Clinical Curriculum

EM PGY-1

The transition from medical student to first-year resident marks a significant increase in clinical responsibility.  Following a comprehensive hospital orientation, residents will participate in a dedicated procedural skills workshop focusing on essential interventions such as endotracheal intubation, central venous access, and thoracostomy tube placement.  Initial clinical rotations will involve observation and familiarization with the department’s electronic health record (EHR) system and patient workflow.  By the end of the first year, residents are expected to demonstrate competency in patient evaluation and management, with a strong foundation in core procedures.

EM PGY-2

Building upon the prior year’s foundation, PGY-2 residents refine their patient management skills and assume greater responsibility within the Emergency Department (ED).  Residents may lead designated patient pods, overseeing a specific section of the department.  Exposure to high-acuity presentations will increase, potentially placing the PGY-2 resident as the most experienced physician on duty during certain periods.  This leadership role fosters the development of critical decision-making skills and allows residents to mentor their junior colleagues in procedural techniques.

EM PGY-3

PGY-3 residents develop a comprehensive understanding of the most prevalent emergency medicine presentations, coupled with advanced proficiency in managing critically ill patients.  Leadership skills are further cultivated, with an emphasis on effectively managing resuscitation teams and Level-1 traumas.  By the conclusion of this year, residents are expected to demonstrate expertise in patient flow management, ensuring the smooth and efficient operation of the ED.

EM PGY-4

The final year of residency culminates in the coveted role of “Resident in Charge” (RiC).  Functioning as a junior attending physician, the RiC leads a team of residents and physician assistants, providing evidence-based guidance and ensuring the delivery of high-quality patient care.  An attending physician remains readily available to offer supervision and support.

Although the majority of residency rotations occur at NUMC, the program is structured to ensure residents are exposed to a wide range of pathology and acuity in various settings. For example, residents gain community hospital experience during their rotation at Mount Sinai South Nassau located in the charming town of Oceanside, NY. In addition, residents spend a month learning Toxicology at the New York City Poison Center.