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The Emergency Medicine curriculum contains a significant
number of rotations that facilitate learning other specialties
first hand. These off-service rotations are arranged in
conjunction with several departments within the University
of Maryland System. Some of these rotations are briefly
reviewed here.
Ambulatory
Block Rotation (EMIM)
You will have the choice of a variety of ambulatory rotations
and sites. Women’s
health, geriatrics, private practice clinics, and even medicine subspecialty
clinics (e.g. dermatology, rheumatology) are all choices. Didactic teaching
involving weekly case conferences is incorporated. There is also dedicated
reading time for residents to study, work on research, or any review articles
they may be preparing.
Anesthesiology
The first of two anesthesia rotations takes place at Mercy hospital. As an
intern you will get the chance to practice endotracheal intubations in the
controlled operating room setting. Anesthesiologists and certified nurse
anesthetists will take you through the basics of airway management. In the
afternoons you get your first exposure to emergency ultrasound.
Trauma Anesthesiology
Shock Trauma provides residents many exciting opportunities, one of these
is our month of trauma anesthesia. Imagine a regular ED shift, but instead
of perusing EKG's and x-rays, you have one job and that is to control the airway. This month is unanimously regarded as the best 'off-service' rotation in our curriculum.
Our main focus during this rotation is the Trauma Resuscitation Unit (TRU).
Each patient that comes into the TRU is evaluated by a member of the
Anesthesia team. You have control of the airway, and that is your only
responsibility. With direct supervision from an Attending Anesthesiologist
you will quickly become comfortable intubating some of the most difficult
patients at the most critical times. You quickly learn to use adjuncts,
like
bougies and LMA's, to help secure the difficult airway. Some examples
include rapid sequence induction in the multi-system trauma and direct
laryngoscopy in the C-spine injured patient.
Cardiac care unit
You will spend one 4 week block here as an intern and then at least another
4 weeks here as a senior resident. The CCU is highly regarded by both departments
as one of the best rotations in either residency. The attendings and fellows
are fantastic educators and allow significant autonomy to the senior residents
in management of critically ill patients. A tremendous rotation and often
medicine residents will request extra blocks of this rotation.
Children's National Medical Center ED, Washington, DC
One month during your 2nd year and again during your 4th is spent rotating
here at the tertiary pediatric referral center for Washington, D.C. The volume
and acuity is high and the attendings and fellows are eager to teach as they
do not have their own ER residents.
Emergency Department (adult)
Most of your ER months will be spent at the University of Maryland’s
main ER. The adult acute care side serves an urban population where the acuity
and volume are high. However, recent staffing changes have mad the volume quite
manageable for the interns, junior residents, and senior residents. As senior,
you run the department with guidance from the attendings who are always available
for teaching and supervision. The shifts as a senior resident can be rigorous
but graduates laud the program for preparing them for any academic or community
job regardless of patient population or volume.
Emergency Medical Services
As part of your 2nd year training you will have the opportunity to ride with
the Baltimore City Fire Department paramedics. You also have the unique opportunity
to fly with the Maryland state police helicopters as their trooper/paramedics
respond to calls throughout the region. Some residents pursue their interest
in EMS through research or by choosing to spend extra time with the fire
department or the state police helicopters.
Inpatient services (EMIM)
Including: General Internal Medicine, Infectious Disease, Oncology, Subspecialty
teams
The core of your medicine training consists of the inpatient months at the
University. You will rotate on a variety of medicine services that have both
subspecialist and general internist attendings. As intern you will be the primary
caregiver for the patient and play a crucial role in working with medical students.
As a resident, you will run the team and are the primary educator for the 3rd
year medical students.
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