Internal Medicine Residency Training Program
Aloysisus B. Cuyjet, MD, M.P.H., FACC
Chairman and Program Director
Department of Medicine
Description of the Internal Medicine Training
Program
Nassau University Medical Center has a long history
of training medical residents. The training program
is challenging and comprehensive. It is dually
accredited by the Accreditation Council of Graduate
Medical Education (ACGME) and also by the American
Osteopathic Association. The medical center is
also a clinical campus of SUNY at Stony Brook
and has major affiliation with the NY College
of Osteopathic Medicine. Students from both these
institutions rotate through the Department of
Medicine and work in medical floors and units
under the supervision of medical residents and
attendings. On the inpatient side, the “hospitalist”
model is followed so that each medical team has
only one Attending physician on record. This allows
for excellent continuity of care and comprehensive
clinical experience for the medical residents.
With over 7500 admissions to the Department of
Medicine assigned beds and lots of “hands on”
opportunities, the graduating residents are well
trained in all aspects of General Medicine.
Leadership:
Aloysisus B. Cuyjet, MD, M.P.H., FACC
Chairman of Medicine and Program Director, Internal
Medicine Residency Program
Linda Carmosino, MD, FACP
Associate Chair, Department of Medicine
Clinical Associate Professor of Medicine, SUNY
at Stony Brook
Prachi Anand, MD
Associate Residency Program Director
Jeeny Job, DO
Associate Residency Program Director
Kenneth Steier, DO, FCCP
Program Director, Osteopathic Internal Medicine
Residency Program
Senior Associate Program Director, Internal Medicine
Residency
Director of Medical Education
Associate Clinical Professor
Susan Bunting
Residency Program Administrator
Key Statistics:
68 Approved positions,
PGY1: 20 categorical Residents and 8 Preliminary
Residents
PGY2: 20 categorical Residents
PGY 3: 20 categorical Residents
Chief Residents: 3 PGY 4 Residents
Faculty: 40 full time and 10 part time physicians
in all medical sub-specialties.
ABIM pass rate: 85% in the past three years
Schedule
The house staff work schedule has been designed
to be compliant with ACGME and NY State Department
of Health regulations. Rotations are 4-week blocks.
Residents are allowed to take 3 weeks of vacation
each year as one block or 2 blocks of 2 weeks
each. The schedule given below is currently in
existence and is expected to go through minor
revisions.
PGY
Year
|
Medical
Floors
|
ICU |
CCU |
Telemetry
|
Ventilator
Ward |
Elective |
Selective |
Geriatrics |
ER
|
Ambulatory
Block |
Consults |
Night
Float |
I |
4 |
1 |
1 |
2 |
1 |
0 |
.5(Neur) |
0 |
|
1 |
|
1.5 |
II |
2 |
1 |
1 |
1 |
1 |
1 |
1(ID) |
1 |
1 |
1 |
|
1 |
III |
1 |
1 |
1 |
1 |
|
3 |
1(Card) |
|
1 |
1 |
1 |
1 |
Call Schedule
Wards: every fourth day until 10pm: No Overnight
Calls.
ICU/CCU/Telemetry: 2x/week overnight, with one
full day away from hospital each week
Night Float (PGY-1): Sunday-Thursday 5pm-7am:
three interns: mostly cross-coverage- 2 days off
in seven
One Night Admitting Resident (PGY-2): admits new
patients and supports night float interns: 10
PM to 7 AM- 2 days off in seven
MAR- Medical Admitting Resident (PGY-3 Night Float):
directs admissions within department in terms
of bed control and clinical decision-making
Medical Floors
Medical floor teams are organized geographically.
This allows teams to have all their patients housed
on their “home” unit. In this way, the teams will
become familiar with all unit staff (social workers,
case managers, nurses) and vice-versa, allowing
improved communication and less frequent need
for paging of house-staff. Daily attending rounds
are described elsewhere. In addition, daily resident
led team rounds are conducted on each patient.
Each team consists of a resident and 2 interns
and 1-2 medical students. In keeping with national
guidelines and to maximize the learning environment,
the goal is for each team to be responsible for
a maximum of 24 patients.
Ambulatory Block
Morning and afternoon outpatient experiences in
medical sub-specialties as well as office gynecology,
orthopedics, otolaryngology, ophthalmology, podiatry
and physiatry. In addition, a comprehensive lecture
curriculum is presented on a rotational basis,
such that all house staff receive full exposure
over two years. Covered topics include: Clinical
ethics, preventive medicine, medical informatics,
critical assessment of the medical literature,
clinical epidemiology, biostatistics, health law,
pain management, end-of-life care, medical economics,
care of patients/families in terms of substance
abuse, domestic violence and adolescent medicine.
Continuity Clinic (Primary Care)
The Medical Pavilion opened recently is a state
of the art ambulatory care center. Medical Residents
see their patients in the continuity clinics at
the Medical Pavillion two half days every week.
This experience is designed to produce a true
continuity of care/longitudinal exposure, such
that patients are able to identify the house-officer
as his/her doctor. A remarkable variety of diagnoses,
pathology and patient demographics are strengths
of the program. Residents are assigned to a specific
afternoon session for the duration of their training,
further facilitating a lasting doctor-patient
relationship.
Pulmonary
Nassau University Medical Center is a Level One
Trauma Center. A significant number of patients
involved in trauma require prolonged intubation
and gradual weaning. These patients are housed
in a specialized unit under the care of a Board
certified Pulmonologist. Residents work under
this Attending’s supervision along with Respiratory
Therapists. Four-week experience as PGY-1 and
as supervising PGY-2 affords advanced training
and experience working with and weaning ventilated
patients, as well as the care of complicated,
but non-intubated pulmonary patients.
Emergency Room
Residents play an active role in the busy Medical
Emergency Room for one block during both the second
and third years of training. All patients are
first seen by a resident and are then presented
to the supervising attending. Management and disposition
are discussed. During the four-week rotation,
the resident will experience day and night shifts,
refining judgment and abilities in acute management
of illness as well as admission decision-making.
Geriatrics
Second year Residents spend one 4-week block in
Geriatrics Rotation at the A Holly Patterson Geriatric
Center in Uniondale, NY. This Nursing Home is
one of the largest in NY State and is also run
by the Nassau Health Care Corporation. Residents
work under the supervision of a Board certified
Geriatrician, rotating through some of the specialized
units including Dementia, wound care, rehabilitation
and HIV units. In addition, residents have an
opportunity to attend a busy dermatology clinic.
Electives
Elective time may be spent with any of the Internal
Medicine sub-specialty consultative services.
During this block, the resident will see in-patient
consultations as well as patients referred to
that particular specialties' outpatient practice.
These clinical and accompanying didactic experiences
are performed under the supervision and guidance
of the faculty of the various sub-specialty divisions
of the Department of Medicine. House-staff may
also select to perform clinical research projects
under the mentorship of experienced faculty during
a portion of their elective time.
Consultation Service
Third year residents serve as medical consultants
to the full spectrum of surgical and non-surgical
specialties. Under the supervision of an attending,
a wide variety of pre and post-operative clinical
questions are addressed in both the inpatient
and outpatient setting. The service staffs a pre-operative
ambulatory clinic. Non-operative questions allow
the resident to experience Internal Medicine as
a specialty service, along the line of the 'master
diagnostician'.
Department of Medicine Conference Schedule
Resident Morning Report: M/W/F 8-9 AM: Conducted
by the Chairman, Associate Program Director, Program
Director of Osteopathic Program, Chief of General
Medicine and Director of Critical Care Services.
Journal Club: Once a month
Critical Care Morning Report: Every Thursday 8-9
AM
Grand Rounds: 1x/week, Thursdays at 10 AM (September
through May)
Chairman’s Rounds: Every Tuesday at 4
Noon Conferences: Core Curriculum: 4 times a weeks
Sep to June
Medical Debates: 1x/month
Morbidity/Mortality/Pathology Conference: 1x/month
Combined ER/IM Conference: 1x/month
In addition, Residents attend many subspecialty
conferences with Fellows
Academic Activities of House Staff
All categorical residents are required to complete
a clinical or basic science research project,
including the preparation of an abstract/poster
for American College of Physicians, Society of
General Internal Medicine or other regional/national
meeting. All projects are completed under the
mentorship of an experienced faculty member. Previous
residents have produced award-winning posters
and presented at national meetings. Traditionally,
NUMC is over-represented at such meetings and
awards ceremonies. The Department of Medicine
also conducts Resident Research Day every year
in mid-May to recognize scholarly activities of
the house staff.
Benefits
On campus housing, including 1, 2 and 3 bedroom
apartments, is available at significant discount
from local real estate prices. Residents not choosing
to live on campus receive a month living allowance.
Annual salaries are in keeping with regional norms,
currently approximately $40,000 during the intern
year, increasing about $2,000 annually thereafter.
All house staff receive malpractice insurance
as well as family medical insurance coverage.
Contact Information
For any further questions, all candidates are
encouraged to contact the Residency Program Administrator,
Susan Bunting, at 516-572-4835 or email: sbunting@numc.edu.
Program Criteria Requirements:
• This program participates in ERAS and the NRMP
Match Program.
• CV must have a continuous flow of activities
since graduation from Medical School.
• Paper Applications will not be considered.
• Three letters of recommendation are required.
• Standards for Scores: 85 and greater in USMLE
Steps I and II (only first attempts). A USMLE
transcript or COMLEX tr anscript must be part
of the ERAS application.
• Prefer US Clinical Experience
• Sponsor J1 Visas
• Graduation from Medical School should be within
5 years of applying to this program.
• Application Deadline is approximately 12/1/07.
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