Welcome to the St. John’s Riverside Hospital Emergency Medicine Residency!
I am really excited to be a part of beginning a brand-new training program in Emergency Medicine! We have designed our curriculum to focus on providing our residents with a well-rounded and dynamic educational experience. We anticipate that residents who graduate from this program will not only be well trained but will have a true understanding of the different ED settings and will be able to make an informed decision about what type of EM practice that best suits them.
Residents training in our program will rotate through 3 unique Emergency Departments:
I know that growing one’s knowledge base outside of the ED is just as important as the clinical experience; I also realize that everyone learns differently. Our didactic curriculum is designed to have a hybrid of lectures, small group discussions, flipped classroom exercises, simulation, labs and workshops. Using this design will enable a wide variety of learners to be reached and will keep the curriculum dynamic and interactive.
Lastly, physician wellness and resilience is very important to our faculty and me. By incorporating physician wellness events, retreats and team building exercises throughout the year, residents will have time to establish connections with one another as well as the faculty, nurses, advanced practice providers and support staff. SJRH is situated in a prime location in that it is in very close proximity to NYC and is in Westchester County, which is home to so many beautiful parks, lakes and many other great activities.
Thank you for your interest in an EM residency position at SJRH—Westchester County’s FIRST EM residency program!
Please see our How to Apply section for more information.
Miriam Kulkarni, MD
Program Director, Emergency Medicine
Welcome to St. John’s Riverside Hospital Emergency Medicine Residency Program! Our inaugural class of 10 residents began July 1, 2017 and we are looking forward to recruiting our next class of outstanding residents!
Our mission is to provide a high-quality, comprehensive and dynamic education for our trainees. We invite you to explore our website and learn more about our hospital and our residency program coming soon to an ED near you!
Our program strives to provide the residents with a “best of both worlds experience”—our residents have exposure to the Andrus Pavilion, a busy community hospital, Dobbs Ferry, a small community hospital, and to Jacobi, one of the nation’s busiest trauma centers. Because our residents train in emergency rooms that represent the full spectrum of Emergency Medicine, they will be well prepared to practice in whatever environment they choose.
St. John’s Riverside Hospital (SJRH) is a unique hospital system situated along the Hudson River in Westchester County. SJRH – Andrus Pavilion is one of two hospitals in Yonkers, a city with a population of approximately 200,000. SJRH--Dobbs Ferry Pavilion is located approximately 4 miles north in a more suburban neighborhood. Both emergency departments see a significant amount of pediatrics in addition to adult patients.
SJRH is a clinical affiliate with Montefiore Medical Center. As such, our residents will be rotating at Jacobi Medical Center for trauma, and Montefiore Medical Center for the neonatal and neurosurgical ICU experience.
Our mission is to provide a high-quality, comprehensive and dynamic education for our trainees. We invite you to explore our website and learn more about our hospital and our residency program!
Gone are the days of long lectures, dry textbooks and passive learning. Pedagogy has evolved to include innovative, dynamic and interactive methods of education. As a result, it is our mission at the SJRH Emergency Medicine Program to adopt a teaching style that will effectively reach a wide variety of learners.
We have designed our curriculum to provide a hybrid of teaching modalities in order to cater to the different types of learners. While all the information could certainly be read from a textbook and reinforced in the traditional classroom format, we have designed a curriculum that combines technology, social media, and media feeds to supplement the residents’ education. Cutting edge techniques like flipped classrooms, simulations, small group session, mobile apps and text polling are incorporated into the lectures to provide an overall exciting and innovative experience. We believe that this formula will ultimately create the most optimal environment for resident learning. We are looking forward to our residents’ feedback on our curricular design!
MICU: Medical ICU
NICU: Neonatal ICU
NSICU: Neurosurgical ICU
Emergency Medicine blocks will consist of 18 shifts/block in the EM-1 year and 17 shifts for EM-2 and EM-3 years. Pediatric patients comprise 23% of our annual ED volume. We see all-comers in the ED at SJRH so residents will have continuous exposure to pediatric patients throughout the year. Approximately 10% of the EM shifts will be at the Dobbs Ferry site; these shifts will be scheduled into every EM block so that residents may have that unique experience throughout the academic year as well.
Emergency Medicine: This is the core of the emergency medicine residency. The residents will rotate through both Andrus Pavilion (main campus) and Dobbs Ferry Pavilion during each of these months. Andrus Pavilion is a general adult-pediatric emergency department that see s nearly fifty thousand patients per year. The main campus serves the northern sections of Yonkers, in addition to the many surrounding neighborhoods. It is a Gold Designated Stroke Center, and a community tertiary care center that sees a wide range of pathology.
The residents will rotate approximately 10% of their time at Dobbs Ferry Pavilion, which has an annual volume of approximately 9,000. This is an unique, community ED that is single coverage and five beds with limited resources (in comparison to many other larger hospitals). This rare gem within the New York City Metropolitan area provides a working environment that fosters a different style of practice and style.
Anesthesia: The ability to control an airway during an emergency is an important skillset for an EM physician to master. The residents will rotate with the anesthesia department, and take advantage of the knowledge and resources provided by the anesthesiologists. This will include understanding different airway devices, BVM, sedation, and airway management.
EMS: Pre-hospital care is very much an important extension of the emergency department. Understanding the environment the EMTs and paramedics is crucial for the practicing physician. The residents will be rotating with EMPRESS ambulance services, which is currently one of the largest EMS services in Westchester County and the Bronx.
Ultrasound: One of the best tools for patient care is the point-of-care ultrasound. The residents will undergo a rotation in the first second and year (in addition to a longitudinal curriculum) to master ultrasound. We are fortunate to have two fellowship trained ultra sonographers among our faculty, Dr. Angela Cirilli and Dr. Ellen Kurkowski. Drs. Cirilli and Kurkowski run a yearly ultrasound boot camp in addition to the first and second year rotations. They also review ultrasounds performed by residents during their clinical shifts and give formative feedback.
Trauma: Residents have a trauma rotation at Jacobi Medical Center during each year of their residency. Jacobi is one of the highest volume trauma centers in New York City, both for blunt and penetrating trauma. Jacobi is a receiving center for trauma throughout the Bronx, and is also a burn center, a hyperbaric center and a snakebite center.
During their first and second year rotations, residents function as junior residents. During their third year rotation, residents function as “surgical chiefs”—they are responsible for managing the junior residents and the flow of patients through the ED.
Obstetrics: The Labor and Delivery Service at St. John’s is one of the busiest in Westchester County. This hospital delivers nearly 1200 babies yearly and maintains a level II NICU.
Medical Intensive Care Unit: This medical-surgical ICU unit that serves the sickest of the patients in the hospital. This unit cares for patients with severe and life-threatening illnesses and injuries, which require constant and close monitoring.
Neonatal Intensive Care Unit: The neonatal intensive care unit at Montefiore is an intensive care unit specializing in the care of ill or premature newborn infants. This provides an opportunity for the residents to understand ventilator, disease, and fluid management in the youngest and most vulnerable patients. The experience in the NICU helps ensure that our residents will be prepared to care for the newborns and infants when they graduate.
Neurosurgical Intensive Care Unit: The neurosurgical ICU at Montefiore houses critically ill patients with diseases such as hemorrhagic and ischemic strokes, intracranial masses and cerebral herniation.
Administrative: Residents spend two weeks with our working under the direction of Dr. Raffele Miliza, our medical director. During this rotation, residents are taught about ED metrics, patient flow and Quality Assurance. Residents accompany Dr. Miliza to administrative meetings and are expected to complete a project involving quality assurance, patient flow or ED metrics during their administrative rotation.
Elective: Residents are given two and a half blocks of elective time to explore an area of interest of niche within emergency medicine.
Yonkers is located 13 miles north of the heart of Manhattan. The Metro-North Railroad, which is located within walking distance from the hospital, makes traveling into the city very convenient. In addition, within Westchester County, there is Rye Playland, numerous parks and fine dining.
We are all very excited at SJRH to have you come visit our EM residency program. We encourage those who have the same passion and excitement to apply to our program. Please apply to our residency through ERAS.
If you have any questions, please feel free to reach out to any of us at any time.
Mark Silberman, MD
Chief, Emergency Medicine
Miriam Kulkarni, MD
Program Director, Emergency Medicine
Joel Park, MD
Assistant Program Director, Emergency Medicine Residency
Specialty Services Bariatric Surgery Behavioral Health Services Breast Care Cancer Care Cardiology Services Diagnostic Imaging Electroconvulsive Therapy Hernia Center Emergency Services Holistic Care Services Hope Center Hyperbaric Oxygen Treatment Interventional Radiology MaternityPhysical Therapy Respiratory Therapy Services Sleep Services Surgical Services Westchester Orthopedic Center Wound Healing
Facilities Andrus Pavilion Dobbs Ferry Pavilion ParkCare Pavilion Cochran School of Nursing