PGY-1 — Build the Foundation
Intern year emphasizes core emergency medicine, early procedural experience, and development of a strong foundation in resuscitation and critical care. Interns begin in the ED with supported buddy shifts and weekly boot camp before rotating through emergency medicine, pediatrics, MICU, obstetrics, stroke, anesthesia/ultrasound, and trauma.
PGY-2 — Build Independence
Second year brings greater responsibility in the ED and resuscitation bays, with dedicated experiences in pediatric emergency medicine, EMS/QI, ultrasound, PICU, CVICU, and trauma. Residents continue developing autonomy, critical-care judgment, and department-flow skills.
PGY-3 — Lead
Senior residents transition toward independent practice, lead resuscitations and department flow, teach junior learners, and use elective time and longitudinal advanced tracks to pursue individual career interests. Advanced ultrasound, advanced EMS, and administration tracks remain available for residents seeking additional expertise.
Rotation Structure
PGY-1
EM
27 weeks
PEM
4 weeks
MICU
4 weeks
OB
3 weeks
EM/Stroke
4 weeks
Anesthesia/US
3 weeks
PGY-2
EM
28 weeks
PEM
4 weeks
EMS/QI
3 weeks
Ultrasound
1 week
PICU
4 weeks
CV-ICU
4 weeks
PGY-3
EM
34 weeks
PEM
4 weeks
MICU
4 weeks
Ultrasound/Teaching
3 weeks
Elective
3 weeks
Vacation
4 weeks