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PGY-1 Curriculum (13 blocks)
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 adult and pediatric emergencies is strong, as are the core experiences in cardiology, medical intensive care, anesthesia, and obstetrics and gynecology.
EM orientation, OSU and Nationwide Children's Hospital: 1 block
All first year residents will spend their first block in an orientation curriculum that includes clinical orientation at the OSU Main ED and Nationwide Children's ED, didactic sessions, skills lab sessions, ultrasound training, and certification in ACLS, PALS, and ATLS.
Adult Emergency Medicine at OSU Main ED: 4.5 blocks
First year residents will spend 4.5 blocks in the main Emergency Department at OSU. The first year resident will independently evaluate patients and provide care in conjunction with their senior EM resident or attending physician. The focus is on expanding knowledge of emergency care. First year residents work 20-21 ten-hour shifts.
Pediatric EM at Nationwide Children's Hospital ED: 2 blocks
Nationwide Children's Hospital Emergency Department serves a tertiary care pediatric center and is a Level I Pediatric 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 first year resident will independently evaluate patients and provide care under the guidance of a pediatric EM attending physician. First year residents work 20 ten hour shifts.
Medical ICU at Riverside Methodist Hospital: 1 block
This rotation is at a large community hospital in a combined medical/surgical intensive care unit where critical care is provided to unstable surgical and medically ill patients. First year residents serve on the critical care team, receive excellent instruction regarding critical care topics, and have the opportunity to advance a variety of procedural skills.
Critical Care Consultant Service at Riverside Methodist: 1 block
Critical Care Consults is a consultation service that provides acute care for the sickest patients in the hospital who are not assigned to the general ICU. This includes evaluating patients with deteriorating conditions on the medical floors, or providing care for ill patients in the step-down units, cardiac care units, and the neurosurgical ICU. Responsibilities of the consultation team include procedures, such as intubation or central line placement, ventilator management, and many other aspects of critical care management.
Cardiology at OSU Richard M. Ross Heart Hospital: 1 block
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 the cardiology rotation, our residents are members of the ACS team in the Ross Heart Hospital. Responsibilities on this service are consistent with a cardiac critical care service as the Ross Heart Hospital has 24/7 cardiac catheterization lab and interventional team availability and all of the beds are ICU capable.
Anesthesia at OSU Hospital/Ultrasound: 1 block
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 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 a variety of ultrasound models are available to further master skills. To maximize this experience, the anesthesia rotation is typically done during the morning hours of the day and Ultrasound is done in the afternoons.
Obstetrics and Gynecology at OSU: 1 block
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 performing deliveries. Additionally, the resident will evaluate patients with obstetric complaints that are past 16 weeks in gestation in an obstetric triage unit.
Selective OSU Hospital: 0.5 block
The resident will have the opportunity to personalize their residency experience with a selective in the first year. Popular selective rotations include, but are not limited to, pediatric orthopedic surgery, pediatric anesthesia, ophthalmology, and sports medicine.
PGY-2 Curriculum (13 blocks)
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 expertise in procedures such as placement of central lines and airway management, trauma patient management, and ultrasound.
Adult Emergency Medicine at OSU Main 5 blocks
While in the ED, second year residents are generally assigned to care for the most critical patients. All patients will be independently evaluated by the second year resident and cared for in conjunction with the EM attending physician prior to patient disposition. Emphasis is on increasing efficiency and ability to multitask in the EM setting. Second year residents work 19-20 ten hour shifts.
Adult Emergency Medicine at OSU East: 1 block
One block of the emergency medicine experience in the second year is spent at The Ohio State University East Hospital, which gives the resident excellent exposure to community emergency medicine in our affiliated emergency department.
Pediatric EM at Nationwide Children's ED: 2 blocks
As in the first year, all patients are seen and evaluated by the resident and cared for in conjunction with a pediatric EM attending physician. In the second year, the resident is specifically designated to be responsible for the initial evaluation and stabilization of critically ill children and injured pediatric trauma patients in a specialized area in the NCH ED. Second year residents work 18-20 ten-hour shifts.
Trauma Surgery at Grant Medical Center: 1 block
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. The resident will learn all aspects of trauma care from pre-hospital stabilization, initial resuscitation and critical care, 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 block
This rotation will provide the EM resident with a variety of experiences and skills centered on the care of critically ill 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 gain autonomy and become comfortable managing and understanding complicated, hemodynamically labile patients on a variety of titrated vasoactive medications.
Ultrasound at OSU: 0.5 block
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.
Toxicology at Central Ohio Poison Center: 0.5 blocks
Toxicology is a rotation in which the EM resident will have the opportunity to focus on toxicological emergencies and learn from the expertise of the toxicology attending physicians and toxicology fellow. This experience is gained by participating in the management of consults to the Central Ohio Poison Center as well as performing in-house consultation on hospitalized toxicology cases.
Hand Surgery and Orthopedic Surgery at OSU: 1 block
The hand rotation, which involves rotation with both orthopedic and plastic surgery hand specialists, 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. The resident will gain clinical experience in a variety of orthopedic emergencies and perform fracture reductions and immobilizations while serving on the orthopedic consultation service.
Selective at OSU: 0.5 blocks
The resident will have the opportunity to personalize their residency experience with 2 one-week selective blocks in the second year. Popular selective rotations include, but are not limited to, pediatric orthopedic surgery, pediatric anesthesia, ophthalmology, and sports medicine.
PGY-3 Curriculum (13 blocks)
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: 7 blocks
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 Wexner Medical Center. This graded responsibility helps the senior resident to gain independence and expertise in managing the department. They also manage Level One and Level Two traumas. Third year residents work 18-20 nine hour shifts. As in the second year, one block is spent at The Ohio State University East Hospital and the remainder at the OSU Main ED.
Pediatric EM at Nationwide Children's ED: 2 blocks
This block is similar to previous blocks 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 block
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 managing a team of interns and junior residents. There is no call during this block.
Emergency Medicine Elective in Hawaii: 1 block
This rotation is a one-block 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 blocks
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 block. Normally, one block is available, but the resident can have two blocks if they elect not to go to Hawaii.
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This portion of the curriculum is meant to allow the trainee the opportunity to develop a unique interest or skill set. It is a continuous 12-week block of time in which the resident will be supported by a mentor or advisor that will work closely with them. It will also afford the trainee the opportunity to explore possible interest in subspecialty training. Approximately 3 months prior to the start of this period the resident will be asked to supply a one page summary indicating what they will plan to do over the 12 week period to develop their specific interest. It will include a list of measurable objectives and goals and will require approval by the program directors. They will work with a mentor or advisor on the topic of their choice. Ideally this will allow for development of skills that will promote an academic career. During this 12-week block the trainee will remain involved with their continuity clinic. If the resident chooses to not be involved in the Mini Fellowship portion of the curriculum it will be filled with other elective rotations. Some potential areas of focus for the Mini Fellowship would include but are not limited to:
- Basic science or clinical research
- Ultrasound training working toward certification as a registered diagnostic medical sonographer
- Community medicine (ie. free clinics, EMS)
- International medicine
- Scholarly activity involved in medical writing, possibly related to case reports or review articles
- Opportunity to initiate graduate-level classwork towards a Masters level degree in a program approved by the program director