Clinical Rotations

The PGY-1 year serves as the intern year of the residency program. The purpose of PGY-1 is to introduce you to and help you obtain broad-based knowledge in key areas essential to Emergency Medicine. These areas include:

• Medical Critical Care
• Cardiology
• General Medicine
• Pediatric Emergency Medicine
• Ultrasonography
• Anesthesia

Your PGY-1 rotations are:

As a PGY-1 intern rotating in the Jacobi ED, you will be assigned patients by the PGY-3 resident and will act as the primary care provider for all patients, including major traumas. Patient management and training includes:

• Peripheral IV lines
• Endotracheal intubation
• Suturing
• Chest tubes
• Ultrasound

At the Montefiore-Moses and Montefiore-Einstein Emergency Departments, the PGY-1 will work on both the subacute and acute sides of the ED. Although you will be autonomous, you will have direct, one-on-one interaction with an Attending, with whom you will consult in patient management and clinical decisions.

PGY-1 interns will also rotate on the Internal Medicine and CCU/MICU wards. All medicine rotations are completed at Jacobi Medical Center.

As second-year junior residents, the PGY-2 residents continue to learn and develop skills within all core areas of Emergency Medicine.

Your PGY-2 rotations are:

At the Montefiore ED, PGY-2 residents will work shifts with more autonomy in the higher acuity side. As our residents progress, we expect you to manage more patients and increasingly influence the throughput and flow of our EDs.

In addition, while at the Jacobi ED, PGY-2 residents are assigned more high-acuity patients and gain valuable experience performing critical care procedures.

PGY-2 residents also have increased didactic responsibilities in leading our Evidence-Based Medicine conference sessions and Journal Clubs.

Your PGY-3 rotations are:

The hierarchy of the Jacobi Emergency Department allows for a truly unique role in the third year of the residency. While rotating there, the PGY-3 will act as Chief Resident. As Chief Resident, you will participate in far more cases, while developing the management and organizational skills necessary to successfully manage a busy ED.

The Chief Resident is responsible for all of the patients in half of the emergency department. In this capacity, residents will see each patient as they arrive, perform the initial assessment, and start the workup with laboratory orders, and, when necessary, medications and radiology studies.

The Chief Resident then assigns patients to the junior ED residents and outside rotators. At this juncture the Chief Resident will:

• Monitor patients' individual progress
• Provide clinical guidance and supervision to junior residents and medical students
• Ensure that the work-up, treatment and disposition of each patient proceed in a timely manner. 

PGY-3 residents will also serve as team leaders during medical resuscitations and perform airway management during major trauma resuscitations.

While rotating in the Montefiore Emergency Departments, PGY-3's serve a higher proportion of their shifts on the acute-care side of the EDs.

Your PGY-4 rotations are:

The PGY-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. Fourth-year residents have significant authority to make decisions about patient care that have far-reaching implications, both within the department and throughout the medical center.

While at the Montefiore Emergency Departments, PGY-4 residents work exclusively on the critical care zone. In this capacity, they run all medical and surgical notifications and assume primary responsibility for overseeing critical patient care.

While at the Jacobi ED, fourth-year residents also spend the majority of their time in a leadership role that emphasizes supervising and teaching junior residents and medical students. Junior residents present only to the PGY-4, who has all decision-making capability (with consultation from the Attending as needed).

This unique and quite deep clinical experience produces remarkably well-prepared and astute Emergency Medicine physicians. Graduates of the Albert Einstein // Montefiore + Jacobi program are ready to assume any attending role and deftly navigate the dynamic, fast-paced and challenging environment that defines Emergency Medicine.

Anesthesia

Residents learn how to intubate an adult patient in the OR and become more familiar with alternate airway tools.

Ultrasound

Our ultrasound rotation will introduce the resident to the role of ultrasound in the Emergency Department. It will consist of didactics and hands-on training with supervision, as well as independent scanning.

Toxicology

This rotation is at the New York City Poison Control Center (455 1st Ave., between 26th St. & 27th St.). Each resident will participate in Morning Call-backs and Afternoon Rounds.

EMS

Residents will gain exposure to out-of-hospital medicine, emergency public health, disaster medicine, mass gathering medicine and critical care transport.

Administration

This rotation will familiarize you with an aspect of emergency medicine outside the realm of the clinical arena. It will include reading assignments, chart review assignments, tutorials with individuals responsible for ED administration, and attendance at ED and hospital-wide administrative meetings.

Critical Care Consult

PGY-3's rotate with the CCM consulting service and are involved in the intensive care management and triage of patients in the emergency departments, recovery rooms, medical and surgical floors.

NICU

Residents gain experience with neonatal care including assessment, stabilization and resuscitation, as well as the care of the sick and critically ill newborn