Educational Experiences
Simulation
The simulation experience has increased substantially at Mount Sinai West and Mount Sinai Morningside since the beginning of our simulation fellowship in 2011. Under the supervision of the Director of Simulation, Heidi Baer, MD, Associate Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai, as well as faculty and fellows, our residents have routine exposure to and training in the simulation lab. There are two simulation labs at Mount Sinai West and one at Mount Sinai Morningside.
Our Simulation division provides a longitudinal curriculum over the course of the academic year for residents. Simulation sessions occur both during conference and dedicated times during off-service rotations.
Pre-Hospital Care
The Emergency Medical Services (EMS) and Disaster Preparedness Division of Mount Sinai Morningside and Mount Sinai West have become the foundation of the EMS Service of the Mount Sinai Health System. With 12 ambulances working in the 911 system of New York City, we will respond to more than 70,000 calls this year. Our mission is to provide the highest quality pre-hospital care and promote the integration of emergency services through the spectrum of care. As a partner with the New York City Fire Department (FDNY), we strive to provide the highest level of patient care and customer service.
The Division works with the Residency leadership to provide a robust EMS and Disaster Preparedness experience throughout residency with an ambulance ride-along experience, EMS education and research opportunities, large event medicine (for example, the NYC Marathon Finish Line Tent) and disaster preparedness training.
Mount Sinai Morningside and Mount Sinai West Hospital Center Ambulance Service acquired its first horse-drawn ambulance in 1877, one of the first on the streets of New York City. At Mount Sinai Morningside and Mount Sinai West, the ambulance team has been an integral part of our operations since the era when the emergency department was run by a nurse and the doctor was on call—well over 150 years ago.
Our ambulance service has always led the way, innovating emergency medical services in New York City. It was the first EMS service in New York City to employ women, and among the first to support full paramedic care. Ours was the first ambulance service to use thrombolytics in the field ("Out-of-Hospital Paramedic Administered Streptokinase for Acute Myocardial Infarction", Lancet, page 1187, 1988). Its area of service extends from Harlem, through Morningside Heights, Central Park, and the Upper West Side, into the center of Midtown Manhattan and the theater district.
In the recent past, EMS providers from Mount Sinai West and Mount Sinai Morningside have provided care during times of crisis and disaster, including the collapse of the World Trade Center on September 11, 2001, the landing of US Airways Flight 1549 on the Hudson River, and numerous critical emergencies in New York City.
As a resident, during your Emergency Department clinical rotations, you will have the opportunity to learn from and ride along with the paramedics and EMTs at both Mount Sinai Morningside and Mount Sinai West.
For more information, please contact Michael Redlener, MD, Medical Director for EMS and Disaster Preparedness.
Toxicology
Medical toxicology is a subspecialty of Emergency Medicine. It is concerned with treating patients who have been exposed to poisons including medications, adverse drug reactions, environmental toxins, industrial chemicals, or bioterrorism agents. Medical Toxicologists are certified by the American Board of Medical Specialties.
Director
Theodore C. Bania, MD, MS, is fellowship trained at the NYU-Bellevue/NYC Poison Control Center and is certified by the American Board of Medical Toxicology.
Research
The toxicology division has an active basic science research program. Research areas include antidotes, intravenous fat emulsions, carnitine, chemical warfare agents, and cardiovascular toxin. The division's research has been presented at many national and international meetings.
Medical Student Research Elective
Medical students are welcome to participate in the toxicology research projects. The commitment is for one, but preferably two months. Depending on the level of participation, students have been included in abstracts, presentations, and publications. Availability is limited.
Toxicology Consult Service
The Toxicology division serves as toxicology consult service. This is available to all inpatient services at Mount Sinai Morningside 24 hours a day, 7 days a week.
Toxicology Rotation
Our EM residents participate in a toxicology rotation at the NYC Poison Control Center. During this rotation, residents also participate in the Toxicology Consult Service and will evaluate toxicology patients admitted to the hospital or seen in the ED.
Develop Your Emergency Medicine Niche
Our program prides itself on training future leaders in emergency medicine. Throughout their training, residents take part not only in hospital committees, but serve as members and chairs of multiple national committees as part of ACEP, EMRA, SAEM and CORD. Residents graduate from our program into successful fellowships, academic jobs, and leadership roles in clinical community practice.
The three chief residents of the program are responsible for scheduling, teaching the Adam's core content portion of our conference, attending weekly educational meetings with the residency leadership, and assisting with other administrative duties. For the remaining senior residents, we have developed Resident Director roles providing valuable content knowledge and practical leadership experience within each niche. These experiences have been instrumental in successful fellowship and job placement throughout the country as a result of close faculty mentorship, managerial skills, and an additional body of knowledge focused in a particular discipline.
Examples of Resident Directors in the past several years include:
- Resident Director of Ultrasound
- Resident Director of Medical Student Education
- Resident Director of Simulation
- Resident Director of Prehospital Care
- Resident Director of Global Health
- Resident Director of Administration/Quality Improvement
- Resident Director of Recruitment
- Resident Director of Wellness
- Resident Director of Critical Care Education