EM Training at NUMC The old “Nassau County Medical Center” East Meadow, LI Safety Net Hospital...
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EM Training at NUMC The old “Nassau County Medical Center” East Meadow, LI Safety Net Hospital Official Receiving Hospital for The President of the United States when in Nassau County 200 million $$ ED a priority… - 55 million - 50,000 sq fee - state of art - Jan 2009 begin construction
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Transcript of EM Training at NUMC The old “Nassau County Medical Center” East Meadow, LI Safety Net Hospital...
EM Training at NUMC
The old “Nassau CountyMedical Center”
East Meadow, LI
Safety Net Hospital
Official Receiving Hospital for The President of the United States when in Nassau County
200 million $$
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
