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 four-week blocks)

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 & Burns/HBO/WC (1 block)

  • Length: 2 weeks (2 weeks in the Adult ED complete this four-week block)
  • Location: Clark Burn Center at University Hospital
  • Description: Provides residents with opportunities to work with the surgical burn team in the care and management of inpatient and outpatient burn victims, including operative care and extensive teaching in wound management.

Cardiology (1 block)

  • Location: University Hospital CCU
  • Description: Residents serve as interns on the Cardiology service and gain perspective on the issues faced during the management of adult cardiac patients after they are admitted to the telemetry unit or cardiac care unit. Skills developed include ECG interpretation, management of congestive heart failure and myocardial infarction.

EMS/US (1 block)

  • Location: University Hospital
  • Description: Newly 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 also 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.

Internal Medicine (1 block)

  • Location: St. Joseph's Hospital
  • Description: Provides residents with opportunities to develop assessment and management skills pertaining to the adult patient with non-surgical complaints. Residents serve as interns on the General Internal Medicine Service and gain perspective on the issues faced during the management of adult patients after they are admitted from the Emergency Department.

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.

Pediatric ED (2 blocks)

VA ED (1 block)

Upstate University Hospital Community Campus ED (1 block)