From the Program Director

From the Program Director

NewYork-Presbyterian/Queens is excited to be recruiting for next year's class of emergency medicine residents. We are looking for a group of individuals who are exceptionally motivated and interested in entering a dynamic program in a very busy training center. The faculty has many years of experience in education, research, and administration.

Why?

NYP/Queens is a Level 1 trauma center in the borough of Queens, one of the five boroughs of New York City. It is a member of the prestigious NewYork-Presbyterian Healthcare System and affiliated with Weill Medical College of Cornell University. NYP/Queens is the receiving hospital for the Mets, La Guardia Airport, the USTA, and Flushing Meadows-Corona Park. Over the past decade, the hospital has invested heavily in expanding the Emergency Department. http://www.nyhq.org/images/Upload/EM_UltrasoundMachine.jpg

The Emergency Department has a dedicated CT machine, multiple portable up-to-date ultrasound machines, and an electronic medical records system. The volume and acuity of patients continue to grow each year, giving residents training experience in managing emergency department flow. In 2014, over 120,000 patients visited the NYP/Queens Emergency Department with a very high level of acuity (admission rate of 22 percent compared to the national average of 15 percent).

NYP/Queens is located in Flushing, Queens. It is a 30-minute subway ride from midtown Manhattan. Flushing is a safe, working-class neighborhood in the most culturally diverse county in the United States. The Emergency Department sees patients from every corner of the world who speak over 120 languages. Not surprisingly, it is home to some of the best restaurants in NYC, serving ethnic cuisine from dim sum and bibimbap to dolmades, aged steaks, and dosas. Flushing is also a very scenic area, with the Queens Botanical Gardens across the street from the hospital, and multiple large parks (Kissena, Bowne, and Flushing Meadows Corona Park) in the vicinity. There has been a recent boon of new luxury construction in downtown Flushing, leading to new coffeehouses, rooftop cocktail bars, and trendy foods (Thai rolled ice cream, Crab “shakes”, etc.) Some residents live close to the hospital in Flushing and many live throughout the boroughs of Queens, Brooklyn, Manhattan, and on Long Island. The hospital provides residents with free hospital parking and complimentary food.

The program also provides an educational allowance which covers the costs of books, online subscriptions, and attendance at regional and national conferences. Flushing provides a peaceful and livable environment but is still in the heart of New York City.

About the Program

The program is three years in length and provides comprehensive training in the clinical skills and academic knowledge required to be a leader in emergency medicine.

Our redesigned weekly conferences have a focus on resident-led small groups closely supervised by faculty. The weekly conferences include multi-disciplinary lectures with various services, grand rounds with distinguished guest speakers, and a progressive text review. We have an external journal club that lets the residents talk, learn, and de-stress. In the past few years, we have incorporated small group learning into a flipped classroom model. The smaller educator:learner ratio has significantly improved the quality of the educational experience. In addition, rigorous learning in the simulation lab is incorporated into every Wednesday conference, allowing for a unique hands-on experience where medical knowledge is applied to clinical skills and procedural competency. Residents also receive training in airway management, procedural sedation, obstetrics, critical care, orthopedics, toxicology, EMS, and EM administration.

The flexible scheduling of the ED provides residents with ample time for reading, patient follow-up, educational exchange, and free time. Residents are scheduled for 17 twelve-hour shifts in every emergency medicine block, with a reduction of one shift each successive year of the residency.

On the job, residents become actively involved in patient care and medical procedures. All procedures are logged in our state-of-the-art computerized tracking system. Attending physicians oversee each resident's progress as they train in procedural competency both in the ED and in the simulation lab. A significant amount of time is spent in the Pediatric Emergency Department, which sees over 20,000 pediatric visits annually. Our Pediatric ED is staffed by a number of board-certified pediatric emergency medicine attending physicians. The program is designed to be efficient and comprehensive.

Of note, we provide residents with an away trauma rotation in Miami, Florida. Our second-year residents rotate on the trauma service at the Ryder Trauma Center, one of the busiest trauma centers in the nation and the site chosen by the US Army to train their military surgical teams before being deployed to areas of conflict. Our residents are directly involved in caring for victims of penetrating and blunt trauma, with multiple opportunities for procedures and critical care management.


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Our current residents are very active in international emergency medicine experiences, including recent rotations in China, Dubai, Israel, Costa Rica, Africa, Sri Lanka, and Mexico. The department funds resident participation in academic emergency medicine activities including involvement in academic conferences and encourages one international travel experience.


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Finally, a new initiative is a multi-faceted approach to maximizing resident wellness, including social events, “” sessions, group ventures, and a wellness curriculum. We have a young, eager and motivated faculty that has a great level of closeness with the residents, as well as experienced faculty that can provide their wisdom and guidance. Our comprehensive wellness is a huge part of our residency profile.

Conclusion

Our hospital is one of the most friendly and diverse work environments in New York City. We were pleased to have graduated our first class of residents in 2007, three of which have chosen to stay on as attending physicians. We are looking for a new group of outstanding physicians for our incoming class. We look forward to reviewing applications and meeting qualified applicants in interviews. Please do not hesitate to contact me or any of our current residents or attending physicians with any questions.

Saumil H. Parikh, MD
Program Director - NYP/Queens Emergency Medicine Residency

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