
Home base · Bethpage
St. Joseph Hospital
Your home ED. Community volume, unopposed procedures.
- Beds
- 203
- ED visits / yr
- 35,000
- Critical care
- 28-bed ICU
- Certified
- Chest pain · Stroke

Six residents a year in an unopposed emergency department, with a Level I trauma center, the state poison control line and FDNY EMS built into the three years.
The training
Each one is a structural feature of the schedule: where you rotate, who is standing next to you, and how many people are ahead of you in line.
There is no competing residency in this department. Intubations, central lines, chest tubes, lumbar punctures and laceration repairs are not shared out. They are the job. Seventeen 12-hour ED shifts a month as a PGY-1, fifteen by PGY-3.
Trauma, PEM, and PICU blocks run at Good Samaritan University Hospital, the region's Level I center, and you hold a trauma team role at both community sites.
A dedicated rotation at the NYC Poison Control Center puts you on the statewide consult line, so the overdose is a call you have already taken from the other end.
Pediatric EM at a site with a PEM fellowship and an 8-bed PICU, so the sick child is not the first one you have seen.
The system that brings your patients in, seen from the truck rather than from the ambulance bay door.
Six residents a year means the attending who watched you work is the one giving the feedback, and it lands before you leave the building.
6
Residents / year
18
Across three classes
3
Training hospitals
12h
ED shift length
2024
Inaugural class
Training sites

Home base · Bethpage
Your home ED. Community volume, unopposed procedures.

Trauma & peds · West Islip
The region's Level I Trauma Center and your pediatric hub.

High acuity · Smithtown
A second community ED with different pathology and a high admission rate.

Program philosophy
“Residents are not defined by their PGY year, but by their readiness and engagement.”
Robert Gekle, MD, FACEPProgram Director
Interns present their own plans. Seniors lead resuscitations. Attendings stay one step behind you: close enough to catch, far enough to let you fly.

Off shift
Beaches in fifteen minutes, Manhattan in forty-five. 37 state parks, Fire Island, North Fork vineyards, JFK under 30 minutes.
Life on the IslandOn Instagram
Shifts, sim days, conferences, and the weekends in between, posted by the residents.
Match with us
Applications through ResidencyCAS. J-1 sponsorship available. Visiting students welcome for audition rotations.
ResidencyCAS opened September 2, 2026 · Interviews begin October 2026 · ACGME Program Code 1103500005 · NRMP Code 2007110C1