The PG 4 year in the 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 lecture to the medical students during their rotation in emergency medicine and give a full-length presentation at the departmental Grand Rounds. |
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The only required off-service rotation during the senior year is 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. The 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 house staff or fellows are assigned to the PICU, this six 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. |
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While in the Emergency Department at LAC+USC, the PG 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. |
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The Senior Resident-in-Charge has very significant authority and the responsibility to make decisions that has 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 experience is meant to produce specialists with the highest level of proficiency in Emergency Medicine. |
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| Its purpose is to produce emergency physicians who can practice at the highest level of clinical Emergency Medicine and who can integrate all aspects of Emergency Medicine into a balanced professional career. |
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As in the PG 2 and PG 3 years of training, PG 4 residents spend half of their time in the clinical areas of the DEM and although clinical responsibilities still include direct patient care, the emphasis is on supervision and teaching. Aside from area time, the only mandatory rotations in the last year are a Pediatric Intensive Care rotation and a Quality Assurance rotation in conjunction with first call. The remainder of the year is spent on elective rotations tailored to each resident's perceived needs/interests and/or in the non-clinical areas of administration, EMS, research, etc. |
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