How many hours is each shift?
The Emergency Department is split into three 3 areas; Shock-Trauma, Main ED and Immediate Care.  Shifts in Shock-Trauma and the Main ED are 12 hours duration.  Shifts in the Immediate Care area are 8 hours.  Each resident works 2 shifts in Immediate Care per block rotation.

How many shifts per block?
EM-1 = 18 shifts
EM-2 = 17 shifts
EM-3 = 16 shifts
Chief Residents= 14 shifts

How much time is spent in the Emergency Department?
We believe that Emergency Medicine is best taught in the ED.  Our program is designed to provide maximal exposure to the Emergency Department while gaining valuable information from consulting services.  More than 50% of the time is spent in the Emergency Department in every year of training. 

Which rotations are off site?
We have three off-site rotations:
Toxicology- New York City Poison Control Center
Pediatric Emergency Medicine:  Jacobi Hospital, Bronx, NY
Rural Emergency Medicine:  Central Suffolk Hospital, Riverhead, NY

All off site rotations can be reached by daily automotive commute.  Residents are reimbursed a set travel cost for the rotation at Jacobi Medical Center

What is the level of attending coverage in the Stony Brook University Hospital Emergency Department?
There is 72 hours of attending coverage in the ED every day.  During the peak hours of the day, there are 4 attending physicians present to supervise patient care and teach residents.  

Who runs trauma resuscitations?
The vast majority of injured patients are primarily evaluated and treated by the Emergency Department.  Patients with serious injuries likely to require operative intervention or ICU care are evaluated and resuscitated in conjunction with a surgical team, supervised by the ED and Trauma attending. 

How is the pediatric experience?
Our emergency Department does not segregate children.  As a result, residents have the opportunity to evaluate and treat kids 24-7-365.  Roughly 30% of the ED census is patients under 18 years.  In addition, there are in-depth experiences provided in the Pediatric Emergency Department at Jacobi Medical Center and in the Stony Brook University Hospital Pediatric Intensive Care Unit.

How would you characterize the relationships with other departments?
We maintain very healthy relationships with the other departments in the institution.  These relationships are fostered by joint conferences, collaborative research efforts and social events.  In addition, all EM residents become instructors in ACLS and are looked upon as the leaders in resuscitation.  Overall, everybody tends to “get along”.

Does the Stony Brook University Hospital Emergency Department have overcrowding or ambulance diversion issues?
No emergency department is free of overcrowding problems.  However, we have a well-scripted plan for dealing with ED boarders that is nationally recognized; patients are sent to the ward hallways and out of the ED.  As a tertiary care medical center, Stony Brook University Hospital never goes on ambulance diversion.

How does the program fulfill the EM-RRC requirement of “scholarly activity”?
Each resident is expected to complete an original research project.  Residents are provided four weeks of protected time divided over the course of the program.  There are numerous resources in place to accomplish the task.  Graduating residents present the results of their projects at our Annual Resident Research Day every June. 

What is the moonlighting policy?
According to the Stony Brook University Hospital Graduate Medical Education Policies and Procedures, residents are prohibited from moonlighting unless expressly agreed to, in writing, by the program director and Graduate Medical Education Committee.  Residents receiving permission to moonlight must maintain and provide evidence of work hours as outlined in the New York State Health Code 405.4 and be in compliance with ACGME requirements for resident work hours

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