Rotation schedule

Foundations of resuscitation, undifferentiated patients, and core off-service months.

Intern year is designed to lay the foundation with the clinical experience and skills needed for the rest of residency. Rotations include a broad array of disciplines including core experiences in Adult Emergency Medicine, Pediatric Emergency Medicine, Medical and Pediatric Critical Care, and Trauma.

Other high-yield rotations in Anesthesia, EMS and ED Ultrasound allow our interns to further develop essential clinical skills. Rotations primarily take place at Methodist Hospital Adult Emergency Department (AED), Methodist Hospital Childrens Emergency Department (CED), and the St. David’s South Austin Medical Center.

The interns will develop the broad foundational knowledge base and technical skills necessary to produce procedurally and clinically competent emergency physicians.

Higher acuity, resuscitation team leadership, and critical care depth.

The primary goal of the EM2 year is to build on the foundation and add to the technical skills and knowledge specific to emergency medicine. This is accomplished through rotations in Adult Emergency Medicine, Pediatric Emergency Medicine, Surgical and Lung Rescue Critical Care, and Trauma.

In the AED, EM2 residents run the emergency department, managing a diverse number of medical, and surgical complaints. They will be an integral part of the ECMO, STEMI and Stroke Alert activations caring for critically ill patients. EM2 residents will also be responsible for primary management of trauma patients including all trauma airways. At Metropolitan Methodist Hospital, EM2s experience emergency medicine at a private, community hospital.

Continued rotations in the CED teaches EM2s how to work-up and manage pediatric medical emergencies. EM2 will get the opportunity to gain crucial experience caring for our obstetrical patients working in the Obstetrical Emergency Department (OBED) and Labor and Delivery. They also take part in high risk deliveries and neonatal resuscitations. Finally, rotations in Surgical Intensive Care and Lung Rescue Intensive Care advance resident knowledge of how to care for the sickest of patients. Lastly, 4 weeks of elective time is built into the EM2 year.

Department leadership, teaching, and transition to independent practice.

During the senior year, emphasis is placed on mastering clinical emergency medicine and developing tangible leadership skills. In the AED, the supervisory role of the EM3 residents includes running and managing the flow of the emergency department. This role includes oversight over patient care delivered by medical students, off-service interns, as well as first and second-year EM residents. During shifts at the AED, EM3s take full ownership of their patients, functioning with more autonomy than during previous years.

There is additional experience in pediatric EM in the CED. Residents gain additional critical care experience with a senior medical and neurosurgical ICU rotation.

The clinical education of EM3s is further developed through rotations in Advanced Ultrasound while elective time is built into the EM3 year to facilitate deliberate career exploration and development. There is also a month of administrative time built into the EM3 year for development of leadership skills critical for independent practice.