Post Graduate Year 1
Rotation Schedule
| Orientation- |
|
2 Weeks |
| Emergency Medicine- |
BIDMC: |
17 Weeks |
| |
Needham: |
4 Weeks |
| Pediatric Emergency Medicine- |
Children's Hospital: |
4 Weeks |
| Internal Medicine- |
BIDMC: |
3 Weeks |
| Medical Intensive Care Unit (MICU)- |
BIDMC: |
4 Weeks |
| Trauma Surgery- |
BIDMC: |
4 Weeks |
| Obstetrics- |
BIDMC: |
3 Weeks |
| Anesthesia- |
BIDMC: |
3 Weeks |
| Plastic Surgery- |
BIDMC: |
3 Weeks |
| Ultrasound- |
BIDMC: |
1 Week |
| Vacation- |
|
4 Weeks |
Orientation
Incoming interns spend their first week in an intensive orientation program designed to prepare them to function effectively as Emergency Medicine residents. The orientation includes didactic sessions as well as multiple procedural labs. Procedural skills are taught in an animal lab, splinting and suturing workshops, and slit lamp lab. All interns receive Advanced Cardiac Life Support, Advanced Trauma Life Support, and Pediatric Advanced Life Support training and certification. A difficult airway management lab and a basic ultrasound course are also offered during the orientation.
Emergency Medicine
PGY1 interns manage all types of patients in the emergency department under the supervision of senior Emergency Medicine residents and faculty. They are given priority in performing procedures during resuscitations.
Pediatric Emergency Medicine
PGY1 interns spend 4 weeks in the emergency department at Children’s Hospital Boston under the supervision of pediatric emergency attendings, fellows, and residents. They develop skills in pediatric resuscitation as well as diagnosis and treatment of common pediatric emergencies. The interns learn to manage pediatric airways, obtain intravenous access, perform lumbar punctures, perform conscious sedation, and how to administer appropriate doses of emergency medications. They assist in the evaluation and stabilization of pediatric trauma patients.
Internal Medicine
PGY1 interns spend 3 weeks providing care to medical patients as part of the medical ward team. Emergency Medicine interns are supervised and taught by medical attendings and fellows as well as senior medical residents.
Medical Intensive Care Unit
PGY1 interns spend 4 weeks caring for critically ill patients as part of the MICU team. They are also responsible for responding to cardiac arrests in the hospital as well as for cross-coverage of patients on other ICU services. Emergency Medicine interns are supervised and taught by medical attendings and fellows as well as senior medical residents.
Trauma Surgery
PGY1 interns spend 4 weeks as surgical interns on the surgical service. As such, they participate in trauma and surgical resuscitations in the emergency department, assist on surgical cases in the operating room, and attend surgery clinic. The interns are also involved in the daily care of the SICU patients and participate in critical care rounds. Emergency Medicine interns are supervised and taught by surgical attendings and fellows as well as senior surgical residents.
Obstetrics
PGY1 interns spend 3 weeks caring for obstetrical patients and performing vaginal deliveries under the supervision of obstetrics and gynecology residents and attendings. As the junior resident on the service, interns have ample access to normal vaginal deliveries and episiotomy repairs. Residents also first-assist on c-sections and participate in high-risk deliveries. In addition, they gain experience in performing first trimester ultrasounds.
Anethesia
PGY1 interns spend 3 weeks on the anesthesia service under the supervision of anesthesiology attendings and residents. They develop skills in emergency airway management, the use of paralytic agents and general anesthetic agents. The interns receive instruction on rapid sequence induction, oral awake intubation, nasotracheal intubation, fiberoptic intubation, use of the intubating laryngeal mask airway, central line placement, and arterial line placement. They also assist in the performance of complex procedures such as transesophageal echocardiography and regional nerve blocks.
Plastic Surgery
PGY1 interns spend 3 weeks on the plastic surgery service under the supervision of the plastic surgery fellows and attendings. They acquire in-depth knowledge of the anatomy of the hand and face, as well as principles of wound healing and wound care. They develop skills in various wound closure techniques and regional anesthetic blocks.
Ultrasound
PGY1 residents spend one week on the ultrasound rotation. Designed to complement the residency ultrasound curriculum, the resident further refines his or her skills in ED bedside ultrasound. Abdominal, OB-GYN, trauma, echo, and procedural ultrasound are emphasized. Hands-on experience is supplemented by computer simulations and readings.
