HAEMR Post Graduate Year 2

Rotation Schedule

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Emergency Medicine

PGY2 residents manage the resuscitation of medical and surgical emergencies under the supervision of the  Emergency Medicine attending and senior Emergency Medicine residents, and are team members in the resuscitation of major trauma patients. The majority of the critically ill patients are managed by the PGY2 resident during this year and they perform all necessary emergency department procedures required to manage these patients.

Mount Auburn Hospital

At this busy state-of-the-art community hospital, PGY2 residents manage the resuscitation of medical and surgical emergencies under the supervision of the Emergency Medicine attendings. The emergency department sees 28,000 patients each year with a wide variety of medical and surgical complaints. The hospital is affiliated with Harvard Medical School and serves as medical control for a large suburban prehospital system.

Pediatric Emergency Medicine

South Shore Hospital: South Shore Hospital is a suburban hospital that has an emergency department with an annual volume over 75,000 visits. They have a separate pediatric emergency department that is open twelve hours a day (seven days a week) and provides care for a volume of 12,600 children per year. As PGY2s, the residents work one on one with the attendings who are all trained in Pediatric Emergency Medicine and are concurrently faculty at Boston Children’s Hospital. There are no other trainees in the pediatric emergency department and allows our PGY2 resident first access to resuscitations and procedures. 

Orthopaedic Surgery

PGY2 residents spend 4 weeks on the orthopaedic surgery service and take first call for orthopedic consults from the emergency department. They acquire an understanding of the anatomy, mechanism of injury, presentations, complications, management, and prognosis of common musculoskeletal injuries. They perform orthopaedic procedures commensurate with their level of experience under appropriate supervision.

Trauma/Surgical Intensive Care Unit

PGY2 residents spend 4 weeks in this unit which cares primarily for trauma patients requiring critical care. They are involved in the resuscitation and inpatient management of patients presenting to the ED with mostly traumatic and some surgical emergencies. The residents develop proficiency in procedures such as central line placement, thoracostomy, endotracheal intubation, critical care resuscitation, and abdominal and cardiac ultrasound under the supervision of the trauma and anesthesia critical care attendings.

Toxicology 

PGY2 residents spend three weeks on the toxicology service of the Massachusetts Poison Control Center as integral members of the team. The residents answer incoming calls from both the general public and health professionals throughout the state of Massachusetts and also serve as medical consultant on call under the supervision of the toxicologist. They also rotate through the inpatient toxicology service at BIDMC.