Simulation/Education Program
We seek to produce physicians versed in educational theories, curriculum development, simulations, and debriefs. Our fellows are expected to facilitate resident education, research projects and integrate simulation into quality improvement initiatives throughout the hospital system. They will ultimately go on to become leaders in the emergency medicine simulation community.
Simulation in Emergency Medicine at Jacobi
The goal of our Jacobi Simulation Division is to encourage clinical excellence by creating a psychologically safe educational learning environment without compromising patient safety. Our emergency medicine residents gain significant exposure to simulation by participating in monthly grand rounds simulations with participants from every year and weekly PGY class specific simulations. Simulation is an exciting adjunct to the robust clinical experience at Jacobi and Montefiore’s Medical Center, allowing our residents to practice their skills in a safe and collaborative environment.
Residents also have a dedicated Education block during which they experience the other side of simulation: developing cases, running case scenarios under guidance of simulation faculty, learning about structuring debriefs, and receiving targeted feedback on their educational skills.
In addition to having access to the H+H Simulation Center, our dedicated simulation fellowship trained faculty run in-situ simulations and procedural labs in the clinical work environment for the purposes of detecting latent safety threats and just-in-time training. This provides the opportunity for our emergency medicine residents and physician assistants to build muscle memory in the actual clinical environment they will be working in at both campuses. Jacobi Medical Center is a high-volume Level 1 trauma center, and thus we also have collaborative monthly simulations amongst our emergency medicine residents and trauma residents for the purposes of creating a high functioning, collaborative team for every trauma notification that comes into the emergency department.
The Jacobi Simulation and Education Fellowship
The Simulation and Education Fellowship is a one-year program offered through the Department of Emergency Medicine at NYC H+H//Jacobi Medical Center and North Central Bronx. Our unique fellowship, in collaboration with the Institute of Medical Simulation and Learning’s interdisciplinary simulation fellowship, allows our fellow the opportunity to translate their knowledge on educational theory, curricular development, and the adult learner into the clinical education of our emergency medicine staff.
By working 20 clinical hours a week at both Jacobi Medical Center and North Central Bronx, fellows are allowed the time to pursue further interests related to simulation, whether it be educational, quality improvement, or process improvement. Our fellows also have ample opportunity to get involved in quality improvement simulations by working closely with the chief quality officer and patient safety officer of Jacobi Medical Center. Additionally, they enjoy one-on-one teaching from the emergency medicine simulation fellowship core attendings but also play a large role in resident education at Jacobi and physician assistant education at North Central Bronx.
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EMRA Resident SIMWars at ACEP 2020
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Coach: Andrew Restivo, MD | Team: Oark Ahmed, MD; Michael Tarr, MD; Jim Yang, MD; Alex Petti, MD
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https://www.emra.org/be-involved/events–activities/acep/acep20-on-demand/simwars-2020
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EMRA Resident SIMWars at ACEP 2018
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Coach: Andrew Restivo, MD | Team: Curtis Tucker, MD; Neil Haidorfer, MD; Nicole Leonard, MD; Alex Petti, MD
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2018 All-Bronx SimWars Champions
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Coach: Andrew Restivo, MD | Team Leader: Maninder Singh, MD | Team Members: Neil Haidorfer, MD; Nicole Leonard, MD; Alex Petti, MD
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2017 All-Bronx SimWars Runner-Up
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Coach: Andrew Restivo, MD | Team Leader: Jeremy Price, MD | Team Members: Lucia Somberg, MD; Maninder Singh, MD; Hubert Robin, MD; William Chiang, MD
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http://bronx.news12.com/story/35508142/bronx-doctors-compete-against-each-other-in-sim-wars
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Maninder Singh, MD:
Dr. Singh is the Director of Healthcare Simulation at Jacobi Medical Center and North Central Bronx and serves as the fellowship director. He is the Assistant Director of the Emergency Department at H+H//Jacobi Medical Center and an attending physician at both Jacobi Medical Center and North Central Bronx. He is an assistant professor of emergency medicine at Albert Einstein College of Medicine.
Oark Ahmed, MD:
Dr. Ahmed is the Assistant Fellowship Director and is an attending physician at both Jacobi Medical Center and North Central Bronx. He is an Instructor of emergency medicine at Albert Einstein College of Medicine and an adjunct faculty at the Harvard Macy Institute.
Michael Meguerdichian, MD:
Dr. Megeurdichian is the Senior Assistant Vice President of the H+H Simulation Center. He is also the Medical Director of the simulation center at Harlem Hospital. He is an assistant professor of emergency medicine at Columbia University School of Medicine and an attending physician at NYC Health and Hospitals//Harlem Hospital.
Andrew Restivo, MD:
Dr. Restivo is an Associate Program Director and the Director of Residency Simulation Education for the Albert Einstein College of Medicine//Jacobi and Montefiore Emergency Medicine residency. He is an adjunct teaching faculty member at H+H/Simulation Center. He is also an assistant professor of emergency medicine at Albert Einstein College of Medicine and an attending physician at Montefiore’s Weiler campus.
Komal Bajaj, MD:
Dr. Bajaj is the Clinical Director of the Health and Hospitals Simulation Center and serves as the Chief Quality Officer at Jacobi Medical Center. She is a Professor of Obstetrics and Gynecology at Albert Einstein College of Medicine and an attending physician at NYC Health and Hospitals/Jacobi.
Heidi Baer, MD:
Dr. Baer serve as the patient safety officer at Jacobi Medical Center and an attending physician at both Jacobi Medical Center and North Central Bronx. She is an associate Professor of Emergency Medicine and was previously the Director of Simulation at Mount Sinai West and Morningside. Her previous roles include Medical Director of the Patient Safety Institute at Staten Island University Hospital, Staten Island, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
Adjunct Education Faculty Mentors:
Jeremy Sperling, Michael Jones, Joshua Silverberg, Jason D’Amore
Jacobi Emergency Medicine Simulation Fellows:
Jennifer Melgar, MD | 2024-2025
Thomas Kardashian-Sieger, MD | 2024-2025
Debayan Guha, MD | 2023-2024
Jonathan To, MD | 2022-2023
Oark Ahmed, MD | 2021-2022
Prior IMSAL Fellows:
Maninder Singh, MD | 2019-2020
Jerome Balbin, MD | 2018-2019
Lillian Wong, MD | 2015-2016
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Yang C, Saggar V, Seneviratne N, Janzen A, Ahmed O, Singh M, Restivo A, Yoon A, Bajaj K, Ahmed S, Moseley M, Moss H, Jafri F. “In Situ Simulation as a Quality Improvement Tool to Identify and Mitigate Latent Safety Threats for Emergency Department SARS-CoV-2 Airway Management: A Multi-Institutional Initiative.” The Joint Commission Journal on Quality and Patient Safety. 24 February 2023. https://doi.org/10.1016/j.jcjq.2023.02.005
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Kravitz MB, Dadario NB, Arif A, Ahmed O, Gibber M, Jafri FN. “The Comparative Effectiveness of Virtual Reality Versus E-Module on the Training of Donning and Doffing Personal Protective Equipment: A Randomized, Simulation-Based Educational Study.” Cureus. 2022;14(3):e23655. Published 2022 Mar 30. https://pubmed.ncbi.nlm.nih.gov/35510011/
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Levine, M; Singh, M; Restivo, A; Petti, A; Kulkarni, M. “Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic.” J Grad Med Educ 1 February 2022; 14 (1): 18–21. https://doi.org/10.4300/JGME-D-21-00515.1.
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Offenbacher J, Petti A, Xu H, Levine M, Manyapu M, Guha D, Quint M, Chertoff A, Restivo A, Friedman BW, Silverberg J. “Learning Outcomes of High-fidelity versus Table-Top Simulation in Undergraduate Emergency Medicine Education: Prospective, Randomized, Crossover-Controlled Study.” West J Emerg Med. 2022 Jan 3;23(1):20-25. doi: 10.5811/westjem.2021.12.53926.
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Singh M, Moss H, Thomas GM, Dadario NB, Mirante D, Ellsworth K, Shulman J, Bellido S, Amicucci B, Jafri FN. “The Development of an Assessment Rubric for the Core and Contingency Team Interaction Among Rapid Response Teams.” Simulation in Healthcare. 2021 Aug 11. https://doi.org/10.1097/sih.0000000000000602.
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Dadario, N; Bellido, S; Restivo, A; Kulkarni, M; Singh, M; Yoon, A; Shapiro, J; Quintero, F; Tagami, T; Yang, C; Jafri, F. “Using a Logic Model to Enable and Evaluate Long-Term Outcomes of a Mass Casualty Training Program: A Single Center Case Study.” Disaster Medicine and Public Health Preparedness. 28 May. 2021:1-7. https://www.doi.org/10.1017/dmp.2021.66.
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Jafri FN; Shah S.; Yang CJ; Restivo A.; Singh M.; Yoon A.; Ahmed ST; “Safety Considerations for In Situ Simulation in Closed SARS-CoV-2 Units.” Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, U.S. National Library of Medicine, 01 Dec 2020 https://pubmed.ncbi.nlm.nih.gov/33273425/.
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Singh M, Restivo A. “Task Trainers in Procedural Skills Acquisition in Medical Simulation.”StatPearls. Treasure Island (FL): StatPearls Publishing; 2020 Jun 19. PMID: 32644351. https://www.ncbi.nlm.nih.gov/books/NBK558925/
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23rd International Meeting on Simulation in Healthcare (Orlando, Florida – January 2023)
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“Improving Comfort with and Knowledge of Buprenorphine Among Emergency Medicine Residents.” Poster Presentation.
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“PENG Block for Hip Fractures: Using SIM to Drive Culture Change” Hot Topics Presentation.
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“Teach a Resident: PEARLS of Debriefing” Hot Topics Presentation.
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“Is your medical student ready to give and receive handoff?” Hot Topics Presentation.
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“Face your Fears: Resident Training in Acute De-Escalation.” Hot Topics Presentation.
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“Project Panda: Improving De-Escalation Response” Panel Presentation.
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11th Mediterranean Emergency Medicine Congress (St. Julian’s, Malta – September 2022)
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“Handoff Simulation: Fake it Until I-PASS It!”
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“Not Another Mass Casualty: Using Simulation to Increase Comfort With & Knowledge of Protest Medicine.”
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American College of Emergency Physicians Scientific Assembly (San Francisco, California – October 2022)
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“Project PANDA: An Individual and Systems Based Approach to De-Escalation”
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22nd International Meeting on Simulation in Healthcare (Los Angeles, California – January 2022)
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“Not Another Mass Casualty: Using Simulation to Increase Physician Comfort With and Knowledge of The Unique Challenges of Protest Medicine.” Poster Presentation
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“In-Situ and QI During a Pandemic: A How To.” Panel Presentation.
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“So you want to host a Virtual SIMWars?” Hot Topics Presentation.
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“Is your medical student ready to become a resident?” Hot Topics Presentation.
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“Virtual SIM in COVID: A Trial & Error Process” Hot Topics Presentation.
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American College of Emergency Physicians Research Forum (Boston, Massachusetts – October 2021)
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“Not Another Mass Casualty: Using Simulation to Increase Physician Comfort with the Unique Challenges of Protest Medicine.”
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21st International Meeting on Simulation in Healthcare (January 2021)
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“Developing an In Situ Emergency Department Simulation Program” (Hot Topics)
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Society of Academic Emergency Medicine SIM Fellows Forum (NY, NY – May 2020)
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“In Situ Design via Kerns Curricular Development Model.”
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Fellowship Application Process– due by October 1, 2024
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Please address all applications to the Simulation and Education Fellowship Director Maninder Singh (maninder.singh@nychhc.org)
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Include CV and a Cover Letter discussing interest in pursuing a fellowship
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Include two letters of recommendation:
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One from program director and
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Another from a faculty involved in medical education
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Jacobi-Montefiore Emergency Medicine
Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY 10461
Montefiore Medical Center
111 East 210th Street, Bronx, NY 10467
Institute of Medical Simulation and Advanced Learning (IMSAL)
Located in the backyard of Jacobi’s Emergency Room, the Institute of Medical Simulation and Advanced Learning is a multimillion-dollar simulation center focusing on improving patient care and safety through adult education. It specializes in teamwork and clinical skills training across all departments. Our simulation faculty work as adjunct faculty at the simulation center to design and deliver curricula to residents, attendings, and nurses and our simulation fellow has the opportunity to participate in IMSAL’s interdisciplinary simulation fellowship. Some of the current courses offered include Basic Airway Skills, Advanced Airway Skills, Pediatric Airway Skills, Cardiac Code Team Course, Pediatric Code Team Course, Central Line Skills Course, Shoulder Dystocia Skills Course, and Postpartum Hemorrhage Course.