Why rotate at North Shore University Hospital?
North Shore University Hospital is a 900 bed tertiary care located 20 minutes from midtown Manhattan in Manhasset, NY. The Emergency Department at North Shore University Hospital is a 54 bed state-of- the art Level 1 adult and pediatric trauma. The department, newly renovated, has approximately 80,000 patient visits per year, the majority of which are seriously ill. The Department of Emergency Medicine offers a 4 week rotation for medical students interested in the field of emergency medicine. The rotation is designed to introduce students to the scope of EM, including principles of patient care and the basis for problem solving in the ED. Didactic sessions and hands-on procedure labs taught by faculty and senior residents augment the student experience on the floor. Students act at the level of an intern, initially seeing patients by themselves, then presenting directly to an attending physician. A resident always works alongside the student to answer questions as well as to educate.
Electives Offered
In addition to the Emergency Medicine Rotation, electives are available in pediatrics, ultrasound and toxicology. All students, regardless of type of rotation or elective, are expected to attend the general procedure labs on Tuesdays and student didactic sessions on Wednesdays.
Emergency Medicine Elective: In our Level 1 Adult and Pediatric Emergency Department you will assume the role of an intern. Since we have a very busy department with acuity that is well above the national average (39% admission rate) you will have ample opportunity to experience emergency critical care management of very sick patients as well as participate in emergency procedures. You will have ample opportunity to conduct ultrasound scans with our Ultrasound Department and see pediatric patients in our Pediatric ED.
Pediatric Emergency Medicine: North Shore University Hospital has a newly renovated Pediatric ED, as well as a dedicated pediatric critical care/trauma resuscitation room. Students will be directly involved in the management of a wide variety and acuity of pediatric illness and injury. Focus is placed on the organized approach and evaluation of the pediatric patient, as well opportunities to perform an array of pediatric techniques and procedures.
Ultrasound: North Shore University Hospital has a very active ultrasound department, with 7 fellowship trained attendings and 4 fellows. Rotators spend their days scanning with the fellows and attending the ultrasound conferences. Focus is placed on basic and advanced ED ultrasounds, including FAST exams, RUQ ultrasounds, DVT scans and aorta scans. In addition, students are involved in formal didactic sessions as well as weekly tape review of all scans conducted the previous week.
Toxicology: The ED at North Shore University Hospital has a toxicology fellowship with 2 fellows per year. The clinical experience includes bedside teaching and emergency medicine consults at North Shore University Hospital, learning to take care of the acutely poisoned patient in the Emergency Department and on the wards. The poison control center experience occurs at the Long Island Poison Control Center and the New York Poison Control Center, where one learns public health aspects of toxicology, the role of a regional poison center, pre-hospital phone consultation and management and hospital consultations of common poisonings.
Schedules
During the general adult ED rotation, students work four clinical shifts per week. These shifts, 8-9 hours long, are divided among the main areas of the department.
Lectures and Labs
In addition to clinical shifts, students are required to attend the weekly academic conference on Wednesday mornings from 7am to noon in the education conference center of the department. Following conference, there are student didactic lectures given by faculty members. Tuesday afternoon is reserved for hands-on procedure labs taught by senior residents, covering basic splinting, laceration repair, EKG interpretation, code simulation, pacemaker/defibrillator management and basic emergency ultrasound.
Roles and Responsibilities
Medical students will be assigned individual patients that they are expected to follow throughout the patient’s course in the Emergency Department. Students will perform a detailed history and physical exam, develop a differential diagnosis, and present the case to the senior resident and attending. Students are also required to chart all orders, perform necessary procedures, follow up laboratory and radiographic studies, make all necessary phone calls and admit or discharge the patient. There will always be an attending or a resident available for bedside teaching and to guide the student throughout this process.
Evaluation
The rotation grade is based on three areas: clinical shift evaluation (65%), final exam (15%), and student didactic lecture participation (20%).
Rotation Application
Contact Information
Questions regarding the medical student rotation can be directed to the Director of Medical Student Education, Lara Reda, MD, via e-mail (LaraReda@aol.com) or Toni Borheck, Residency Program Coordinator, via email (tonib@nshs.edu) or telephone (516) 562-2925.
Applications
Applications for the rotation may be obtained at the NSLIJ Health System's website on their Undergraduate Medical Education Programs page