Cutting Edge Emergency Medicine Curriculum

Our exciting curriculum provides the tools for you to function and succeed in today’s complex healthcare environment. The residency leadership recognizes the various learning modalities of residents and brings all of this to our educational experience. Learning begins the week before conference, with electronic resources delivered right to your inbox. In coordination with the upcoming conference’s core curriculum, our education team sends an email with links to today’s most relevant FOAM-based material, primary literature, chapter readings and board review questions.
Conference

Bringing everyone – and everything – together...

The residency leadership is committed to providing a rigorous educational environment that is both high yield and enjoyable. The crux of our educational experience is the weekly five-hour conference during which all residents are excused from clinical work in the ED. Say goodbye to traditional one hour talks and embrace shorter lectures and small group case-based learning. . However, this is only a small piece of your learning. You will be regularly surrounded with education throughout your training in daily morning reports, journal clubs, fellowship meetings and, most importantly, bedside teaching in the ED.

Adams' Hour: We expect residents to complete the weekly reading assignment from the Adams' textbook Emergency Medicine: Clinical Essentials. Our three chief residents lead this first hour of Wednesday conference incorporating traditional lecture, interactive sessions and games like Jeopardy, review questions and clinical problem solving.

PGY2 Follow-Up Talk:  Based on required patient follow-up logs, each PGY2 resident presents a half hour talk on their most interesting case.  Leading with an interactive case discussion, the resident then delivers an evidence-based review of the topic with salient teaching points.

PGY3 QI/M&M: As part of the admin rotation during third year, each resident is assigned a departmental QI case to review. After a thorough chart review, interviews with the involved providers and discussion with a faculty preceptor, the resident completes the formal QI Committee write-up and presents the case in monthly M&M conference.

Conference in the Park!

PGY3 Senior Topic:  This lecture is a highlight of the senior resident's year.  Based on interests and often career plans, each resident chooses a topic for this presentation. The goal is to master the literature, to understand management, and to provide cutting edge evidence for the audience. This talk is often the first step in developing a niche for future lectures in your career.

Case Conference: Case conference is held nearly every week and includes discussion of cases that may involve bad outcomes, unclear or difficult management decisions or great saves (“anti-M&Ms”). This lecture series is separate from the formal departmental M&M and although cases might be part of the QI process, the primary objective is to stimulate discussion and disseminate teaching pearls. Case conference is presented by senior residents, chief residents, attendings and alumni.

Pediatric Case Conference Series: Focusing on the pediatric EM core curriculum, each month we use case-based small groups to discuss a pediatric topic (e.g. cardiac emergencies, neurologic emergencies, toxic ingestions). We divide the residents by year of training in order to provide appropriate targeted teaching.

Ultrasound Lectures: Our dynamic ultrasound faculty deliver multiple sessions in conference throughout the academic year. These interactive, video and imaged-based talks bring new ideas to discussion and ultimately to the bedside.

Journal Watch: Scattered throughout the conference year, these brief summary sessions focus on new and relevant articles to our practice. Instead of the deep dive of a journal club, this is a chance to discuss current practice-changing articles.

Wellness Curriculum: Beyond our robust retreat program, we believe that a discussion of wellness issues is critical to success. Under the guidance of the resident director of professional development and residency leadership, we cover burnout, resilience, mindfulness and other important topics of well-being.

Follow-up Conference: Residents come to conference prepared for an hour session during which we discuss interesting cases from their follow-up logs. The resident involved with the case walks our group through the case prompting questions, differentials and management plans. Typically, these are cases with unique or unexpected diagnoses and great imaging or EKG teaching points.

Eating at Conference

Oral Boards:  Quarterly, residents complete mock oral boards using the format that will take place at the time of certification. These full day sessions involve multiple stations including additional team-based simulation supplementing our regular simulation curriculum.

Departmental M&M: Together with the resident on the admin rotation, departmental faculty on the QI committee present in depth cases referred to the committee for discussion. We focus on the identification of errors using well-established frameworks in the literature and strive to create change when appropriate to improve the care and safety of patients.

Emergency Medicine Foundations: We are a participating site of the Emergency Medicine Foundations curriculum, originally designed to be a course specifically for interns that has since been expanded to include advanced material for more senior residents. The EM Foundations site provides a list of topic-specific preparatory reading material and online resources for “flipped classroom” style learning. As part of our small groups, residents are divided by class to run through oral boards style cases to review core content and then can gauge their knowledge through topic specific Rosh Review quizzes.

EM/Critical Care Conference:  Quarterly, a case selected by our department in conjunction with the Division of Critical Care Medicine is discussed in a joint conference with the IM residency program. EM and IM residents present the case and salient teaching points along with discussion from both the emergency medicine and critical care disciplines.

Grand Rounds: A highlight of conference during which an outside speaker is brought in for two hours of didactics and discussion.  Speakers are nationally recognized, published emergency physicians.

Journal Club: Journal club is our more formal evidence-based medicine curriculum. Most sessions take place within our conference schedule, but several sessions throughout the year are held at one of the faculty members' homes. Articles are selected to highlight important EM topics as well as to teach skills in the critical appraisal of literature.

Mount Sinai System-Wide Conferences: The three EM residencies of the Mount Sinai Health System come together for four joint sessions each year. Based on a unifying theme for the day and rotating between sites, each program contributes faculty and residents to the didactics sharing our wealth of knowledge across the system.

All NYC EM Conference: Our residency is part of the All NYC EM Conference series twice a year. These conferences bring together almost all residencies from the NYC metropolitan area with over 500 attendees and are hugely successful.

Throughout the year, we supplement our conference with multiple full day sessions focusing on practical skills and unique disciplines. Examples include Airway Day, Disaster Day, Advanced Procedure day and the Regional Ultrasound Symposium hosted by our division. Simulation is integrated throughout the conference schedule with formal sim lab sessions as well as in situ simulation in the department on clinical shifts throughout the year.