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First Year Rotations

  • Emergency Medicine 5 months
  • Emergency Medicine/Ultrasound 1 month
  • Cardiology/CICU 1 month
  • Pediatrics 1 month
  • Anesthesiology/ED Pediatrics 1 month
  • OB 1 month
  • Trauma Surgery 1 month
  • Critical Care 1 month

Second Year Rotations

  • Emergency Medicine 7 months
  • Toxicology 1 month
  • Critical Care 2 months
  • Trauma/ICU 1 month
  • Elective 1 month

Third Year Rotations

  • Emergency 8 months
  • Administration/EMS 1 month
  • PICU 1 month
  • Teaching 1 month
  • Elective 1 month

Rotation Descriptions


Work with the ED director to develop, implement, and report on an ED QI initiative. In addition, the residents will work with the medical director in the completion of the rotation requirements that cover the areas of Coding and Billing, EMTALA/COBRA Issues, Risk Management and Quality Assurance, Patient satisfaction, and Basic ED operations.

Anesthesia/Peds ED

Work with the Anesthesia faculty in the OR to develop airway management skills. Practice intubation, assessment of the airway, and management of the difficult airway. Gain familiarity with the pharmacological agents used in sedation and anesthesia. Residents staff the Pediatric ED 3 afternoons per week caring for ill and injured children.


Manage cardiac patients in the Cardiac Intensive Care Unit. Work with the Cardiology attendings and fellows to learn the anatomy, pathophysiology, presentation, and management of common cardiovascular disorders.

Critical Care

Work with our critical care intensivist team and fellows to develop knowledge in the areas of airway management, ventilation, and resuscitation. Gain experience with procedures including intubation, central access, and arterial lines. Didactic sessions are provided three days a week.


Experiences are varied depending on individual interest. Previous electives have included research months, international medical experience (trauma surgery in South Africa), specialty months (pediatric emergency medicine, trauma, wilderness medicine).


Eleven ED shifts plus resident will spend time working one-on-one with our ultrasound specialists in the Emergency Department practicing ultrasound examination (FAST, AAA, cardiac).


Each resident must complete an EMS rotation. These rotations are set up as two-week blocks in the first and third years of the residency. The goals for the first and third year rotations are notably different. The goal for first year residents is to become familiar with the importance of EMS in emergency medicine as well as the skills and knowledge base unique to EMS. The goal for third year residents is to become familiar with the system of EMS and the roles and responsibilities of an EMS medical director.


Rotation is spent in the OB residency in the birthing center learning to manage and deliver obstetrical patients.


Develop knowledge and skills in the initial evaluation and ongoing care of pediatric patients as part of a team covering both general pediatrics, and pediatric specialties (hematology/oncology, GI, trauma).

Pediatric Intensive Care Unit (PICU)

Working with our Pediatric Intensivist and Pediatric Cardiology staff to care for critically ill infants and children in our pediatric ICU. Patients include those with medical illness, pediatric cardiology and critically injured pediatric trauma patients.


One month rotation as a PGY-3 in the ED serving as a teacher and resource to the medical students and off-service interns. Resident will also present a series of talks covering basic ED topics to medical students and rotating residents.


Work with our Toxicologists and staff at the poison center to learn the management of toxicological emergencies.

Trauma Surgery

Work with the trauma team in the initial assessment and management of trauma patients in the ED, and follow their care throughout their hospital stay. Develop skills in trauma procedures including tube thoracostomy, central access, and wound closure and management.

Trauma/Surgical Critical Care

Care for critically ill trauma and surgical patients in the intensive care unit. Includes management of neurosurgical, cardiothoracic surgery, general surgery, and major trauma patients. Develop skills in critical care procedures including intubation, central IV access, tube thoracostomy, tracheostomy placement, and arterial lines.

Maine Medical Center is a member of the MaineHealth System