Emergency Medicine Residency Program

A message from the Program Director

Thank you for taking the time to find out about us and the Nuvance Health Emergency Medicine Residency Program. In addition to the didactic and experiential curriculum, as well as the institutional and human resources of our program, we believe it is critical that you know what values and ideals, philosophy of life and medicine, inform the program’s culture where you will spend three of the most important years of your life creating the foundations for the rest of your medical career. In other words, for each program you read about and potentially visit, do you know the program’s answer to two fundamental questions: Who are we, and what do we stand for? Our answer is the following:

We are committed to building an emergency department that provides a safe haven for patients, where training the next generation takes place in an environment of scholarly inquiry and where patient-centered emergency medical care is delivered with respect, timeliness, operational efficiency and compassion. We are committed to driving principles of honoring the human spirit, celebrating diversity and combining the latest of science and technology with an ever-present awareness of the value of human touch as a power for healing.

Our residency in emergency medicine has been established to enhance the quality of emergency medical care for our community, contribute to the well-being of our patients, residents, staff and physicians, and create a legacy to ensure the continuation of exceptional emergency medical care in the Hudson Valley and beyond for generations to come. Our goal is to deliver the finest possible training in the art and science of emergency medicine. We are committed to providing our graduates with the diagnostic, procedural, interpersonal and leadership skills to effectively coordinate an ED team and safely manage multiple unscheduled, undifferentiated, acutely ill or injured, clinically complex, non-established patients cost-effectively and compassionately.

The Nuvance Health Emergency Medicine Residency Program trains residents to go beyond the didactic and experiential 36-month curriculum that comprises traditional emergency medicine residency training. We teach foundational principles of critical thinking and model timeless values and ideals upon which graduates can draw to inform their medical practice for their entire career in emergency medicine, as well as rely on throughout their lives.

Our program is designed and organized to support your personal and professional growth, maintain and enhance your well-being and take you on an adventure of discovery. Through structured didactic, an experiential innovative curriculum with faculty and teaching attending supervision, mentoring, engagement and role modeling, our graduates are ready and empowered to take on and provide leadership in their emergency departments, institutions and communities and fulfill their commitment to clinical and personal excellence.

Sincerely,

Marc A. Borenstein, MD, FACEP, FACP
Program Director, Nuvance Health Emergency Residency Program

Program Structure

The Nuvance Health Emergency Medicine Residency Program is a three-year residency program centered at Vassar Brothers Medical Center (VBMC) overlooking the Hudson River, 75 miles north of New York City. VBMC is a large tertiary-care hospital with an ACS-accredited Level II Trauma Center, Primary Stroke Center and STEMI Center. We are a high-acuity, high-volume emergency department (ED) servicing a very large population. Our ED currently treats 77,000 visitors annually (85% adult and 15% pediatric). To accommodate this ever-growing population, we are relocating to a brand-new hospital equipped with 65 individual care rooms, three trauma bays and a helipad.

Although the majority of residency rotations occur at VBMC, the program is structured to ensure residents are exposed to a wide range of pathology and acuity in various settings. For example, residents gain community hospital experience during their rotations at Northern Dutchess Hospital (NDH) located in the historic, charming town of Rhinebeck, NY. In addition, residents spend two months of immersive pediatric care in the Pediatric Intensive Care Unit (PICU) and the Pediatric ED at the renowned Maria Fareri Children’s Hospital in Westchester, NY.

Residents also have the opportunity to select elective experiences to tailor their residency program to meet their educational goals and objectives. Two months of electives are offered in PGY3 if residents meet program and procedural requirements. Various elective options are available for residents; electives should be discussed and agreed upon with the program director. Elective rotations may be in any emergency medicine subspecialty, research month or other acceptable rotational experience. Some examples of electives are:

  • Ultrasound
  • Toxicology
  • Addiction
  • Emergency medical services
  • Sports medicine
  • Research

An example of one resident’s training in this program is shown below. This is just an example and may be adjusted by the program director to ensure adequate experience and ACGME compliance. The Emergency Medicine Residency Program schedule runs on a four-week block rotation.

 

Academic and Research Offerings

Orientation – As a new resident, you participate in an intern boot camp and orientation during your first month here. This orientation will help you adjust to residency life and provide you with an overview of programs, topics and required information. Non-patient care and non-medical knowledge curriculum topics are covered as well, including interpersonal communication skills, professionalism, systems-based practice and practice-based learning and improvements.

Team Health Academic Consortium Zenith Channel – As a resident of the Nuvance Health Emergency Medicine Residency Program, you have access to TeamHealth’s educational resources. Included on the Zenith Channel are various scholarly activity and educational resources, such as videos, documents, electronic textbooks, webinars, presentations and additional information that can be viewed and downloaded.

ABEM In-Training Exam – Residents’ medical knowledge and clinical reasoning will be benchmarked for measuring longitudinal growth through the results of the annual American Board of Emergency Medicine (ABEM) In-Training Exam. All emergency medicine residents complete the exam at the end of February every year. Results are reviewed with the program director to inform discussions and individualization of curriculum and clinical training (e.g., reading material, board prep, and electives).

Academic Didactic Schedule

The academic didactic program is a critical element of the Nuvance Health Emergency Medicine Residency Program. Residents are allotted protected time to attend all required didactic and educational sessions.

Mandatory Conferences are held on every Wednesday morning. All lectures are designed to provide residents with a broad range of knowledge on the ACGME competencies and prepare them to provide exceptional patient care.

The following lectures will occur:

Teaching Days – Weekly half-day lectures on a rotating 18-month curriculum (utilizing Foundations of Emergency Medicine topics and lectures)

Interdisciplinary Conferences – Monthly, in conjunction with the Critical Care and Internal Medicine departments

Journal Club – Monthly, presented by a PGY-1 or PGY-2 resident

Grand Rounds – Quarterly, presented by a core faculty member

Quality and Process Improvement (Q&PI) – Monthly, presented by a PGY-2 or PGY-3 resident

Save of the Month – Monthly, presented by a PGY-3 resident

Board Preparation – Monthly, presented by core faculty

Research Opportunities

All residents in the Nuvance Health Emergency Medicine Residency Program are required to participate in scholarly activity/research and quality improvement (QI). Additional research and QI participation by residents, above the minimum requirements, is highly encouraged. Residents are paired with a faculty mentor for all scholarly activity and quality improvement projects. This mentor assists residents in background research, feasibility, institutional review board (IRB) approval, study design, implementation and analysis.

The goal of the Emergency Medicine scholarly activity curriculum is to advance each resident’s knowledge of the basic principles of research, including how it is conducted, evaluated, explained to patients and applied to patient care. Residents are provided with a variety of resources to facilitate involvement in scholarly activity projects throughout their training.

The Nuvance Health Emergency Medicine Program requires residents to meet the following scholarly activity requirements before graduation.

  • One Quality Improvement Project
  • One Scholarly Activity Project – Many options are available, including:
    • Author/co-author of a manuscript that receives a PubMed citation
    • Author/co-author of a manuscript of publishable quality, such as a review article, textbook or online chapter, case report
    • Discussant at the national Clinical Practice & Cases competition
    • Poster or abstract presentation at local, regional or national conference
    • Significant participation (as verified by the primary investigator) in a clinical research project.

Each year, the Nuvance Health Graduate Medical Education Department sponsors a Resident Research Day where residents present posters and oral presentations of ongoing or completed research topics.

How to Apply

The Nuvance Health Emergency Medicine Residency Program thanks you for your interest in applying to our program. We accept all applications through the ERAS only and participate annually in the NRMP Match Program. We hope you choose to join us.

Requirements

The following items are required for interview consideration:

  • Personal statement
  • Current CV
  • Three (3) letters of recommendation and SLOE (standardized letters of evaluation) highly recommended
  • ERAS summary page
  • MSPE (Dean’s) letter
  • USMLE Step 1 CK Score
  • USMLE Step 2 CS Score
  • USMLE Step 2 CK Score

Important Dates

We interview candidates on select dates in November, December and January. These dates are provided to invited residency applicants via Thalamus invitation. Other important dates include:

  • October 21 at noon ET: NRMP Registration opens and MSPE (Dean’s) letters released through NRMP
  • November 30: Standard registration deadline for applicants
  • February 21: Rank order list deadline
  • March 15: Match week
  • March 18: Notification of match
  • March 19: MATCH DAY CELEBRATION

Frequently Asked Questions

Thank you for your interest in the Nuvance Health Emergency Medicine Residency Program! If you need more information, please contact us. Jdembos1@health-quest.org

Where will I train?
The majority of training takes place at Vassar Brothers Medical Center in Poughkeepsie, NY, with some rotations occurring at Northern Dutchess Hospital in Rhinebeck, NY. Residents will also spend two months at Maria Fareri Children’s Hospital in Westchester, NY, for their pediatric intensive care unit and pediatric emergency room experiences.

How many residency positions are there?
We accept 10 residents each year for a total of 30 residents within the program. We want our community to be tight-knit and each resident to feel they are an important part of the program while providing an excellent educational experience. We will only be accepting PGY1 positions.

When are the interviews?
Interviews will take place on select dates in November, December and January. If you are selected for an interview, you will be notified via Thalamus.