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Curriculum

First year (PGY-1)

Emergency medicine

  • Five months
  • Assesses, resuscitates and treats emergency department patients
  • Has primary responsibility for patient care but is supervised by emergency medicine staff and senior residents
  • Average shift load is 19 to 23 shifts a month (nine-hour shifts)

Pediatric emergency medicine

  • One month
  • Assesses, resuscitates and treats pediatric emergency department patients
  • Has primary responsibility for patient care but is supervised by emergency medicine and pediatric emergency medicine staff and senior residents
  • Average shift load is 20 to 22 shifts a month (10-hour shifts)

Emergency psychiatry

  • One month — Monday, Tuesday and Thursday afternoons (combined rotation with anesthesia)
  • Performs the primary psychiatric evaluation on emergency department patients needing psychiatric assessment

Anesthesia

  • One month — Monday through Friday mornings (combined rotation with emergency psychiatry)
  • Learns and performs airway management procedures, including endotracheal intubation, nasotracheal intubation, laryngeal mask airway and more
  • Learns the pharmacologic adjuncts to rapid sequence intubation

Intensive Care Unit (ICU)

  • Supervised by the ICU staff, senior residents and fellows, the PGY-1 resident cares for unstable patients in a high-acuity medical and surgical ICU
  • Responsible for resuscitating and performing necessary procedures in critically ill patients

Emergency medical services (EMS)

  • Two weeks (combined rotation with ultrasound)
  • Through a combination of conferences, meetings, Gold Cross ambulance ride-alongs and Mayo One helicopter fly-alongs, you gain a comprehensive overview of pre-hospital care
  • During Mayo One flight times, you observe as a first-year (exposure) and serve as an active team member during the third year
  • You may serve as EMS co-director for a local rural EMS unit, and additional EMS experiences can be created for interested residents

Ultrasound

  • Two weeks (combined rotation with emergency medical services)
  • Introduction to ultrasound

Surgical and Trauma Intensive Care Unit (SICU)

  • One month
  • Supervised by the ICU staff and senior residents, the PGY-1 resident cares for unstable patients with major trauma and general surgical conditions
  • Gains exposure to ultrasonography, central line placement, tube thoracostomy, resuscitations and airway management

Orthopedic trauma surgery

  • One month
  • Supervised by senior orthopedic residents and staff, provides consultative support to the emergency department for cases requiring orthopedic evaluation

Obstetrics and gynecology

  • One month
  • Works in both the patient receiving unit and labor and delivery
  • Evaluates patients with pelvic pain, pregnancy-related emergencies and active labor
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Second year (PGY-2)

Emergency medicine and pediatric emergency medicine

  • Six months
  • Integrated adult and pediatric emergency medicine experience (20 percent of shifts a month in the pediatric emergency department)
  • Primary responsibility for an increased emergency department patient load compared with PGY-1 year
  • Actively participates in medical and trauma resuscitations for all adult and pediatric patients
  • Supervises medical students
  • Average shift load is 19 to 23 shifts a month

Emergency medicine research

  • One month
  • With assistance from a research mentor, you complete a scholarly project in the area of your choice

Hand surgery

  • One month
  • Responds to the emergency department for cases requiring hand surgery evaluation
  • Acquires proficiency in the evaluation of the acutely injured hand

Surgical Intensive Care Unit (SICU)

  • One month
  • Senior resident in the SICU
  • Responsible for coordinating care of all of the trauma and general surgical patients in the SICU
  • Supervises PGY-1 emergency medicine and surgery residents

Pediatric Intensive Care Unit (PICU)

  • One month
  • Actively participates in the evaluation, resuscitation and treatment of acutely ill and injured children
  • Same level of responsibility as rotating pediatric and anesthesia residents

Intensive Care Unit

  • Supervised by the ICU staff, senior residents and fellows, the PGY-2 resident cares for unstable patients in a high-acuity medical and surgical ICU
  • Responsible for resuscitating and performing necessary procedures in ill patients

Elective

  • One month
  • Emergency medicine-related, which allows exploration of your special interests within emergency medicine
  • Opportunities exist for rotations elsewhere in the U.S. or abroad
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Third year (PGY-3)

Emergency medicine and pediatric emergency medicine

  • Nine months
  • Integrated adult and pediatric emergency medicine experience (20 percent of shifts a month in the pediatric emergency department)
  • Responsible for running medical and trauma resuscitations for all adult and pediatric patients, supervising medical students and off-service residents, and actively seeing a high volume of patients in the emergency department
  • Refines emergency medicine skills to be able to "run" an emergency department in any practice setting
  • Shift load is 19 to 23 shifts a month

Elective

  • One month
  • Elective time allows exploration of your special interests within emergency medicine
  • Opportunities exist for rotations elsewhere in the U.S. or abroad

Emergency medicine ultrasound

  • One month
  • In-depth and focused rotation on emergency medicine ultrasound
  • Shift load is 16 shifts a month

Emergency medicine selective

  • One month
  • Provides the opportunity to round out your educational experience with a targeted rotation in either emergency medicine or toxicology
  • Available locations include the emergency departments at Mayo Clinic's campuses in Florida, Arizona or Minnesota, and community-based emergency medicine experience at Mayo Clinic Health System in Mankato, Minnesota. Toxicology selectives can be arranged.
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Brief list of electives and selectives

  • Anesthesia (Mayo Clinic campuses in Arizona or Florida)
  • Radiology (Mayo Clinic)
  • Ophthalmology (Mayo Clinic)
  • Trauma (Shands at University of Florida)
  • Toxicology (Regions Hospital in St. Paul, Minnesota)
  • Electrocardiography laboratory (Mayo Clinic)
  • International emergency medicine (various places throughout the world)
  • Tropical Medicine and Global Health Certification Course (University of Minnesota; Centers for Disease Control and Prevention)
  • Ultrasound (with Joseph P. Wood, M.D., at Mayo Clinic's campus in Arizona)
  • Simulation (Mayo Clinic)
  • Education (Mayo Clinic)
  • Administration (Mayo Clinic)
  • Dental Clinic (Salvation Army in Rochester, Minnesota)
  • Good Samaritan Clinic (Salvation Army in Rochester, Minnesota)
  • Intensive care unit (Mayo Clinic campuses in Minnesota or Arizona)
  • Emergency medicine (Mayo Clinic campuses in Arizona or Florida)
  • Community emergency medicine (Mayo Clinic Health System in Mankato and other locations around Rochester, Minnesota)
  • Pediatric intensive care unit (Phoenix Children's Hospital)
  • Pediatric emergency medicine (Phoenix Children's Hospital)
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Didactic training

Simulation Center

The didactic training at Mayo Clinic is very strong. Emergency Medicine Residency didactics consist of four hours of weekly conferences, four hours a month of simulator-based training in a state-of-the-art facility, and bimonthly, evidence-based journal club. This is in addition to the ongoing bedside teaching that occurs daily. While on off-service rotations, didactic teaching is frequent and exceptional.

Additionally, a very robust set of longitudinal curriculum exists for emergency medicine administration, toxicology, quality improvement, health policy and residents as educators. New didactics techniques, such as flipped classroom as well as Ignite and PechaKucha styles of lectures, are being piloted and adopted rapidly.

Simulation

Mayo Clinic has a multidisciplinary, state-of-the-art simulation center, which is a popular and substantive enhancement to the Emergency Medicine Residency curriculum. Residents benefit from being able to practice critical scenarios in this controlled environment. Mayo is unique in that it uses advanced simulation technology to teach 20 percent of its core curriculum. This allows residents to push the boundaries of their expertise and solve problems in realistic situations.

Conferences

Tuesdays are dedicated core curriculum conference days, with four hours of teaching beginning at 8 a.m. Residents attend and are excused from clinical duties during conference hours.

Conference days begin with two hours and end with one hour of core curriculum topics for which you prepare by reading pre-assigned chapters and articles. In addition, this time is used for alternating topics, including diagnostic imaging interpretation, ECG interpretation, administration and research topics, wellness, ethics, mock written and oral board examinations, and trauma rounds. The third hour of didactics is dedicated to a departmental Grand Rounds, where you see presentations from experts in their fields from around Mayo and guest lecturers in addition to interesting case presentations.

Journal club

Journal club is a terrifically fun event. It follows a very strict evidence-based format in which residents are charged with selecting a clinical question and performing a literature search under the guidance of faculty mentors. Articles are selected for review and distributed to faculty, residents and departmental statisticians prior to journal club. The articles are evaluated in terms of their validity, results and the applicability of those results to the selected patient population in question.

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Emergency medical services: Pre-hospital care

ambulance, plane, and helicoptor

During the PGY-1 year, you complete two weeks of pre-hospital care. This includes Gold Cross ambulance and Mayo One helicopter participatory ride-alongs. The setup and administration of a coordinated local and regional EMS system is reviewed. Fire, paramedic, law enforcement and 911 operations are explored. One-on-one time is spent with the EMS director to ensure a quality experience.

Gold Cross

Gold Cross is the primary paramedic and advanced cardiovascular life support service for southeastern Minnesota. Gold Cross provides the majority of patient transports within the greater Rochester area.

Gold Cross also provides intercept services for rural first responder and basic life support crews as well as interhospital transport services between Mayo Clinic Hospital, Saint Marys Campus; Mayo Clinic Hospital, Methodist Campus; and Mayo-affiliated hospitals. In addition to daily interaction with members of Gold Cross in the emergency department, residents ride with paramedics during the pre-hospital rotation.

Mayo One

Mayo One has four helicopters — one based in Rochester; one based in Mankato, Minnesota; one in Eau Claire, Wisconsin; and the fourth serving as a backup. Together, these helicopters complete approximately 2,400 flights annually. The PGY-1 rotation gives you observational exposure (one to two shifts), and you may fly as a member of the patient care team while rotating in the emergency department during the PGY-3 year.

Southeast Minnesota EMS Consortium

The Southeast Minnesota EMS Consortium is a large group of rural and first responder services that receive their medical direction for ongoing education through a consortium with a strong Mayo affiliation. Emergency medicine residents may serve as medical co-directors of these services if they have a special interest in EMS administration. You may also provide educational lectures as invited presenters for these services.

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  • June 5, 2014
  • ART386090