Training Overview

At Montefiore Einstein, residents participate in clinical rotations organized into two-week blocks. Our adult emergency department (ED) shifts usually last 12 hours during postgraduate year one (PGY-1), PGY-2 and PGY-4. In their third year, approximately 75% of resident shifts will be eight hours long, while rotating at NYC Health + Hospitals | Jacobi; the remaining shifts will be 12 hours long. In the third and fourth years, every other weekend is a three-day weekend. Pediatric ED shifts generally last eight hours. Off-service rotation shifts typically range from eight to 12 hours.

The intern year begins with four weeks of orientation designed to provide our PGY-1 interns with a foundation in basic emergency medicine (EM) topics and to introduce them to clinical shifts at each of our three sites: NYC Health + Hospitals | Jacobi, Montefiore Hospital, Moses Campus and Jack D. Weiler Hospital, Einstein Campus. Residents have the opportunity to bond with their classmates and develop cooperative, professional relationships. At NYC Health + Hospitals | Jacobi, interns care for ill medical and trauma patients as part of a team with PGY-3 and PGY-4 residents. At our Moses Campus site, interns work directly with attending physicians in the subacute areas of the Emergency Department. Off-service rotations include the NYC Health + Hospitals | Jacobi medical intensive care unit (MICU) and cardiac care unit (CCU).

During their second year, PGY-2 residents begin working directly with attending physicians in the Weiler Hospital ED, providing care for the highest acuity patients. They also continue their work in the NYC Health + Hospitals | Jacobi and Moses Campus EDs, taking on increasing levels of responsibility and acuity. The dedicated gynecology (GYN) rotation provides protected time to practice bedside pelvic ultrasounds. Additional off-service rotations include the Weiler Hospital MICU and CCU.

Third-year residents focus on developing leadership skills. The PGY-3 resident is the Chief Resident in the NYC Health + Hospitals | Jacobi ED. Responsibilities include conducting initial assessments of new patients, assigning patients to junior residents and mentoring junior residents. In addition, PGY-3 residents serve as the designated code leader for most resuscitations and are the primary airway provider for trauma activations.

The fourth year is designed to enhance the knowledge and skills developed during the first three years of postgraduate training to a consultant or “pre-attending” level. Residents spend significant time in a leadership role at the NYC Health + Hospitals | Jacobi ED, focusing on supervising and teaching junior residents and medical students within the Department. All junior residents report only to the PGY-4 resident, who holds final decision-making authority with consultation from the attending physician.