Gone are the days of long lectures, dry textbooks, and passive learning. Pedagogy has evolved to include innovative, dynamic and interactive methods of education. Our curriculum provides a hybrid of teaching modalities that cater to all the different types of learners. We encourage traditional learning methods like reading core textbooks, but strive to incorporate as many interactive options - including simulation, small groups, procedure labs, ultrasound workshop - as possible. Residents will act as teachers by giving a senior lecture, presenting at journal club yearly, and leading procedure workshops for junior residents. We strive to provide as many resources our trainees need for their particular type of learning - ranging from podcasts, FOAM, video lectures, textbooks, and hands on learning.
Emergency Medicine blocks will consist of
18 shifts/4 week block as a PGY-1
16 shifts/4 week block as a PGY-2
15 shifts/4 week block as a PGY-3
Shifts are typically 12 hours in duration.
Pediatric patients comprise 23% of our annual ED volume. We see all-comers in the ED at SJRH so residents will have continuous exposure to pediatric patients throughout the year.
Approximately 10% of the EM shifts are at the Dobbs Ferry site and will be mixed into your general EM block.
Jacobi pediatric shifts will be mixed into your general EM block schedule as a PGY2 and PGY3.
This is the core of the emergency medicine residency. The residents will rotate through both Andrus Pavilion (main campus) and Dobbs Ferry Pavilion during each of these months. Andrus Pavilion is a general adult-pediatric emergency department that sees nearly 50,000 patients per year. The main campus serves the northern sections of Yonkers, in addition to the many surrounding neighborhoods. It is a Gold Designated Stroke Center, and a community tertiary care center that sees a wide range of pathology. The residents will rotate approximately 10% of their time at Dobbs Ferry Pavilion, which has an annual volume of approximately 9,000. This is an unique, community ED that is single coverage and five beds with limited resources (in comparison to many other larger hospitals). This rare gem within the New York City Metropolitan area provides a working environment that fosters a different style of practice and style.
The ability to control an airway during an emergency is an important skillset for an EM physician to master. The residents will rotate with the anesthesia department, and take advantage of the knowledge and resources provided by the anesthesiologists. This will include understanding different airway devices, BVM, sedation, and airway management.
Pre-hospital care is very much an important extension of the emergency department. Understanding the patient's home environment the EMTs and paramedics have exposure to and understanding how EMS operates is crucial for the practicing physician. The residents will be rotating with EMPRESS ambulance services, which is currently one of the largest EMS services in Westchester County and the Bronx.
One of the best tools for patient care is the point-of-care ultrasound. The residents undergo a rotation in the first second and year (in addition to a longitudinal curriculum) to master their ultrasound skills. During this rotation, residents conduct dedicated ED ultrasound shifts and work closely with the ultrasound attendings.
Residents will have a 4 week trauma rotation at Jacobi Medical Center during the first two years of their residency. Jacobi is one of the highest volume trauma centers in New York City, aceepting large numbers of both blunt and penetrating trauma. Jacobi is a receiving center for trauma throughout the Bronx, and is also a burn center, a hyperbaric center and a snakebite center. During their third year, residents rotate at Elmhurst Medical Center.
Our residents spend 2 weeks on the Labor and Delivery floor with the sole role of delivering natural births. This hospital delivers nearly 1200 babies yearly and maintains a level II NICU.
Medical Intensive Care Unit
This medical-surgical ICU unit that serves the sickest of the patients in the hospital. This unit cares for patients with severe and life-threatening illnesses and injuries, which require constant and close monitoring.
Neonatal Intensive Care Unit
The neonatal intensive care unit at Montefiore is an intensive care unit specializing in the care of ill or premature newborn infants. This provides an opportunity for the residents to understand ventilator, disease, and fluid management in the youngest and most vulnerable patients. The experience in the NICU helps ensure that our residents will be prepared to care for the newborns and infants when they graduate.
Neurosurgical Intensive Care Unit
Residents will rotate with the Montefiore Medical Center neurosurgical ICU during their second year. The neurosurgical ICU at Montefiore houses critically ill patients with diseases such as hemorrhagic and ischemic strokes, intracranial masses, cerebral herniations and neurologic infections.
Residents are given two and a half blocks of elective time to explore an area of interest of niche within emergency medicine. If our site does not have a certain rotation available, accommodations can be made to allow for away elective blocks. Our residents have done or have access to the following elective rotations:
Toxicology at NYU Langone Poison Control Center