Our innovative simulation curriculum allows for residents of any level to both gain hands-on experience in Codes as well as gain proficiency in a variety of inpatient and outpatient procedures. Our state of the art “Simulation Lab” mimics real life patient encounters and allows for residents to work autonomously, while being mentored and supervised in a controlled clinical environment. This type of unique, academic atmosphere grants learners a chance to receive tips and feedback on high-stress clinical scenarios while being in the safe space of the SimLab.
During our Simulation Training elective, residents of all levels have dedicated time allotted for them to explore the various procedures they will be expected to master by the end of their residency training. These procedures include ultrasound guided IJs, femoral lines, subclavian lines, thoracentesis, paracentesis, arterial lines, lumbar punctures, intubations, arthrocentesis and many more. Beyond the designated elective, the Chief Residents hold office hours and pre-scheduled SimLab times for those most interested in working on a specific skill set.
Throughout their residency training, residents will also benefit from both observing and participating in interdisciplinary code blue training in which they can hone their BLS and ACLS training, as well as review videos of their own performance to improve.
We hold a yearly Procedure Night at the start of the academic year in which interns can learn directly from senior residents and Chiefs to gain exposure to procedural processes and supplies. The entire simulation curriculum has been created to ensure that all of our residents achieve mastery through rigorous assessment and practical experience.
This whole day session is held in the spring of the intern year. Expect team building exercises, followed by various small group workshops on topics such as "How to effectively teach and evaluate students," "Tips on becoming an effective team leader" and "How to effectively complete a full admission given the particularities of each of our hospitals."
Residents have the opportunity to discuss the fellowship application process with a panel of experts. The workshop provides advice regarding construction of the CV, tips for interviews, and small groups focused on specific fellowships with attendings and/or fellows from the medical sub-specialties.
Point of Care Ultrasound (POCUS)
All residents are taught the basics of POCUS during ICU rotations at University Hospital. Use of POCUS is integrated within bedside rounds, and all procedures performed in the ICU are under ultrasound guidance.
In 2019, a 2-week POCUS elective was implemented at the East Orange VA. Since 2018, 2-day POCUS courses are organized by NJMS faculty annually and all residents are invited to register.
In order to build confidence in ACLS skills, all interns go through a Mock Code exercise prior to starting their PGY-2 year. This exercise ensures that interns advancing to their senior years have acquired knowledge, confidence, and practice in running Code Blues. ACLS protocol is reviewed regularly throughout the year, and residents have the opportunity to practice running codes with ACLS instructors on mannequins during their months at University Hospital.
Procedure Night and monthly Procedure Workshops
Every fall, interns and residents are invited to an evening workshop where various common procedures such as paracentesis, central line placement, arthrocentesis, and lumbar puncture are reviewed. Participants have the opportunity to practice their technique and receive hands-on instruction using our many anatomical mannequins.
During the academic year, the ICU attending physicians and fellows guide residents through simulated procedure workshops, which focus on central line and intraosseous line placement.