The current rotation calendar for the Nurse Practitioner Residency in Emergency Medicine is described below. Rotation duration and sites may change from year to year, depending on site availability and evaluative feedback from the NP residents. The calendar encompasses approximately 3,000 clinical hours over 15 months, starting each November and ending in January of subsequent years.
|Emergency medicine (includes telehealth elective)||28 weeks (2-4 week blocks)|
|Internal Medicine||4 weeks|
|General surgery||4 weeks|
|Pediatric emergency medicine||4 weeks|
|Medical ICU||4 weeks|
The majority of learning throughout the residency program should be based on the clinical presentation of actual patients - at the bedside during the history and physical exam; during discussions of the differential diagnosis and treatment plan with physicians and senior advanced practice providers; and in self-directed reading the nurse practitioner undertakes post-shift to learn more about the clinical presentation and underlying disease process. Supplementing this clinical experience will be a comprehensive, evidence-based didactic curriculum integrated into each clinical rotation.
The residency begins with a week-long, classroom-based orientation, during which the NP resident becomes familiar with the Emergency Department’s electronic medical record, operating procedures, and workflow. Lectures and hands-on sessions cover fundamental emergency medicine topics such as splinting and suturing; EKG interpretation; and approach to the medical and surgical conditions commonly seen in the ED. The opportunity to register for Advanced Trauma Life Support (ATLS) is also offered at this time. Soon after orientation week, there is a two-day national CME conference for advanced practice providers sponsored by the Department of Emergency Medicine. The conference theme varies from year to year; and may be viewed through the conference website, www.emclinicalupdates.com.
During clinical rotations in the ED, the NP resident attends a weekly conference series in emergency medicine, for which CME credit is available. Speakers include faculty from the medical colleges of both Cornell and Columbia University; and senior physician residents from the four-year Emergency Medicine Residency Program. Distinguished faculty from other medical centers are regularly invited to give a Grand Rounds lecture on topics of particular interest or relevance to emergency medicine. During rotations away from the ED, the NP resident may also attend conferences sponsored by the host department.
Also in the ED, an hour-long morning report session is held four times per week. Led by senior physician residents and an attending physician, the morning report discusses recent patient presentations, both rare and common, in a small seminar format.
Both physician and advanced practice provider residents attend a comprehensive annual emergency medicine board review series during the fall and winter months. Faculty cover topics from the core fund of emergency medicine knowledge, with the dual aim of increasing clinical competence; as well as helping residents prepare for formal testing and certification in emergency medicine.
In addition to the didactic curriculum, NP residents also meet regularly with the Chief ED Nurse Practitioner, in consultation with the Medical Director of the ED Nurse Practitioner Program, to evaluate individual progress and performance. The Medical Director also convenes periodic meetings with all ED NPs, both senior and resident practitioners, to discuss academic topics and administrative issues of particular interest to the group.