EM Categorical
Application
EM Rotation Schedule
Salary/Benefits
EM Didactics
EM Alumni
Residency Leadership
Mini-Fellowships
Contact Information

The categorical emergency medicine residency at Kings County Hospital / SUNY Downstate is a four-year academic program accepting 17 residents per year. In addition, we also have an EM/IM residency that accepts four EM-IM residents each year. With a total of 88 residents, we are one of the largest residencies in the country.

The most basic goal of residency education is to instruct physicians-in training in the core competencies as described by the ACGME guidelines in order to prepare our residents to competently practice emergency medicine. This is accomplished through quality ED and off-service rotations, as well as unique experiences offered through our emergency ultrasound, high-fidelity simulation, and international divisions. A carefully planned didactic curriculum augments resident education and prepares residents for careers in academic medicine. It is the vision of this program to train the future leaders of our specialty. We are fully engaged in ensuring that every graduate has the opportunity to reach their full potential.

Our clinical training sites offer experience in both academic and private settings. Resident exposure to a vast spectrum of pathology ensures that residents are exceptionally well-trained in both the clinical and the procedural aspects of emergency medicine.

Residents are provided with the tools they require to succeed in a fulfilling and sustainable career in emergency medicine. The EM training program at Kings County Hospital / SUNY Downstate offers our residents exposure to the full breadth of opportunities available in our specialty. Regular meetings between residents, faculty mentors, program directors and the program coordinators ensures that the residency program is able to respond to residents' needs in real time. This ensures limitless career opportunities for our graduates at the end of their training.

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Program Design

The principle of graduated responsibility guides the program design. Residents assume greater responsibility with each year of training, fostering growth and maturity during their training.

First year residents in the emergency department are encouraged to immerse themselves in their cases and learn as much as possible from their patient encounters. The learning curve is steepest during this year as residents form the foundation for their clinical acumen.

As residents move into their second year, they begin increasing their efficiency while continuing to master the basics of emergency medicine. After completing the multiple critical care rotations, residents begin to learn how to manage undifferentiated critically ill patients in the emergency department. Residents at this level can move into one of our Mini-fellowship programs , a special program allowing them to receive specialized mentoring in a sub-specialty of emergency medicine.

Third year residents begin to assert ownership over the clinical arena. They are accountable for large divisions of the department and must manage multiple patients simultaneously as well as precept and oversee junior residents.

Fourth year residents are fully capable physicians who supervise the flow of the entire emergency department. They run the critical care areas and supervise junior residents and medical students. Moreover, they participate in the administration of the department and learn to manage extra-clinical responsibilities. Residents can also utilize this year to cement their distinct niche in emergency medicine that they developed over the past 3 years in the Mini-fellowship programs.

Application
Application to the Categorical EM Residency program is done via the ERAs application service.
The program number for the Categorical EM program is: 7053544018

We expect three (3) letters of recommendation for a complete application. Letter writers from EM academic institutions are encouraged to use the SLOR letter available from CORD. We recommend that two (2) of the letters of recommendation come from EM physicians.

We also require:
USMLE Step 1 or
COMLEX step 1 and step 2
(USMLE Step 2 is encouraged but not required)

A current CV and Dean's letter (MSPE) are also required. A photograph and USMLE step 2 score is encouraged but not required.

You will need to submit all materials via ERAs. Emailed and faxed applications will be set on fire.

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EM Rotation Schedule
Block Rotations by Level. Each Block is 4 Weeks.
|
PGY-1 |
NUMBER OF BLOCKS |
Orientation
KCH AED
UHB ED
Pediatric ED
MICU
Gyn Ultrasound
Labor and Delivery
Trauma/Resus
Medicine Ward
Vacation
|
1
3
3.5
1
1
0.5
0.5
0.5
1
1
|
|
PGY-2 |
NUMBER OF BLOCKS |
KCH AED
UHB ED
Pediatric ED
Neonatal ICU
Surgical ICU
CCU
Stroke
ENT
Research/Airway
Ortho/FastTrack
Vacation
|
3.5
2
1
1
1
1
0.5
0.5
0.5
1
1
|
|
PGY-3 |
NUMBER OF BLOCKS |
|
KCH ED (adult+peds)
UHB ED (adult+peds)
Ultrasound
Research
EMS
Toxicology
Vacation
|
6.5
3
0.5
0.5
0.5
1
1
|
|
PGY-4 |
NUMBER OF BLOCKS |
|
KCH ED (adult+peds)
UHB ED (adult+peds)
Ultrasound
Elective
Administration
Vacation
|
6.5
2
0.5
2
1
1
|
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Salary and Benefits
Resident salaries are shared between SUNY Downstate and Kings County Hospital. Salaries may vary slightly by institution.

Vacation: One Month Vacation annually (taken in 2 week blocks)
Insurance Benefits
- Professional Liability Insurance
- Dental Benefit
- Health Insurance plus Major Medical (choice of several available plans)
- Optical Benefit
- Outpatient Psychiatric Benefit
- Disability Insurance
- Term Life Insurance
- Childbirth Education Benefit
- Supplemental Obstetrical Benefits
- Social Work Assistance Benefit
- Maternity/Disability Leave
- Legal Services Benefit
- Social Work Assistance Benefit
- Smoking Cessation Benefit
- Prescription Drug Benefit
Additional Services
- A textbook stipend is provided to all interns
- Residents are given a membership to the Emergency Medicine Residents Association (EMRA) and the American College of Emergency Medicine (ACEP).
- Conference attendance expense reimbursement benefit for senior residents
- Additional conference reimbursements when presenting at regional/national meetings/conferences
- BLS/PALS/ACLS/ATLS courses and material provided
- Student and Employee Health Service
- Scrubs
- On-campus banking facility
- Off-campus housing locating assistance
- On-campus Student Center athletic facilities (including gym, pool, sauna, weight room) and theater ticket service available at a modest annual fee
- Full access on site and online (from home) to the SUNY Downstate Medical Library.
- Subscription to the Annals of Emergency Medicine Journal
See the CIR benefits page.


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Mini-Fellowships
Our mini-fellowship program allows residents to specialize, if they choose, in a sub-field within EM. This might include:

Medical Education
Wilderness Medicine
Medical Informatics
Disaster Medicine
Bioethics
Geriatric EM
Pediatric EM
Medical Simulation
Sports Medicine
Research
Clinical Administration
Emergency Ultrasonography
International Emergency Medicine

others will be developed upon request

The purpose of the mini-fellowship program is to allow a focus for the residents earlier in their residency, and provide a structure for formal mentoring relationships. Participation in the mini-fellowship program is completely optional and open to all residents. Residents usually select a track at the beginning of the second year. This program should give the resident a “niche” in Emergency Medicine and a portfolio of projects, skills, and deliverables that they can offer to their future employers.


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