Clinical Education

Resident education occurs in Syracuse, New York at Upstate Medical University Hospital, St. Joseph’s Hospital Health Center, Crouse Hospital, the VA Hospital, and Community General Hospital. Clinical training at these sites provides our residents with unique patient interactions and prepares them for life as an attending in any setting, rural, community, or academic emergency departments.

Weekly Conference

In addition to clinical shifts, our residents have protected conference time every Wednesday. Conference includes reviewing material from Tintinalli’s textbook, preparation for the boards and inservice exams, simulations and procedure labs. We go through Tintinalli’s textbook two times throughout the 3 years of residency; this intentional redundancy allows for repetition of core material. In addition, our residents have access to an online library full of academic textbooks and the full resources of the Upstate Medical University Health Sciences Library.

Simulation

To prepare our residents for the high acuity patients that come through the emergency department, we run high-fidelity simulations with them. Our residents also spend time creating simulations for their colleagues and the medical students rotating through the emergency department.

Journal Club

Residents participate in our journal club once a month, when important EM literature is analyzed to help shape our practice.

Trauma Drill, Resuscitation Drill

The Trauma Conference is an interdisciplinary conference involving EM faculty, residents, nurses, Trauma Surgery faculty and residents, as well as Pre-hospital Emergency Medical providers. In an open-forum/question and answer session, cases encountered in the ED are presented by residents and reviewed from field to disposition. Emphasis is placed on important learning points illustrated by the patient's injuries and/or management issues. The strong interactive and mutually supportive relationship between Upstate's Trauma Surgery Service and the Department of Emergency Medicine is strengthened by this conference.

Sample Block Schedule, Program Year 1:

Block 01: Orientation
Introductory month with first few ED shifts, ACLS/PALS/ATLS training, and lectures/SIMs to prepare you for EM residency

Block 02: ED/Anes
Half block ED, half block Anesthesia rotation in OR at Crouse Hospital

Block 03: CC
ED at Community Campus

Block 04: VA
ED at Syracuse VA hospital

Block 05: Sim/TLLT/EMS
Teach to Learn, Learn to Teach - become an ACLS/PALS instructor, work with medical students, develop cases for resus and trauma drills, attend educational conferences and rotations with local EMS agencies

Block 06: ED
ED rotation at University Hospital, one week vacation

Block 07: SICU/Ortho
Half block Surgical ICU at University Hospital, half block rotating on consult service with Orthopedics

Block 08: ED/MICU
Half block ED, half block rotating on Medical ICU at Crouse hospital

Block 09: ED/PED
Half block ED, half block Pediatrics ED at Golisano/University Hospital

Block 10: PED
Pediatrics ED at Golisano/University Hospital

Block 11: US/HBO
Half block Ultrasound with scanning shifts, QA with Ultrasound fellows and attendings. One week hyperbarics and wound care, one week vacation.

Block 12: MICU
Medical ICU at Crouse hospital

Block 13: OB
Labor and Delivery at St. Joseph’s Hospital


Sample Block Schedule, Program Year 2:

Block 01: ED

Block 02: ED

Block 03: ED, one week vacation

Block 04: ED

Block 05: Tox
Rotate on Inpatient toxicology service at University hospital, educational events with Upstate NY Poison center, lead Journal Club

Block 06: ED

Block 07: ED

Block 08: US/Elective
Half block Ultrasound with scanning shifts, QA with Ultrasound fellows and attendings. Half block elective of your choice

Block 09: CC
ED at Community Campus, one week vacation

Block 10: MICU
Medical ICU at Crouse Hospital

Block 11: ED

Block 12: ED, one week vacation

Block 13: CC
ED at Community Campus

Sample Block Schedule, Program Year 3:

Block 01: ED

Block 02: ED, one week vacation

Block 03: Admin
Work with TLLT resident on development of educational activities, following up results from ED orders, developing quality review lecture for conference, sick call backup

Block 04: ED

Block 05: ED

Block 06: Elective, one week vacation

Block 07: ED

Block 08: PICU
Pediatric ICU at Golisano/University Hospital

Block 09: Elective

Block 10: ED

Block 11: CC
ED at Community Campus, one week vacation

Block 12: ED

Block 13: ED

Note for all years: all ED rotations are at University Hospital unless otherwise mentioned, and include shifts in the Pediatric ED