Emergency Medicine (University Hospital) - 9.5 blocks

The fourth-year resident is expected to easily manage either side of the department independently (with available supervision), while also monitoring patient flow throughout the ED, and taking on significant supervisory and teaching responsibilities. There is greater emphasis on managing the whole team rather than simple seeing a small volume of patients individually. Residents continue managing trauma patients while on the “high side.” Students and junior residents on the team are expected to present their patients to the fourth-year resident, with the fourth-year guiding management decisions. Pediatric ED and Fast Track shifts continue to be scattered throughout each ED block.

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.

Medical Education & Procedures- 1 block

Integrated within this block is a teaching rotation whereby residents spend time in the ED without primary patient care responsibilities, acting principally as an educator, taking student and resident presentations while providing salient learning points. Residents also work closely with our MedEd faculty to learn various aspects of Medical Education administration, while also serving in teaching roles for student didactics and simulation.

During this rotation residents also simultaneously participate in ED-based procedures while also working alongside a variety of consultants in learning procedural skills relevant to the acute management of ED patients. While on this rotation the resident fields consults from the ED related to a variety of specialties such as Orthopedic Surgery, Plastic Surgery, Ophthalmology, Otolaryngology, etc. The resident works as a liaison and partner with the consulting service while learning and performing key procedures including fracture reductions, complex laceration repair and ophthalmologic procedures. This further reinforces their procedural training as they prepare to graduate from residency.

Selective - 0.5 block

This block allows senior residents to hone their clinical skills and prepare for their future practice by selecting from a shortlist of clinical rotations such as Regional Anesthesia, Electrophysiology, Sports Medicine, Palliative Care, etc.