The Department of Emergency Medicine at New York Presbyterian Hospital - Weill Cornell Medical Center (NYPH-WCMC) launched its post-graduate residency program for nurse practitioners in 2015. The Nurse Practitioner Residency in Emergency Medicine offers an extraordinary opportunity for nurse practitioners to acquire additional proficiency in the care of patients with acute, emergent, or critical illness.
NYPH-WCMC is an internationally-recognized, tertiary-care teaching hospital and medical center, providing advanced clinical care and research in all the major medical and surgical specialties. It is a designated Level I Trauma Center; as well as a receiving center for stroke, burn, and cardiac patients. Its Emergency Department (ED) sees over 90,000 patients annually and also sponsors established residencies in emergency medicine for physicians as well as physician assistants.
The Nurse Practitioner Residency in Emergency Medicine encompasses approximately 3,000 clinical hours of patient contact over 15 months, starting each year in November. Clinical rotations take place in both the adult and pediatric sections of the ED; as well as in medical and surgical specialties. A listing of the current rotations is attached. The rotation schedule is designed to provide the nurse practitioner a solid foundation in the clinical skills, knowledge, and procedures relevant to emergency medicine.
During rotations in the ED, the NP resident evaluates and treats patients under the direct supervision of attending physicians as well as veteran nurse practitioners. This close relationship provides an outstanding forum for the NP resident to learn from the impressive diversity and complexity of medical conditions presenting to the ED. NP residents work alongside physician residents and physician assistant residents in the Emergency Department in a collegiate environment. During rotations away from the ED, NP residents work under the supervision of both physicians and advanced practice providers.
The faculty in Emergency Medicine at Weill Cornell Medical Center are renowned for their accomplishments in teaching, research, and publication. Areas in which faculty currently have special interest and expertise include global emergency medicine, toxicology, geriatric emergency medicine, wilderness and environmental medicine, emergency department administration, clinical and basic science research, and medical education and simulation. The nurse practitioner is invited to explore such areas through elective time or personal interest.
The current rotation calendar for the Nurse Practitioner Residency in Emergency Medicine is described below. Rotation duration and sites may change from year to year, depending on site availability and evaluative feedback from the NP residents. The calendar encompasses approximately 3,000 clinical hours over 15 months, starting each November and ending in January of subsequent years.
(includes telehealth elective)
|28 weeks (2-4 week blocks)|
|Internal Medicine||4 weeks|
|General Surgery||4 weeks|
|Pediatric Emergency Medicine||4 weeks|
|Medical ICU (NYP-LMH)||4 weeks|
|Elective (Optional)||(2 weeks)|
The majority of learning throughout the residency program should be based on the clinical presentation of actual patients - at the bedside during the history and physical exam; during discussions of the differential diagnosis and treatment plan with physicians and senior advanced practice providers; and in self-directed reading the nurse practitioner undertakes post-shift to learn more about the clinical presentation and underlying disease process. Supplementing this clinical experience will be a comprehensive, evidence-based didactic curriculum integrated into each clinical rotation.
The residency begins with a week-long, classroom-based orientation, during which the NP resident becomes familiar with the Emergency Department’s electronic medical record, operating procedures, and workflow. Lectures and hands-on sessions cover fundamental emergency medicine topics such as splinting and suturing; EKG interpretation; and approach to the medical and surgical conditions commonly seen in the ED. The opportunity to register for Advanced Trauma Life Support (ATLS) is also offered at this time. Soon after orientation week, there is a two-day national CME conference for advanced practice providers sponsored by the Department of Emergency Medicine. The conference theme varies from year to year; and may be viewed through the conference website, www.emclinicalupdates.com.
During clinical rotations in the ED, the NP resident attends a weekly conference series in emergency medicine, for which CME credit is available. Speakers include faculty from the medical colleges of both Cornell and Columbia University; and senior physician residents from the four-year Emergency Medicine Residency Program. Distinguished faculty from other medical centers are regularly invited to give a Grand Rounds lecture on topics of particular interest or relevance to emergency medicine. During rotations away from the ED, the NP resident may also attend conferences sponsored by the host department.
Also in the ED, an hour-long morning report session is held four times per week. Led by senior physician residents and an attending physician, the morning report discusses recent patient presentations, both rare and common, in a small seminar format.
Both physician and advanced practice provider residents attend a comprehensive annual emergency medicine board review series during the fall and winter months. Faculty cover topics from the core fund of emergency medicine knowledge, with the dual aim of increasing clinical competence; as well as helping residents prepare for formal testing and certification in emergency medicine.
In addition to the didactic curriculum, NP residents also meet regularly with the Chief ED Nurse Practitioner, in consultation with the Medical Director of the ED Nurse Practitioner Program, to evaluate individual progress and performance. The Medical Director also convenes periodic meetings with all ED NPs, both senior and resident practitioners, to discuss academic topics and administrative issues of particular interest to the group.
The Nurse Practitioner Residency in Emergency Medicine currently accepts 2 candidates each year based on a competitive application process. Strong preference will be given to candidates who have had significant prior emergency medicine or critical care experience. Board certification from the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) in fields such as acute or emergency care; adult or gerontological primary care, or family practice is required to enter the residency.
Application materials may be sent to the residency program each year from January to May. Candidates selected for a personal interview are scheduled to visit the Medical Center beginning in the May. In June, the residency program extends offers of acceptance. A new residency class begins in November and lasts 15 months.
Initial Application Requirements
ED NP Residency Application download
Official NP program transcript (sent directly from program)
GPA of 3.5 or above
Three letters of recommendation, including one from NP program director (on institutional letterhead, sent directly by the writers)
Application fee of $40 (payable to Emergency Department, NYPH - Weill Cornell Medical Center)
Requirements to Enter Residency (Initial Hospital Credentialing)
Degree from an accredited nurse practitioner program
Current NP board certification
Current NY State license
Active DEA number
ACLS, PALS, and BLS certification
ATLS certification (may be obtained after orientation week)
NY State certifications in Infection Control and Reporting Child Abuse
Application materials or questions should be sent to:
Rosa Borensztein ANPc, PNPc
Director, Nurse Practitioner Residency in Emergency Medicine
Department of Emergency Medicine
New York Presbyterian-Weill Cornell Medical Center
525 East 68th Street M-130
New York, NY 10065
Phone: (212) 746-0780
Fax: (212) 746-4883