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Clinical Curriculum
  • First Year
  • Second Year
  • Third Year
  • Fourth Year

The First Year

The goals of the first year (PGY-1) are to provide residents with underlying skills and a fund of knowledge to practice emergency medicine. This is achieved by combining six blocks of adult emergency medicine and one block of pediatric emergency medicine with off-service rotations in obstetrics, internal medicine, medical intensive care, ultrasound, anesthesiology and pediatric intensive care.

Rotation

ED (BWH/MGH)

Pediatric ED (BCH)

Medical ICU

Pediatric ICU

Internal Medicine

OB/GYN

Ultrasound

Anesthesiology

Intern Bootcamp

Vacation

Duration

5 blocks

1 block

1 block

1 block

1 block

1 block

1 block

0.5 block

0.5 block

1 block

The Second Year

In the second year (PGY-2), residents focus on mastering individual patient care, spending five and a half blocks in the adult emergency departments of the affiliated hospitals as well as one block of pediatric emergency medicine. Elective time is introduced in the PGY-2 year to allow residents focused time for independent research and study.  The remainder of the year is spent on off-service rotations, such as orthopedics, surgical intensive care, trauma intensive care, cardiac step down unit and ultrasound.

Rotation

ED (BWH/MGH)

Pediatric ED (BCH/MGH)

Surgical ICU (BWH/MGH)

Cardiac Step-Down Unit

Orthopedics

Toxicology/MEEI/EMS

Elective

Vacation

Duration

5.5 blocks

1 block

2 blocks

1 block

1 block

1 block

0.5 block

1 block

 

 

 

 

 

 

 

 

 

 

The Third Year

During the third year (PGY-3), residents begin to assume a supervisory role in each of the emergency departments, advising junior house-staff and senior medical students, and directing paramedics. The primary goal of the third year is to acquire the skills necessary to manage multiple critical emergencies. Pediatrics remains a focus and elective time is increased to two blocks.

Rotation

ED (BWH/MGH)

Community ED (Mount Auburn)

Pediatric ED (BCH)

Elective

Vacation

Duration

8 blocks

1 block

1 block

2 blocks

1 block

 

 

 

 

 

 

The Fourth Year

The PGY-4 resident functions as the supervisory emergency physician for the base institutions. Under the guidance of emergency medicine attendings, the senior resident directs major resuscitations and directs patient care and flow in each ED. Senior residents learn the skills needed to administer emergency departments, teach medical students and paramedics. There are two four-week blocks of elective time that may be used for research or added clinical activities related to emergency medicine. The fourth year also contains rotations in ED administration, teaching, ophthalmology/otolaryngology (at Massachusetts Eye & Ear Infirmary) and toxicology.

Fourth year residents gain experience with systems-based practice as well as quality and safety by leading Morbidity & Mortality and trauma conferences. Throughout the fourth year curriculum, our graduates develop the clinical and administrative skills necessary to assume leadership roles in emergency medicine.

Rotation

ED (BWH/MGH/Mount Auburn)

Admin/MEEI/Toxicology

Teaching

Elective

Vacation

Duration

8 blocks

1 block

1 block

2 blocks

1 block