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
Pediatric Emergency Department
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
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.