Roles of departmental/rotating interns

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Dr. Wexler

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A question for the attendings and residents:

How does your program treat EM interns compared to interns from other services who are rotating through? Are the two groups seen as interchangeable early on in the year? Do you try to steer certain cases toward/away from departmental/rotating interns?
 
A question for the attendings and residents:

How does your program treat EM interns compared to interns from other services who are rotating through? Are the two groups seen as interchangeable early on in the year? Do you try to steer certain cases toward/away from departmental/rotating interns?


We have a frt and a back, both always have two EM residents. Typically one 'intern' (PGY 2...2,3,4 program) and one 3rd or 4th year. Rotators may or may not be on either side, usually one on each side, occasionally up to two. As far as treatment, they see far fewer patients. They are usually expected to see about 1-3 at one time, and tend to steer away from the traumas. They are certainly not interchangeable. I dont know that anything is steered away from rotating interns, but I dont think anyone will really 'talk' about them if they cherry pick a little bit...
 
Aside from the fact that the degree of interest in EM is usually an order of magnitude lower in rotators, there are a lot of procedural things that a rotator is never going to need to do (or care to). When there is someone else around (even a med student interested in EM) who is more likely to get something out of the case, it goes to him or her.
 
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