Second Year
In the second year, emphasis is placed on the refinement of general emergency medicine skills, increased critical care responsibilities, and exposure to pediatric emergency care.  Pediatric experience is obtained through rotations in the pediatric intensive care unit and the pediatric emergency department. In addition to the pediatric intensive care unit, critical care training is continued in the surgical intensive care unit and the coronary care unit.  The second year resident assumes a supervisory role in the coronary care unit, guiding the care provided by first year residents. Trauma experience is provided by second-year residents directing trauma resuscitations of modified trauma responses during night shifts.  Four weeks of toxicology training is provided at the New York City Poison Control Center.  This center offers a wealth of exposure to a wide range of toxicologic emergencies.  Additional training is provided in obstetrics and gynecology, as well as a more in-depth experience in emergency medical services. A flight medicine rotation is available for those who wish to spend time on a medical helicopter.

Third Year
The transition into the third year results in the beginning of a more supervisory role for the residents.  Emphasis is placed on directing junior level residents in the emergency department, medical intensive care unit and trauma service.  Residents still continue to staff critical care areas of the emergency department for approximately fifty percent of their adult shifts with the remainder being supervisory shifts. Residents help to lead trauma resuscitations while at Bridgeport Hospital. The third-year resident gains extensive experience in critical care during this academic year, and is also the primary person for airway management of trauma patients. Additional exposure to pediatric emergency medicine is provided throughout the year.  Core experience in emergency psychiatry is obtained in the acute crisis intervention unit.  This unit specifically serves patients with acute, emergent psychiatric needs.  So that each resident may pursue research or other areas of interest, twelve weeks of elective study time is allotted.

Fourth Year
The final year is spent primarily in a supervisory and administrative role.  During blocks of adult emergency medicine, the resident functions as a supervisor in the emergency department, receiving case presentations and overseeing therapeutic interventions and dispositions. Emphasis is placed on coordination of care, direction of trauma and medical resuscitations, and emergency department management. The fourth-year resident is responsible for direction of all full trauma responses during the day as well as overseeing junior residents who direct modified trauma responses during the day and night.  Approximately thirty percent of adult emergency department shifts are in designated critical care areas of the ED, while the remaining shifts are spent in a supervisory role. Additional pediatric shifts are provided throughout the year for continued exposure to pediatric emergency medicine. Four weeks of the senior year are spent learning emergency department administration, which includes day-to-day operations, quality improvement, and joint work groups.  The administrative block includes teaching all junior residents and students during morning conference, as well as maintaining a significant involvement in simulation medicine for medical students and residents.  There are three four-week blocks of elective time which can be used for research or to pursue other areas of interest.