St. Joseph Emergency Medicine
07:00 – 19:00 · Emergency department
Twelve hours in the St. Joseph ED, from morning sign-out to evening sign-out. Choose a year to see how your role changes.
07:00
Morning sign-out
The night residents and attending hand over every patient in the department: who is sick, what is pending, what is still undecided.
You pick up your first patients from the night team and hear how the attending thinks through each one.
PGY-2You pick up patients from the night team and start owning the plan for each one.
PGY-3You take sign-out for the whole board and decide who goes where.
07:30
Bedside rounds
The team walks the department together, patient by patient, at the bedside.
You present your patients at the bedside and the attending teaches from them.
PGY-2You present your patients and your plan at the bedside.
PGY-3You lead rounds and set priorities for the team.
08:00
Seeing patients
New patients arrive. You take the history, examine, build the differential and write the treatment plan. Fracture reductions, lacerations and workups fill the morning.
You carry 1–2 patients an hour as you become comfortable, and staff each one with an attending.
PGY-2You carry 1–2 patients an hour and staff each one with an attending.
PGY-3You run the board: assigning patients, tracking the department and keeping it moving.
09:30
Intubation
A patient needs an airway. There is no competing residency in this department, so the EM resident takes it.
You manage the airway with the attending at your side.
PGY-2You manage the airway with the attending at your side.
PGY-3You run the room while the airway is secured.
10:45
Ultrasound
The probe comes to the patient. Point-of-care ultrasound answers the question at the bedside.
You scan with the attending and build your image library.
PGY-2You scan with the attending and build your image library.
PGY-3You scan, interpret and teach the scan to juniors and students.
11:30
SVT
A patient arrives in SVT. You work through vagal maneuvers and medications at the bedside.
You treat the patient with attending oversight.
PGY-2You treat the patient with attending oversight.
PGY-3You run the room and direct the treatment.
12:30
Didactics
Residents step off the floor for didactics.
You step away for teaching.
PGY-2You step away for teaching.
PGY-3You step away for teaching.
13:00
Mid-shift
Midway through the shift, the team orders food to the department.
You eat with the team.
PGY-2You eat with the team.
PGY-3You eat with the team.
14:30
Central line
A patient needs central access. Unopposed, the procedure is yours.
You place the line with the attending at your side.
PGY-2You place the line with the attending at your side.
PGY-3You run the room and the resuscitation around the line.
15:30
Code
A code is called. The team moves into the resuscitation bay.
You take a role on the code team with attending oversight.
PGY-2You take a role on the code team with attending oversight.
PGY-3You run the room and lead the code.
16:30
Bedside teaching
The team rounds again at the bedside. Attendings teach from the patients in front of you.
You present and learn from the cases you saw today.
PGY-2You present and learn from the cases you saw today.
PGY-3You teach juniors and students at the bedside.
19:00
Sign-out
You hand over every patient to the night team of residents and attending, then go home.
You sign out your patients.
PGY-2You sign out your patients.
PGY-3You sign out the board.