Core Rotations
Our program is an X+Y program - we follow a “4+1 system”. Residents will have 4 weeks of inpatient floors, ICU, or elective, followed by 1 week of clinic (or elective for prelims).
The primary inpatient teaching sites are North Shore University Hospital, a quaternary care center, and Long Island Jewish Medical Center, a tertiary care center. Categorical residents will be assigned a clinic site - either 865 Northern Blvd or MSGO - at the beginning of their PGY1 year and remain rotate there every 5th week for their continuity clinic.
Night Float
The Night Float rotation is a PGY-1 experience spanning 2-4 total weeks during intern year. Working from 7:00 PM to 7:00 AM alongside 2 senior residents interns cross-cover inpatient floor teams, manage overnight patient care, and respond to Rapid Responses with the senior residents. Interns handle 1 admission per night to focus on detailed initial workups, acute stabilization, and order management under direct supervisory support. Overnight hospitalists are available for support and supervision.
Medical ICU
Other inpatient rotations include the medical intensive care units, cardiac care units, ED and subspecialty electives.
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 full-time 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. Our ambulatory practices at 865 Northern Boulevard and The Medical Subspecialties at Glen Oaks focus on interprofessional primary care with residents working alongside the interprofessional team in teamlets.
