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FIRST YEAR

The PGY1 residents will rotate through the emergency department at the University of Kentucky in one month blocks for approximately 6 months during the year. They will work approximately 20-22 shifts each month. These will usually consist of 9-hour duty periods. The PGY 1 Emergency Medicine Resident will concentrate on developing critical skills in individual patient evaluation, focusing on the basic principles of decision making and acquiring the core knowledge base necessary in the practice of Emergency Medicine. This development of core EM knowledge and clinical decision-making is the primary educational objective.

First Year Curriculum

Emergency Medicine – Univ. of Kentucky Hospital – 6 months
The PGY1 residents will rotate through the emergency department at the University of Kentucky in one month blocks for approximately 6 months during the year. They will work approximately 20-22 shifts each month. These will usually consist of 9-hour duty periods. The PGY 1 Emergency Medicine Resident will concentrate on developing critical skills in individual patient evaluation, focusing on the basic principles of decision making and acquiring the core knowledge base necessary in the practice of Emergency Medicine. This development of core EM knowledge and clinical decision-making is the primary educational objective.

Surgical Intensivist – Insert Location – 1 month
The resident will see at least 50 floor/progressive patients during this rotation. The resident will be responsible for direct patient care under the supervision of the Faculty from the Departments of Surgery and Anesthesiology. The Resident will have some supervisory responsibility over nursing staff in the floor.

Emergency Medicine / Ultrasound – Insert Location – 1 month
The purpose of this rotation is to provide an intensive exposure to all aspects of emergency ultrasound emphasizing both technical and interpretive aspects of an exam. The rotation will be one month in length consisting of 40 hours per week of learning, made up of lectures, reading, and hands-on scanning. Scanning will take place in the University of Kentucky emergency department or University of Kentucky high risk obstetrics offices. The resident will report to the ultrasound director for the month.

Emergency Medical Services – Insert Location – .5 month
Goals of rotation include gaining an advanced level of exposure to both ground and air medical EMS systems, more extensive experience with prehospital quality assurance methods, achieving a basic understanding of disaster management and the disaster medical system, and understanding and participating in EMS base-station control.

Ob/Gyn – Insert Location – 1 month
The resident will spend one month on the Obstetrics Service at the University of Kentucky. This rotation is part of a fully-accredited Obstetrics-Gynecology Residency Program. Patients will be managed on the inpatient floors of the hospital, in the labor and delivery unit. The resident should see at least 80 to 200 patients in OB triage area. The resident is expected to be scheduled according to the service’s typical duty schedule provided it meets ACGME requirements. It is anticipated that the resident will perform approximately 25 deliveries.

Trauma Surgery – Insert Location – 1 month
The resident will see at least 50 ICU patients during this rotation. The resident will be responsible for direct patient care under the supervision of the Faculty from the Departments of Surgery and Anesthesiology. The Resident will have some supervisory responsibility over nursing staff in the ICUs.

Emergency Medicine Orthopedics Consults – Insert Location – 1 month
Emergency Medicine Orthopedics is a major component of the daily cases seen by Emergency Medicine physicians in the ED. The goal of the four-week EM Orthopedic rotation is to increase orthopedic exposure to the emergency medicine residents so that they feel comfortable managing various orthopedic emergencies. During the rotation, the resident on EM Ortho evaluates every orthopedic emergency case that comes through the emergency department. Residents are allowed to “cherry pick” orthopedic cases from the “waiting-to-be-seen” list.

Anesthesia – Insert Location – 1 month
Goals of rotation include developing basic airway assessment and management skills, developing a solid medical knowledge foundation for basic airway management, developing knowledge base and skills to predict and deal with the difficult airway, developing a basic understanding of evaluation and management of pediatric airways, including alternative devices.

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