Elective Rotations

Every year has one 4-week block dedicated to an elective

The three year curriculum includes an elective month in each year, and the following electives are examples of some electives some residents have done in the past. This is by no means an exhaustive list, elective opportunities are widespread and varied. Some electives have been limited during the COVID Pandemic.

Emergency Medical Services (EMS)

The requirements of this rotation are somewhat flexible, and based upon the interest of the rotator. There are several potential opportunities to choose from, including:
– Ride-alongs with Phoenix Fire Department
– Fly-alongs with fixed wing or helicopter air crews
– Quality Assurance activities with Air Methods (flight) or Phoenix Fire (ground)
– Providing Continuing Education to Phoenix Fire or one of the various air crews in rural Arizona
– Shadowing in Dispatch
– Technical rescue training
– Tactical EMS training
– Advanced wilderness life support courses
– Urban search and rescue training
– Community paramedicine
– Incident command center

Advanced Emergency Ultrasound Elective

The advanced emergency ultrasound elective is a 4-week rotation offered to PGY-2 and PGY-3 residents. We have developed a novel structured curriculum based on a flipped classroom model with the incorporation of up-to-date online content, including: podcasts, journal articles, blogs, and e-books. Content will include advanced echocardiography, ultrasound guided resuscitation and procedures. Rotators will have multiple opportunities each week to obtain hands-on bedside teaching and image review with ultrasound faculty. The advanced emergency ultrasound elective will allow resident rotators to solidify their knowledge of core concepts and applications and prepare them for the future of emergency ultrasound.

International medicine in Cape Town, South Africa

Rotate at Several hospitals in Cape Town:

Khayelitsha District Hospital
– Khayelitsha is South Africa’s largest township
– Townships are urban settlements that were established during Apartheid, and now are overcrowded regions of formal and informal housing for the impoverished.
– Increased rates of crime, trauma, infectious disease, etc.
– https://www.westerncape.gov.za/news/new-khayelitsha-hospital-officially-opened

New Somerset Hospital
– Located in the cosmopolitan Victoria and Alfred Waterfront shopping district
– High levels of trauma and infectious disease. Also treat tourists.

Tygerberg Hospital
– Tertiary care center associated with Stellenbosch University Medical School
– Large, academic hospital; resident and medical student run

Wilderness Medicine in Jackson, WY

– Based at St. John’s Medical Center
– Remote, Rural 48-bed hospital
– 5 bed ICU
– Local population of 20,000
– 3 local ski resorts, 2 national parks, Class III/IV rafting
– Provides for high altitude illness and unique trauma
– 4-week rotations in Jan, Feb, March, June, July, Aug, Sept, Oct
– Dr. Will Smith, an attending at St. John’s, is the Medical Director for the National park Service, Teton County Search and Rescue, Bridger Teton National Forest, and Jackson Hole Fire/EMS
– Can likely work with him in SAR/EMS activities
– www.Wildernessdoc.com

If interested, we will contact the rotation coordinator for availability

Research Elective

The resident research elective serves as a review of and application of the basic skills required of an Emergency Physician to be a responsible consumer of peer reviewed literature and to navigate physician lead research in as so far as to complete the ACGME required scholarly project.

The course is designed to be flexible regarding schedule and location, yet practical in offering practice-based applications of basic research topics. Career track in academic emergency medicine or emergency medicine research are not requirements, but elements of the elective maybe expanded and supplemented to meet the needs of residents in the research track or with targeted research interests. Regarding ACGME requirements:

  • The curriculum must advance the residents’ knowledge of the basic principles of research, including how research is conducted, evaluated, explained to patients, and applied to patient care. (Core)
  • The scholarly approach can be defined as a synthesis of teaching, learning, and research with the aim of encouraging curiosity and critical thinking based on an understanding of physiology, pathophysiology, differential diagnosis, treatments, treatment alternatives, efficiency of care, and patient safety.