- Joined
- Nov 8, 2005
- Messages
- 28
- Reaction score
- 0
Jacobi/Monetefiore Jacobi is located in a fairly nice middle-class section of the Bronx on a tree lined parkway, surprising location for the amount of inner city pathology/trauma seen there. The day began with breakfast and attending the morning report lecture given by one of the faculty and was followed by a brief presentation by the PD and interviews with the PD, two faculty members, and a senior resident. The interviews were pretty laid back. The program will be 1-4 starting this year with most of the off service intern rotations at Jacobi. There was a tour of the new state of the art ED building which is a mind blowing improvement over what they are in currently. Although the move in date has been pushed back for nearly a year, the PD promises that it will ready by Jan 2006. More than half the residents seem to live on the upper east side in Manhattan and commute 30 minutes via subway or driving, while the other half are scattered in other sections of the Bronx. Theres housing offered at the Montefiore site for cheap. We were then taken to the Montefiore site in the afternoon, which sees a slightly older population than Jacobi with more medically acute patients. The volume there is ridiculous for an academic center, pushing over 85,000 adult visits making it one of the busiest in the east coast. While the program prides itself on being very resident run, it is pushing to be more supportive of academics with a new research fellowship. The only complaints heard from the residents had to do with having to work so hard and the current crappy ED facility at Jacobi, but otherwise they seemed to be happy to be there.
New York Presbyterian. The morning began at Cornell with a presentation from the PD. Cornell is located in the well-to-do upper east side of Manhattan and is physically a very nice hospital. Dr. Carter, the PD, is awesome and super supportive of the residents. He let a couple of residents take off from their shift duties to go down to Katrina, and they ended up running the ED public health surveillance for Baton Rouge. The Cornell site does see level one trauma has one of the highest trauma severity index (a measure of # and severity) for New York. We then had interviews with the PD, assistant PD, and a nursing supervisor (which I thought was very cool). The residents in the program are among the most well rounded Ive met. A couple of them have already gone on to take leadership positions in EMRA and one was elected best houseofficer overall at Cornell. We had a tour of the ED and critical care units at Cornell which are very state of the art. Then we were shuttled off to Columbia which is about a 20 minute ride uptown. The Columbia medical center is in the heart of Washington Heights, which has a vibrant inner city feel in a Dominican community. We attended noon conference which they have 4 days a week there in which one of the faculty members presents a case over lunch. The Columbia ED facility is somewhat cramped and divided into three sections with acute and non acute patients mixed into each section. There are ton of stretchers in the hallways and almost has a county feel to it. The only complaints from the residents were that they were working there asses off and wished they had more residents in the program. This program is great and has the potential to be one of the best academic EM programs in the country. The faculty will have to become more academically productive in terms of research, though, for this to happen. This is not the place to go if you want to go into the community. You must want something more than just practicing clinical EM to be happy here.
New York Presbyterian. The morning began at Cornell with a presentation from the PD. Cornell is located in the well-to-do upper east side of Manhattan and is physically a very nice hospital. Dr. Carter, the PD, is awesome and super supportive of the residents. He let a couple of residents take off from their shift duties to go down to Katrina, and they ended up running the ED public health surveillance for Baton Rouge. The Cornell site does see level one trauma has one of the highest trauma severity index (a measure of # and severity) for New York. We then had interviews with the PD, assistant PD, and a nursing supervisor (which I thought was very cool). The residents in the program are among the most well rounded Ive met. A couple of them have already gone on to take leadership positions in EMRA and one was elected best houseofficer overall at Cornell. We had a tour of the ED and critical care units at Cornell which are very state of the art. Then we were shuttled off to Columbia which is about a 20 minute ride uptown. The Columbia medical center is in the heart of Washington Heights, which has a vibrant inner city feel in a Dominican community. We attended noon conference which they have 4 days a week there in which one of the faculty members presents a case over lunch. The Columbia ED facility is somewhat cramped and divided into three sections with acute and non acute patients mixed into each section. There are ton of stretchers in the hallways and almost has a county feel to it. The only complaints from the residents were that they were working there asses off and wished they had more residents in the program. This program is great and has the potential to be one of the best academic EM programs in the country. The faculty will have to become more academically productive in terms of research, though, for this to happen. This is not the place to go if you want to go into the community. You must want something more than just practicing clinical EM to be happy here.