Curriculum

We have provided a list of all the rotations in which our residents will participate throughout their residency training.  The curriculum is designed to provide our residents with all the skills necessary to become an exceptional and well-rounded clinician.  Next to each rotation, there is an explanation of the educational experience provided. Thank you again for your interest in the Penn State Hershey Emergency Medicine Residency!

 

Rotation
Brief Description of Educational Objectives
Anesthesia
The Anesthesia rotation is primarily geared toward the peri-operative anesthetic management of patients undergoing surgery. Residents are assigned to work under the direct supervision of an attending anesthesiologist who oversees their participation in 4-6 cases per day. Responsibilities include performance of pre-operative history and physical examination, induction and maintenance of anesthesia, airway and ventilator management, intra-operative monitoring and post-operative evaluation. There is no required in- house call during this rotation.
Cardiology
This cardiology rotation is primarily geared toward the evaluation and management of in-patient cardiac illness. The Emergency Medicine Resident functions as the primary physician for cardiology specialty patients admitted by the senior resident or faculty. Senior residents and faculty directly supervise the resident on-site. The faculty are available on-call and make daily teaching rounds and receive morning report. The resident may respond with team leaders for emergency and inpatient consultation requests. There are no clinic or critical care unit responsibilities.
ED at Penn State Hershey
Five months are spent in the emergency department during the PGY-1 year, including the orientation month in July. The rotation is primarily geared towards learning the evaluation and management of minor acute and non-emergent conditions as well as assisting in the management of acute life-threatening conditions. The resident will see all non-emergent patients in order of triage or as directed by the attending or senior resident. After evaluating the patient, the resident will present the patient to the attending or PGY-3 senior resident on duty before initiating any diagnostic or therapeutic plans. Since residents progress at different rates and faculty have different supervisory styles, it is understood that this description may be altered in certain cases at the discretion of the attending. All procedures will be done under the direct or indirect supervision of the attending on duty.
ED Orientation
July of intern year is orientation month. All ED interns work a reduced number of shifts during this month and experience a curriculum designed to facilitate a smooth transition into residency. The interns participate in a number of different labs including splinting lab and suture lab. There is also an ultrasound course, a robust clinical simulation experience and certification in PALS, ATLS and ACLS.
MICU
The Medical Intensive Care Unit (MICU) rotation is geared toward the evaluation and management of the critically ill medical patient. The resident assigned to the intensive care unit will be supervised by senior medicine residents and the MICU attending. The critical care teams serve as primary physicians to all of the unit patients, making daily rounds.

Obstetrics and Gynecology

The Obstetrics-Gynecology rotation is primarily designed to provide exposure to the obstetric and gynecological management of patients undergoing labor or emergent gynecological issues. Residents are assigned to work under the direct supervision of an attending gynecologist. The goal is to have a working knowledge of, and develop skills with, uncomplicated and complicated labor and delivery, as well as the management of gynecologic emergencies.
Orthopedics, Ophthalmology and Dental
The emergency orthopedics, ophthalmology and dental rotation focuses on the emergency department evaluation and management of musculoskeletal, eye and dental complaints, as well as any associated procedures. The resident works under the direct supervision of Emergency Medicine faculty in conjunction with, when indicated, residents and faculty from the Department of Orthopedics or Ophthalmology.  The emergency medicine resident will also spend time in the sports medicine clinic, under the direct supervision of a sports medicine-trained physician.

Trauma Surgery

(TRACS)

Residents will be a member of the Trauma Surgery team and participate in the care of patients meeting trauma criteria, with primary emphasis on evaluation, resuscitation, proficiency in procedural skills, as well as post-operative monitoring and care.  The resident is supervised by the team leader (senior surgical resident) and trauma faculty.

 

 

Rotation
Brief Description of Educational Objectives
ED Penn State Hershey
Eight month blocks are spent in the emergency department during the PGY-2 year. Time in the emergency department includes a focus on the evaluation and management of emergent and life-threatening conditions and more efficient delivery of patient care, in addition to the skills achieved as a PGY-1. All patient care and procedures will be done under the direct supervision of the attending on duty. 
ED – Harrisburg Hospital Pinnacle Health System
Six weeks are spent in the Pinnacle Health System Harrisburg Hospital emergency department during the PGY-2 year. This is an inner-city community hospital in Harrisburg, PA. The rotation is designed to expose residents to all types of patients presenting to a non-academic, non-tertiary care emergency department. All patient care and procedures will be done under the direct supervision of the attending on duty.
EMS
This PGY-2 level EMS rotation is geared towards educating the resident about the structure and function of EMS and the role of the emergency physician in interacting with pre-hospital providers. The resident will work under the direct supervision of the attending physician or senior healthcare provider (RN or paramedic) on scene.
Surgical Anesthesia Intensive Care Unit
(SAICU)
A one month rotation at the PGY-2 level in the SAICU is required of all residents. The rotation is designed to expand the resident's knowledge base regarding the evaluation and management of the critically ill surgical patient. The EM resident will spend two weeks on the Anesthesia Critical Care Service and two weeks on the Surgical Critical Care Service. The resident assigned to the intensive care unit will be supervised by senior surgical and anesthesia residents, the surgical critical care fellow, and the SAICU faculty. The SAICU teams will round daily on all patients. Residents on this rotation will take overnight call approximately every fourth night.
Ultrasound
All PGY-2 residents have a dedicated 2 week ultrasound rotation under the direct supervision of the Ultrasound Director.  The rotation better prepares the resident for independent practice by furthering their skills in ultrasound image acquisition and interpretation.
PICU

TBD

 

Rotation
Brief Description of Educational Objectives
ED - Penn State Hershey
Eleven blocks are spent in the emergency department during the PGY-3 year.  The rotation focuses on honing the clinical skills achieved during the first two years of residency and the development of supervisory and administrative abilities required to manage an emergency department. All patient care and procedures will be done under the direct supervision of the attending on duty. PGY-3 residents will run resuscitations and cardiac arrests, and supervise junior residents doing the same.  PGY-3 residents will respond to EMS medical command calls as necessary.
MICU
     
Harrisburg Hospital
 
PinnacleHealth System
A four-week block rotation at the PGY-3 level in the Medical Intensive Care Unit is required of all residents. This rotation provides an opportunity for the resident to further their skills in the evaluation and management of multiple critically ill medical and surgical patients. The resident assigned to the intensive care unit will be supervised by the MICU attending. The resident serves as primary physician to 4 to 8 of the MICU patients, making daily rounds. The resident may be involved in daily cardiothoracic consults, as well as emergency department and floor to ICU admissions on Tuesdays and Thursdays.
Elective
All residents have a one-month elective rotation in their PGY-3 year. You may arrange an elective within the PSUHMC system or you may gather information on an outside rotation and apply for approval through the GME office.