The Emergency Medicine Residency Program at SBH

Welcome to the Department of Emergency Medicine at SBH Health System. We are dedicated to serving our diverse and dynamic Bronx community through compassionate care of the highest standards. Our residency program is known nationally for the excellent quality of our emergency physician graduates.

Our beautiful campus and location enable a direct commute from Manhattan, Queens, New Jersey, Long Island, Westchester, Connecticut, and the Hudson Valley. We are located on the southwest corner of the renowned Arthur Avenue restaurant district and just minutes away from Fordham University, the New York Botanical Garden, and the Bronx Zoo.

The St. Barnabas Hospital is a 460-bed acute care hospital. Our Emergency Department is an 80,000 visit/year full-service department, treating both adult and pediatric patients. 70% of hospital admissions pass through our ED first.

Since 1990, several expansions have more than tripled the size of the emergency department, added faculty and resident office space and a resident classroom. Our pediatric emergency department opened in 1999, with another expansion in 2004, which included a trauma bay and expanded radiological services. St. Barnabas Hospital is now a Level II Trauma Center, STEMI center, Stroke center, designated HIV/AIDS center and an ACEP Accredited Geriatric Emergency Department.

Our faculty has grown from humble beginnings in 1990, with only two residency trained emergency physicians, to our current faculty complement of 34 specialty-trained, BC/BE emergency physicians. We are proud to support faculty with fellowship training in Critical Care, Ultrasound, Toxicology, Medical Education, Simulation and Prehospital Care.

We look forward to meeting you!

Daniel G. Murphy, MD, MBA
Chairman, Department of Emergency Medicine

Didactics

Morning Report
Morning Report is a daily session of interactive case-based learning. It is “protected time” and takes place every weekday morning (except Wednesday due to Conference). Senior residents and faculty present cases, using a blend of didactic and Socratic reviews of clinical cases to facilitate discussion. Morning report often includes a variety of topics. Each day focuses on a different element of a case such as EKG, radiology interpretations, or case presentations. We round out the week with a set of Kahoot-style board review questions that have historically gotten very competitive.

Weekly Conference
Wednesday Conference covers the core content of the American Board of Emergency Medicine (ABEM) Model of Clinical Practice while teaching residents how to integrate practical applications of knowledge. The core content is covered over a 24-month cycle, enabling it to be covered twice during the four-year residency. It is taught at two levels: junior resident level and senior resident level. This allows for a foundational curriculum during the first two years and an advanced curriculum during the senior years. Wednesday Conference is also considered “protected time”. We use a variety of formats including faculty and resident lectures, small group discussions, case conferences, cadaver procedure labs, simulation, wilderness activities, escape rooms, oral-board review cases, and regional city-wide conferences.

Simulation Training
We run monthly 4-hour simulation conferences where teams of residents tackle complex clinical cases to enhance team dynamics and resuscitation and procedural skills. Our active simulation team also runs in situ surprise simulations in the Trauma bay so that our teams can sim with our nursing and ancillary staff as well as practice in our clinical environment. The simulation center hosts frequent post-conference procedure skills labs for residents who want to practice their skills.

Morbidity & Mortality Conference
A monthly one-hour M&M is held to discuss specific cases to highlight various educational focuses. M&M conference (we call it “Peer Review”) is led by our chief residents and is well attended by faculty both from the Emergency Department and other departments within the hospital. These conferences allow all our patient care team members to follow the case presentation and discussion with an analysis of standard set of factors that contribute to errors in the emergency department. This involves a systems-based approach, which is analyzed not only for errors in judgment or decision-making, but also for contributing factors such as breakdowns in teamwork and communication, availability of departmental and institutional resources, and societal factors that led to a particular outcome. These sessions help make recommendations to our clinical leadership to remedy identified deficits.

Journal Club
Monthly journal club focuses on the ability to read, interpret and evaluate current literature in the field of emergency Medicine. Some journal clubs are hosted by our Specialty Tracks, providing an insight into current research in different niche fields of Emergency Medicine. Other journal clubs are hosted during Wednesday conference, training residents on the skills to read and evaluate a paper in real-time.

Resident “Shout Outs” and Good Saves
The field of Emergency Medicine is challenging and often without resolution what to a critically ill patient. We generally treat our patients for a brief period of time to stabilize and then hand them off to our colleagues to continue care. What happens to those patients who we help? Good Saves recognizes residents and their achievement in outstanding work in the department. This is often paired with a presentation of the case discussing the pathology and to showcase the excellent work and dedication of our residents. This is presented in a similar format to an M&M, but instead focuses on the successes in the department.

Clinical Curriculum

Residency Block Schedule

* CHAM = Children’s Hospital at Montefiore
**FDNY = Fire Department of New York

First Year
The first year of training provides residents with the skills and knowledge they need to become well-rounded physicians. Residents begin with a one-week orientation program, focused on basic communication skills, procedural skills, team-building activities, a scavenger hunt, using the EMR, and more.

After orientation, first-year residents are collectively started in the emergency department for the first block of residency to work directly with seniors and faculty members to develop foundational skills in clinical decision-making, patient stabilization, and resuscitation. While assuming primary responsibility for patient care, first-year residents receive close supervision and clinical teaching.

Second Year
The second year of training builds on the foundations established during the first year. Residents’ responsibility increases as they gain more experience in caring for critically ill patients. Second-year residents also begin to assume responsibility for teaching medical students and working most closely with first-year residents.

Third Year
Third-year residents hone their clinical skills and continue the training needed to become qualified emergency medicine specialists. Additional elective and track time is provided for further pursuit of clinical or research interests, which lays the foundation for the fourth-year track time. Third year residents train as resuscitation team leaders on-shift.

Fourth Year – “Mock Attending Year”
The final year of residency is individualized depending on the interests of the residents and what track they have chosen. Residents serve as mock attendings and play a more supervisory and teaching role in the department. During the fourth year, they are also able to explore their specific niche interests in the field of Emergency Medicine with extensive dedicated Track and Elective time.

Critical Care/Resuscitation Track
The critical care track is designed to provide additional training and exposure to critical care resuscitation and ICU management of patients. This is done over 3 months of rotations over the 3^rd and 4^th year of residency, under the preceptorship of both emergency and critical care trained attendings.

Global and Local Social Emergency Medicine
The purpose of this track is to provide the EM Resident with more extensive experience, education and expertise in the role that the specialty and practitioners of Emergency Medicine can play in the promotion of health equity and the elimination of health disparities in our community, nationally and globally.  The track participant will gain an increased understanding and appreciation of the nascent field of Social Emergency Medicine, and how social determinants of health impact public health and Emergency Medicine, at home and abroad.

EMS/Disaster Medicine
This subspecialty encompasses the required training and knowledge necessary to provide medical oversight and directorship in a variety of prehospital environments including EMS, Disaster, Event Medicine and Tactical Operations. The training of emergency medicine residents to assume leadership roles in EMS is vital to continue to strengthen ties between prehospital and hospital care. The SBHEM EMS Track is aimed at providing residents with a specific interest in the medical oversight of prehospital care specialty training to create competitive EMS Fellowship applicants and graduates who are prepared to become leaders in EMS Medical Oversight wherever they practice after graduation.

Medical Education
Medical Education is a common area of interest for emergency medicine residents who want to pursue careers in academics. The SBHEM MedEd Track is aimed at providing niche development through specialized training as well as the study, practice and honing of education skills during residency to better prepare our residents for their future career – no matter what kind of setting they practice in – as well specialized skills for academic leadership.

Ultrasound
The SBHEM Track in OMM aims to provide senior residents with advanced training on Osteopathic and Manipulative Medicine through work with the SBH Inpatient OMM Team. Residents work closely to OMM attendings performing inpatient consults, newborn examinations and outpatient clinic visits. Prior osteopathy training is not a requirement. Allopathic graduates may complete prerequisite osteopathic coursework to qualify as candidates for the track.

Osteopathic and Manipulative Medicine
The OMM track aims to provide senior residents with advanced training in OMM through work with the SBH Inpatient Osteopathic Manipulative Medicine program. Residents work closely with OMM attendings to perform inpatient consults for the examination and treatment of patients. Allopathic graduates may complete prerequisite osteopathic coursework to qualify as candidates for the track.

We are a core rotation site for the Sophie Davis School of Biomedical Education at City Unversity of New York. All of our faculty, including residents, have faculty positions through the CUNY School of Medicine. All faculty and residents have access to benefits including email, UptoDate access, and library and academic support. This provides residents full-text access to thousands of medical textbooks and journals.

EMRA Membership with included benefits.

Benefits include:

• Vacation: 28 days (split into two 2-week breaks)
• Sick days: 1 day per month in the first year and twelve per year thereafter
• Continuing Medical Education Stipend: Annual stipend of $650
• Embroidered white coats
• Annual Scrubs allotment
• Insurance: Medical, Dental, Vision, and more.
• Maternity/Paternity leave
• Life insurance
• Disability insurance
• Rosetta Stone access
• Competitive Salary

All conditions of employment including compensation and benefits are negotiated with the Committee of Interns and Residents SEIU; which represents all interns, residents, and fellows.

Residents working with CIR have accomplished many goals including hospital-wide blood draw protocols, coffee and snacks for overnights, and salary increases that allowed for an over 10% pay increase since 2020.

For more information regarding benefits, click here!

Residency Eligibility and Application

The SBHEM Residency participates in the NRMP Match and applications are accepted only through ERAS.  We provide training in an urban location for a population at need.  We are a STEMI, stroke and trauma center. Other residencies represented in the hospital are internal medicine, surgery, pediatrics, plastic surgery, podiatry, dental and oral surgery.  We are committed to providing excellent care to the population we serve.

We are a 4-year ACGME-accredited residency with 15 available positions per year.  Interested candidates will be selected for their enthusiasm, academic excellence, and dedication to providing unparalleled patient care. We accept both allopathic and osteopathic applicants.

Prospective candidates must apply through the central application service, ERAS, which distributes all applications to our residency program.

Application Requirements
Eligible applicants are US citizens, a permanent resident or eligible for an appropriate VISA and meet one of the following qualifications:

1. Graduate of a medical school in the United States accredited by the Liaison Committee on Medical Education (LCME)
2. Graduate of colleges of Osteopathic medicine in the United States accredited by the American Osteopathic Association (AOA)
3. Graduates of medical schools outside the United States or Canada that have received a currently valid certificate from the Educational Commission for Foreign Medical Graduates

Residency applicants must have successfully completed and passed either: USMLE Step 1, Step 2 CK and CS  or COMLEX-USA Level 1, 2-CE and 2-PE.

We kindly ask candidates not to send any materials directly to the SBH Department of Emergency Medicine.

Further Information
In the event that your questions are unable to be answered through the ERAS service, please contact our residency coordinator, Ms. Denise Ortiz, for assistance.

Denise Ortiz
SBH Health System
St. Barnabas Hospital
EM Residency Coordinator
4422 Third Ave.
Bronx, New York 10457

dortiz3@sbhny.org

We offer a number of Emergency Medicine experiences to interested and qualified medical students at all levels of medical training, from first year of medical school through fourth year. Our department serves as a core rotation site for both the NYIT College of Osteopathic Medicine and the CUNY School of Medicine. Below is a brief overview of our offerings. Please explore more about our programs on their specific pages.

Summer Enrichment and Mentorship Program (SEMP):

Our SEMP experience in Emergency Medicine is a fantastic 6-week education in the field of Emergency Medicine open to qualified US medical school students from underrepresented minorities. Participants attend in the summer between their MS1 and MS2 years.
 

Core MS3 Clerkship:

We are a core rotation site for both the CUNY School of Medicine and NYIT College of Osteopathic Medicine. Students at these medical schools may choose to fulfill their EM requirements in the SBH ER. This rotation is not open to visiting students.
 

MS4 Clerkship/Sub-Internship in Emergency Medicine:

This is a 4-week rotation for senior students pursuing residency in Emergency Medicine. Students will complete 10 shifts during the rotation. Students participate in EM residency didactics every Wednesday morning and attend student-specific education on Wednesday afternoons. Our sub-interns are expected to work independently in the emergency department, seeing patients as the primary provider and working directly with the attending physician. Our curriculum runs on a 4-week cycle, allowing students to join any monday in the cycle.

Rotation dates: Our Sub-I is open to qualified applicants from any medical school. At this time, we are unable to accommodate applicants who require a US Visa. We offer rolling start dates each Monday based upon your school’s calendar.

How to apply: We do not participate in VSLO. Apply directly by contacting Ms. Leslie Roderick (Academic Affairs) at 718-960-6517 or lroderick@sbhny.org
 

M4 Ultrasound Elective:

Our Ultrasound Elective is a 2-week elective in the use of point-of-care ultrasound in the emergency department. Students are integrated into our resident ultrasound “team” and participate in all aspects of ultrasound training in our department. Students will participate in scanning shifts in the department as well as quality improvement and didactics. Ultrasound rotators are not participating in direct patient management.

This rotation is open to qualified applicants from any medical school. At this time, we are unable to accommodate applicants who require a US Visa. To apply for this rotation, please send your CV and letter of interest to Leslie Grant, administrative coordinator, at lgrant@sbhny.org.

Paul Beyer, DO
Director, Medical Student Education

Dear Prospective EM Student Applicant:

I am excited you are considering an Emergency Medicine rotation at St. Barnabas Hospital.

As someone who did my residency here, and has worked at St. Barnabas for more than 25 years, I know you will be getting an exceptional educational experience. We serve a diverse population and you will have countless opportunities to be involved in the care of patients with wide-ranging disease states.

The 4 year EM Residency Program is a basic pillar of the Hospital, and has been educating EM residents for over 30 years. SBH hosts a 4th year elective, with over 80 students a year participating. It is a hands-on Residency and student rotation. The Department continues to grow and expand academically with Sections for Ultrasound, Critical Care, Research, and Simulation Medicine.

You will be involved with all the didactics provided by our residency including our Wednesday conferences as well as our daily educational morning reports. Our residency provides training for 60 residents and is ACGME accredited with Osteopathic recognition. You will quickly sense the comradery between the residents and the attendings as we work together in our busy department that provides care for more than 85,000 patients annually.

We offer weekly faculty student only didactic sessions that focus on simulation, interactive teaching sessions and case presentations.

As many students who are choosing to rotate here do so in order to gain a better appreciation of whether they would like to do a residency in EM at SBH, we feel it is important to explain that the hospital will not support visas for EM residents. Of note, we also do not provide parking nor housing for students

The hospital is located about 20 minutes from downtown Manhattan and all that New York City has to offer is easily accessible from the hospital.

I look forward to meeting you.

Sincerely,
Paul Beyer, DO
Director Student Education

How to Apply

If you are interested in rotating with us, please contact Leslie Roderick (Academic Affairs) at 718-960-6517 or lroderick@sbhny.org

SBH Emergency Medicine Diversity & Inclusion Committee’s Summer Enrichment and Mentorship Program

The SBH Department of Emergency Medicine’s Diversity and Inclusion Committee is pleased to offer the Summer Enrichment and Mentorship Program (SEMP) as a 6-week intensive Emergency Medicine course for underrepresented minorities in Medicine. The goal of SEMP is to provide an in-depth introduction to the discipline of Emergency Medicine and to foster mentorship throughout the process of ultimately matching into the specialty. This program is designed for medical school students who have completed their first year in an accredited osteopathic or allopathic medical school.

The Association of American Medical Colleges defines underrepresented minorities in Medicine as “those racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population.”

The Emergency Medicine Department of St. Barnabas Hospital remains committed to ensuring access to medical education and medicine-related careers for individuals from these historically underrepresented racial/ethnic groups and encourages all interested first year medical students who are a part of this demographic and interested in Emergency Medicine to apply.

Program Opportunities and Requirements

Participants take part in didactic lectures, procedural workshops, simulated patient encounter sessions, ultrasound modules, journal club, social medicine initiatives, quality and safety projects, a meeting with Departmental leadership, and an outing to the world famous Bronx Zoo.

Each student will be given both a faculty and resident preceptor whom he or she will shadow on various shifts throughout the Department. Students will gain exposure to a wide breadth of clinical pathology and acuity in the culturally diverse population provided by the South Bronx.

Participants are advised by their faculty mentors on a final scholarly project which they will present within the Department at the conclusion of the Program.

We had eight funded positions available for the 2022 cohort. Each participant will receive a stipend distributed in installments during the six weeks.

Important Program Dates

The 2024 Summer Enrichment and Mentorship Program runs from Monday, June 3, 2024 to Friday, July 12, 2024.

The program application will be available on Monday, December 4, 2023.

The deadline for application is Friday, February 2, 2024 at 5:00pm EST.

Applicants will be informed of their application status by February 9, 2024.

Successful applicants must accept their spot in the program by February 16, 2024 at 5:00pm EST.

How to Apply

To apply, please fill out the application HERE and submit the following documents along with it:

• a current CV
• a one-page essay describing your interest in the program and Emergency Medicine
• a current photo
• If accepted into the Program, you must provide a letter of good-standing from your academic institution.

Additional Information

For general inquiries about our program, please contact Leslie Grant, administrative coordinator, at lgrant@sbhny.org or 718-960-3912

SEMP in the News!

 SBH SEMP 2021 was featured on News12 The Bronx. Watch the feature video here:

https://youtu.be/RbtEjcNIEiY

Overview

This two week rotation will serve as an introduction to bedside ultrasound in the emergency department. The rotation will include online didactics and quizzes, in-person scan shifts with senior residents and ultrasound credentialed faculty, and tape review.

Online Didactics

Rotators will be assigned videos on core emergency ultrasound topics, including FAST and echo. Each online module has a quiz to be completed at the end.

Journal Club

The ultrasound division hosts journal club for faculty and residents, which the rotator will be invited to attend should it fall during their rotation.

Scan Shifts

Rotators will scan in the emergency department Monday-Friday from 9am-4pm. Rotators will be part of our ultrasound team, consisting of junior and senior residents. Some of these shifts will be led by our ultrasound track residents, and some will be supervised by ultrasound trained faculty.

Presentation

Rotators will be expected to prepare a 10 minute presentation on an ultrasound case or topic of their choice, to be presented on the last day.

Tape Review

Rotators will also attend our tape review, where we review the scans performed during the rotation and discuss image acquisition and interpretation.

2024 & 2025 Rotation Dates:

Application

To apply for this rotation, please send your CV and letter of interest to Leslie Grant, administrative coordinator, at lgrant@sbhny.org.

Faculty

Dr. Ashley Voroba

Dr. Jeremiah Robison