Clinical rotations outside the Emergency Department account for 25% of the residency. Required rotations are: anesthesiology, obstetrics/gynecology, orthopedics/hand surgery, MICU, CCU and neonatal intensive care unit. Residents spend some time off site at other rotations including Emergency Medicine at Mount Sinai Beth Israel, Pediatric Emergency Medicine at Mount Sinai Hospital, Toxicology at the New York City Poison Center and a trauma elective at a tertiary referral adult and pediatric trauma center.
Our critical care experience is augmented with a critical care consult rotation in the second year. On this rotation, ED residents act as the ICU consult resident for ED patients and present the case directly to the ICU attending and fellow. As patients wait for transition up 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. In the MICU, our residents have a fully functional team in the unit of our EM-3 and EM-1 giving our residents valuable critical care training and decision-making experience as a senior.
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 Red Team, which is run by the R3, or on Blue Team, which is a 1-on-1 team with an attending.
Second Years work only on Green Team, which is a 1-on-1 team with an attending.
Third Years work almost exclusively on Red Team, running an entire team and supervising and teaching the intern.
Residents also rotate through our Evaluation Unit, which serves lower-acuity patients.
Our fantastic nurses are also assigned to a team, so that the physician and nurse always know who they're working with throughout a shift and there's no difficulty finding "which nurse is caring for patient X." Teams' 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.