Emergency Medicine Sub-Intern Clerkship
Welcome to NewYork-Presbyterian Queens for your emergency medicine rotation. Emergency medicine is an active, growing field with tremendous opportunities. The attending physicians and resident staff at NewYork-Presbyterian Queens are excited to provide you with a solid framework to learn and experience emergency medicine in a high-volume, high-acuity, academically vibrant environment.
You will interview patients, perform physical exams, establish a differential diagnosis and initiate treatment plans under the guidance of a resident and an emergency attending physician. You will work one-on-one with an emergency attending physician-led team on every shift, in one of the areas of the Emergency Department, including pediatrics and urgent care.
You will have the opportunity to conduct procedures appropriate for your level of training. These include phlebotomy, vascular access, nasogastric tube placement, percutaneous endoscopic gastrostomy tube replacement, foley catheter placement, laceration repair, wound care, and splinting of fractures or sprains. All procedures will be conducted under the direct supervision and guidance of a resident or attending physician. If you do not have experience in conducting these procedures, one of our talented residents or attending physicians will be more than happy to teach you.
You are also strongly encouraged to participate in medical and trauma resuscitations to the best of your ability under the guidance of an attending physician.
Ten to twelve shifts will be scheduled in a 4-week block.
You will be expected to do at least one ED South (urgent care) shift, one pediatric ED shift, two critical care/resuscitation shifts in the Trauma Room, and the remainder of your shifts will be adult emergency department shifts.
Night and weekend shifts will be included in your schedule to give you the full experience of Emergency Medicine.
You will be asked to provide scheduling requests prior to your rotation, and we do our very best to accommodate special circumstances and requests.
On Mondays, if you are scheduled on a clinical shift, you will be working with The Education Team from 11 a.m. to 1 p.m. The Education Team travels throughout the various sections of the ED and learns from active educational cases referred by clinically working ED providers. Educational cases might include a rare physical exam finding, a rare clinical diagnosis, an educational EKG, or an educational radiology image/ultrasound. Physical exam and ultrasound education will typically occur at the patient's bedside. EKG interpretation, radiology interpretation, and other EM education will typically occur at computer stations in the ED.
On Wednesdays, from 9 a.m. to 2 p.m., there is a mandatory conference weekly for the residents and medical students.
On Thursdays, students will participate in additional high-yield, interactive didactic sessions specifically created for their level of education. This weekly Thursday conference is run by the residents, fellows, and clerkship director, and is made specifically for our students to allow for optimal learning opportunities. Examples of didactics include EKG sessions, jeopardy, suture, splinting and airway workshops. One of these sessions will include a simulation case with a sim faculty member.
Students will be provided with a reading curriculum at the beginning of their rotation. Suggested texts include Tintinalli’s, Roberts & Hedges, and various journal articles to support evidence-based practice of emergency medicine.
On the last Friday of your rotation, you will present an interesting case in the form of a 10-minute case report. Students present a brief HPI, past medical history, pertinent surgical, family and social history, and a physical exam. Students then formulate a differential diagnosis, determine which diagnostic tests are to be performed, and then discuss the results, final diagnosis, and the disposition of the patient. This is the most common style of presentation but you are not restricted to this format. Alternatively, you may review an interesting procedure or recent literature. Feel free to be creative. Audio-visual aids are not required but are frequently utilized.
How to apply
NewYork-Presbyterian Queens uses the AAMC's Visiting Student Learning Opportunities (VSLO). We receive and review applications on a rolling basis. We recommend applying as early as possible, especially for rotations during the summer and early fall.
"To find our rotation on VSLO:
- Go to the VSLO Search for Electives form
- Select Weill Cornell Medicine from the Institution Menu
- Select NewYork Presbyterian-Queens from the Site Menu
- Click Search
Our fourth year EM elective is designated EMER.8304.NYQ (Sub-internship in Emergency Medicine at NewYork-Presbyterian Queens).
We offer four emergency medicine electives
EMER.8304.NYQ — Sub-internship in Emergency Medicine at New York-Presbyterian Queens
EMER.8006.NYQ — Emergency Medicine and Critical Care Simulation at New York-Presbyterian Queens
EMER.8002.NYQ — Emergency Medicine Ultrasound at New York-Presbyterian Queens
EMER.8009.NYQ — VIRTUAL Emergency Med and Critical Care Simulation