Our clinical curriculum is designed to prepare residency graduates for clinical practice in any emergency department setting.  Core emergency medicine experiences occur at UAMS, but complementary rotations at other local hospitals offer exposure to varied patient populations and practice environments.  Each year features a 13-block schedule that provides sufficient time in the ED while also allowing time for off-service specialty rotations, development of core EM procedural skills, and EM career development through other focused rotations and electives.  Graduated responsibility is a hallmark of our emergency medicine experience:

  • PGY-1 residents focus on building their knowledge of EM and applying this knowledge to manage ill and injured patients in the emergency department.
  • PGY-2 residents develop the ability to manage higher patient volumes and higher-acuity patients (including trauma activations) and begin to assume responsibility for one area of the emergency department.
  • PGY-3 residents continue to see patients throughout our ED while also functioning in a supervisory role as they manage half of the emergency department and also teach students rotating in emergency medicine.

Rotations

Year 1

PGY-1 residents begin with an orientation block that eases the transition to residency.  The orientation block intermingles introductory ED shifts with intern-only didactics, procedure labs, and sim sessions, and also allows new residents time to bond as a class.  The remainder of the year is a mix of emergency medicine rotations, key specialty rotations to develop skills and knowledge relevant to emergency medicine, and early exposure to specific career paths in EM through rotations in Ultrasound, EMS, and community EM.

UAMS

EM Orientation (1 block)
ED (4.5 blocks)
Anesthesiology/Ultrasound (1 block)
OB/L&D (1 block)
Trauma Surgery (1 month)

Arkansas Children’s Hospital

Pediatric night float (0.5 blocks)
Pediatric anesthesia (0.5 blocks)
Pediatric EM (o.5 blocks)

Little Rock Baptist

EMS (1 block)
ED (1 block)

Little Rock VA

MICU (1 block)

Year 2

The PGY-2 curriculum focuses more heavily on emergency medicine, as residents begin to assume more responsibility and manage the sickest patients (including trauma patients) in the emergency department.  Critical care rotations build comfort with the management of complex high-acuity patients and provide additional opportunities for procedural proficiency. PGY-2 pediatric emergency medicine shifts are integrated into each emergency medicine block to expose residents to the full breadth of seasonal pediatric illnesses and injuries.

UAMS

ED (9 blocks)
SICU (1 block)
Ultrasound (1 block*)

Arkansas Children’s Hospital

Pediatric Sedation (1 block*)
PICU (1 block)
ED (2-4 shifts during each UAMS ED block)

Little Rock VA

MICU (1 block)

*Peds Sedation and Ultrasound run concurrently

Year 3

The PGY-3 curriculum emphasizes emergency medicine experience so that senior residents can continue to deepen their knowledge base and hone their clinical efficiency to prepare for independent practice after residency.  Integrated pediatric emergency medicine shifts continue during the emergency medicine blocks. A longitudinal toxicology curriculum features monthly group sessions facilitated by faculty from the Arkansas Poison Center. Administration and Teaching rotations serve as opportunities for residents to explore non-clinical aspects of emergency medicine.  This year includes two elective rotations; residents can choose from existing elective options (including rural emergency medicine, observation medicine, medical education, research, regional anesthesia pain management, and global health), or they may develop novel electives to pursue their own areas of interest.

UAMS

ED (9 blocks)
Toxicology (year long continuity curriculum which involves monthly meetings and discussion)
Elective (2 blocks)
Administration (1 block)
Teaching (1 block)

Arkansas Children’s Hospital

ED (2-4 shifts during each UAMS ED month)