Clinical Rotations

TRI Clinical Rotations

Inpatient Medicine
Medical teams, consisting of two-resident day teams and night teams, are responsible for the care of the Family Medicine Center patients requiring hospitalization, Emergency Room assessments, admissions from private attendings, and for emergent care of any hospitalized patients. A Family Medicine faculty member functions as the teaching attending for these patients and oversees the care delivered by the residents via daily teaching rounds.  

The Director of Medicine and a Family Medicine faculty member, along with a number of attending internists and subspecialists on the medical staff, directly oversee the inpatient internal medicine rotation. Attending physicians admit patients to the Medical Teaching Service and thereby actively participate in the teaching program on a daily basis. All admissions are formally presented to selected attending physicians at "sign-out" rounds. As a result, instruction is assured from four complementary sources: the Director of Medicine, the attending staff physicians, the Family Medicine faculty, and senior residents.

Family Medicine Residents along with the TRIs comprise the medical teams responsible for the initial evaluation, the diagnostic work-up and the therapeutic management of patients admitted to the teaching service. Residents learn the different aspects of patient care by following patients from the beginning of their hospitalization through to their discharge. Additionally the patient’s primary care resident actively participates in the management of their patients regardless of their rotation. This insures continuity of patient care.

Pediatrics
The Department of Pediatrics is has a staff of over 40 pediatricians. There are also two full-time neonatologists for supervision and training. There are 11,000 admissions to the 22-bed inpatient service and 1,200 newborns annually. The large number of pediatric Emergency Room visits, as well as the large number of pediatric patients at the Family Medicine Center, affords excellent ambulatory pediatric training.

At South Nassau, the Family Medicine Resident works closely with a third-year Pediatric Resident from Wintrop Hospital. Together they evaluate and admit patients in the Emergency Room, make formal rounds with the Director of Pediatrics, and attend Caesarean sections and complicated deliveries.

The Neonatal Intensive Care Unit is under the on-site supervision of two neonatologists. Daily teaching rounds are made with the attending neonatologists and the pediatric resident. This level of neonatal care allows our Family Medicine residents to gain educational exposure to a variety of neonatal problems.

Surgery
The Department is staffed by more than 100 BE/BC surgeons. There is an advanced design, 12-room operating suite where more than 6,000 procedures are performed annually, along with a busy ambulatory surgery unit. During the first year, one month is spent on the surgical team: assisting at surgery, rounding on patients with the chief surgical resident, and participating in the initial evaluation and management of trauma and acute surgical cases in the Emergency Room.  Residents also have the opportunity to learn and practice intubations, and work with surgical residents from the South Nassau Communities Hospital ACGME General Surgery Program.

Obstetrics and Gynecology
Approximately 1,200 deliveries are performed each year at South Nassau Communities Hospital, with over 300 being patients of the Family Medicine Center. There are six spacious labor rooms, which can be converted to birthing rooms, two operative/delivery suites, and two recovery rooms on our Labor and Delivery floor.  A full-time obstetrician supervises the Family Medicine resident during the rotation. A rotating senior OB resident from South Nassau OB/GYN residency, Nassau University Medical Center or St. John’s Hospital is available as a resource to our residents. Residents are trained in the full management of low risk pregnancy and uncomplicated delivery and episiotomy/repair. The resident also assists in Caesarean section and gynecologic surgery. Our clinic colposcopy equipment enables us to provide colposcopy, cryotherapy, and endometrial biopsy to our Family Medicine Center patients.

One month is devoted to outpatient gynecology, where the resident is exposed to evaluation and management of patients with problems in gynecologic endocrinology, infertility, cervical dysplasia, family planning and common ambulatory gynecologic complaints.

Emergency Medicine
Our modern Level II Emergency Department is one of the busiest on Long Island's South Shore, with more than 60,000 patient visits per year. There are 12 monitored beds, including a separate suite for major trauma and cardiac emergencies, a pediatric suite, an ophthalmology-ENT room, an orthopedic suite and an area for "Qwik-Care."  There is a full-time board certified Director and 24 hour coverage by staff E.R. physicians.

Family Medicine Centers
Transitional Rotating Internships have their continuity clinics at one of our outpatient sites.

Osteopathic Manipulative Medicine
During this rotation, interns will learn osteopathic principles and practice from a combination of outpatient and inpatient experiences. Interns will become proficient in the indications, contraindications, and application of osteopathic manipulative treatment. Daily rounds on patients admitted to the hospital provide the interns an opportunity to perfect their osteopathic knowledge and skills in the inpatient setting. Interns are also precepted by private physicians in the community specializing in osteopathic manipulative medicine. In addition to this rotation, interns receive experience through clinic OMT sessions at the Merrick Family Medicine Center.

Electives
A full complement of hospital and community-based electives are offered, including those at other major New York metropolitan area teaching hospitals and even in distant locales such as Alaska.

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From the Program Director

The Traditional Rotating Internship (TRI) at South Nassau Communities Hospital is a well-rounded...

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Application Information

We are looking for highly-motivated, intelligent, and empathetic people with a strong commitment to osteopathic medicine....

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Our Program

Our Traditional Rotating Internship began February 2014 after the closure of a Traditional Rotating Internship at Long Beach Medical Center...

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Training Sites

Established in 1928, our hospital is one of the region’s largest hospitals with 455 beds...

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Clinical Rotations

Medical teams, consisting of two-resident day teams and night teams, are responsible...

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