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