Emergency Medicine Residency Didactic Curriculum
The didactic curriculum for emergency medicine residents offered by NYU Grossman School of Medicine is designed to provide emergency medicine residents with exceptional learning in a wide variety of settings, as well as opportunities to attend and present at conferences and rounds.
Residency didactic conference is held on Wednesday mornings and is protected from clinical responsibilities. The focus of conference is core emergency medicine content. Through a mix of resident- and faculty-delivered lectures, small group sessions, discussion of landmark articles, and case-based learning, residents learn the foundations of emergency care for both children and adults. Residents are also exposed to the cutting edge of emergency medicine research through journal clubs and grand rounds presentations from faculty and guest lecturers. In accordance with the program mission, a significant portion of conference time is devoted to sessions on physician wellness, professional development, patient experience, quality and patient safety, and care of the underserved.
Simulation training is a focal point of our residency program. The New York Simulation Center for the Health Sciences, located at Bellevue, is a 25,000-square-foot facility and the largest urban simulation center in the country. We run monthly simulation conferences where teams of residents tackle difficult clinical cases to enhance team dynamics and resuscitation and procedural skills. Additionally, several residents are scheduled for individualized simulation training each week.
The Division of Emergency Medicine Simulation offers additional training opportunities for residents, including simulations to help providers better understand each team member’s role during resuscitations in the emergency department (ED).
Toxicology Consultant’s Conference
The NYC Poison Control Center, staffed by NYU Langone and Bellevue emergency medicine faculty, is the major regional toxicology management and education center for emergency medicine residency programs in New York City. The NYC Poison Control Center sponsors daily conferences attended by residents, fellows, and attending physicians from the Division of Medical Toxicology. Their monthly Toxicology Consultant’s Conference draws regional and national leaders in medical toxicology.
In addition to the peerless bedside teaching residents receive working alongside many of the top toxicologists in the world, our emergency medicine residents have a dedicated four-week rotation in toxicology, where they receive case-based training and intensive didactics, participate in toxicology consults, and take toxicology call. The NYC Poison Control Center also hosts emergency medicine residents and learners from across New York and the country, which facilitates collaboration and networking between our residents and the broader emergency medicine and toxicology community.
Lewin Morning Report
A longstanding and treasured staple of our residency, Lewin Morning Report is a dedicated daily session of interactive case-based learning that has been the model and gold standard for other residency programs across the country and globally. Our senior resident presents a case presentation, using a blend of didactic and Socratic review of clinical information. The resident then facilitates a vibrant discussion involving medical students, residents, and faculty physicians, and typically ends the session with clinical pearls or take-home points the group has learned from the case. Cases are selected by the presenting senior resident, who receives faculty mentorship during both preparation and presentation. There are specific sessions dedicated to pediatric and toxicology-themed morning report, and a faculty guest host program to encourage teaching by a diverse group of leaders with a variety of subspecialty expertise. Lewin Morning Report takes place every weekday morning (except during Wednesday conferences) in an area outside the clinical emergency department to guarantee an uninterrupted 45 minutes of teaching.
During Wednesday conference, interns spend an hour in a small-group learning session led by a third- or fourth-year resident, fellow, or attending physician. The year-long curriculum is designed to cover emergency medicine core content through a variety of methods, including clinical case discussions, interactive lectures, workshops, journal clubs, and simulation training.
PGY-4 Grand Rounds
In their final year, emergency medicine residents, with faculty mentorship, spend time developing a grand rounds lecture on a topic they are passionate about. This experience is designed to be educational and formative, and gives the graduating resident a polished and relevant grand rounds lecture that they take with them after graduation. These informative and impactful presentations are a potent synthesis of clinical knowledge, perspective as a senior resident, and reflection on their training experience.
In addition to our robust and varied simulation education experience, both in the sim lab and in situ, once a month our simulation faculty and fellows, along with the New York Simulation Center for the Health Sciences, host an engaging four-hour session for the residency comprised of simulation, procedure labs, small group discussions, board review, and competition-based learning, among other innovative educational formats. Residents are divided by training level and rotate among stations. We typically have four to eight faculty engaged in Multimodal Day, and the small group by training level format allows for improved engagement and teaching tailored to the level of experience and area of learning opportunity. This complex component of our didactic training is made possible by our large and diverse faculty base, who contribute their expertise and enthusiasm. Multimodal Day is a fan favorite of residents and faculty alike.
Clinical Pathological Case Competition
The Clinical Pathological Case Competition is a beloved national emergency medicine education program, and at NYU Grossman School of Medicine, we hold our own lively competition in advance of the national competition. Our Clinical Pathological Case Competition is held in the traditional format, wherein a resident first presents the introduction to a challenging case, usually an uncommon presentation of a common problem, or a common presentation of an uncommon diagnosis. The faculty discussant is then given time to present their approach to the case and attempt to make the diagnosis, after which the resident returns to the stage to reveal the diagnosis along with an educational discussion of the topic at hand. Each year, our winning resident and faculty member submit their case to compete at the Council of Residency Directors Annual Assembly.
NYU Grossman School of Medicine has developed a comprehensive faculty–resident mentorship program. Every resident is paired with a faculty member for ongoing longitudinal mentorship and support throughout their training. The faculty mentor meets with their mentee quarterly and is invested in the mentee’s education and professional development from day one. The mentor follows the mentee’s academic progress, helping to assure that the resident is meeting all educational milestones, keeping up with procedure logs, and maintaining an updated CV and certifications. More significantly, the mentor helps the mentee explore different scholarly interests, and may connect them with other mentors and subspecialists within the department or assist directly in scholarly project management.
The mentor also gets to know the mentee as a person, and dedicates time and attention to the resident’s adjustment to residency and maintaining overall wellness. The mentor–mentee relationship is a safe space, and the mentor serves as one of many possible avenues for the mentee to raise any concerns or issues they may encounter in their training.
Residents are encouraged to develop multiple mentor relationships during their residency, but the dedicated assigned mentor is always available to make connections, give advice, or work on specific areas where the resident may need extra attention and education. Our residency mentorship program collaborates with NYU Langone’s coaching program and the faculty–faculty mentorship program to assure a more seamless transition from training to fellowship or the workforce.