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PGY3 Clinical Curriculum

Senior EM residents become leaders in the department, helping to teach and supervise junior residents, students, and off-service rotators. The PGY-3 year includes 10 months of ED rotations located at Hillcrest, St. Johns, and St. Francis. PGY-3 residents have one EM teaching month, where they function as a junior faculty member and focus on teaching junior residents and students. Residents may also take an optional elective month. Each year, residents have three weeks of guaranteed vacation time. 


Rotation Descriptions

Emergency Medicine – Hillcrest Medical Center, 8 months

Hillcrest’s ED offers a broad Emergency Medicine exposure with a high level of patient acuity. The third year EM resident continues to increase their efficiency and autonomy in the ED while building their ability to run the department as a whole. Third year residents become teachers in the department, helping to educate and direct more junior physicians, medical students, and rotating residents.

Emergency Medicine – St. John Medical Center, 1 month

Our EM-2 and EM-3 residents rotate for one month each through the St. Johns Emergency Department. They work directly with our core faculty who work primarily at St. John, which is one of two trauma centers in Tulsa. This rotation gives our residents exposure to a different patient population and model of EM practice while guaranteeing consistency and quality of teaching by working under our core faculty.

Emergency Medicine Acute Care – St. Francis Hospital, 1 month

Our EM-2 and EM-3 residents rotate for one month each in the Emergency Department at St. Francis Hospital. At St. Francis, patients are triaged by acuity, and the PGY-3 resident rotates through the Acute pod, which sees all critically ill and potentially unstable patients that come through the ED. This allows for intensive practice in critical care emergency medicine and flow management. The acute providers also see all trauma activations. Residents work with both core faculty and vetted community emergency physicians, ensuring consistent quality teaching on shift as well as non-academic perspective.  

EM Teaching Month – Hillcrest Medical Center, 1 month

The teaching resident develops his or her skills as a bedside teacher while taking an active role in the education of our junior residents and students. The teaching resident is included in the schedule as an extra resident and spends his or her time teaching rather than worrying about patient load. The teaching resident also gives a lecture to the rotating students and assists in assessment of the students.

Emergency Medicine- Muscogee (Creek) Nation Medical Center- 6 shifts per year

Each year, residents have shifts scheduled throughout the year at the Muscogee (Creek) Nation Medical Center in Okmulgee, Oklahoma, a 45-minute drive from downtown Tulsa. This single coverage 8-bed rural emergency department serves both Native and non-Native patients, giving residents to opportunity to navigate the tribal healthcare system and other aspects of rural EM including resuscitation with limited resources, transfer coordination, and situational awareness of transport considerations.

Elective- Variable, 1 month

Residents have the option of up to four weeks of elective during the second or third year of residency in an area of the resident’s choosing. Prior elective rotations selected by our residents include local and away rotations in critical care, toxicology, ultrasound, research, and education.