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Emergency Medicine resident responsibilities are graded throughout the training and an intern is the primary caregiver for individual cases under the direct supervision of a senior resident and a faculty member. An intern’s education is largely an introduction to emergency patient care with an emphasis on signs and symptoms, the performance of an appropriate history and physical, principles of resuscitation, wound management and ethical issues in emergency care.​​

  • 18 shifts per 28 day block

  • Variety of 8-12 hour shifts

  • 1 month or 2 two week vacations

Metropolitan Hospital

Orientation 4 weeks

Emergency Medicine 13.5 weeks

Pediatric EM 4 weeks

MICU 4 weeks

Harlem Hospital

Emergency Medicine 13.5 weeks

Pediatric EM 4 weeks

Anesthesia 1 week

Ultrasound 2 weeks

External Rotations

FDNY/EMS 2 weeks


A second year resident focuses on enhancing clinical skills evaluating and managing a large number of patients, and performing a large number of procedures under the direct supervision of attending faculty. The second year EM resident does the initial evaluation of all prehospital patients arriving by ambulance and focuses on the care of the most critical patients in the department.

  • 17 shifts per 28 day block

  • 12 hour shift length

  • 1 month or 2 two week vacations

Metropolitan Hospital

Emergency Medicine 16 weeks

CCU 4 weeks

Harlem Hospital 

Emergency Medicine 16 weeks

Orthopedics 2 weeks

OB-GYN 2 weeks

Westchester Medical Center

PICU 4 weeks

TICU 4 weeks


Senior residents at Metropolitan Hospital are responsible for directing all patient care in the Emergency Department and teaching and refining the skills of junior residents and medical students, therefore enhancing their leadership, academic and administrative skills. All third year residents receive time off to attend the annual ACEP conference. They must complete USMLE STEP 3 before starting the third year of residency.


  • 16 shifts per 28 day block

  • 12 hour shift length

  • 1 month or 2 two week vacations

  • 4 weeks elective rotation time

Metropolitan Hospital

Emergency Medicine 16.5 weeks

Pediatric EM 2 weeks

Teaching/Admin Block 2 weeks

Harlem Hospital

Emergency Medicine 16.5 weeks

Pediatric EM 2 weeks

Anesthesia 1 week

External Rotations

Toxicology at NYPCC 2 weeks

Elective 4 weeks


Residents have four weeks of an elective rotation during their third year of residency. Electives include any of the rotations stablished in the academic curriculum, ultrasound, research, and away rotations. Residents can also choose their own adventure!

Emergency Medicine in Hawaii

Third-year residents have the opportunity to do their elective in the wonderful Honolulu, Hawaii. Our residents rotate in the emergency department at Kaiser Permanente Moanalua Medical Center for two to four weeks. Expenses including housing, transportation (rental car), up to $900 USD for flight, and $15 USD per meal are covered by the receiving institution.

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1901 1st Ave 

New York, NY 10029

In the heart of "Spanish Harlem", Metropolitan Hospital is a full-service community hospital that provides culturally competent quality care to it's people. Don't let our modest appearance deceive you as every year we win top national awards in our quality clinical care. While other residencies have to compete with other services, the Metropolitan ED is highly regarded in our hospital. The ED team is in charge of their patients, procedures and works collaboratively with the other departments in the hospital. As senior residents towards the end of your training you will get the opportunity to have "preattending" shifts to help you be fully ready to practice wherever you decide upon graduation.


Located on the border of the Upper East Side and East Harlem, Metropolitan has a Level II Trauma Center, a 371 bed facility with 40 beds in the Emergency Department. There are 65,000-70,000 annual visits to the ED with 15% admission rate. When you are not busy seeing sick patients, don't foget to take advantage of the culture that is palpable on our streets and in our community.




506 Lenox Ave 

New York, NY 10037

Harlem Hospital has been a bedrock of the Harlem community since 1887 with a long standing proud history of excellence. The hospital provides a wide range of nationally recognized award winning quality care to the residents of Harlem Proper.

Harlem is a designated Level 1 Trauma Center, with a full spectrum of specialty services including one of only a few Burn Units in New York City. Harlem Hospital is a 400 bed facility with 77,000 annual ED visits and  22% of those patients present with traumatic injuries.

The resident can't get enough of Harlem Hospital! Working in the heart of the Harlem community, our resident feel privileged to receive such an exceptional clinical training. With a wide range of pathology and an abundance of trauma and high acuity medical cases, you will graduate with top-of-the-line clinical skills making you ready to work in any environment possible. Our residents work hard, but they never forget to appreciate the deep history of the community they serve and enjoy the world around them just steps from the hospital doors. 

Harlem Hospital Virtual Tour
Metropolitan Hospital Virtual Tour
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