Clinical Curriculum

Clinical Curriculum

All Emergency Department resident shifts are 12 hours. There are three types of shifts:

  • DAY (7:00am to 7:00pm)
  • NIGHT (7:00pm to 7:00am)
  • SWING (11:00 am to 11:00 pm).

Residents are scheduled for 17 twelve-hour shifts in every 28-day emergency medicine block, with a reduction of one shift each successive year of the residency. Conference time (9am to 1pm) is protected in that residents are excused from clinical duties to attend each week. There is an optional board review class prior to as well as an optional simulation session after . Most residents do not work clinical shifts on Wednesdays, allowing for great wellness opportunities during Wednesday afternoons and evenings. All rotations are on-site at NYP/Queens except for Toxicology and Trauma (see footnotes).  

 

PGY-1 

The outline below serves as the clinical curriculum template for the intern year. The focus is on obtaining a broad knowledge base and procedural skills necessary for Emergency Medicine. During clinical shifts residents work either on a team with a senior PGY-3 resident plus an attending or directly with an attending. Additionally, there is an emphasis on achieving proficiency at common EM procedures such as intubations, central lines, and bedside ultrasound. 

 

Rotation  

Number of 4-week Blocks  

 Orientation 

1  

 Emergency Medicine* 

5  

 Pediatric Emergency Medicine 

2  

 Anesthesia/Ultrasound 

1  

 Orthopedics 

1  

 Obstetrics/Gynecology 

1  

 Medical ICU 

1  


PGY-2 

Residents are expected to work more independently within the ED, as part of a graded increase in responsibility. During clinical shifts, they work alongside an attending where they are responsible for an entire section of the ED or in the “ trauma/ room” where they have primary responsibility for the most critically ill patients in the department. There is an emphasis on increased efficiency and autonomy.  Off-service months offer in-depth trauma and critical care experiences. 

 

Rotation  

Number of 4-week Blocks  

 Emergency Medicine* 

7  

 Pediatric Emergency Medicine 

1  

 Trauma** 

1  

 Surgical ICU 

1  

 Neonatal ICU 

1  

 Research/Ultrasound 

1    


PGY-3 

The goal of the third year is for residents to function as attendings within the ED. They continue to work “trauma/ room” shifts to gain exposure to critically ill patients. During clinical they see and treat their own patients but also assume a teaching role by taking patient presentations from PGY-1 residents. residents respond to EMS base station calls from the FDNY pre-hospital ambulance system.  Many residents utilize the elective month for an international experience, research, or more focused clinic work in areas such as ultrasound, ophthalmology, or cardiology. 

Rotation  

Number of 4-week Blocks  

 Emergency Medicine* 

9  

 Toxicology*** 

1  

 Elective 

1  

     Administration/EMS 

1 (2 wks each)   


* Each adult EM block is interspersed with 2-3 Peds EM shifts 

** The trauma rotation is at Ryder Trauma Center in Miami, FL 

*** The toxicology rotation is at the New York City Poison Control Center 

 

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