The first year is focused on getting interns integrated into residency. The year begins with an orientation month where residents undergo ACLS/ATLS/PALS training as well as several workshops led by ED faculty including suturing, central venous access, and basic and advanced airway. Clinically this year highlights common emergency department complaints and diagnoses, as well as associated management and dispositions. Additionally, a significant amount of time is spent teaching residents frequently used ED procedures including point-of-care ultrasound and orthopaedic reductions.
This year focuses on care of the complex patient. In addition to being in the ED, residents spend time in multiple ICUs to help develop essential skills required to manage critically ill patients. Attention is also dedicated to improving diagnostic and procedural skills in common but more potentially difficult ED complaints (dyspnea, chest pain, back pain, headache, etc.).
This year prepares residents for independent practice by training them to be able to “run the ED” themselves, in addition to encouraging leadership both inside and outside the ED. Patient flow as well as patient metrics are emphasized. Clinically, residents sharpen their acumen in recognizing when patients don't "fit into a box," and develop advanced skills in the management of critically ill patients.