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Simulation and Theme-Based Sessions

Simulation

NewYork-Presbyterian has an innovative, dynamic curriculum in medical simulation. We use Weill Cornell's state-of-the-art, high fidelity sim lab for our simulation education. In the lab, residents have the opportunity to lead resuscitations, manage unusual cases, practice working as a team, and perform critical but infrequently encountered procedures, all in a safe, supportive environment. After each scenario, EM faculty sim instructors lead a debrief session that focuses on both clinical management and team dynamics. Many NYP residents consider these sessions among the most valuable components of our didactic training.

Simulation has also become a critical component of our intern orientation month, giving our newest residents confidence in assessing and managing seriously ill patients. Senior residents are mentored and encouraged to incorporate elements of simulation into their morning reports and noon conferences. Simulation sessions are an important part of the didactic curriculum of the NYP sub-internship. Also, our EM faculty and residents lead simulations for medical students and teach First Responder courses at both Cornell and Columbia. With EM faculty and residents working on advancing and improving simulation training, incoming residents should expect to see increasing exposure
to the simulation lab each year.

Simulation has also become a critical component of our intern orientation month, giving our newest residents confidence in assessing and managing seriously ill patients. Senior residents are mentored and encouraged to incorporate elements of simulation into their morning reports and noon conferences. Simulation sessions are an important part of the didactic curriculum of the NYP sub-internship. Also, our EM faculty and residents lead simulations for medical students and teach First Responder courses at both Cornell and Columbia. With EM faculty and residents working on advancing and improving simulation training, incoming residents should expect to see increasing exposure to the simulation lab each year.

Simulation & Education Research

Our NYP EM faculty has several ongoing research projects in simulation and other educational modalities. Residents are active participants in this research, and many are developing a niche in Sim, completing electives and their scholarly projects in this area.

Theme-Based Sessions

NYP has developed theme-based sessions to provide in-depth education about important EM topics. Occurring approximately monthly, the sessions devote an entire Wednesday conference to a single clinical theme. These days incorporate several educational modalities including: simulation, small group discussion, expert lectures, table top exercises, radiology images, procedural training, and critical review of relevant current evidence. Recent themes have included: "disaster: bio-terrorism," "geriatric trauma," and "he's here all the time: high-risk presentations of ED frequent users." We also recently held a Wilderness Medicine theme day, with part of Wednesday conference outside in Riverside Park with simulations of emergency management in austere environments. Senior and junior residents each assist EM faculty in the design and coordination of these theme-based session. As such, they gain a unique insight into not only their designated topic but also into the planning and logistics of creating an innovative didactic session. This is a highly useful skill to have as one advances not only in residency but as an attending physician as well. These sessions have been very successful among our residents, who find them enjoyable and particularly effective for learning and reinforcing important concepts in Emergency Medicine.

Contacts: Dr. Neel Naik (nen9010@med.cornell.edu)
Dr. Jenny Castillo-Cato (jlc2298@cumc.columbia.edu)

 
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Columbia University College of Physicians and Surgeons Weill Medical College of Cornell University