Summary of Four-Week Clinical Block Rotations

*Residents all experience a longitudinal experience in a pediatric emergency department in their second and third year. 

R1 Year

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. July of the R1 year begins with an intense month-long orientation including seminars, simulation, and procedural training to prepare the new resident with a foundation to approach some of the most common and potentially most serious undifferentiated patient complaints. The R1 resident will work a reduced number of shifts in the emergency department during the orientation month.

R2 Year

The second year of training is designed for more in-depth exposure to emergency medicine. R2s are expected to focus on critical care, while refining their skills and efficiency managing less-emergent patients.

R3 Year

Senior residents are expected to apply and disseminate the knowledge they have gained from their previous training. As part of their graded responsibilities, R3s assume more supervisory and educational roles. During their teaching block, R3s also assist in the education of medical students in small-group discussions, high-fidelity simulations and clinical observation and feedback.