Department of Emergency Medicine

Summary of Four-Week Block Rotations

R1 Year

Blocks

R2 Year

Blocks

R3 Year

Blocks

Orientation

1

Adult EM

7

Adult EM

7

Adult EM

5

Adult ICU

2

Adult ICU

1

Adult ICU

1

Pediatric ICU

1

Pediatric EM

1

Pediatric EM

2

Pediatric EM

1

Trauma Surgery

1

Hospitalist

1

Obstetrics & Gynecology

1

Adult EM & Teaching

1

Trauma Surgery

1

Hand Surgery

0.5

Anesthesia

0.5

Pulmonology

1

Selective

0.5

Selective

1.5

Anesthesia

0.5

 

 

 

 

Selective

0.5

 

 

 

 

R1 Year

Our residency follows the R1-R3 format to board certification. The first year of training is designed to provide a broad base for residents to acquire the knowledge, skills and abilities requisite to emergency medicine throughout the remainder of their training and future careers. R1s are expected to see as wide a variety of patient ages, social situations, presenting complaints, management approaches and disposition decisions as possible. R1s must also acquire the technical skills in the handling of medical and surgical disorders in all age groups. Graded experiences permit assumption of direct patient care responsibilities. In addition to spending five blocks in a wide variety of adult emergency departments and two blocks in a pediatric emergency department, off-service rotations are designed to complement these experiences by concentrating learning efforts in disciplines necessary for the successful practice of emergency medicine. R1s rotate through one block with a hospitalist, one block of trauma resuscitation and emergency surgical consultations, one block in an adult ICU and spend half a block in anesthesia. R1s receive training in bedside ultrasonography during their orientation block. During the first year, each R1 will present one 15-minute lecture on a core EM concept to faculty and residents during conference.

R2 Year

The second year of training is designed for more in-depth exposure to emergency medicine. Eight blocks are spent primarily in adult emergency departments. Shifts at Dayton Children’s Hospital (equivalent to one block total for the year) are interspersed into each of these eight blocks. One block is spent in a pediatric ICU.  R2s are expected to focus on critical care, while refining their skills and efficiency managing less-emergent patients. Off-service rotations complement this effort with two blocks in the adult intensive care unit. R2s receive additional concentrated training in hand surgery and obstetrics and gynecology. Two weeks are reserved as a selective for the R2 to pursue a clinical or administrative area of personal interest, or work on research. During the second year, each R2 will deliver one 30-minute lecture on an EM concept during conference.

R3 Year

Senior residents are expected to apply and disseminate the knowledge they have gained from their previous training. R3s experience eight blocks in a wide variety of emergency departments with shifts in a pediatric ED again interspersed. Off-service rotations include the adult intensive care unit, trauma surgery and anesthesia. As part of their graded responsibilities, R3s assume more supervisory and educational roles. During the third year, each R3 will deliver two 30-minute lectures during conference as well as leading Journal Club and supervising teaching responsibilities.  During their teaching block, R3s will also assist in the education of medical students in small-group discussions, high-fidelity simulations and clinical observation and feedback.  Selectives offer R3s the opportunity to pursue personal interests, i.e., international medicine, dental ER, ultrasound, etc.

Last edited on 09/18/2015.