EM Training at NUMC
The old “Nassau CountyMedical Center”
East Meadow, LI
Safety Net Hospital
Official Receiving Hospital for The President of the United States when in Nassau County
200 million $$
ED a priority… - 55 million - 50,000 sq feet - state of art - Jan 2009 beginconstruction
A department in transition…
- The land that EM forgot…
-Zero trained, 2 boarded in 2007
-75,000 EM visits / yr
-Level I trauma, > 50% of traumas in Nassau
-Close affiliation with Nassau Police
-Nassau County Medical Control
-1300 traumas admitted - 7 -8 % penetrating - 550 are state “yes”
New CMO and Department Chairs
EM – New Chair, Vice Chairs
- now 9 boarded EM faculty…and growing
-
“ Hospital doesn’t know what hit them…”
- existing residents actually practicing EM
Enter New Leadership…Enter New Leadership…
Site Residency Director – educationist
…begun integration process with LIJ …excellent feedback …elective for N. Shore … hopefully full integration
Case Mix – complements north shore of LI demographic perfectly
…underserved / medically neglected, major traumas (police bringAll the “nasty stuff” to NUMC)
GME perspectives…GME perspectives…
Bright young faculty, eager to teachBright young faculty, eager to teach
-The trauma surgery and -The trauma surgery and IM residents love us…IM residents love us…
but we’d rather be training but we’d rather be training EM Residents !EM Residents !
-Medical acuity extreme frequent resuscitations
-Poor or no out patient medical care for many
-Seek care when end stage or desperate
–Substance abuse, Hofstra, Nassau Coliseum
-3rd world population (Latin/S. America + S. Asia)
It Ain’t Only About Trauma…It Ain’t Only About Trauma…
Case Conference / Morning Report Twice a weekmedical students / PA students
Research Opportunities (Asthma, Fall prevention)…………….
Q/A administrative projects……………………
A GREAT GME EXPERIENCE…
•right balance of frustration / reward• autonomy / supervision• medical and traumatic acuity• fast track…hand injuries, optho, forein bodies (saws, fish-hooks)• Consults – Neurosurgery, OB/GYN, Plastics, Ortho, ENT, GU• Experience giving Thrombolytics
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