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Emergency Medicine Residency Rotations

In addition to clinical training in the emergency department and block rotations, Morristown Medical Center’s Emergency Medicine residents attend weekly emergency medicine conferences and participate in a research project with the support of our faculty members.  If accepted, the hospital supports residents to present their research at national conferences.

  • PGY- I Of the 13-block year residents spend 7 blocks in the emergency department with 17 adult shifts and 1 Pediatric shift per block and one block of 18 shifts in the Pediatric ED.  Residents will complete 1-month rotations in the medical intensive care unit (ICU), Surgical ICU, and Trauma service. The remaining block are broken up into 2-week rotations in anesthesia, obstetrics (OB), and Emergency Medical Services (EMS).  All rotation take place in Morristown Medical Center.
  • PGY- II Of the 13 block year residents spend 8 blocks in the emergency department with 16 adult shifts and 1 rural medicine shift at Hackettstown Medical Center Emergency Department. Residents will complete 2 pediatric ED blocks with 1 in the Pediatric Emergency Department and 1 shared between the Trauma Service and Pediatric ED. Residents will complete 1 month in the Medical ICU,1 month in the Pediatric ICU at Morristown Medical Center and can choose to spend their 1 month of Toxicology at either NJ or NY poison Center.   
  • PGY- III Of the 13 block year residents spend 9 blocks in the emergency department with 14 adult shifts, 1 pediatric ED shift and 1 rural medicine shift at Hackettstown Medical Center. Residents will complete 2 blocks on the Trauma services with the option to go to Baltimore Shock Trauma Center for 1 month. Residents will have the remining 2 block for difficult airway rotation, selective and elective rotations in: Administration, Simulation, Research, Geriatrics, Toxicology, International Medicine, Social EM, wilderness medicine, tactical medicine, or other focus of their choice.  Residents submit their mentor, schedule, goals, and expectations prior to the rotation for approval.

Experiential Curriculum

 

PGY - 1

Emergency Department

(17 shifts/1P)*

Anesthesia-Ultrasound / EMS (40 hrs.)

(2 shifts)

Emergency Department

V-1 wk.
(13 shifts/1P)*

Emergency Department

V-2 wk.
(10 shifts)*

Emergency Department

V-1 wk.
(13 shifts/1P)*

Ob-Gyn / Emergency Department (8 shifts/1P)*

 

Emergency Department

(17 shifts/1P)*

Trauma
(M-F) & occasional Sat.

 

 

Surgical ICU

Peds. EM
(18 peds shifts)

Emergency Department
(17 shifts/1P)*

Emergency Department
(17 shifts/1P)*

Medical ICU/CCU

 

PGY - 2

Emergency Department

V-1 wk. (13 shifts)

Emergency Department

V-2 wk. (10 shifts)

Emergency Department

(16 shifts /1R)

Emergency Department

 (16 shifts /1R)

Emergency Department
(16 shifts /1R)

Emergency Department
(16 shifts /1R)

Emergency Department
(16 shifts /1R)

 

Toxicology*

(4 shifts)

Peds. EM
(16 shifts /1R)

Peds. EM & Trauma (17 shifts)

 

Emergency

Department

V-1 wk. (13 shifts)

Medical ICU/CCU

Pediatric ICU

1 year of Peds Longitudinal Learning 1 Peds shift in each EM block

 

PGY - 3

Emergency Department

V- 2 wk. (9 shifts)

Emergency Department
(14 shifts /1R /1P)*

 

Emergency Department
V- 1 wk. (12 shifts)

Emergency Department

V- 1 wk. (12 shifts)

Emergency Department
(14 shifts /1R /1P)*

Emergency Department
(14 shifts /1R /1P)*

Emergency Department
(14 shifts /1R /1P)*

 

Emergency Department
(14 shifts /1R /1P)*

 

Emergency

Department
(14 shifts /1R /1P)*

Trauma
(M, W, & F & 2 Sat.) (2 ED shifts)

Trauma
(M, W, & F & 2 Sat.) (2 ED shifts)

Peds. Anesthesia-Ultrasound / Selective (2 shifts)

Elective (4 shifts)

1R Longitudinal Learning Rural Medicine: Residents complete 1 Rural EM shift per month

1P Longitudinal Learning Peds: Resident will complete 1 Peds. shifts a month in each ED block

** PGY 3 Shock Trauma (Optional): Ultrasound Pace is UTD Trauma U/S block can be used, if not MUST use elective. Baltimore, MD

Site 1: Morristown Medical Center

Site 2: New Jersey Poison Information and Education System

Site 3: New York City Poison Control Center

Site 4: R Adams Cowley Shock Trauma Center/University of Maryland (can do elective there)

Site 5: Hackettstown Medical Center (longitudinal learning- Rural PGY 1 and PGY II)

Key

  • EM: Adult Emergency Medicine
  • EM/p: Adult ED with 1-2 pediatric EM shifts included for longitudinal learning (15 shifts= 1 block) 
  • EM/pr: Adult ED with 1-2 peds and 1-2 rural (HMC) shifts
  • EM/r: adult ED with 1-2 rural (HMC) shifts Anes: Anesthesia 7-12 pm (2 weeks)
  • US: Ultrasound 1-5 pm (2 weeks)
  • AUS: Advanced US 1-5pm (2 weeks)
  • EM/OB: Obstetrics (2 weeks),  ED (2 weeks)
  • SICU: Surgical Intensive Care Unit
  • ICU/CCU: Adult Intensive Care Unit and Cardiac Care Unit
  • PICU: Pediatric Intensive Care Unit
  • PEM: Pediatric Emergency Medicine
  • P. Anes: Pediatric Anesthesia 7-12pm (2 weeks)
  • EMS: Emergency Medical Services (2 weeks)
  • V1: 1 week vacation
  • V2: 2 week vacation
  • Selective: based on specialty track (2 weeks)
  • Trauma: (when on PEDS/trauma time is split 50%/50% )
  • Electives Available:  Administrative, Research, Ultrasound, EMS, Toxicology, Anesthesia, Pediatric Emergency Medicine, Trauma or another approved rotation. Most occur at Site 1

Totals

Peds: 1.5 rotations PGY1, 2.5 rotations PGY2, 1 rotation (longitudinal) PGY3.  (Additionally peds: night in MMC ED, rural rotation HMC, and peds anesthesia)

ICU: 2 blocks PGY1 and 2 blocks PGY2.