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Descriptions
EM - 1
The EM-1 year serves as the
intern year of the residency
program. The purpose ofthe
intern year is an introduction
into emergency medicine and
obtaining abroad-based knowledge
in areas essential to the
practice of Emergency
Medicine.These areas include
Medical and Surgical Critical
Care, Cardiology, General
Medicine, Neurology,
Orthopedics, Obstetrics, and
Anesthesia.
As an EM - 1 intern at Jacobi
ED, patientsare 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, EM -1
will work onthe North and South
sides in an autonomous manner
with direct one to
oneinteraction with an Attending
in patient management and
clinical decisions.
EM-1 Interns rotate for 4
consecutive months on the
Internal medicine and CCU/MICU
wards. All medicine rotations
arecompleted at Jacobi Hospital.
During the rotations the EM - 1
is completely integrated into
the medical and critical care
teams with patient
responsibility and care.
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
patients of highest acuity level
by the EM - 3 resident while at
Jacobi ED. During all medical
notifications EM - 2 is
firstattempt at intubations.
Added training during the EM-2
year include dedicated
Ultrasound, EMS and Radiology
blocks. EM-2 residents have
increased autonomy with
dedicated management of GYN
area ofthe adult ED.
At the Montefiore ED, EM - 2
will workshifts with more
autonomy in the higher acuity
West side.
EM - 3
The EM-3 year focuses on
developing leadership skills in
managing the Emergency
Department, while also
solidifying core Emergency
Medicine priniciples. 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 delegating patients to the
junior residents on the team.
During all medical and surgical
notifications, 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 loweracuity
patients.
EM-3residents also rotate
through lower acuity Urgent Care
and Fast Track area inthe Jacobi
and Montefiore Emergency
Departments.
EM - 4
The EM-4 year in Emergency
Medicine isdesigned to raise the
knowledge and skills developed
in the first three years of
postgraduate training to a
consultant or "Pre-attending"
level inthe specialty. Residents
spend all of their clinical time
at Jacobi ED in aleadership role
with an emphasis on the
supervision and teaching of
junior residents and medical
students in the department.
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 and medical students
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.Typically graduates of
the Jacobi/Montefiore program
are ready to assume anyattending
role and adapt deftly to the
dynamic environment which is
Emergency Medicine.