Emergency Medicine (University Hospital) - 7.5 blocks

The expectation of a third-year resident is to become comfortable managing the entire "high-side" of the department, now including trauma patients. Over the course of the year, faculty give third-year residents growing independence and supervisory responsibilities. Residents start to take presentations from junior residents, in addition to medical students, and help them make management decisions while providing teaching points. On the “high side” of the department, they simultaneously see patients coming through the Trauma Bay. In the Trauma Bay the ED team manages significant portions of patients independently. For the sickest trauma patients (Priority 1 & 2) the ED co-manages the patient with the Trauma Team, with the EM resident taking primary responsibility for airway management, while also assisting with the primary and secondary surveys, and management decisions. Pediatric ED and Fast Track shifts continue to be scattered throughout each ED block.

Emergency Medicine (East Orange VA Hospital) - 0.75 block

This rotation affords the third-year resident an opportunity to function as a junior attending 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.

Ultrasound - 0.5 block

The second-half of the formal ultrasound rotation occurs in third-year where the senior resident is coupled with a first-year resident. Residents work on advanced ultrasound skills including echocardiography, eFAST, etc. Additionally, they are responsible for teaching first-year residents basic ultrasound skills. The rotation is overseen by our ultrasound faculty with images being uploaded into our electronic medical record, stored and reviewed.

Toxicology - 1 block

The NJ State Poison Center is located on our campus and is formally part of our Department of Emergency Medicine. This rotation allows residents to hear about, manage, and follow all reported poisonings throughout the state. Didactics are integrated throughout the rotation with lectures delivered by Toxicology fellowship-trained physicians. Residents routinely produce case reports and other publications related to toxicology during this block.

Elective – 0.75 blocks

This block is designed to allow residents to pursue their clinical, scholarly and/or research interests. They now have time to develop a scholarly project and implement portions of it longitudinally over the course of their residency. Furthermore, this allows the resident to build a portfolio that would strengthen their application for fellowships, jobs, etc. in a focused area of interest. Based on their specific interests the resident can also engage in an elective clinical rotation.