Clinical rotations outside the Emergency Department account for 25 percent of the residency. Required rotations are: anesthesiology, obstetrics and gynecology, orthopedics/hand surgery, medical intensive care unit, neonatal intensive care unit, and cardiac care unit. There are three required off-site rotations: the New York City Poison Center, Pediatric EM at The Mount Sinai Hospital, and Trauma. During the anesthesia rotation, residents spend the afternoons in the ENT or ophthalmology clinics.
In addition to the required rotations, the residency offers two electives, one that is designated to be for trauma surgery. Residents typically spend a month at either the Rider Trauma Center in Miami or in the R. Adams Cowley Shock Trauma Center in Baltimore. Many residents use the latter rotation as an opportunity to pursue their interests in international medicine by going abroad to places as varied as Nepal, Iran, Puerto Rico, India, and Africa.
We have developed and enhanced our critical care experience with an ED Critical Care rotation during the PGY-2 and PGY-3 years. On this rotation, ED residents act as the ICU consult resident for ED patients evaluating the patient and presenting the case directly to the ICU attending and fellow. As patients wait for transition to the ICU, the ED Critical Care resident guides the management of these patients providing relevant critical care experience in the first hours of the patient's course of treatment.
Another great part of our EDs is our unique team-based structure, which allows us to see patients quickly and effectively. The resident teams change as you progress through your training:
- Interns either work on the Red Team, which is run by the R3, or on the Blue Team, which is a 1-on-1 team with an attending.
- Second Years work only on the Green Team, which is a 1-on-1 team with an attending.
- Third Years work almost exclusively on the Red Team, running an entire team and supervising and teaching the intern.
- In the coming academic year, patients will begin rotating through our Evaluation Unit (a combination of Fast Track and lower acuity patients).
Nurses are also assigned to a team, so that the physician and nurse always know who they are working with throughout a shift and there's no difficulty finding "which nurse is caring for patient X." Team workstations are also all physically located near each other, so it's easy to relay information about a patient to the nurse or other physician on the team.