Medical Student Sub-Internship in Emergency Medicine at Long Island Jewish Medical Center

Welcome to our emergency department!  We are glad you have chosen to visit our site but would love to meet with you in person.

During your four week stay, come prepared to care for plenty of ill patients.  Come prepared to meet resident and attending physicians dedicated and excited to teach our specialty.  Ready yourself because we want to show you what emergency medicine is all about.

You will be working as part of the ED patient care team. Our team consists of  board certified emergency physicians, emergency medicine residents, emergency medicine RNs, emergency medicine PAs, other medical students, and PA students. 

Our ED is divided into three main areas: the Red Team, Blue Team and Rapid Assessment Team. The Red team will see traumas and medically critical patients. The Blue team will see emergent patients, and the Rapid Assessment Team will see the urgent care cases. During your time in our ED you will be given the opportunity to work in all three areas. When working on the Red Team, you will be assigned patients by the senior resident in charge (RIC). You should always present your cases to the RIC first then present to the attending on duty.  When working on the Blue team and the Rapid Assessment Team you should pick up patients as they come into rooms. You should initially have one active patient at a time. As your experience grows you may have more than one active patients. You should be reading about each case you see in the ED. It is expected that you read during and after your shifts. The ED has access to Up-to Date, Micromedex, Poisiondex, and electronic emergency medicine texts. Many Emergency Medicine texts are available to you, in the hospital's medical library. 

On your first day you should present to Sandie Luciano at 9am in the ED administrative suites. You should wear scrubs and your school's white coat with a visible ID. You should have bring a pen light, shears, and a sethoscope. See you then!

We love what we do, and we hope you will too.

Medical Student Conferences and Didactics

• Daily morning conference beginning at 7:45 am in mini-conference room
• Meet for a teaching case presentation with Teaching Attending at 9:00 am every Monday
• Wednesday resident conferences 7:30 - Noon in large conference room
• Wednesday workshops following Resident Conference
  • Suture workshop
  • Splinting workshop
  • EKG workshop
  • Radiology workshop
• ACLS provided free of charge based upon availability

Clinical Responsibilities

• 36 clinical hours per week including nights and weekends. All shifts are 12 hours.
• The student will be responsible for the management of their assigned patients including disposition, under the supervision of the ED attending and a senior resident.
• The student will discuss and present cases to the attending ED physician
• The student will directly contact and discuss cases with consultants and private attending physicians
• The student will keep a log of all patients seen and all procedures performed

Case Presentations

• Age, PMHx/o, Chief Complaint, History of Present Illness, Pertinent ROS
• Vitals taken by you (not the triage vitals)
• Physical Examination
• Top 5 differentials (focusing on the emergent life threatening differentials first)
• The tests you want to order: labs and radiology with justifications for each
• Your working diagnosis and treatment
• Your disposition (admit to hospital and what service you would like to admit to or discharge home with what type of follow up and discharge instructions)

Evaluation and Grades

• An honors / high pass / pass / fail system is utilized. 
• The student will be evaluated by their supervising attending for each shift in the emergency department
• An aggregate final evaluation will be submitted to each respective medical school by the medical student coordinator
• All students are given an end of rotation oral test. 
• Final evaluations is based on a number of factors including level of participation, enthusiasm, physical diagnosis skills, and ability to generate an appropriate differential diagnosis.

How to Apply for your Sub-Internship in Emergency Medicine at LIJ Medical Center?

• Medical students seeking experience at Long Island Jewish Medical Center should complete an application thru the the Visiting Student Application Service or  NS-LIJ Elective Clinical Clerkship Application. 
• Click here for more information
• For questions contact Sandie Luciano at: SLuciano@nshs.edu

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