Beginning in July, the PGY-1 resident is exposed to the emergency department early with protected shifts so that they may learn the art and science of emergency medicine. They spend the first month in ED so that they feel at “home.” The PGY-1 is coached and guided through these early shifts, evaluating patients based on their comfort level. Concurrent to the early practice of emergency medicine, the orientation of the PGY-1 includes a daily lectures from Monday to Wednesday on the approach to common problems in the ED. Lastly, the PGY-1 is exposed to the common procedures in emergency medicine, including 2 ultrasound days, taught by fellowship trained emergency physicians.
The rotations of the PGY-1 year run the breadth of medicine and are critical for the foundation of knowledge required by young emergency physicians. These include trauma, orthopedics, the medical intensive care unit, the coronary care unit. Additionally, the PGY-1 is exposed to significant amount of ultrasound in the first year. The PGY-1 will become proficient in the use of ultrasound by the end of this year. All of these rotations take place at UF Health in Gainesville, a 95,000 visit per year ED, level 1 trauma center, burn center, and comprehensive stroke center. UF Health is among the top 10 in acuity for academic institutions in the country, and as such the resident will be exposed to the sickest patients in an 11 county catchment area, with transfers coming from as far away as south Florida to mid-Georgia.