About

Our Program

MetHarlem Emergency Medicine 3-Year Residency Program, now able to educate 36 residents, is proud to graduate accomplished, well-rounded doctors who are not only skilled in high acuity trauma but are enlightened to their integral role in upholding the health and safety of the communities they serve. 

We offer a rigorous and conscientious resident curriculum focused on the mastery and innovation of several emergency medicine elements in which our department accells including research, ultrasound, simulations, and pediatrics. 

 

By living and working in the most diverse and energetic city in the country, our residents are enriched by New York City's diverse educational environment. Our program offers rotations in several hospitals including Metropolitan Hospital, Harlem Hospital, and Westchester Medical Center. Having the advantage of learning in a variety of settings combined with our faculty and staff from vastly different cultural and training backgrounds, our residents are equipped to thrive in any situation and in turn harbor a deep sense of camaraderie with co-workers and the community.

 

Joining MetHarlem is to not only choose a competitive and passionate residency program, but to go above and beyond in the EM field by championing the underserved in the greatest city in the world. If you are seeking a dynamic Emergency Medicine program, look no further.

Orientation

Our six week orientation begins in the last two weeks of June and is held at Metropolitan Hospital to familiarize interns with the workings of the space. While there, newcomers will meet their fellow interns, current residents, faculty and staff. We prioritize a seamless and supported introduction to the program with plenty of time to get situated and have some fun. Also in this time, incoming residents are provided certification classes including BLS, ACLS, PALS, and ATLS.

The first two weeks of July, the faculty and senior residents supply interns with all the information that they need to successfully begin residency, including:​​

  • Core EM Topics

  • ED Shadow Shifts

  • Ultrasound Workshop

  • Suture + Splint Workshop

  • CIR Union Benefits Lecture

  • EPIC Training

  • Airway + Central Line Course

  • Picnic Meet and Greet 

  • Practical Tips and Advice Small groups

  • Approach to the Critical Patient

  • Happiness in EM Lecture

  • Mental Health Resources

  • Diversity Workshop and the History of Harlem

  • "How To" Lectures (e.g. how to call a consult)

  • Intern Olympics

  • Storytelling and more!

Wellness Day

For a change of pace, interns are invited to a Wellness day at Dr. Chirurgi’s beautiful lakeside home for a day of water activities and relaxation to get to know their new classmates and the program leadership.

 
Resident Didactics

Morning Reports

During the week at the beginning of your shifts at Metropolitan, we have mini teaching sessions called morning reports to infuse your clinical day with some dedicated learning. Every Tuesday and Thursday morning, residents, attendings, PAs, and nurses gather for an interdisciplinary morning report, presenting topics of their own position. On Mondays and Fridays our faculty run oral board cases with the senior residents with other residents and students welcome to learn from as well. 

Wednesday Weekly Conferences

Every Wednesday our residents attend an interactive flipped classroom style conference alternating from Metropolitan and Harlem Hospitals that follow the ABEM model of clinical practice. Residents are given readings and questions prior to conference to help stimulate their learning and lead the discussion with faculty support. Residents have protected time to attend conference.

 

Different cases are run through with questions for medical students and interns focusing on core content. Seniors are given FOAMED style topics to satisfy everyone’s learning needs.

 

Conference also includes morbidity and mortality lectures, CPC lectures, guest lecturers, Jeopardy, and many other engaging, interactive learning techniques. For a majority of the program, conference time will be protected for residents to avoid conflict or absence. Other exciting opportunities presented in Wednesday conferences include:

  • Every other month, a day dedicated to simulation and procedure

  • Journal Club

  • Mock Inservice Day to prepare residents for the February exam

  • Dedicated wellness conference days and holidays sprinkled throughout the year

  • Mock Disaster In-sits Simulation Day + Interdepartmental Simulation Day

  • Twice a year attendants of the New York state regional ALLNYCEM conferences where MetHarlem attendings frequently guest lecture

  • Wellness/storytelling sections

  • Toxicology and Wilderness Medicine at The Bronx Zoo or at one of New York’s many botanical gardens

All providers in the EM department are part of constant discussions of clinical cases and articles via the Slack platform so no matter what rotation or what time of the day, there is the option to continue to learn from colleagues about clinical medicine.

Team building is very important in these meetings and every resident didactics, 30 minutes is spent going over residency announcements and having breakfast together provided by the department or a volunteering resident.

Speaking Opportunities

Dr. Adamakos, the Associate Program Director, has been a national lecturer for years who encourages and coaches residents one-on-one who want to pursue a career in academics and lecturing.  Armed with this unique training, alumni have presented at other residencies, built rigorous CV’s and as a result have been appointed to highly coveted academic jobs. Residents are also encouraged and financially supported to present their lectures at national conferences such as CPC lectures at CORD.

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Board Prep

Residents have Board Prep lectures throughout the academic year and additional Tuesday evening board prep sessions for those who wish to attend. The week before the Inservice Exam the program hosts a board prep dedicated conference day so all can feel prepared for the upcoming test.

 

Mentorship+Feedback

From the moment you are accepted into our program, the close relationships build and mentorships begin. Interns are paired with senior residents as well as attendings in order to provide a seamless transition. Interns are introduced to resident communications via slack and we also offer a voluntary pre-intern curriculum leading up to July so once residency starts, you are immediately part of the team and ready for what residency has to offer. Formal mentorship lasts all three years of residency and by the time of graduation, natural advisory relationships are cemented that will continue on for years to come. Residents who are interested can also be mentors themselves to junior medical students through a special NYMC program so you can give back and extend the support early on in your career. 

 

Feedback is an important part of a residents training and is done in real time on shift, through monthly feedback of overall clinical performance, and during semi-annual meetings. Residents follow a similar format and give the attendings bimonthly feedback as well. We believe very strongly that feedback is essential for growth for not just residents, but faculty alike. 

MetHarlem also offers a unique "Women in Medicine" mentorship program to establish a network of support and promote necessary changes in emergency medicine. Mentorships extend beyond the clinical workspace and can include financial, career advancement, family and personal life advice. This is a fun way to see your colleagues and attendings outside the workplace as well as have formal discussions about tough topics. We include our male colleagues in these discussions as well and encourage back and forth conversations about sensitive subjects to foster an overall inclusive environment from both ends. No one gets left out at MetHarlem!

 

Scholarly Tracks

Though our program is only three years, our residents not only learn how to excel in Emergency Medicine but build an impressive CV. Under the guidance of leadership, second and third year residents become committee members and directors of different parts of the residency and departments depending on their interests post-graduation. You can think of this as a mini-fellowship in residency. Some choose to help run medical student education, others create simulation cases for conferences, run our wilderness section, chair the wellness committee.... The list goes on! Those interested in administration work closely with both departments and chairs getting them ready for fellowship or a junior administrative position outside of residency and those who want to pursue other fellowships create their own groups such as disaster medicine, toxicology, pain management, critical care and more.

The purpose of the scholarly track is to help get you to your goals post graduation. We help you focus your non-clinical work such as lectures and research on your area of interest, send you opportunities to participate in regionally and nationally, help you network all across the globe in your area of interest and allow you to make changes such as create an elective in your area of interest or change the resident didactics so you graduate with unparalleled credentials.

 
 
Research

Our residents create or join a research project as an ACGME residency requirement. For those looking to dive deeper, we highly encourage publication and presentation and our program will cover expenses for residents to present their findings in local, regional, national or international conferences. Our department conducts a plethora of research studies every year with plenty of guidance for residents to build a strong academic portfolio.

 

We are proud to have had our program represented at renowned conferences such as SAEM and ACEP in countries all over the world including Italy, Zimbabwe, Australia and more.

Simulations

Simulations at IMSAL

Located at Jacobi Hospital in the Bronx, the Institute of Medical Simulation and Advanced Learning (IMSAL) is the main simulation lab for the NYC public hospital system, which residents have access to throughout their residency. For a virtual tour of the facility, see it here.

For more information on the IMSAL Simulation Lab, please contact Dr. Michael Meguerdichian MD at michael.meguerdichian@nychhc.org or visit nychealthandhospitals.org/simulationcenter

Metropolitan Hospital + Harlem Hospital Simulation Lab

Both hospitals are in the process of building their own simulation centers using today's cutting-edge technology, and have multiple procedure models. Metropolitan Hospital will have a 3D printing lab to incorporate into simulation training which allows residents to become proficient in rare invasive procedures and has vast potential for publication.

The Curriculum

As part of the Wednesday EM Medical conferences, the simulation curriculum focuses on adult and pediatric simulation cases in a dynamic learning environment to equip our residents with the necessary skills to succeed with a wide range of challenging procedures. These high fidelity, mannequin-based cases range from thought-provoking to “crash and burn”, from common to outlier events in order to advance system-wide patient safety and quality improvement initiatives.

 
Ultrasound

Ultrasound Training

Residents use ultrasound on their ED shifts as well as spending one week during first year residency and one week in the second year dedicated to ultrasound. The goal is for the EM resident to obtain the minimum number of required ultrasounds dictated by the ACEP (American College of Emergency Physicians) guidelines and develop ample experience in acquisition, interpretation and advanced applications. Residents are also encouraged to use elective time to gain more ultrasound experience. While one week in PGY 1 and PGY2 year seems like a short amount of time for ultrasound, no resident to date has graduated feeling like they needed more ultrasound time! The best time to learn ultrasound is in the ED on patients with various different faculty when pathology and opportunities present to you. The experience on any ultrasound rotation is limited compared to what you get to see on shift in the MetHarlem EDs during your three years.

On rotation, residents participate in Q&A review as well as didactic sessions, article reviews and submit an interesting case to be presented to the Department of Emergency Medicine. By graduation, residents are expected to have performed 150 exams in core areas defined by ACEP and are required to present documentation of interpretations. Video images will be reviewed by the Ultrasound Director or other ultrasound credentialed faculty members who will give feedback directly to residents.

 

Medical students interested in Ultrasound, we offer it as an elective at MetHarlem similar to the experience residents receive during their training and you can find out more at our Medical Students Page.

For more information on the ultrasound program, please contact the Ultrasound Director Dr. Avinash Viswanath MD at metharlemsono@gmail.com 

 

Pediatrics

Residents will have the opportunity to experience Pediatric Emergency Medicine as dedicated blocks during their first year at Metropolitan and Harlem Hospitals. Second year residents have their PICU rotation and third years have an extra two weeks of Pediatric EM, both at Westchester Medical Center. Additionally, pediatric day shifts and overnights are sprinkled throughout the EM schedule.

Pediatrics at Metropolitan Hospital

As a community hospital, Metropolitan sees pediatric emergency medicine ranging from patients who are mildly sick to those needing resuscitation. The neighborhood relies on this hospital, our staff and in turn the residents to take swift action in the care of their children.

Pediatrics at Harlem Hospital

As a trauma center, Harlem Hospital is also equipped to care for pediatric traumas and is a catch-net hospital for various other pediatric emergencies.

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Pediatrics at Westchester Medical Center

As the only level 1 Pediatric Trauma Center with a 24-hour medevac helicopter in the area and catch-net center for most of the Hudson Valley Region of New York, Westchester Medical Center provides invaluable Pediatric EM learning experience. Residents will care for extremely ill patients in both the ED and ICU and it is said by many of our alumni that a resident will see more critical care cases during their limited time at WMC than in all of their career.

 
Community Outreach

We have a commitment to social responsibility and are proud to have residents and faculty who partake in local community outreach programs. These range from partnering with Harvest Home, a New York City based non-profit farmer's market organization, to working with local clinics to run a food stamp program which provides low-income families with fresh produce in the hopes of improving the health of New York communities. Many research and quality improvement initiatives within the residency and our hospital system also focus on community outreach. The more engaged we our with our community the better health outcomes they will have in return and it is a huge focus of not only the program or our hospitals but our hospital system as a whole.