Rotations

Year 1

• Orientation.
• Emergency medicine.
• Adult intensive care unit.
• Critical care anesthesia.
• Emergency department-based orthopedics and ultrasound.
• Emergency medical services (including ophthalmology and otolaryngology).
• OB/GYN.
• Pediatric emergency medicine.
• Trauma.

July is dedicated to intern orientation. Emergency medicine interns will spend the month of July in lectures; in the cadaver and simulation labs; getting refreshers on splinting and suturing; learning the basics of point of care emergency medicine ultrasound; basic life support, advanced cardiac life support, pediatric life support and advanced trauma life support. Interns will work some shifts in the emergency department to familiarize themselves with the department and will have plenty of time to learn the city, unpack and get to know their fellow residents.

First-year residents will spend five months assigned to the emergency department at our primary clinical partner, Nebraska Medicine, and one month in the pediatric emergency department at Children's Nebraska here in Omaha. Our emergency department-based orthopedics rotation allows interns to see orthopedic-related complaints. Our ultrasound faculty and fellows work one-on-one with the interns during their ultrasound rotation. The remaining rotations help provide the procedural and medical knowledge foundation needed to succeed when advancing to the second year.

Year 2

• Emergency medicine.
• Adult intensive care unit.
• Pediatric intensive care unit.
• Pediatric anesthesia and toxicology.
• Rural emergency medicine.

The second year is a very busy and exciting year. Emergency medicine residents spend nine months in an emergency department: seven months at Nebraska Medicine, one month at Bellevue Medical Center for a community base experience, and one month at a rural site. Rural site choices include the Nebraska communities of Fremont, Hastings, North Platte or Scottsbluff. Second-year residents also participate in a one month split rotation – two weeks of pediatric anesthesia at Children's Nebraska, and two weeks at the Nebraska Regional Poison Center. Critical care months in the adult and pediatric ICUs help prepare residents for an expanded role caring for the critically ill in the emergency department.

Year 3

• Emergency medicine.
• Pediatric emergency medicine.
• Surgical intensive care unit.
• Elective.

The final year of the residency is spent mainly honing skills while spending eight months in the emergency department at Nebraska Medicine, and strengthening clinical practice with one month at a rural site. A surgical ICU rotation places residents in a supervisory role on the trauma team, and an elective month allows the resident to focus on a chosen area of interest. The residents round out their year with a month in the pediatric emergency department to fine-tune their pediatric practice.