Internal Medicine Residency Programs

NYC Health + Hospitals/Coney Island is a 371 bed municipal hospital with over 290,000 ambulatory visits per year, serving a culturally diverse urban population. This diversity allows for a breadth of patient care experience. There is a large Inpatient and Ambulatory population crossing all age groups. The mission of the institution stresses providing health care regardless of the patient’s ability to pay.

NYC Health + Hospitals/Coney Island has three main buildings, one of which was built recently and contains most of the Inpatient units, including Telemetry, all Intensive Care units, state-of-the art Maternity unit and Gynecology Inpatient unit. The hospital also has a Dialysis unit, Stroke unit, Cardiac Cath Lab, an Infusion Suite for Chemotherapeutics, Palliative Care unit, large Rehabilitation Department with Inpatient and Outpatient services. Our Emergency Department handles ~70,000 visits per year; the new ER was opened at the beginning of 2013. We were recently approved for a new construction which will be “Sandy-proofed.”  The new building will rise in the next few years.

Non-internal medicine specialties available at NYC Health + Hospitals/Coney Island include Dentistry, ENT, Ophthalmology, Urology, Vascular Surgery, Orthopedics, Maxillofacial Surgery, Plastic surgery, Podiatry, Obstetrics and Gynecology, Pediatrics, Anesthesiology, and Neurosurgery.

The primary goal of NYC Health + Hospitals/Coney Island’s Internal Medicine Residency Program is to train fully competent, broadly skilled general internists.

We seek to educate in the model of lifelong learning, recognizing that ever-expanding knowledge and ever-growing scope of diagnostics and therapeutics requires individual self-renewal. The program is approved for 25 positions per year.

All internal medicine rotations take place in the NYC Health + Hospitals/Coney Island and its ambulatory facilities. Residents have many opportunities to learn and practice shared decision- making and communication skills, also to apply current evidence-based knowledge to achieve the best likelihood of the patient’s desired outcome. The program is devised to properly educate internists through didactic and clinical experiences. The commitment to Osteopathic Principles and Practice is an integral part of our osteopathic training program. We are proud to achieve 100% ABIM and AOBIM passing rate every year. Our parallel Osteopathic and Allopathic IM programs merged and became one program under ACGME-accreditation as of July 2017.

The Internal Medicine Residency Program provides 33 % of its clinical experience in the ambulatory setting. Residents spend two half-day sessions per week in Continuity Ambulatory sessions throughout all three years of training. Residents develop their own panel of patients, serving as their primary care physician, under direct supervision of the Board-certified faculty members. PGY-1 residents see 2-3 patients per session, which includes 1-2 new patients. PGY-2 and PGY -3 residents see 4-6 patients, which includes 1-3 new patients.

Residents are given guidance and advice to develop their careers, achieve scholarship, and complete the prerequisites needed for the next steps of their careers. Our house staff learn how to problem solve and begin the process of self-directed life-long teaching and learning. House staff is taught to assess patient outcomes in order to improve future decision making and guide practice management. They acquire the ability to organize their workdays, as well as reflect upon and plan for professional-personal balance, stress reduction, and personal health.

Rotational structure

Residents have full Attending supervision in house available 24/7, including, but not limited to hospitalist service, an intensivist, surgical support and Ob/GYN.

Inpatient rotations are typically 60 hours /week, including on call time, with one full day off in seven. The inpatient General Medicine floor rotation has a “short call” every fourth day until 9:00 pm.

We completely eliminated 24-hour call in all three years of training.

Night float sessions are separated by 12 hours off duty, with one 36 hour period off each week.

CCU/MICU rotations consist of six twelve hour shifts with one full day off in seven.

Elective rotations, Ambulatory Multispecialty block and Rotation in Geriatrics are typically nine hours per day, five days a week, with two “twelve hour” calls during that month, usually to relieve ICU or night float team during the weekend.

All other weekends are free.

Emergency Department rotations consist of five twelve- hour shifts per week with weekends off, residents continue to attend continuity clinic during ER rotation.

Internal Medicine Fellowships.

NYC Health + Hospitals/Coney Island is starting new osteopathic fellowships in July of 2016.
We are approved for the following programs:

Cardiology – three positions per year in a three-year program
Gastroenterology – two positions per year in a three-year program
Endocrinology – two positions per year in a two-year program,
Nephrology – two positions per year in a two-year program,
Infectious Diseases – two positions per year in a two-year program.

Osteopathic Traditional Rotating Internship(TRI) is based on Medicine program. TRI program includes six specialties for Core rotations: Surgery, OBGYN, Medicine, Pediatrics, Family Practice and EM, as well as three sub-specialties such as Pathology, Radiology and Anesthesia for at least two-week rotations. The program is in the process of converting into Preliminary Medicine under ACGME with projected start date in July 2018.

All osteopathic programs will be seeking ACGME accreditation in the near future. Osteopathic Traditional Rotating Internship program contacts:
Ms. Rhonda William- Davis
Program coordinator
Rhonda.William-davis@nychhc.org
Tel. 718-616-4144

Eleonora Akker, DO, FACP
Program Director,
Osteopathic DME
Eleonora.akker@nychhc.org
Tel. 718-616-3449

Allopathic Internal Medicine program contacts:
Ms. Jamie Vigliotti
Program coordinator
Jamie.vigliotti@nychhc.org
718-616-3779

Steven Siegel, MD
Program Director
Steven.siegel@nychhc.org
718-616-3779

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