Didactic Curriculum

The goal of our residency program is to produce outstanding physicians who are capable of functioning at the highest level in all types of practices from community emergency departments to academic centers.  This goal is achieved by providing an outstanding learning environment for our residents.  A formal curriculum and bedside teaching are an integral part of the resident experience.  Our philosophy is that a superior fund of knowledge is gained by both learning from caring for patients under the supervision of attending physicians and from a strong didactic program.

The integral part of our didactic program is a weekly 5-hour conference that is held every Wednesday from 9:15AM to 2:15PM.   These conferences consist of lectures on core content curriculum, EKG interpretation, radiology, bedside ultrasound; EM text review sessions, journal club, research sessions, departmental morbidity & mortality, resident case presentations, grand rounds & oral board sessions.

On select Wednesdays, our residents attend regional conferences including NYACEP Resident Career Day, NYACEP Resident Research Forum and a New York EM Critical Care conference.

EM Text Review Sessions:  Our residency program currently uses Rosen’s Text of Emergency Medicine.  The entire text is covered over a 3-year curriculum.  Weekly readings (20-35 pages) are assigned to the residents.   The assigned reading is discussed with a powerpoint presentation (prepared by a resident and supervised by the assistant residency director) at each Wednesday conference.  A quiz is administered for the assigned reading by using an audience response system, where the questions are contained throughout the presentation.  The audience response system allows for real-time feedback on comprehension of the material. Additionally residents take quarterly review quizzes covering approximately ten chapters in preparation for the annual "In-Service" exam.

Core Content Curriculum:  These lectures are based on the model of emergency medicine are given weekly by the ED attending staff (mostly core faculty).  This curriculum is covered over 3 years.  Each resident chooses and gives a core content lecture in their senior (EM-3) year.

Grand Rounds: Guest lecturers are invited to present various topics covering the current innovations in EM.  Upcoming topics include Endovascular treatment of Acute Stroke, New drugs and devices that can change your practice, Evidence Based Fallacies in EM & Toxicology Updates.

EKG Interpretation: These lectures occur regularly over the course of the academic year and cover a broad spectrum of topics from basic EKG interpretation to interesting and difficult EKGs.  Training with the assistance of online resources provides access to lectures as well as links to various sites that assist the resident in developing effective and advanced EKG interpretation skills.  

Radiology lectures:  X-rays, CTs, MRIs are all covered during these lectures and are closely tied to case presentations, making each film interpretation interesting.  Recently misinterpreted studies are an integral part of these sessions.

Journal Club:  Journal Club is held monthly.  We use an evidence-based approach and review articles on diagnosis and therapy, focusing on meta-analyses whenever possible. We choose landmark studies that have an applicability and impact on clinical care. We expect the residents to read and critically appraise the articles using worksheets that we provide.

Ultrasound: Bedside ultrasound is one of the strongest aspects of our residency and we offer an US fellowship.  The Division of Emergency Ultrasound uses these sessions to teach basic and novel topics in Point-of-Care ultrasound.  These lectures along with the ultrasound rotation and frequent bedside scan sessions in the ED are the reason that our residents are so proficient in ultrasound by the end of the residency.

Departmental Morbidity & Mortality:  Residents consider this the overwhelmingly most interesting and important part of our didactic curriculum.  This is the forum where an EM-3 resident prepares and presents cases under the direct supervision of the departmental chair during their administrative rotation.  These cases come from patients treated in our ED with the goal of these sessions being to emphasize how future care can be improved.

Resident EM Case Presentations:  Residents are assigned to present recent and interesting cases.  Adult medical, pediatric and trauma Cases are prepared and presented to the audience in an oral board format. The trauma case is presented monthly, in a joint conference with the Surgical Department.

Evaluations and Exams: Residents track their procedures online ensuring compliance with RRC requirements. Attendings evaluate residents on a direct observation (individual patient encounters) and quarterly basis via the same online system.

Simulation Lab/Procedural Sessions: The NYHQ Simulation Lab utilizes a hi-fidelity system that allows residents to develop necessary skills needed to manage patients efficiently and effectively in the ED.  During the course of the academic year, the lab serves as the setting for testing both procedural competency and medical/surgical/pediatric resuscitation competency.  In addition, Tuesday morning rounds take place weekly in the lab.  During these rounds, the residents engage in hands on, interactive, multidisciplinary scenarios that focus on topics including Management of STEMI, Stroke, Cardiac Arrest to name of a few.  Online resources provide material needed to review the procedures performed during these sessions.

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