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EM-1 (Internship)

Focus: Evaluation and management of the ED patient.
Clinical Training Sites: University Hospital, EM-STAT, St. Joseph's, Crouse, VA Hospital, Upstate University Hospital Community Campus

The clinical schedule consists of 13 four-week blocks.

Adult ED (3 blocks)

  • Location: Adult ED at University Hospital
  • Description: Newly expanded in 2016, the Adult ED is the region's only level 1 trauma center, and with University Hospital functioning as the regions only certified comprehensive stroke center, burn center, emergency HBO center, and with the hospital's newly opened cancer center, these core Adult ED blocks provide a very wide and diverse population of patients, pathology, and clinical experiences.
  • Note: While on these Adult ED blocks throughout all 3 years of residency, residents will have a handful of Pediatric ED shifts scheduled during each block to provide an extensive and continuous Pediatric EM education and experience.
 

Pediatric ED (2 blocks)

  • Location: Pediatric ED at University Hospital
  • Description: The newly renovated and expanded Pediatric Emergency Department was opened in 2016 and provides residents with extensive experience and education in pediatric emergency medicine under the supervision of Pediatric EM fellows and renowned Pediatric EM attendings.
  • Note: While on Adult ED blocks throughout all 3 years of residency, residents will have a handful of Pediatric ED shifts scheduled during each block to provide an extensive and continuous Pediatric EM education and experience.

Anesthesia & Adult ED (1 block)

  • Length: 2 weeks (2 weeks in the Adult ED complete this four-week block)
  • Location: Crouse Hospital
  • Description: Provides residents with opportunities to develop airway management skills including bag-valve mask ventilation and endotracheal intubation. Residents have the opportunity to work one-on-one with anesthesia attendings.
 

Adult ED & HBO/Wound Care (1 block)

  • Length: 2 weeks (2 weeks in the Adult ED complete this four-week block)
  • Location: Hyperbaric and Wound Care Clinic
  • Description: Provides residents with opportunities to work with the Hyperbaric Oxygen treatment team and the Wound Care Clinic treatment team. Residents develop fundamental knowledge of the indications for, general management of, and physiology and physics behind hyperbaric oxygen therapy. Residents receive extensive education and training in wound management in the Wound Care Clinic. As the only emergency HBO center in the region, a diverse population of hyperbaric emergencies are seen during this rotation.

 

EMS (0.5 blocks)

  • Location: Various Local EMS Agencies
  • Description: Created in 2007, the EMS rotation allows PGY-1 residents to experience how prehospital care is delivered in the Central New York region. There is sufficient flexibility in the EMS schedule to allow the rotation to be tailored to the resident's previous EMS experience as well as fostering any particular interests the resident may have within EMS. The resident will gain experience with private for-profit, non-profit volunteer, and fire based systems. While not required, air medical experience is available. During the year, based on interest and availability, there are opportunities to explore tactical, wilderness, and mass gathering EMS. For those that do not have previous EMS experience this rotation allows these residents to develop a baseline understanding of prehospital care and how it relates to the practice of Emergency Medicine. For those that come to us with previous EMS experience, this rotation allows them to gain insight into how the system works in our region, to explore the role of the physician in the field, and to discover specialty areas of EMS.
 

US (0.5 blocks)

  • Location: University Hospital
  • Description: Provides residents with 2 weeks of dedicated education and hands-on training in the use of bedside ultrasound in the Emergency Department for diagnostic imaging and US-guided procedures. Residents work one-on-one with and receive direct feedback from Ultrasound Fellowship-trained attendings to enhance their bedside US skills and knowledge.

Medical ICU (1 block)

  • Location: Crouse Hospital MICU
  • Description: Residents serve as interns on the ICU team at Crouse Hospital, which takes care of a large number of critically ill medical patients, as well as rounding on critically ill neurosurgery, neurology/stroke, and surgical patients. Skills developed include general care of the critically ill patient, ventilator management, vasoactive infusion management, and various skills and procedures such as central line placement.

Surgical ICU (1 block)

  • Location: University Hospital, Clark Burn Center
  • Description: Residents serve as an intern on the SICU care team at Upstate University Hospital, which covers critically ill surgical patients, burn patients in the Clark Burn Center, and trauma patients. Being the only level 1 trauma center and burn center in central NY provides a large patient catchment area and a wide population of critical illnesses and injuries. Skills developed include general care of the critically ill surgical, trauma, and burn patient, ventilator management, vasoactive infusion management, and experience in various skills and procedures such as thoracostomy tube placement and management.
 

Obstetrics (1 block)

  • Location: St. Joseph's Hospital
  • Description: Provides residents with opportunities to develop assessment and management skills specific to the pregnant female. The resident functions as part of the Labor and Delivery team. Responsibilities include initial triage and management of the pregnant female, assisting the mother-to-be with vaginal delivery of her newborn and assisting the attending obstetrician with surgical cases.
 

Emergency Simulation Training/Teaching to Learn, Learning to Teach (1 block)

  • Location: EM-STAT Center
  • Description: Allows the 1st yr resident to work with senior residents in creating educational experiences, including giving lectures, teaching ACLS/PALS, formulating EM-STAT Simulator experiences and attending faculty meetings.

VA ED (1 block)

  • Location: Syracuse VA Hospital ED
  • Description: Provides residents with the opportunity to work and train in a VA hospital. Residents work one-on-one with an EM attending at the VA ED, providing an excellent opportunity for bedside teaching.

Upstate University Hospital Community Campus ED (1 block)

  • Location: Upstate University Hospital at Community Campus ED
  • Description: Provides residents with the opportunity to work and train in a smaller ED in a community setting. Residents work one-on-one with an EM attending at the CC ED, providing an excellent opportunity for bedside teaching. The Community Campus ED features a separate wing for Geriatric Emergency Medicine (GEM Care Center), providing a unique experience in the ED evaluation and care of an ever-growing patient population.

 

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