PGY-1  Rotations

Orientation & Introduction to Acute Care

This four-week rotation bridges medical school to residency and allows new interns to hit the ground running. Workshops include cadaver procedure lab, ultrasound, suturing, splinting, and obstetrics/gynecology. There is one week of EMS as well as interspersed shadow shifts at the Anderson Emergency Center. Seminars review the approaches to core chief complaints in emergency medicine. Interns will become certified in ACLS, ATLS, and PALS. Various social and team-building activities are arranged throughout the month for interns to enjoy summer in Rhode Island and to bond with their new colleagues.

PGY-1 Emergency Department Rotation

Interns are encouraged to focus on learning, working primarily in the dedicated teaching side of the Anderson Emergency Department, staffed with an extra resident to allow for instruction. Interns will establish a foundational fund of knowledge in managing common chief complaints and proficiency in common ED procedures. The Emergency Medicine Follow-up Month (EMFU) provides interns with an opportunity to work one-on-one with an EM faculty member to round on select admitted patients and discover what happens after the acute ED workup.

Pediatric Emergency Department

Interns spend one month working directly with the pediatric EM fellows at the Hasbro ED, a busy pediatric Level I trauma center that cares for over 50,000 children visits annually. Over the following three years, Hasbro shifts are interspersed throughout ED rotations for residents to maintain proficiency in pediatrics and to account for the seasonal variability of childhood illness.

Fast Track

This rotation is a highly-regarded month at the Miriam, where interns work one-on-one with attendings to treat lower acuity cases, including many orthopedic and ophthalmologic conditions, and become proficient in common emergency medicine procedures.

Obstetrics and Gynecology

Interns spend one month at Women and Infants Hospital, a busy specialty hospital adjacent to Rhode Island Hospital. The first week is spent on the Labor and Delivery floor and remaining three weeks in the Triage unit. Interns will work with OB/GYN-trained attendings and learn how to manage obstetric and gynecologic emergencies as well as become proficient in OB/GYN ultrasounds. Residents have the option to continue dedicated OB/GYN shifts throughout the rest of their training for more focused OB/GYN training.


During this rotation, the intern takes call for emergency department consultations with the orthopedic team. Anderson Emergency Center is one of the busiest trauma centers in the country with no shortage of orthopedic trauma. Interns will learn techniques for reductions, splinting, and casting of upper and lower extremity fractures, basic extremity x-ray interpretation, and spinal pathology evaluation. Interns also have the option to work at our Sports Medicine Clinic with sports medicine trained emergency medicine faculty.

Medical Intensive Care Unit

One of the highest-rated off-service rotations intern year, residents work at the Miriam in a 15-bed MICU managing critically ill patients. Residents become proficient in management of ventilators, emergent dialysis and a variety of other therapies and have extensive opportunities for procedures, such as central lines, arterial lines, and intubations. Interns also see consults on the floor and in the emergency department under supervision of a senior emergency medicine resident.

Pediatric Intensive Care Unit

Interns rotate through the 16-bed PICU at Hasbro Children's Hospital and manage critically ill children. Because Hasbro Children's Hospital is the only major tertiary care referral center for children in southern New England, interns are exposed to a variety of critically ill patients. The PICU is also where newborns are placed on extracorporeal membrane oxygenation (ECMO), and interns will learn how to manage ECMO. The PICU is combined medical and surgical and as a result, interns become familiar with not only pediatric critical care but also pediatric surgical critical care. Interns have the opportunity in the PICU to do procedures, including intubation, central lines and arterial lines.

Trauma Intensive Care Unit

Interns are part of the trauma team and manage critically ill trauma patients in a busy 10-bed TICU at Rhode Island Hospital. Interns are supervised by a second-year surgical resident in the TICU. Here, interns grow into physicians—they have the chance to independently manage multiple trauma patients with backup from the surgical service. During this month, interns also attend trauma rounds every morning to learn about management of trauma patients that were admitted the night before. In the TICU, interns have the opportunity to perform chest tubes, central lines, and intubations and learn surgical critical care. The TICU also doubles as the Burn Unit, and interns will manage critically ill victims of chemical and environmental disasters.

Anesthesia & Ultrasound

During this hands-on rotation, interns spend the morning in the operating rooms intubating and learning alternative airway techniques. In the afternoon, interns are scheduled scanning shifts with dedicated EM ultrasound faculty and perform a high volume of EM ultrasounds.