Emergency Medicine

The Yale-New Haven Medical Center Emergency Medicine Residency Program was established in 1996. It is a four year training program, accepting 13 residents per year. Our mission is to provide comprehensive, state-of-the-art training to prepare clinically superior, academically-oriented leaders in emergency medicine. This mission is accomplished through training at two sites. Yale-New Haven Medical Center is an academic, tertiary care, level 1 trauma facility. Bridgeport Hospital is an academically oriented, community teaching hospital and level 2 trauma center. The Yale emergency medicine faculty is comprised of nationally recognized experts in disaster medicine, emergency medical services, wilderness medicine, toxicology, critical care medicine, substance abuse, and ultrasound. As a result, these particular areas are emphasized during training.

Residents will spend 34 months training in two busy urban trauma centers, whose emergency departments see more than 180,000 patients annually. Additional training time is spent on ultrasound imaging, in critical care units, on subspecialty rotations, with EMS services, and toxicology services with the New York City Poison Control Center. Residents may spend 4 – 5 months pursuing personal interests through electives or research. Popular electives include global health, critical care, disaster medicine, sports medicine, pediatric anesthesia, emergency radiology, simulation medicine, wilderness medicine, and public policy.

Yale University has partnered with Johnson and Johnson to create the Johnson and Johnson Physician Scholars in International Health program, which sends physicians-in-training on 4 – 8 week rotations to venues overseas. The Yale emergency medicine program typically sends 5 – 6 residents per year on international rotations. These rotations are designed to provide clinical experience, service and teaching, often in resource-poor settings. To date, Yale EM residents have worked in Armenia, Cameroon, Columbia, Eritrea, Fiji, Ghana, the Republic of Georgia, Honduras, Liberia, Mexico, Nepal, New Zealand, Rwanda, Switzerland, the UAE, Uganda, and Zambia. The Yale emergency medicine program’s commitment to training future leaders in global health is readily demonstrated by placing 13 graduates into international EM fellowships in the past ten years, with 3 currently serving as fellowship directors.

Most recently, the research section of the Yale University Department of Emergency Medicine has established the Yale Emergency Scholars (YES) program. This is a 5 year track that merges our emergency medicine residency program with a rigorous, SAEM certified research fellowship. Successful graduates will receive a Masters in Health Sciences degree from Yale University, and be able to compete for extramural training and research grants.

For those of you interested in learning more about the Yale-New Haven Medical Center Emergency Medicine Residency Program, please visit our website.

PGY 1

The first block of the PGY – 1 year begins with an intense, structured orientation consisting of seminars, workshops, lectures, and simulations, as well as some clinical experiences in both emergency departments. The balance of the year provides fundamental experiences in emergency care, intensive care, some subspecialty care, and ultrasound skills.

Rotation Weeks
EM Orientation 4
Yale Emergency Medicine 14
Bridgeport Emergency Medicine 9
Pediatric Emergency Medicine 4
Bridgeport Urgent Care 2
CCU 2
MICU 4
Orthopedics 2
Ultrasound 2
Anesthesia 2
Vacation 3

PGY 2

Emphasis during the PGY-2 year is placed on critical care, trauma care, and pediatric emergency care. Residents assume a supervisory role in the CCU, as well as during trauma resuscitations in the emergency department. Toxicology training is provided at the New York City Poison Control Center. Imbedded within the Yale emergency medicine experience are in-depth emergency medical services opportunities, including an optional flight medicine rotation.

Rotation Weeks
Yale Emergency Medicine 18
Bridgeport Emergency Medicine 8
Pediatric Emergency Medicine 8
EMS/Vlight Medicine (Integrated in Yale ED)
CCU
2
SICU 4
Toxicology (NYC Poison Control) 4
Trauma/General Surgery 4
Vacation 4

PGY 3

PGY-3 residents begin to assume the role of supervisor and teacher, both in the emergency department and the critical care units, while continuing their education in critical care, trauma, and general emergency medicine. Eight weeks of elective and/or research time is allotted so that residents may pursue areas of interest.

Rotation Weeks
Yale Emergency Medicine 28
Bridgeport Emergency Medicine 8
MICU 4
Emergency Psychiatry 2
Opthalmology 2
Electives/Research 8
Vacation 4

PGY 4

The PGY-4 year is spent honing the role of emergency department supervisor and educator. Residents oversee the care of all patients in their section of the department, receiving case presentations from junior residents, and supervising all interventions, procedures, and dispositions. Concurrently, the resident is expected to provide bedside education to junior residents and students. During the administrative block, residents are expected to lead morning conferences, and play a significant educational role in the simulation lab. Eight to twelve weeks of elective and/or research time is provided to allow residents to pursue areas of interest.

Rotation Weeks
Yale Emergency Medicine 24
Bridgeport Emergency Medicine 8
Administration 4
Electives/Research 8-12
Vacation 4

Our graduates have been very successful at obtaining highly sought after fellowships in the sub specialties of emergency medicine. Fellowships obtained in past five years include:

  • Emergency Medical Services – Yale University
  • Global Health – Stanford University
  • Global Health – Brigham and Women’s Hospital, Harvard University
  • Toxicology – Rocky Mountain Poison Control Center, University of Colorado
  • Emergency Ultrasound – University of Pennsylvania
  • Pediatric Emergency Medicine – University of North Carolina
  • Emergency Ultrasound – Yale University
  • International Emergency Medicine – Brigham and Women’s Hospital, Harvard University
  • Emergency Medical Services/Disaster Medicine – University of California, San Diego
  • Global Health – Emory University
  • Health Administration – George Washington University
  • Emergency Medical Services – Denver Health, University of Colorado
  • Emergency Ultrasound – Drexel University
  • Toxicology – New York City Poison Control Center, New York University

Graduates now serve as faculty in departments of emergency medicine at the following university programs.

  • Harvard University – Beth Israel Deaconess Hospital
  • Harvard University – Brigham and Women’s Hospital
  • Yale University
  • University of Tennessee
  • Medical College of Wisconsin
  • Brown University
  • University of Pittsburgh
  • Albany Medical College
  • Baylor University

The Yale Emergency Medicine residency program offers five hours of didactic conference every Wednesday morning. The curriculum from the American Board of Emergency Medicine Model of EM is covered in two years, ensuring that residents are exposed to core topics at least twice during their residency. Though traditional lectures are scattered throughout the conference schedule, the vast majority of didactic sessions occur primarily in small group formats, targeted at each PGY year. Highlights of the conference schedule include:

  • Simulation labs
  • Grand rounds with prominent visiting professors
  • Core content lectures
  • Toxicology lecture series
  • Critical care lecture series
  • Morbidity and mortality conference
  • Trauma conference
  • Journal club
  • Procedure labs (ex. difficult airways, casting, thoracostomy)
  • Interactive ultrasound review
  • Pediatric EM lecture series
  • Mock oral board exams
  • Morning report
  • ACLS, ATLS, and PALS certification
  • Yale EM Global Health Day