Emergency Medicine Residency Clinical Curriculum | NYU Langone Health

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Emergency Medicine Residency Emergency Medicine Residency Clinical Curriculum

Emergency Medicine Residency Clinical Curriculum

At NYU Grossman School of Medicine, our Emergency Medicine Residency is designed to provide world-class clinical and didactic training through a dynamic four-year curriculum.

Clinical Training Philosophy

Our clinical curriculum was created with a single goal in mind: to prepare residents to be the best possible clinicians.

To achieve this goal, our curriculum progresses from providing comprehensive care for a single patient to managing care for all patients in the emergency department (ED).

First Year: Thorough

The focus of our intern year is learning the fundamentals of emergency medicine. The year begins with an intense orientation of hands-on skill sessions, experiential learning through shifts in the ED, and crucial social bonding.

First-year residents’ work in the ED is supervised by senior residents and attending physicians at all times. When not in the ED, residents have the opportunity for substantial intensive care unit (ICU) and other off-service experiences, such as clinical rotations, that broaden their skill sets.

Second Year: Efficient

The second year is dedicated to refining skills in emergency medicine. It features off-service rotations intended to enhance subspecialty knowledge and procedural skills in anesthesiology, orthopedics, and obstetrics and gynecology. Second-year residents manage their own team in the ED and are responsible for a larger clinical volume than interns.

Third Year: Team Manager and Resuscitationist

The third-year curriculum emphasizes mastery of emergency medicine procedures, care of critically ill patients, and task management to ensure that all patient care needs are being met regardless of clinical volume. Third-year residents also guide patient management for their team as supervisory junior residents. This begins the transition from junior to senior provider.

Third-year residents manage all airways during traumas and resuscitations, and gain proficiency in advanced airway devices. Two hallmark third-year experiences are stints acting as seniors in the medical ICU at Bellevue and serving as junior toxicology fellows on the toxicology rotation. Both roles are demanding but rewarding learning experiences.

Fourth Year: Teacher and Team Leader

Fourth-year, or senior, residents function as junior attending physicians. They have major leadership roles, overseeing and teaching junior residents and medical students while directing clinical care and patient flow throughout the ED. Fourth-year residents also direct trauma treatment and resuscitations.

Although all cases are supervised by an attending physician, fourth-year residents are given the widest latitude to develop and implement care plans independently. Senior residents prepare and present each morning report, which is an opportunity to master the current literature and direct didactic discussions on interesting cases under the tutelage of our expert faculty.

Clinical Training Sites

We provide residents with clinical training at diverse sites across Manhattan and Brooklyn. Clinical training sites include Tisch Hospital, Kimmel Pavilion, Ronald O. Perelman Center for Emergency Services, KiDS Emergency Department, Hassenfeld Children’s Hospital—34th Street, NYU Langone Hospital—Brooklyn, NYU Langone Health—Cobble Hill, NYU Langone Orthopedic Hospital, NYC Health + Hospitals/Bellevue, the NYC Poison Control Center, and the Fire Department of New York

NYU Langone Clinical Training Sites

NYU Langone is one of the most highly regarded medical facilities in the United States and is regularly named to the U.S. News & World Report Honor Roll as one of the best hospitals in the country. Our training sites include Tisch Hospital, a state-of-the-art, 705-bed academic hospital and tertiary care referral center, and Kimmel Pavilion, a 374-bed inpatient care facility that opened in 2018.

Experts at the Ronald O. Perelman Center for Emergency Services see more than 88,000 patients per year, of which 20 percent are hospitalized. NYU Langone has one of the highest case mix indices (acuity) in the state of New York, with cardiovascular, neurological, hematologic, geriatric, pediatric, and transplant-related emergencies. The Perelman Emergency Center also integrates direct access to the Comprehensive Stroke Center and the KiDS Emergency Department, part of Hassenfeld Children’s Hospital at NYU Langone, where we care for our youngest patients and their families.

At NYU Langone Hospital—Brooklyn, residents practice with less abundant specialist backup, but still under the guidance of board-certified emergency medicine providers. Together with Bellevue’s focus on trauma and the underserved and NYU Langone’s complex tertiary referral center patients, NYU Langone Hospital—Brooklyn completes our residency training experience by providing longitudinal exposure to community-based emergency medicine. In addition, the NYU Langone Hospital—Brooklyn ED is the site of a dedicated experience in emergency medicine critical care. During shifts on the legendary “A side,” our residents run a busy resuscitation and critical care unit, caring for adult and pediatric patients with a diverse mix of medical and traumatic emergencies.

NYU Langone Health—Cobble Hill is a freestanding ED in Cobble Hill, Brooklyn. It is a fully staffed ED offering radiology, laboratory, and pharmacy services 24 hours a day, 7 days a week, and is equipped to treat and stabilize patients in any emergency. Over the past few years, it has grown at a remarkable pace, and currently cares for nearly 30,000 patients annually. Since there are no on-site subspecialists, emergency physicians practice the full scope of their capabilities, while still having access via telemedicine to specialists at Tisch Hospital and NYU Langone Hospital—Brooklyn. Importantly, as a freestanding ED, NYU Langone Health—Cobble Hill allows residents to experience the nuances involved with stabilizing and transferring our sickest patients elsewhere for definitive care.

NYC Health + Hospitals/Bellevue

Bellevue is the oldest public hospital in the United States. Founded in 1736, it is home to the nation’s first maternity ward, hospital-based ambulance service, and emergency pavilion. The history and legacy of Bellevue as the safety net for society is based on the proud tradition of caring for New York City’s marginalized citizens. As the flagship institution of NYC Health + Hospitals, the largest public healthcare system in the United States, more than 80 percent of Bellevue’s 115,000 annual ED visits come from the city’s medically underserved populations.

The Bellevue ED is the only Level 1 Trauma Center in Manhattan south of Central Park. The hospital’s centralized urban location also lends itself to having arguably the most diverse patient groups in the world. Our ED welcome sign is written in more than 20 languages, and all hospital inscriptions are in English, Spanish, and Chinese. Bellevue serves as the stand-by hospital, linked by special telephone service, to White House Security whenever the president, vice president, or leading public figures visit New York City.

NYC Poison Control Center

The NYC Poison Control Center is located across the street from Bellevue and maintains very close ties through the Department of Emergency Medicine. It was one of the first poison centers in the country, and as such was instrumental in establishing ways to disseminate poisoning information to health professionals and the public. It is the major regional call center for all toxicological emergencies and currently handles more than 80,000 calls per year in addition to maintaining a basic science research laboratory and facility for animal research. Many of our faculty members also work at the NYC Poison Control Center, and it plays a major role in the residency program through conferences, didactics, research, and clinical rotations. The NYC Poison Control Center is also the primary training site for the highly regarded Medical Toxicology Fellowship.