This is the core of the emergency medicine residency. The residents will rotate through both Andrus Pavilion (main campus) and Dobbs Ferry Pavilion during each of these months. Andrus Pavilion is a general adult-pediatric emergency department that sees nearly 50,000 patients per year. The main campus serves the northern sections of Yonkers, in addition to the many surrounding neighborhoods. It is a Gold Designated Stroke Center, and a community tertiary care center that sees a wide range of pathology. The residents will rotate approximately 10% of their time at Dobbs Ferry Pavilion, which has an annual volume of approximately 9,000. This is an unique, community ED that is single coverage and five beds with limited resources (in comparison to many other larger hospitals). This rare gem within the New York City Metropolitan area provides a working environment that fosters a different style of practice and style.

The ability to control an airway during an emergency is an important skillset for an EM physician to master. The residents will rotate with the anesthesia department, and take advantage of the knowledge and resources provided by the anesthesiologists. This will include understanding different airway devices, BVM, sedation, and airway management.

Pre-hospital care is very much an important extension of the emergency department. Understanding the patient’s home environment the EMTs and paramedics have exposure to and understanding how EMS operates is crucial for the practicing physician. The residents will be rotating with EMPRESS ambulance services, which is currently one of the largest EMS services in Westchester County and the Bronx.

One of the best tools for patient care is the point-of-care ultrasound. The residents undergo a rotation in the first second and year (in addition to a longitudinal curriculum) to master their ultrasound skills. During this rotation, residents conduct dedicated ED ultrasound shifts and work closely with the ultrasound attendings.

Our residents spend 2 weeks on the Labor and Delivery floor with the sole role of delivering natural births. This hospital delivers nearly 1200 babies yearly and maintains a level II NICU.

Residents will have a 4 week trauma rotation at Jacobi Medical Center during the first two years of their 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 their third year, residents rotate at Elmhurst Medical Center.

This medical-surgical ICU unit that serves the sickest of the patients in the hospital. This unit cares for patients with severe and life-threatening illnesses and injuries, which require constant and close monitoring.

The pediatric intensive care unit at Westchester Medical Center is an intensive care unit specializing in the care of ill children. This provides an opportunity for the residents to understand ventilator, disease, and fluid management in the youngest and most vulnerable patients. The experience in the PICU helps ensure that our residents will be prepared to care for the children when they graduate.

Residents will rotate through the Weiler cardiac care unit during their second year. The CCU at Weiler houses critically ill patients who are post STEMI/NSTEMI, those needing mechanical assistance with balloon pumps, patients with severe heart failure, and patients with arrhythmias such as VTach.