Applications open on ResidencyCASACGME 1103500005NRMP 2007110C1

You will not wait your turn.

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.

Bethpage, Long Island

The training

Six things that are true here

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.

  1. The airway is yours

    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.

  2. Trained where the trauma is

    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.

  3. Toxicology, from the inside

    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.

  4. 22,000 pediatric visits behind you

    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.

  5. Medicine on the front line with FDNY EMS

    The system that brings your patients in, seen from the truck rather than from the ambulance bay door.

  6. Feedback the same shift

    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

Train where Long Island gets its emergency care

St. Joseph Hospital emergency entrance in Bethpage

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
Good Samaritan University Hospital emergency entrance at dusk, West Islip

Trauma & peds · West Islip

Good Samaritan University Hospital

The region's Level I Trauma Center and your pediatric hub.

Trauma
Level I · II peds
Peds ED visits
22,000
PICU
8 beds
Teaching
PEM fellowship
St. Catherine of Siena Hospital campus in Smithtown

High acuity · Smithtown

St. Catherine of Siena

A second community ED with different pathology and a high admission rate.

ED visits / yr
24,000
ED beds
35
Admission rate
31.4%
Critical care
23-bed ICU
Residents around a conference table working through an ECG together

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

Medicine is part of your life. Not your entire life.

Beaches in fifteen minutes, Manhattan in forty-five. 37 state parks, Fire Island, North Fork vineyards, JFK under 30 minutes.

Life on the Island

On Instagram

Follow along @stjoseph_em

Shifts, sim days, conferences, and the weekends in between, posted by the residents.

Follow on Instagram ↗

Match with us

Train where you are known by name.

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