Jacobi/Montefiore Emergency Medicine Residency Program

Clinical Curriculum

PGY-1  PGY-2 

Rotation 

Blocks 

Rotation 

Blocks 

Orientation

2

Jacobi ED Med

5

Jacobi ED Med

4

Jacobi ED Surg

7

Jacobi ED Surg

2

Montefiore ED

3

Montefiore ED

4

Weiler ED

3

Weiler ED

2

Pediatric ED

2

Pediatric ED

2

CCU

1

Medical wards

2

QI Research

1

ICU

4

Gynecology

2

Anesthesia

1

Radiology

1

Ultrasound

1

Obstetrics L&D

1

Vacation

2

Vacation

2

PGY-3  PGY-4 

Rotation 

Blocks 

Rotation 

Blocks 

Jacobi Chief Med

5

Jacobi Pre-Attending

6

Jacobi Chief Surg

5

Montefiore ED

6

Montefiore ED

3

Pediatric ED

3

Weiler ED

3

Urgent Care (Jacobi)

2

Pediatric ED

2

Pediatric ICU

1

Urgent Care

1

Ortho

1

Toxicology

2

EMS

1

CCU

1

Elective

3

Dental

1

Education

1

Administration

1

Vacation 2

Vacation

2

   

 

     

*1 block = 2 weeks

 
 

Graduated Responsibility Structure

EM-1 

The EM-1 year serves as the intern year of the residency program. The purpose of the intern year is an introduction into emergency medicine and obtaining a broad-based knowledge in areas essential to the practice of Emergency Medicine. These areas include Medical Critical Care, Cardiology, General Medicine, Pediatric Emergency Medicine, Ultrasonography, and Anesthesia. 

As an EM-1 intern at Jacobi ED, patients are assigned by the EM-3 resident. Patient management and training includes peripheral IV lines, endotracheal intubation, suturing, chest tubes, and ultrasound. 

At the Montefiore ED, the EM-1 will work on the subacute and acute sides in an autonomous manner with direct one-to-one interaction with an Attending in patient management and clinical decisions. EM-1 Interns will also rotate on the Internal medicine and CCU/MICU wards. All medicine rotations are completed at Jacobi Hospital.

EM-2 

As a second-year junior resident, the EM-2 residents continue to learn and develop skills within all core areas of Emergency Medicine. In addition, EM-2 residents are assigned high-acuity patients by the EM-3 resident while at Jacobi ED. During all medical notifications, EM-2 is first attempt at intubations. Added training during the EM-2 year includes dedicated Ultrasound, Labor and Delivery and Radiology blocks. EM-2 residents have increased autonomy with dedicated management of GYN area of the adult ED. 

At the Montefiore ED, EM-2 will work shifts with more autonomy in the higher acuity side.

EM-3 

The EM-3 year focuses on developing leadership skills in managing the Emergency Department, while also solidifying core Emergency Medicine principles. As a senior resident, the EM-3 is acting "chief" resident while rotating through Jacobi ED. Responsibilities include initial assessment of all new patients and assigning patients to the junior residents on the team. During all medical and surgical notifications, the EM-3 will delegate patient responsibility, junior resident resuscitation areas, and is first attempt at all Trauma/Surgical intubations. In addition the EM-3 will see, manage, present and discharge their own lower acuity patients. EM-3 residents also rotate through the lower acuity Urgent Care and Fast Track areas in the Jacobi and Montefiore Emergency Departments.

EM-4 

The EM-4 year in Emergency Medicine is designed to raise the knowledge and skills developed in the first three years of postgraduate training to a consultant or "Pre-attending" level. Residents spend a majority of their clinical time at Jacobi ED in a leadership role with an emphasis on the supervision and teaching of junior residents and medical students in the department. Final-year residents also work solely on the acute side while at the Montefiore Emergency Departments. 

EM-4 residents have very significant authority and the responsibility to make decisions that have far-reaching implications, both within the department and throughout the Medical Center. All junior residents present only to the EM-4, who has all decision-making capability with consultation from the Attending as needed. EM-4 residents run all medical and surgical notifications and assume primary responsibility for overseeing critical patient care. 

This unique clinical experience produces some of the most prepared and capable Emergency Medicine residents. Graduates of the Jacobi/Montefiore program are ready to assume any attending role and adapt deftly to the dynamic environment which is Emergency Medicine.

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