The St. Barnabas Hospital Emergency Medicine Residency Program is designed to provide the emergency medicine resident with the skills, knowledge, and experience required to become an outstanding and complete emergency physician. Accredited in 1990, and beginning with one resident, the emergency medicine residency program now trains over 65 residents in its various programs. The residency program, based at St. Barnabas Hospital, is now a 97,000 visit full service emergency department, accounting for some 70% of the admissions to the 460 hospital beds. Several expansions since 1990 have more than tripled the size of the emergency department, added faculty and resident office space and a resident classroom. A pediatric emergency department opened in 1999, and a Level I trauma designation was acquired in July of 2000, with another expansion in 2004, which included a trauma bay and expanded radiological services. St. Barnabas Hospital is also now a stroke center, the first in the Bronx, and a hypothermia center. In 1990, the faculty was composed of two residency trained, board prepared/certified emergency physicians; today, the faculty consists of 22 residency trained, board prepared/certified emergency physicians, all of whom are provided at least 20% “protected time” in order to better train the emergency medicine residents.