Message from the Chair

The Department of Emergency Medicine gained full academic status in 1994 when Mount Sinai recruited Sheldon Jacobson, MD, to be its first department chair. During his 15 years as chair, Dr. Jacobson provided the vision and laid the infrastructure for a department that has since matured into a leading academic, clinical, and research force.

On July 1, 2009, I became the second chair of Emergency Medicine at Mount Sinai, with a commitment to continue promoting the department’s three primary missions:

• To provide excellence in patient care
• To provide excellence in education
• To conduct research aimed at treating vectored toward acute clinical conditions and health services–related problems

Divisions

Our department consists of nine divisions:

• Research
• Ultrasound
• Education/Simulation
• Pre-hospital Care and Disaster Medicine/Emergency Medical Services (EMS)
• Pediatric Emergency Medicine
• Toxicology
• Geriatric Emergency Medicine
• Informatics
• Global Health

Each division is integrated throughout our seven-site consortium: The Mount Sinai Hospital, Elmhurst Hospital Center, The Mount Sinai Hospital of Queens, Jersey City Medical Center, Queens Hospital Center,
North General Hospital, and St. John's Episcopal Medical Center.

The consortium treats more than 400,000 patients each year. Elmhurst Hospital Center is one of the busiest level-1 trauma centers in New York. The Jersey City Medical Center emergency department is the only trauma center in Hudson County and is responsible for EMS medical control.

Academic training

Our four-year emergency medicine residency has 60 residents, 15 in each year, making it the second largest residency training program at Mount Sinai and one of the largest emergency medicine residencies in the country. Our residents receive clinical training at Elmhurst Hospital Center, The Mount Sinai Hospital, and Jersey City Medical Center.

The thrust of our training program is to provide a diversified training experience — one that is multidimensional and equips our residents with the skills needed to succeed. Bedside education stresses application of classical emergency medicine principles in a humanistic and supportive patient environment. Our teaching program emphasizes basic issues of patient care and cutting-edge emergency medicine practice.

We have new educational initiatives in the areas of ultrasound and high-fidelity simulation. Residents are expected to choose an area of focus by their third year and structure their fourth year around establishing expertise in that area. That is, they construct the fourth year along the lines of a fellowship.

Our clinical research program focuses on health services, health outcomes, applied informatics and neurologic emergencies. We offer fellowships in clinical research, ultrasound, informatics, EMS, pediatric emergency medicine and emergency department administration.

Research

The Mount Sinai Department of Emergency Medicine is committed to multidisciplinary research. We collaborate with many other departments at Mount Sinai, including the departments of health policy, critical care, geriatrics, neurology and palliative care.

Our faculty have been successful in securing funding from the National Institutes of Health, including a Research Project Grant (R01) with four supplements, an R00, and a K23. We also receive grants from Centers for Disease Control and Prevention, New York State, R Baby Foundation, Robert Wood Johnson Foundation, Milton B. Rosenbluth Foundation, and The Brookdale Foundation

Ongoing research includes:

• Investigating the ethical issues of emergency treatment without informed consent
• Shared electronic medical records across health care systems
• Glycemic control in sepsis
• Pain management in hip fractures
• Use of ultrasound in the pre-hospital environment as a guide to resuscitation
• Use of procoagulation concentrates in hemorrhagic stroke
• Variations in treatment of geriatric patients due to ED overcrowding, clinical and diagnostic predictors of outcome from drug overdoses
• Management of traumatic brain injury

The Department of Emergency Medicine has been instrumental in the development of the Center for Global Health at Icahn School of Medicine. Our faculty have been involved closely with the development of emergency medicine in Italy and Holland.

We currently have global health programs in Italy, Liberia, India, and Singapore. Our faculty also coordinate a program in Queens that is dedicated to treating victims of torture.

Honors and recognition

The Department of Emergency Medicine at Mount Sinai has demonstrated impressive growth since its establishment in 1994. All metrics reflect the department’s commitment to quality and excellence. Clinically, our performance metrics place us within the top 10 percent of the University HealthSystem Consortium.

As educators, our faculty were awarded more than half of the Mount Sinai Institute for Medical Education teaching excellence awards in 2009. In research funding, we rank within the top 10 of NIH-funded emergency departments.

Health care is in crisis, but the Department of Emergency Medicine at Mount Sinai has embraced the challenges of our times and is engaged in training future leaders and finding innovative solutions.

 

Andy S. Jagoda, MD, FACEP
Professor and Chair, Department of Emergency Medicine