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.

  • 19 shifts per 28 day block

  • 12 hour shift length

  • 1 month or 2 two week vacations

Metropolitan Hospital

Orientation 4 weeks

Emergency Medicine 3 months

Pediatric EM 1 month

Harlem Hospital

Emergency Medicine 3 months

Pediatric EM 1 month

Anesthesia 1 week

Ultrasound 2 weeks

Westchester Medical Center

Pediatric Floor 2 weeks

MICU 1 month

CCU 1 month


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 13 weeks

Harlem Hospital 

Emergency Medicine 13 weeks

Orthopedics 2 weeks

OB-GYN 2 weeks

Westchester Medical Center

Emergency Medicine 1 month

PICU 1 month

TICU 1 month


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.


  • 15 shifts per 28 day block

  • 12 hour shift length

  • 1 month or 2 two week vacations

  • 2 weeks elective rotation time

Metropolitan Hospital

Emergency Medicine 15 weeks

Teaching/Admin Block 2 weeks

Harlem Hospital

Emergency Medicine 17 weeks

Anesthesia 1 week

Westchester Medical Center

Pediatric EM 4 weeks

External Rotations

Toxicology at NYPCC 2 weeks

FDNY/EMS 2 weeks

Elective 2 weeks

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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. 

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100 Woods Rd 

Valhalla, NY 10595

Westchester Medical Center (WMC) is the regional hub of tertiary and quaternary care and is the primary referral facility for more than 2.4 million people in the Hudson Valley. With WMC receiving transfers from most of upstate NY, and one of the highest cases mixes in all of the nation, it is home to almost any specialty you can imagine including transplant care. While it is a 652 bed facility with only 40,000 annual ED visits, the majority of your learning and their services are inpatient, which is where we focus the residents' time. You will spend your medicine, MICU, CCU, TICU, and PICU months seeing some of the most complex cases you will ever see in your career. You will also get to sample the flavor of working in a true community ED and spend time in their trauma ED and dedicated Pediatric ED with some of the best PEM faculty in the country.