily didactic sessions.
Brockton Hospital ICU (BRICU)
Brockton Hospital: Brockton Hospital is a community-based teaching hospital located 25 miles south of Boston in the city of Brockton, which is an urban environment with a diverse patient population. The hospital has 245 inpatient beds, while the emergency department sees an annual volume of 63,000 patients, including 9,000 pediatric patients. After ED evaluation, 18% of all patients are admitted, with 3% admitted to the ICU.
​
PGY-3 residents typically spend one month rotating through the Intensive Care Unit at Brockton Hospital. This is a high-acuity mixed ICU, meaning that residents are exposed to critically ill patients with a variety of illness, including medical, neurologic, and traumatic pathology. Residents have the opportunity to perform numerous procedures and high-acuity consults both in the ED and on the floors. Residents typically vote this as one of the top rotations of residency!​
Emergency Medical Services & Adiminstration
PGY3 residents spend 3 weeks involved with a full range of EMS activities within the City of Boston, several suburban EMS systems, and Boston MedFlight. They attend local, regional, and statewide meetings related to various aspects of EMS. Residents are exposed to mass gathering emergency care by working as physicians for Fenway Park during Boston Red Sox home games and special events. Time is also spent working with the chairman of Emergency Medicine acquiring a practical understanding of administrative issues (i.e. leadership, continuous quality improvement, risk management, managed care, marketing, computer systems, ethics) necessary to become an effective manager in Emergency Medicine. A quality assurance project is also completed during this rotation. Residents spend time at the Harvard Risk Management Foundation. Here they learn the basics of risk management and review closed malpractice cases.
Elective
Residents have 6 weeks of elective time in their PGY3 year. Residents can choose from a large number of previously arranged electives, or can design their own educational elective. Electives have included pediatric anesthesia, advanced EKG interpretation, medical Spanish, medical direction and oversight of a local EMS service, clinical research in a specific area of interest, and the evaluation and management of patients presenting to the ED in shock. Many residents choose to pursue international electives, such as our popular elective in Cape Town, South Africa, where residents manage a tremendous amount of trauma, having access to perform numerous chest tubes, intubations, thoracotomies, and other procedures.