The third year is a time of perfecting clinical skills and improving supervisory and administrative skills. As the resident becomes more experienced in emergency medicine, the supervising and teaching of junior residents and medical students will increase.

 

The resident must develop the capability for taking charge of a busy emergency department by the completion of the third year, including directing resuscitations, managing multiple patients simultaneously, answering EMS radio calls, and coordinating patient flow through the emergency department. This is also the time to identify career paths and jobs, and the resident scholarly track portfolio should aide in both career choice but also in acquiring that job. At the end of the third year of training, our goal is to have trained EM physicians who are efficient and comfortable in the clinical practice of emergency medicine, who also have developed a clinical niche or academic focus that will help guide future career choices.