PGY 1
Twenty-two 9 hour shifts per ED month
5 months ED
1 month Pediatric ED
1 month Anesthesia & Ultrasound
1 month Medical ICU
1 month Social Emergency Medicine & Urgent Care
Orientation to resources and providers for homeless, refugee population and those with limited access to care
1 month Trauma Team
1 month Obstetrics
1 month Cardiology ICU
PGY 2
Twenty-one 9 hour shifts per ED month
6 months ED
1 month Community ED
1 month Surgical/Trauma ICU
2 months of Neurological/Medical ICU
1 month Toxicology
1 month Elective
PGY 3
Twenty 9 hour shifts per month
8 months ED, mixed with 3 months of “super-senior” role
1 month Pediatric ICU
1 month Administrative/EMS
1 month as Teaching Resident
1 month Elective
EM Rotations
Core EM rotations are completed at Maine Medical Center where you will see both adult and pediatric patients. We rotate on a month by month basis with shift counts reflecting a 30 or 31 day month. All ED shifts are 9 hours where you will pick up new patients for 8 hours and then have 1 hour of overlap with the oncoming resident so that you can wrap up and transition patient care.
Pediatrics
Pediatric patients are integrated into all emergency medicine clinical months. Residents have the opportunity to care for pediatric patients on every shift and experience the seasonal variability of pediatric presentations.
Ultrasound
Resident have the opportunity to use ultrasound on every shift and receive QI on all scans performed in the ED. As interns, a dedicated ultrasound rotation provides teaching and hands on experience with core EM ultrasound exams. Many second year residents choose an ultrasound elective to further expand their skill set to include regional anesthesia, advanced cardiac US and other identified areas of interest. We are also excited to have recently launched our ED TEE program and all of our junior residents will now receive training in TEE during resuscitation.
EMS
All residents are matched to a local EMS agency during their intern year and will have the opportunity to serve as an associate medical director for this agency. Our EMS division is involved with EMS at all local and state levels including medical direction, education, disaster preparedness, critical care transport and helicopter EMS, tactical medicine, etc. Residents will have the opportunity to fly as an observer with helicopter EMS if they choose to but this is not a required component of our residency program.
