PGY-2  Rotations

PGY-2 Emergency Department Rotation


Brown EM PGY-2's spend five months in the Anderson Emergency Department continuing to strengthen their patient care skills learned intern year while improving flow and efficiency. As second-years, residents are expected to run a sixteen-bed unit of the ED, working with a dedicated attending physician.




Miriam Emergency Department


This highly regarded month during second year exposes residents to our busy community hospital ED, gaining the skills to co-manage patients with private consultants and primary care physicians. Patients at the Miriam tend to have better access to primary care and present to the emergency department in a more decompensated state, offering second-year residents opportunities to manage multiple critically ill patients at a time.




Trauma


While training at the only Level 1 Trauma Center in Rhode Island, southern Massachusetts and eastern Connecticut, residents spend 2 months during PGY-2 and 1 month during PGY-3 in our Anderson ED Critical Care bays managing our trauma patients in collaboration with our surgical colleagues. During these months, residents will have the opportunity to further refine their procedural skills, including chest tube placement, arterial lines, central lines, fracture reductions, lateral canthotomies, and complex laceration repairs.




Pediatric Emergency Medicine Follow Up


This month is another dedicated month in the Pediatric ED where residents work one-on-one with pediatric EM attendings to build upon their foundational experience intern year. Residents spend dedicated time with pediatric EM attendings rounding on select admitted patients to learn about pediatric care following the acute ED work-up.




Plastics


Our second-year residents spend a valuable 3 weeks working with our experienced plastic surgery colleagues, gaining practical suturing skills and learning to manage complex wounds, facial and hand injuries. During this rotation, residents are responsible for ED consults and take primary call for injuries involving the hand and face. Residents also have the opportunity to participate in the operating room




Cardiac Care Unit


Residents will spend a dedicated month in the Rhode Island Hospital Cardiac Critical Care Unit. As one of the busiest cardiac services in the country, residents will gain an invaluable experience caring for critically ill cardiac patients. They will learn the basics of EKG interpretation, cardiac catheterization findings, management of acute decompensated heart failure, and post-MI care. There are ample opportunities for procedures including intravenous pacer placement, central line placement, intubation, and ventilator management.




Toxicology & Elective


Building on their foundation of knowledge from intern year, our PGY-2's spend 2 weeks learning the intricacies of emergency toxicology with our experienced and Fellowship trained Tox faculty. While on toxicology, residents will hold an educational consult pager and are notified about toxicological emergencies that present to Rhode Island Hospital, Miriam Hospital and Hasbro Children's Hospital. Elective time allows you tailor your learning during training. Our residents have ample elective time in PGY2, 3, and 4 to explore their passions or develop a niche. We believe in liberal arts emergency medicine, and you can choose your own adventure when it comes to your elective time. Through our Division of Global Health, we have ample funding to support International Electives, and residents have chosen to pursue electives in every medical and surgical specialty, as well as medical humanities, sex and gender, ultrasound, wilderness medicine, research, public health, and much more. You are only limited by your imagination!





Emergency Medicine | Brown University | 593 Eddy Street, Claverick 100 | Providence, RI 02903

Phone: (401) 444-6489 | Email: EMresidency@brownphysicians.org

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