Pre-requisite: Emergency medicine residents who have completed their PGY 2 year.

Duration for Elective: 4 weeks 

Rotation Directors: Stephen Skinner, MD; Victoria Hoch, MD

 

Educational Objective

To provide the senior emergency medicine resident with experience in a rural/community ICU and emergency department.

Experiences and Procedures

Emergency medicine experiences:  

  • Evaluate and manage undifferentiated patients in a community emergency department 
  • Evaluate and manage critically ill and injured patients in a community setting with limited on-site specialty resources  
  • Participate in the stabilization and transfer of patients requiring tertiary care  
  • Perform emergency procedures as required by patients in the department 
  • Develop efficiency managing a variety of emergency department patients in a community setting

Critical care experiences: 

  • Evaluate and manage critically ill medical and surgical patients in a community ICU in a 24 hour call schedule 
  • Participate in daily multidisciplinary ICU rounds  
  • Perform ICU procedures as required by patients in the ICU  
  • Participate in tele-consultation and support of critical access hospitals caring for critically ill patients 
  • Participate in the decision and transfer considerations of patients requiring escalation of care to a tertiary center  

Housing

Depending on the season, this rotation may have housing available at no cost to the learner. When housing is not available through the rotation, residents may be reimbursed for housing expenses by the MERGE Collaborative. See the MERGE Housing Reimbursement Policy for more information.

Pen Bay Medical Center

MaineHealth Pen Bay Hospital: Rockport, ME 

Jackman Community Health Center

Jackman Community Health Center

Franklin Memorial Hospital - Hospitalist IM

Franklin Health filer

Blue Hill Primary Care

Blue Hill Hospital

Megunticook Family Medicine – Direct Primary Care

Megunticook Family Medicine

HealthReach Community Health Centers – Geriatrics

HealthReach Belgrade

HealthReach Community Health Centers – SUD

HealthReach Belgrade

Western Maine Health – OB/GYN

Stephens Memorial Hospital

Franklin Health Internal Medicine

Franklin Health filer

Franklin Health Behavioral Services - Psychiatry

Franklin Health filer

Franklin Memorial Hospital – Emergency Department

Franklin Health filer

Western Maine Health – Addiction

Western Maine Health

Western Maine Health – Primary Care

Western Maine Health