1. 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 feet - state of art - Jan 2009 begin construction

2. 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”

3. 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…

4. 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 bring All the “nasty stuff” to NUMC) GME perspectives…

5. Bright young faculty, eager to teach -The trauma surgery and IM residents love us… but we’d rather be training EM Residents !

6. -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 -3 rd world population (Latin/S. America + S. Asia) It Ain’t Only About Trauma…

7. Case Conference / Morning Report Twice a week medical 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