2nd Year Rotations

Emergency Medicine  The EM2 will evaluate and treat ED patients and will continue to present H&P findings for all patients to EM faculty,but in a more concise focused manner. Increasing responsibility for management decisions, critical procedures, and multiple-patient care will take individual resident growth and abilities into account, but all EM2 residents will grow in these areas. 
Neurosurgery  The resident will assume the primary responsibility for the initial evaluation of patients requiring neurosurgical consultation. The rotating resident will participate in therapeutic interventions at the discretion of senior neurosurgery residents and attending faculty. The resident will also provide ongoing care to admitted patients. There are significant critical care opportunities on this service. 
Pediatric ICU  This rotation takes place at Children's Hospital here in Omaha, where the resident will assume primary responsibility for the initial assessment and stabilization of critically ill patients admitted to the PICU from the floor or ED under the supervision of attending pediatric critical care specialists. The resident will perform all necessary procedures at the discretion of attending faculty. The resident will also provide ongoing daily care to all admitted patients. 
Adult ICU  The resident will assume the clinical responsibilities of a second-year resident, performing the initial evaluation of patients admitted to the adult intensive care unit and participating in diagnostic work-up and management planning. The performance of necessary procedures will take place at the discretion of the attending critical care faculty and under the supervision of the critical care fellow or faculty. On-call time will allow for further experience in evaluation and management of critically ill patients presenting to the ED.  
Rural Emergency Medicine   The Rural EM rotation will allow the resident to experience non-urban EM practice, as well as daily life in a rural environment. During the month, the resident will live in either North Platte or Scottsbluff,  Nebraska in an apartment provided by Great Plains Regional Medical Center or Regional West and work in their ER. The Rural EM rotation will follow the same educational objectives for the EM2 or EM3 Nebraska Medical Center ED rotations, but will emphasize the following aspects of EM practice unique to the rural ED.  
Toxicology   The EM2 will achieve proficiency in the history and physical examination skills relevant to toxicology while gaining familiarity with the other roles the poison center serves.  
Electives   This rotation will be decided by each individual resident under the direction of the program director. This may be taken as a campus rotation in another department. It generally may not be used as a research month -If you would like an exception to this, please contact the program director.  

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