Emergency Medicine (University Hospital) - 5.5 blocks

Second-year residents become more well-rounded, efficient, and complete in their work-up of patients. Often during this year, residents work one-on-one with an attending on the "low side" managing upwards of 10-15 patients at a time. By the end of second year, residents feel confident in their multi-tasking ability and are able to manage most patients on the non-trauma side independently (with attending supervision). Furthermore, residents are now expected to take presentations from medical students, and learn to balance clinical and teaching responsibilities with regard to students. Pediatric ED and Fast Track shifts continue to be scattered throughout each ED block.

Emergency Medicine (East Orange VA Hospital) - 1 block

This rotation affords the second-year resident an opportunity to hone clinical skills in a smaller, community-based ED setting with one-on-one support from an attending physician. This experience also adds in some Fast Track experience so that residents become comfortable with bread-and-butter/basic EM pathology.

Pediatric Emergency Medicine - 1 block

This rotation is divided into two 2-week blocks, ideally one in warmer months and one in colder months so that residents gain exposure to the seasonal variation in pediatric pathology. The rotation is based at University Hospital's Pediatric ED, with primary supervision of residents provided by Pediatric EM-trained faculty.

ED Administration/QA-QI & Observation Medicine - 1 block

This rotation provides exposure to principles of ED administration, including managing patient flow, throughput, physician scheduling, research management, and collaboration with other departments and institutional leadership. During their Observation Medicine shifts residents are exposed to an EM-managed protocol-driven observation unit. They further develop clinical skills in assessment, treatment and discharge planning, while learning to oordinate care plans with other physician and healthcare providers. Finally, the rotation affords residents time to develop and conduct an individual quality assurance/quality improvement (QA/QI) project - over the past few years 100% of these projects have been accepted as abstracts to the annual SAEM meeting.

Social Determinants of Health/Community & Urban Health - 0.5 block

Newark is a significantly underserved area with significant socio-economic challenges. To be effective in the care of our ED patients we need to understand them and the resources available (or not available) to them. This novel rotation is designed to expose residents to the circumstances in which our patients reside and seek healthcare. Residents will work with an inter-disciplinary team including students (health-related professions, medicine, nursing and public health), nurses, nurse practitioners and community health workers, with supervision from EM faculty involved in Community/Urban Health. Residents will be introduced to the complex problems of health care delivery to marginalized and underserved populations, along with affording them an opportunity to improve their skills in cultural competency, community empowerment and interdisciplinary communication. The rotation will take place at the Jordan and Harris Community Health Center, three housing developments (Terrell, Hawkins and Riverview), as well as via a mobile medical van.

Obstetrics & Gynecology - 0.5 block

This block is focused on Labor & Delivery and residents gain comfort with the assessment and management of patients beyond 20 weeks in their pregnancy.

During this rotation on the Labor & Delivery Unit of UH, residents are exposed to a variety of common Ob/Gyn emergencies and perform supervised vaginal deliveries in a controlled setting.

SICU - 1 block

The Surgical Intensive Care Unit is often an extension of the trauma bay at University Hospital. As a result, these are often the sickest patients in the hospital. This is also an opportunity to manage high-risk and complicated post-operative patients. While on this service, residents further learn to manage ventilators, are exposed to tracheostomy placement, manage and place chest tubes, and manage and place central lines. The team consists of surgical residents, EM residents from other institutions, trauma fellows, and trauma attendings.

NICU - 1 block

During the Neonatal Intensive Care Unit rotation, residents are part of a team managing critically ill neonates in the hospital. They perform neonatal resuscitations during high-risk obstetric deliveries, often being the senior resident on the team. After the deliverys, many of these patients are on ventilators and multiple medication infusions. This population also allows a focused environment for performing procedures on pediatric patients including intubation, chest tube insertion, and lumbar puncture.

Elective - 0.5 block

This block is designed to allow residents to explore their clinical, scholarly and/or research interests whether related to future career/fellowship plans or purely their clinical interests. By affording them elective time early in residency it allows residents to "try" experiences they may not otherwise consider.