SDN Members don't see this ad. (About Ads) Mt. Sinai Interview Review The day started at 8AM. About 8 applicants were present. I took the train in which is only several blocks away from the hospital. The building where the interviews are conducted is one block away and across the street from the main hospital building, so be mindful of the address. The PD (Dr. Jagoda) gave us a very well planned out talk on the philosophy of Mt. Sinai EM. He spoke about the "four pillars" of EM including clinical training, research, financial support and academics. He sells the program very well, highlighting all of the opportunities available along with impressive faculty projects. Afterwards all of the applicants are driven by shuttle bus to Elmhurst Hospital in Queens with a resident guide. Dr. Jagoda feels it is very important for the applicants to see Elmhurst since you spend 50% of your time there. After a quick walk through the department you're back on the shuttle bus to head to the MT. Sinai ED. A brief tour of the Mt. Sinai ED is given. The resident then took us up to the Anesthesiology department to demonstrate the very elaborate and expensive Simulation Laboratory including the "Sim Man" and Virtual Bronchoscope. The sim man computer was not cooperating, but if you seen it once...then you've seen them all. Afterwards, lunch with residents is provided in a small room within the hospital. Here is where you spend the rest of the day waiting for your interviews. Interviews are 15 minutes long, alternating with 15 minute breaks. I had three interviews, one with the Chair, and an attending from Elmhurst, and a Mt. Sinai attending. The chair asks if you intend to be a leader in ten years and if so doing what. This caught me somewhat by surprise. If you do not have an interview with Dr. Jagoda, he STRONGLY recommends that you meet with him for at least 5 minutes. Of course you can't refuse....so expect to stay until at least 4:30. Long day! +++ International EM experience. Dr. Jagoda has strong international relations in Italy, Chile, and Argentina often giving lectures and spending considerable time in those countries. He also encourages an "exchange program" where foreign docs work in the ED. Currently there is an Italian doc working at Mt. Sinai. +++ Elmhurst Hospital. This is a very unique place and all the residents speak very highly about it. There seems to be some kind of energy about this place, because all of the residents seem to light up and speak of their time at Elmhurst very enthusiastically. Very high volume (+140,000), incredibly diverse (Spanish is one of the many spoken on a daily basis), young mostly immigrant population, knife and gun club, tons of trauma, level 1 trauma center, residents run trauma...and there is a ton of it to go around. City Hospital atmosphere...so expect to draw blood, start IV's, less financial resources for esthetics. ++ Financial resources. The ED is very profitable because they have contracts and service about 8 local ED's including Jersey City. For example, one of the residents is trying to organize an international elective in Argentina as long as the program can pay travel and living expenses for his wife and child as well. Dr. Jagoda is reaching into the department's pockets to pay for his family as well. Not bad! + Dr. Jagoda, Jacobi trained...seems very approachable and friendly at least from what I could gauge during the interview. + Mt. Sinai....the primarily tertiary care center. Heart transplants...your share of zebras here. The hospital is in an interesting location, at the border of the richest and poorest regions of NYC (the upper east side and Harlem). But I believe most Harlem residents go to North General or Metropolitan. This is where you will get your "private doc" experience. + Mt. Sinai housing assistance. Mt. Sinai attempts to secure housing at a discounted rate in an exuberantly expensive market. +/- 2,3,4 program....as for this year, this is still up in limbo....they have applied for approval to convert to a 1-4 program and will notify applicants asap. If so, most of the intern year will be spent in Elmhurst doing off service rotations. - All shifts are 12 hours, EM-1's do 18, EM-2's do 17, and EM-3's do 16. Very common for most programs, but you're expected to work hard throughout the residency with a very small decrease in workload. - Expect to rotate at Jersey City Medical Center during the EM-2 year. Residents seemed to favor it, and you get less shifts during that month along with a little extra traveling money. But did you expect to do EM in New Jersey, you also have to connect to a different subway system. -- Check out scutwork.com for the match statistics. Mt. Sinai did not match for the past two years. This was a concern for me and I raised it during the talk with residents. According to them, they conducted a survey asking applicants for their opinion. Only 32 responded and most mentioned the 2,3,4 format as the major negative factor. It's probably because NY is saturated with 1-4, & 2,3,4 programs and it has to stand up to a lot of competition. --- Two programs in two different boroughs of NYC. For those of you not in NYC, the commute between the upper east side and Queens is not easy. It is probably best to live in Queens and commute to Mt. Sinai, since ~60% of your time is spent in Elmhurst including ICU months. If you have a car, the toll across the bridge is $4.00 each WAY! $8.00 a day takes a significant chunk of our little resident salary. Rent is cheaper in Queens as well, but if you're coming to NY...where do you want to live???? NYC of course. Overall....another NYC 2,3,4 program to consider....Elmhurst experience sounds fantastic...great support from the department, can you live with the commute though?