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PGY-III

As a PGY-III, residents have a high degree of responsibility and assume a real leadership role in the Emergency Department. They continue to respond to traumas and care for critically ill patients while taking on an increased teaching role. PGY-III residents often supervise and teach medical students, while at the same time assisting junior residents with patient care and procedures.

Emergency Medicine

For the senior resident (PGY-II & III) in emergency medicine, there continues to be graduated responsibility. The PGY-III resident is expected to be able to handle many patients at once with variable levels of acuity as well as jointly working with the faculty in managing the flow of the emergency department and learning to “run” the department.

This resident should be peripherally aware of what is going on throughout the department and be ready to lend a hand wherever it is needed. He or she also is expected to provide supervision to medical students and interns, as well as guidance for PGY-IIs.  While on all Emergency Medicine rotations, PGY-III residents are given the option of joining the UI Hospitals & Clinics AirCare as flight physicians, where they will perform inter-facility and scene transports of critically ill of all ages.

Community Emergency Medicine

Your role at St. Luke’s is to see patients under the supervision of your staff physician, just as you would during other emergency medicine rotations.

Educational Highlights of This Rotation Include:

  • High volume of pediatric and high acuity patients
  • Large amount of orthopedic emergencies
  • Mentorship relationships with community emergency medicine physicians
  • Independence practicing medicine without the presence of other sub-specialty residents

The rotation at St. Luke’s is certainly a favorite among residents and offers a great deal of educational and practical experience.

Surgical and Neuroscience Intensive Care Unit (SNICU)

While rotating in the SNICU, residents manage critically ill patients from the trauma service, general surgery, neurosurgery, cardiothoracic surgery, transplant surgery, and other surgical services.

Common Diagnoses Include:

  • Poly-trauma
  • Intracranial bleeding
  • Stroke
  • Septic shock
  • Hypovolemic shock
  • Cardiogenic shock
  • Respiratory distress
  • Hypertensive emergency

Procedures/Critical Skills Learned and Performed Include:

  • Intubation (direct, glidescope, fiberoptic)
  • Central lines
  • Arterial lines
  • Ventilator management
  • Tube thoracostomy
  • Vasopressor management
  • Volume resuscitation

The daily schedule generally involves arriving at 6 a.m., rounding with staff at 7 a.m., procedures and daily work after rounds until sign out at 2 p.m.

Emergency Medical Services/Emergency Medicine Administration

In this month you will have the opportunity to ride, fly, and learn about becoming an EMS medical director. The rotation is comprised of flight shifts, ambulance rides, and Emergency Medical Services Learning Resources Center (EMSLRC) teaching shifts in the department with special attention focused on interaction with EMS crews. Individuals who don't wish to fly with AirCare will do more ambulance shifts.

In addition, you will have the opportunity to visit the 911 call center, fire station, and learn about disaster management and EMS research opportunities. You will have the opportunity to be on the front lines and see people in their homes and gain a better understanding of the limitations of ambulance crews. This is a great month with a lot of different experiences that will help to round out your training.

Elective

During the third, year residents have two months of elective/selective time to explore subspecialties of emergency medicine or other areas of interest. This allows residents to enhance knowledge within emergency medicine or focus on a particular skill set.

Options Include But Are Not Limited To:

  • Emergency department nursing
  • Dentistry
  • Ophthalmology
  • Palliative care
  • Sports medicine
  • International medicine
  • Social medicine
  • Advanced EMS
  • Teaching
  • Community medicine
  • Toxicology
  • Pharmacy
  • New born baby
  • Advanced ultrasound

Residents are allowed the flexibility to help create an elective with the assistance of faculty mentors.