The Emergency Medicine Residency Program at Maimonides is a three-year training program (post-graduate year 1,2,3)
which accepts sixteen residents each year for a total of 48 residents. The emergency center facility was newly constructed in 1997 and underwent
further expansion in September 2007.
In addition to the clinical areas, the department has a dedicated teaching and administrative building that contains a 600-square-foot conference room, as well as faculty offices and space designated for resident use.
Trainees will benefit directly from the extensive critical care experience of the attending and nursing staff.
The emergency department also has a substantial amount of support staff including technicians, phlebotomists, EKG technicians, translators, clerks, transporters and dedicated patient representatives to assist with every aspect of emergency care. A great staff coupled with award winning, cutting edge computer technology creates a work environment where resident physicians can focus primarily on patient care and their own medical education.
Emergency Ultrasonography is well-integrated into the curriculum of the Emergency Medicine Residency at Maimonides: Residents spend one block in each of their first two years on an ultrasound rotation. During the rotation, residents participate in small group scan shifts with faculty members and fellows from the Emergency Ultrasound Division, as well as weekly ultrasound review sessions. This combination allows the residents to become proficient in performing and interpreting a wide array of point-of-care ultrasounds.
Currently, there are eight ultrasound fellowship trained faculty on staff in the Maimonides Emergency Department. The faculty members are recognized recipients of multiple grants, including NIH funding, have lectured regionally, nationally, and internationally, and have numerous peer-reviewed publications related to point-of-care sonography.
In our emergency department (ED) we have five Zonare ultrasound machines, and we utilize a streamlined wireless workflow that allows us to archive our images on Q-Path archival software and also on PACS. All of our adult attending emergency physicians are credentialed in each of the ACEP core emergency ultrasound applications. Our pediatric emergency medicine attendings are additionally credentialed to perform studies for intussusception and appendicitis, and our pediatric patients will often go to the operating room based solely on these scans. Since all attendings are credentialed in point-of-care sonography, the residents receive ultrasound education from every attending in the ED, fellowship trained or not.
There are approximately 10,000 ultrasounds performed in the Maimonides ED every year. It is by far the most common procedure performed in our ED. All ultrasounds performed in the department are recorded and reviewed, which allows residents to receive detailed feedback regarding their technique and interpretations. All aspects of point-of-care sonography are covered during residency training, including advanced topics such as lung sonography, advanced echocardiography, musculoskeletal, and procedural guidance. In addition to sonographic guidance of central venous catheter placement, paracentesis, thoracentesis, pericardiocentesis, arthrocentesis, lumbar puncture and peripheral IVs, residents are taught how to perform ultrasound-guided regional analgesia including fascia iliaca compartment blocks and interscalene nerve blocks.
Graduates of the Emergency Medicine residency program will be proficient in using this important technology and adept in utilizing ultrasonography when managing critically ill patients, as most will have performed at least 300 ultrasounds during their training. We believe that point-of-care ultrasonography is life saving and makes us better doctors. Our residents benefit from this ethos.
Our EMS rotation was inspired to give residents a high-yield rotation in observing and understanding the key principles in the prehospital environment. The current EMS rotation is a three-week rotation intended to expose you to all of the basic elements of prehospital care with a goal of improving your history and physical exam, diagnosis, and treatment, and in some cases, management of the critically ill. Whether you ultimately end up practicing in a community where the average EMS transport distance is 50 miles or 1 mile, you will develop a thorough understanding of the essential tenets of prehospital care. Emergency Medical Services, now an official ACGME subspecialty of Emergency Medicine, ideally delivers evidence-based prehospital care that applies innovative medical practices in the field.
The EMS rotation is comprised of several different elements: One-day tour of the Fire Department of New York (FDNY) main headquarters and observing the Call Receiving Operator (CRO) center along with 911 dispatch in action along with a detailed look at the FDOC (Fire Department Operations Command) where Mass Casualty Incidents (MCI) are managed on a day to day basis. You will spend a number of shifts on Basic Life Support (BLS) and Advanced Life Support (ALS) ambulances observing the gamut of their typical daily call types. Additionally you will ride along on an interfacility transfer truck transporting critical oncology patients between different Maimonides facilities learning the range of paramedics' state specific scope of practice.
Applications for residency (and many fellowship) programs should be submitted thorugh the ERAS website.