This is the core of the Emergency Medicine residency. Residents will rotate through both SJRH Andrus Pavilion (main campus) and SJRH Dobbs Ferry Pavilion during each of these months. SJRH Andrus Pavilion is a general, adult + pediatric Emergency Department that serves northern Yonkers and sees nearly 50,000 patients per year. It is a Gold Designated Stroke Center and a community tertiary care center that sees a wide range of pathology. The residents will spend the majority of their time here and approximately 10% of their time at SJRH Dobbs Ferry Pavilion, which has an annual volume of roughly 9,000 patients. This is a unique, community, single-coverage, five-bed Emergency Department with relatively limited resources (compared to larger hospital centers). Residents have the opportunity to work one-on-one with an attending during these shifts. Training at both sites allows residents the opportunity to prepare for a career in a variety of clinical settings.

The ability to control an airway during an emergency is an important skillset for an Emergency Medicine physician to master. Residents spend 2-weeks in the OR with the anesthesia department during their first year of residency. This opportunity allows residents to become comfortable with airway management in a controlled setting so that they are better prepared to perform these skills on critically ill patients in the Emergency Department. During the rotation, residents will become familiar with proper bag-mask ventilation technique, different airway devices and how to use them, sedation and paralytic agents, and how to troubleshoot a difficult airway.

Pre-hospital care is an important extension of the Emergency Department. Understanding the patient’s home environment that EMTs and paramedics have exposure to and how the EMS system operates is crucial for the practicing physician. Residents spend 2-weeks EMPRESS ambulance services (one of the largest EMS services in Westchester County and The Bronx) during their first year of residency. During this rotation, residents ride along with EMTs/paramedics for 911 calls to gain exposure to pre-hospital protocols and medical management. 

Residents spend 2-weeks of designated time in the SJRH Andrus ED honing their point-of-care ultrasound skills during the first and second year of residency (in additional to a longitudinal curriculum). During this rotation, they do not see patients primarily. They work closely with another resident and our ultrasound-trained faculty to learn ultrasound basics, physics, “knobology,” and how to perform core ultrasound exams including eFAST, RUSH, cardiac and IVC, aorta, pulmonary, abdominal/right upper quadrant, bladder/renal, OB, ocular, MSK, and DVT. Point-of-care ultrasound is a critical skill for the Emergency Medicine physician that can aid in early clinical decision making and diagnosis so our program ensures that all residents are comfortable with US prior to graduation.

Residents spend 2-weeks on the Labor and Delivery floor at SJRH Andrus Pavilion during their first year of residency. This hospital delivers nearly 1200 babies yearly and maintains a level II NICU. During this rotation, residents spend time with L&D nursing staff and OB/Gyn physicians to review and improve their knowledge regarding relevant OB topics (ie: pre-eclampsia/eclampsia, PROM/PPROM, hemorrhage, infection, delivery complications) and participate in natural deliveries. 

Residents spend 4-weeks at Jacobi Medical Center in Bronx, NY during the first and second year of residency. Jacobi is one of the highest volume trauma centers in New York City, accepting large numbers of both blunt and penetrating trauma. Jacobi is a receiving center for trauma throughout the Bronx and is also a burn center, a hyperbaric center, and a snakebite center. During the third year, residents spend 4-weeks at Elmhurst Medical Center for additional trauma experience.

Residents spend 4-weeks in the medical/surgical ICU at SJRH Andrus Pavilion during their first and third years of residency. This unit cares for patients with severe and life-threatening illnesses and injuries, which require constant and close monitoring.

Residents spend 4-weeks in the Pediatric ICU at Westchester Medical Center in Valhalla, NY during their third year of residency. This provides an opportunity for the residents to understand ventilators, disease pathology, and fluid management in the youngest and most vulnerable patients. The experience in the PICU helps ensure that our residents will be well-prepared to care for critically ill children when they graduate.

Residents spend 4-weeks in the Cardiac Care Unit at Weiler Medical Center in Bronx, NY during their second year of residency. This rotation allows residents to gain knowledge regarding treatment and management of critically ill cardiac patients such as those with NSTEMI/STEMI, severe heart failure, and arrhythmias. Residents will also learn how to interpret electrocardiograms, echocardiograms, cardiac catheterizations and how to manage devices such as transvenous pacemakers and intra-aortic balloon pumps.