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Curriculum
PGY-1 Curriculum
During the first year, the resident will gain experience in a variety of disciplines relevant to Emergency Medicine. The first year includes training and certification in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Advanced Trauma Life Support (ATLS). The experience in the management of pediatric emergencies is particularly strong, as are the core experiences in general internal medicine, cardiology, medical intensive care, anesthesia, obstetrics and gynecology and trauma surgery.
EM orientation, OSU and Nationwide Children's Hospital: 1 month
You will spend your first month in an orientation month spread between the OSU Main ED, Nationwide Children's ED, didactic sessions, lab sessions, and ultrasound training. This month is meant to provide a basis for later rotations with regards to procedural skills, basic knowledge, and familiarity of the different hospitals. You will also become certified in ACLS, PALS, and ATLS.
Adult Emergency Medicine at OSU Main ED: 3 months
First year residents will spend 3 months in the main Emergency Department at OSU. All patients seen by the first year resident are staffed with either the senior EM resident or the attending physician prior to patient disposition. The focus is on learning appropriate patient care. First year residents work 20-21 ten-hour shifts.
Pediatric EM at Nationwide Children's Hospital ED: 2 months
Nationwide Children's Hospital Emergency Department is part of a tertiary care pediatric center and a Level I Trauma Center. The ED has an annual census of over 125,000 patients. Nationwide Children's Emergency Department has been ranked as the #1 pediatric ED by Child magazine and is the 3rd busiest pediatric ED in the country. The resident is the primary caregiver under the supervision and guidance of the attending physician. First year residents work 20 ten hour shifts.
Medical ICU at Riverside Methodist Hospital: 1 month
This rotation is in a combined medical/surgical intensive care unit where critical care is provided to unstable surgical and medically ill patients. Your back-up resident on call days is an internal medicine or surgery junior/senior resident (in house with you) and an attending physician via the electronic-ICU (eICU), through which they are able to assist with directly with patient care.
Critical Care Consultant Service at Riverside Methodist: 1 month
Critical Care Consults is a consult service that handles the acute care for the sickest patients in the hospital that are not in the general ICU. These include the step-down units, cardiac care units, and the neurosurgery ICU. Responsibilities of this team include central line placements, ventilator management, and other aspects of critical care management.
Cardiology at OSU Richard M. Ross Heart Hospital: 1 month
This rotation gives the EM resident exposure to a wide variety of cardiac-related chief complaints, ranging from acute MI and unstable angina, to patients with acute arrhythmias, cardiomyopathies and heart failure. During our cardiology rotation we are a member of the ACS team in the Ross Heart Hospital. This service is essentially a cardiac critical care service. The Ross has in house cath labs and a team available 24/7 and all of the beds are ICU capable.
Anesthesia at OSU Hospital/Ultrasound: 1 month
This rotation provides the ability to become comfortable with a variety of airway management techniques, particularly endotracheal intubation and laryngeal mask airways. Additionally, the resident will gain an understanding of the pharmacology and utilization of agents used for rapid sequence intubation, conscious sedation, pain management, and regional anesthesia.
During this month rotation, the first year resident will work with Dr. Bahner and the Ultrasound Fellows in hands-on sessions to advance the skills necessary for ED Ultrasound. The resident will perform necessary ultrasounds in the Emergency Department and practice in The Ohio State University Clinical Skills Lab, where there is a variety of ultrasound models to further master ultrasound skills. There is both practical and written evaluation at the end of the month.
The Anesthesia rotation is usually done during the morning hours of the day and Ultrasound is done in the afternoons.
Pediatric Orthopedics at Nationwide Children's Hospital: 1 month
The care of these patients will include an extensive clinic experience seeing a variety of orthopedic patients from hand injuries to general surgical orthopedic patients. While on call, the residents will be the initial physician to see ED consultations and manage the floor patients. The resident will perform a large number of fracture reductions as well as post-injury immobilization.
Obstetrics and Gynecology at OSU: 1 month
This rotation provides the EM resident the opportunity to develop skills in the evaluation of patients with obstetric complaints as well as gain experience with obstetric procedures. The resident is on the Labor and Delivery ward and will get experience with deliveries as well as evaluating patients with obstetric complaints that are past 20 weeks in gestation in an obstetric "mini-ED."
PGY-2 Curriculum
During the second year, emphasis is placed on Emergency Medicine, with Emergency Medicine rotations at three clinical sites. The second year resident is expected to manage the most critically ill medical/surgical/trauma patients. In addition, the resident obtains experience in a variety of subspecialties. The resident gains experience and expertise in performing procedures such as placement of central lines, airway management, trauma patient management, and ultrasound.
Adult Emergency Medicine at OSU Main and East: 6 months
While in the ED, second year residents are generally assigned to care for the more critical patients. All patients seen by the second year resident are also reviewed by the attending physician prior to patient disposition. Emphasis is on efficiency and multitasking. Second year residents work 20 ten hour shifts. One month is spent at The Ohio State University East Hospital, which gives exposure to a more community-type emergency department. The other four and a half months are spent in the OSU Main ED.
Pediatric EM at Nationwide Children's ED: 2 months
As in the first year, all patients are seen and evaluated by the resident and then staffed with an attending physician. In the second year, the resident will carry the trauma radio and be the resident responsible for the initial evaluation and stabilization of critically ill of injured children. Second year residents work 18-20 ten-hour shifts.
Trauma Surgery at Grant Medical Center:1 month
The Grant Trauma rotation provides the rotating EM resident with high acuity trauma, SICU/TICU experience, and the opportunity to improve critical care procedural skills. Ultrasound is used extensively to rapidly assess the abdomen and the residents obtain proficiency in this throughout the month. The resident will learn all aspects of trauma care from pre-hospital stabilization, initial resuscitation, in-patient management, discharge planning, and rehabilitation. Grant Hospital was featured on the TLC show Trauma: Life in the ER.
Surgical Intensive Care Unit at OSU: 1 month
This rotation will provide the EM resident with a variety of experiences and skills centered on the care of very sick post-surgical and trauma patients. The resident can expect to perform a large number of invasive procedures such as central lines, Swan-Ganz insertion and management, arterial lines, and intubations. Furthermore, the resident will become comfortable managing and understanding complicated, hemodynamically labile patients on a variety of titrated vasoactive medications.
Ultrasound at OSU: 2 weeks
During this 2 week rotation, the second year resident will work with Dr. Bahner and the Ultrasound Fellow in hands-on sessions to advance the skills necessary for ED Ultrasound. The resident will perform necessary ultrasounds in the Emergency Department and practice in The Ohio State University Clinical Skills Lab, where there is a variety of ultrasound models to further master ultrasound skills. There is both practical and written evaluation at the end of the two weeks.
Tox. at Nationwide Children's Poison Control Center: 2 weeks
Toxicology is a rotation in which the EM resident will have the opportunity to focus on toxicological emergencies. This experience is gained by participating in the management of phone consults to the Central Ohio Poison Center as well as performing in-house consults on overdose cases. The resident will also prepare a lecture on a toxicology topic.
Hand Surgery and Adult Ortho. at Riverside Methodist: 1 month
This rotation, which is a subspecialty of both orthopedics and plastic surgery, will provide the EM resident with the necessary skills to evaluate and treat patients with various injuries/fractures or diseases of the hand. The skills of tendon and laceration repair, fracture reduction and splinting and casting will be addressed.
Adult Orthopedics at Riverside Methodist Hospital
The care of these patients will include an extensive clinic experience seeing a variety of orthopedic patients. The residents will also take call and be the initial physician to see all ED consultations. The resident will perform a large number of fracture reductions and splint and cast applications.
PGY-3 Curriculum
In the third year, emphasis is placed on mastering emergency medicine and preparing for life after residency. The third year resident also plans teaching conferences, presides over morbidity and mortality conferences and journal clubs, and conducts follow-up conferences on admitted patients.
Adult Emergency Medicine: 5 months
The third year of the program provides the senior resident with the opportunity to accept responsibility for managing many patients simultaneously while supervising and teaching junior level house officers and students in the Emergency Departments of The Ohio State University Medical Center. This graded responsibility helps the senior resident to gain independence and expertise in managing the department. They also manage Level One and Two traumas. Third year residents work 20 nine hour shifts. As in the second year, one month is spent at The Ohio State University East Hospital and the remainder at the OSU Main ED.
Fast Track Emergency Medicine at OSU Main: 1 month
The third year of the program provides the senior resident with the opportunity to accept responsibility for managing many patients simultaneously while supervising and teaching junior level house officers and students in the Emergency Departments of The Ohio State University Medical Center. The third year resident acts as the triage doctor and sees patients in our urgent care setting called Fast Track.
Pediatric EM at Nationwide Children's ED: 2 months
This month is similar to previous months at the Nationwide Children's Hospital ED. However, the third year resident, with supervision by attending physician, is primarily responsible for managing resuscitations of critically ill children and plays an active role in major trauma resuscitations. Third year residents work 18 shifts.
Medical ICU at Riverside Methodist Hospital: 1 month
This rotation is in a combined medical/surgical intensive care unit where critical care is provided to unstable surgical and medically ill patients. On this rotation you are the senior resident and will be responsible for providing back-up for interns and junior residents. There is no call during this month.
Emergency Medicine Elective in Hawaii: 1 month
This rotation is a one-month exposure to emergency medicine at the Kaiser Foundation Hospital, Honolulu, Hawaii, Emergency Department. In general, patients will be very similar to the OSU population but with slightly less acuity, as the hospital is not a level I trauma center. The population has a unique culture from Hawaii and a higher percentage of elderly patients and respiratory illnesses such as asthma. Another unique part of the rotation will be the large role that the Health Maintenance Organization will play in the patient's care. The resident will also have 8 hours of didactic training in hyperbaric medicine at the Kuakini Medical Center. During this rotation, the resident is provided a furnished apartment and a car for personal use. Airfare to and from Hawaii will also be reimbursed. This is an elective rotation, and you don't HAVE to go if you don't want to!
Elective: 1 or 2 months
Numerous electives are available as part of the third year curriculum. Potential rotations include: Sports Medicine, Hyperbaric Medicine, Aeromedical Transport, Plastic Surgery, Radiology, Otolaryngology, Ophthalmology, Critical Care, Oral Surgery, Dermatology, Trauma Surgery and Disaster Medicine. The third year resident can also participate in the extensive research that is ongoing in our department during this month. Normally, one month is available, but the resident can have two months if they elect not to go to Hawaii.
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