PGY-4 Year
|
Location |
Length |
Responsible Department |
|
Adult Emergency Department |
26 Weeks |
Emergency Department |
|
Pediatric Emergency Department |
4 Weeks |
Pediatric Emergency Department |
|
Pediatric ICU |
4 Week |
Internal Medicine |
|
Quality Assurance |
2 Weeks |
Emergency Department |
|
Elective |
12 Weeks |
Emergency Department |
|
Vacation |
4 Weeks |
|
The PGY-4 year in Emergency Medicine is designed to raise the knowledge and skills developed in the first three years of postgraduate training to a consultant's level in the specialty. Residents spend a significant amount of their time in a leadership role with an emphasis on the supervision and teaching of junior residents and medical students in the department. There is also a requirement to give a full-length presentation at the departmental Grand Rounds.
During the senior year, residents rotate in the Pediatric Intensive Care Unit (PICU) at the Huntington Memorial Hospital. The PICU is a tertiary care unit with referrals and transfers from throughout Los Angeles County and beyond. Its faculty all have appointments at the University of Southern California-Keck School of Medicine. This rotation is reserved for senior residents because of the clinical maturity required in the treatment of critically ill and injured children. Because no other housestaff or fellows are assigned to the PICU, this four week rotation pairs each senior resident with the Attending Pediatric Intensivist for an exceptional clinical experience. The rotation is fully integrated with a core series of lectures given by the PICU faculty at Huntington.
While in the Emergency Department at LAC+USC, the PGY-4 residents serve as the Senior Resident-in-Charge in the Major Resuscitation Area. They are responsible not only for the major resuscitations, but also for overseeing the flow of patients throughout the entire department, including the Jail, Minor and Walk-In areas.
The Senior Resident-in-Charge has very significant authority and the responsibility to make decisions that have far-reaching implications, both within the department and throughout the Medical Center. Specifically, he or she makes decisions regarding the utilization of resources and personnel, the movement of patients from triage into the various clinical areas and the influx of patients being transferred into LAC+USC from area hospitals. This intensive clinical experience is meant to produce specialists with the highest level of proficiency in Emergency Medicine.