The Emergency Medicine curriculum contains a significant number of rotations that facilitate learning other specialties first hand. These off-service rotations are arranged in conjunction with several departments within the University of Maryland System. Some of these rotations are briefly reviewed here.
Shock Trauma provides residents many exciting opportunities, one of these is our month of trauma anesthesia. Not only do our residents get to perform dozens upon dozens of OR and traumatic intubations, they also gain experience with regional anesthetic blocks and procedural sedation. With direct supervision from an Attending Anesthesiologist you will quickly become comfortable intubating some of the most difficult patients at the most critical times. You quickly learn to use adjuncts, like bougies and LMA's, to help secure the difficult airway. Some examples include rapid sequence induction in the multi-system trauma and direct laryngoscopy in the C-spine injured patient.
Our senior residents care for the most critically ill trauma patients in the Trauma ICU, working closely with the trauma/critical care fellows and attendings. This rotation, which is full of procedures and critical care interventions, consistently receives excellent ratings from the residents.
Children's National Medical Center ED, Washington, DC
One month during your 1st year and again during your 2nd is spent rotating here at the tertiary pediatric referral center for Washington, D.C. The volume and acuity is high and the attendings and fellows are eager to teach as they do not have their own EM residents.
Emergency Department (adult)
Most of your EM months will be spent at the University of Maryland’s main ED. The adult acute care side serves an urban population where the acuity and volume are high. However, recent staffing changes have mad the volume quite manageable for the interns, junior residents, and senior residents. As senior, you run the department with guidance from the attendings who are always available for teaching and supervision. The shifts as a senior resident can be rigorous but graduates laud the program for preparing them for any academic or community job regardless of patient population or volume.
Emergency Medical Services
New for 2012, our residents will be doing a longitudinal EMS experience. Residents will be assigned an EMS day during their ED months. You also have the unique opportunity to fly with the Maryland state police helicopters as their trooper/paramedics respond to calls throughout the region. Some residents pursue their interest in EMS through research or by choosing to spend extra time with the fire department or the state police helicopters. For those with a true passion for EMS there are opportunities to serve as deputy medical directors of some of the local EMS agencies. For more information about the Department of Emergency Medicine's EMS related activities, please visit the Section of Prehospital and Disaster Medicine's webpage
. You will find detailed descriptions of affiliated clinical sites, operational EMS programs, and an overview of the Resident Rotation in Emergency Medical Services.