Program highlights

  • An innovative scheduling model that reduces fragmentation of education and patient care.
  • Training sites in an upscale suburban community less than 30 minutes from Manhattan.
  • Health care provider includes all major subspecialty fellowships.
  • Extraordinary track record of acceptance by top fellowship programs.
  • Highly competitive salary and benefits.
  • Diverse patient population from throughout greater metropolitan New York.

 

Northwell Health offers fellowships in all the major subspecialties: cardiovascular disease; endocrinology, diabetes, and metabolism; gastroenterology; geriatric medicine; hematology and oncology; hospice and palliative medicine; infectious disease; nephrology; pulmonary disease and critical care medicine; sleep medicine; interventional cardiologymedical ethics, advanced endoscopy and allergy and immunology,

Training sites

The program’s main training sites are North Shore University Hospital and Long Island Jewish Medical Center, where residents complete general medical ward, MICU, CCU, emergency department and most subspecialty electives.

Learn more about North Shore University Hospital here.

Learn more about Long Island Jewish Medical Center here.

Inpatient medical teams consist of one attending (a teaching hospitalist), one resident (second- or third-year), one or two interns, and several third- and fourth-year medical students. On rounds and at daily chart review sessions, all decision-making and order-writing is done as a team, with a senior resident and supervising attendings.

Teaching hospitalists round daily with the full team. A night float system handles admissions and cross-coverage from 7 p.m. to 7 a.m. Interns are supervised throughout the day and night, with in-house hospitalist attendings and senior residents on call.

The Medicine Admitting Resident (MAR), a third-year resident, screens newly admitted cases in the emergency department to determine which patients will be covered by medicine housestaff, increasing housestaff autonomy.

The ambulatory care programs are responsible for more than 20,000 patient visits annually. Housestaff build a continuity practice over three years and are supervised closely. Each clinic session is precepted by several fulltime ambulatory teaching attendings and a chief resident. All cases are presented to a preceptor and discussed in detail. Preceptors observe physical examinations and patient encounters, and guide decision-making.

The Division of General Internal Medicine practice at 865 Northern Boulevard provides comprehensive primary care services. It also offers preventive care with a particular emphasis on managing chronic conditions such as hypertension, diabetes, and cardiovascular disease.

The Long Island Jewish Ambulatory Care Unit provides primary care and women’s health services with the added benefit of accessibility and affordability as part of Northwell Health. There is an emphasis on continuity of care, preventive medicine, and patient education.

The Continuity Model of housestaff education

A key component of the Northwell internal medicine residency program is our continuity model of  housestaff  education, which is based on the “Four Plus One” system, an increasingly popular strategy for compliance with ACGME duty-hour rules. The model’s core is a variation on protected time: each four-week block of inpatient duty is followed by a week dedicated to ambulatory education. This strategy eliminates pressure on trainees to be in two places at once; they no longer rush from inpatient floor to outpatient clinic. Life assumes a consistent rhythm and “sleep debt” is minimized. The system enhances clinical care as well, reducing the fragmentation and waste that sometimes accompany the traditional system, and supporting residents in building a practice over time. Didactics and subspecialty training in both settings benefit from the continuity, and research becomes a real option.

Curriculum

PGY 1

CCU

2-4 weeks

Elective

4-6 weeks

Internal Medicine Floors      

5 months

MICU

4-6 weeks

Night Float

4 weeks

Outpatient Clinic

3 months (10-11 weeks)

Vacation

4 weeks

 

PGY 2

CCU

2-4 weeks

Elective

8-10 weeks

ER

2 weeks

ICU

4-6 weeks

Internal Medicine Floors      

10-12 weeks

Night Admit

6-8 weeks

Outpatient Clinic

3 months (10-11 weeks)

Palliative Care

2 weeks

Vacation

4 weeks

 

PGY 3

Elective

8-10 weeks

ER

2 weeks

Geriatrics

2 weeks

ICU

4-6 weeks

Internal Medicine Floors

10-12 weeks

Medical Admitting Resident (Day)

4 weeks

Medical Admitting Resident (Night)  

4 weeks

Neurology

2 weeks

Outpatient Clinic

3 months (10-11 weeks)

Vacation

4 weeks

 

Morning Report: Takes place Monday-Wednesday, with one or two senior residents presenting a case they have seen on the medicine wards week with accompanied evidence-based teaching points.

Intern Report: Takes place Tuesday and Wednesday, it is a similar structure to Morning Report but is only attended by interns and geared towards teaching to an intern level.

Noon Conference: Takes place daily with all residents in attendance.  Different subspecialties are dedicated to each month, with experts in each field teaching didactic sessions.

Practice Based Learning Conference: Interesting cases are discussed in an interdisciplinary setting with all residents in attendance and one senior resident leading the conference.

Team Based Learning Conference: Small group interactive sessions focus on a variety of outpatient diseases, such as back pain and asthma, with each resident assigned to teach a specific aspect of the topic.

Evidence Based Medicine Course: A five-day interactive course for all categorical residents.  The course provides an opportunity to refresh basic skills in biostatistics, direct mentorship from the senior librarian with regards to medical research, and refine critical reading of landmark medical trials.

Academic Half Day (Ambulatory): Takes place on Thursday mornings after Grand Rounds; high yield ambulatory topics are discussed and learners participate in didactic sessions.

Resident as Teacher Retreat: Rising second year residents meet at the start of the academic year to learn and practice teaching strategies as they make the challenging transition from intern to senior resident.

Point of Care Ultrasound: An innovative all-day course for all new interns teaching the essentials of bedside ultrasound and led by our critical care faculty, who are world leaders in ultrasound education.

Health Care Reform Week: A variety of lectures and interactive conferences focusing on the economics, politics, and policies of health care in America and how it will impact residents as they move forward in their careers.

Quality Improvement Patient Safety (Ambulatory): A year-long project led by small groups of residents for outpatient quality improvement.  The groups each present their research in a General Internal Medicine Grand Rounds at the end of the year.

Board Review: Every third year resident prepares a noon conference lecture on a relevant topic for the Internal Medicine Boards.

Program tracks & special electives

Categorical: The Categorical Internal Medicine residency is a three-year program that provides a broad experience in inpatient and outpatient internal medicine. We have approximately 36 categorical interns each academic year.

Preliminary: The Preliminary Internal Medicine residency program provides one year of training in Internal Medicine in preparation for careers in Anesthesiology, Dermatology, Neurology, Radiology, Ophthalmology, and more. We have approximately 22 preliminary interns each academic year.

Primary Care/IMPACcT Clinic: The IMPACcT Primary Care Experience provides second and third year residents with a mentored primary care experience integrating education and clinical skills focused on patient-centered care, quality improvement, and population health in an interprofessional team-based setting. Learn more

Uganda/Global Health: Third year residents have a one month opportunity to participate in the Uganda/Global Health elective. Learn more

New York ACP Advocacy: In their second or third year, residents have an opportunity to take the healthy policy elective.

Read the testimonial below from one of our residents:

Ankita Sagar, MD

  • Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Ankita Sagar, M.D., M.P.H.

When I first enrolled for my health policy elective with the New York Chapter of ACP, I knew little about the health care legislative priorities in New York State. All I knew was that the month long elective in Albany offered a unique opportunity to step outside the walls of the hospital and attempt to understand how policy affects the quality of care provided inside the hospital. However, I learned much more.

Through my time with the NY-ACP as an Advocacy Resident, I was given the opportunity to appreciate the landscape of health policy and its implications at the regional, state, and local level. It allowed me to interact with various stakeholders, including legislators, executives from the Department of Health, hospital administrators, primary care physicians, and of course patients. The plethora of legislative and budgetary items related to health care was certainly overwhelming; however, I soon realized that it was the best environment to develop the skills of analyzing proposals and predicting the effects on the population health. The elective allowed me to participate in a team of experts with extensive experience in health policy and advocacy. And thus, I was able to further hone my skills on health care advocacy. As a result of this experience, I have a unique appreciation of the way many teams come together to improve health care delivery. It also inspired me to continue engaging various stakeholders on policy discussions and innovative plans of delivering quality care to our patients. I strongly believe that the knowledge and skills I have gained through this elective, allows me to be a more effective physician, leader, and advocate.

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