The Geriatric Medicine Fellowship Program at NYU Winthrop Hospital is a well-balanced training program that provides fellows with high quality clinical and academic experiences to graduate expert geriatricians. Our fellowship program effectively provides trainees with the knowledge skills, and confidence to be highly qualified, geriatricians, as demonstrated by the program’s extraordinary board pass rate. Our fellows learn to provide expert care for a wide range of elderly patient populations, including functionally independent community dwellers, frail nursing home residents and acutely ill hospitalized patients. We accept both J1 and HB1 visas.
The program has been accredited by the ACGME since its inception in 1990. NYU Winthrop Hospital was recognized by U.S. News World & Report as having a high performing specialty in Geriatrics for 2017-18.
Our expert and highly dedicated faculty provide close supervision and mentoring in all clinical settings. In addition to certification in geriatric medicine, our core faculty also hold board certifications in clinical pharmacology and hospice and palliative medicine, which uniquely enables our program to offer trainees a rich educational experience. Our attending faculty to fellow ratio is 2:1.
Geriatric clinical pharmacology, neuropsychology, hospice and palliative medicine, and clinical ethics are integrated into the academic structure. Our fellows also work closely with a Neuropsychologist who trains fellows in performing cognitive assessments. Our teaching staff also includes a Certified Geriatric Pharmacologist, and a Licensed Social Worker specializing in Geriatrics. Palliative experiences include training with Hospice/Palliative certified physicians, specially trained Nurse Practitioner, and a Licensed Social Worker specializing in palliative care.
Numerous research opportunities are available. Fellows may join an ongoing research project or develop their own with faculty mentoring. Faculty and fellows have published in many journals including the Annals of Internal Medicine, Clinical Geriatrics, Journal of the American Medical Directors Association, Gerontology & Geriatric Education and the Journal of the American Geriatrics Society. Fellows have presented their research at national conferences including the American Geriatrics Society, American Medical Directors Association, and Society of Geriatric Cardiology.
Faculty have also presented oral symposia at national meetings (e.g., American Medical Directors Association and American Association of Geriatric Psychiatry) and at state meetings (New York Academy of Medicine and New York State Department of Health Dementia Conference). Faculty also serve in leadership positions in the New York Chapter of the American College of Physicians, Alzheimer’s Associations, and the New York Medical Directors Association. Graduates of our Geriatric Medicine Fellowship Program have pursued a variety of careers including medical directorships, private practice in a range of settings, palliative care, and academic positions.
NYU Winthrop Hospital is a 591-bed university-affiliated medical center which proudly offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. We are also Nassau County’s only American College of Surgeons certified adult Level 1 Trauma Center with full adult and pediatric capabilities.
Rest assured that whatever medical care you or your family may need, NYU Winthrop is committed to a profound guiding principle: “Your Health Means Everything”
NYU Winthrop Hospital has been a focal point of academic medicine on Long Island and is now very proud to partner with the NYU Long Island School of Medicine, a newly LCME accredited, innovative 3-year medical school located on the hospital campus with a mission to educate exemplary physicians and academic leaders in primary care. In addition, we sponsor over 30 medical and surgical residency and fellowship training programs where 300 physicians have chosen to pursue their post-graduate medical education.
NYU Winthrop has a vibrant multi-faceted research program. As part of its mission as a teaching hospital, NYU Winthrop physicians and scientists are engaged in groundbreaking basic and clinical biomedical research.
Ever changing and growing with the diverse community it serves, NYU Winthrop Hospital is, in many ways, a unique institution, simultaneously large and small, regional as well as local. We successfully blend the progressive philosophy, sophistication and advances of a teaching and research institution with a very personal approach to patient care – an approach that has become the cornerstone of our organization.
Clinical Training Sites include:
We also offer three optional Electives:
Our one-year curriculum focuses on gaining comprehensive clinical skills in a number of settings: hospital, outpatient, nursing home care, assisted living, and home care. It also includes outpatient experiences in Neurology and Physical Medicine and Rehabilitation.
|Inpatient Service||Outpatient Practice / Ambulatory||Skilled Nursing Facility: Long term care & Subacute Rehabilitation||Physical Medicine & Rehabilitation|
|Geriatric Psychiatry||Hospice Care|
Geriatric fellows function as junior attendings providing care for hospitalized geriatric patients (as primary physicians and as geriatric consultants). Fellows are also involved with teaching interns and residents.
In addition to weekly Continuity Clinic, fellows have three one-month outpatient rotations which include home visits. Fellows see healthy elderly, frail elderly and medically complex patients, including those with cognitive impairment.
Fellows are responsible for managing a panel of long-term care patients in a Skilled Nursing Facility throughout the year, with monthly visits. In addition, fellows serve as the primary physician for residents in Long Term Care and Subacute Rehabilitation for three months, supervised by teaching faculty. Fellows also spend time with the Medical Director, in order to gain administrative experience.
This rotation provides exposure to multiple aspects of care including partial day program, inpatient, and outpatient care with special focus on the consult-liaison service of Geriatric Psychiatry for medical inpatients in the hospital.
Palliative Care is a comprehensive and multidisciplinary approach to pain and symptom management for patients with severe, life-limiting illness. Fellows are active participants with the inpatient palliative care team utilizing valuable communication and symptom management skills. During their week of home hospice experience, as part of their Palliative Care month, fellows join a hospice team on home visits, attend team meetings, and participate in care planning.
Hospice care for patients at the end-of-life is a Medicare benefit which provides symptom management for patients with a terminal condition. During their week of home hospice experience, as part of their Palliative Care month, fellows join the hospice team on home visits, attend team meetings, and participate in care planning.
In addition to exposure to rehabilitation at the nursing home, fellows have a dedicated Physical Medicine & Rehabilitation rotation. This includes a rotation in an acute inpatient rehabilitation facility, inpatient PM&R consults in the hospital, and participation in outpatient clinic, team meetings, and didactic sessions.
Fellows enjoy a dedicated outpatient neurology experience. This training focuses on neurologic conditions which are more prevalent in the elderly: movement disorders, strokes, seizures and more. Fellows receive excellent training on the neurologic exam, diagnostic modalities and treatment options. Fellows also participate in an outpatient uro-gynecology experience, learning about available diagnostic tools and medication management.
The Elective in Palliative Care is a specialized educational experience which provides palliative training beyond the traditional Geriatric Medicine fellowship experiences. In addition to the one month inpatient palliative/home hospice rotation which all fellows receive, the fellows who chose the Elective in Palliative Care experience have an additional two week Palliative experience. The additional experience includes one week at Calvary (a long term acute care hospice focusing on palliative care) and one week focused on inpatient hospice/inpatient palliative care unit with an affiliated Hospice agency.
The Elective in Wound Care is a focused educational experience which provides specialized wound care training with the NYU Winthrop Wound Healing team. Fellows spend two weeks with the team focusing on topical wound care treatments, debridement (bedside and OR), and hyperbaric treatments. In addition to wound care management, fellows are trained on wound care risk assessment and multifaceted approaches to improve wound healing.
The Medical Director Elective is a specialized nursing home medical director experience beyond the traditional nursing home experiences in Geriatrics fellowship. Fellows spend two weeks at Parker Jewish Institute with a certified medical director. This rotation focuses on administrative NH duties in a large nursing home environment which provides complex care including hemodialysis onsite and provides many other specialty care onsite.
Alzheimer’s Case Conference: One hour interdisciplinary case discussion including physicians, nursing, social work staff from neurology, psychiatry, geriatric medicine, home care, and more. (Quarterly)
Case Conference: One hour case presentation and discussion by faculty regarding patient care in a various patient care venues. (Twice a month)
Division Quality Improvement Committee: One hour meeting led by faculty to discuss and implement Quality Improvement projects. (Quarterly)
Educational Meeting: Thirty minute session led by faculty on a wide variety of topics, such as proper documentation, billing and coding, effective communication skills, delivering bad news, managing telephone conversations with patients/families, factors to consider in a job search and contract negotiation, and more. Guest speakers are invited for additional topics such as: role of pastoral care, role of risk management, library services, telemedicine, and more. (Twice a month)
Geriatric Grand Rounds: One hour lecture covering a wide range of Geriatric Medicine topics, presented by faculty and guest speakers. (Weekly)
Geriatric Medicine Board Review: Board review in a question/answer format, led by faculty. (Monthly)
Geriatric Psychiatry Series: One hour session with visiting faculty from Geriatric Psychiatry addressing key topics in the field and the Gero-psych approach to management.
Geriatric Team Meeting: One hour interdisciplinary team meeting regarding patient care with a team-based problem solving approach. Attended by faculty, nursing, social work and others. (Monthly)
Journal Club: One hour discussions of current literature led by fellows with an assigned faculty preceptor. Articles are selected based on relevance to Geriatric practice. Statistical concepts are incorporated into the discussions.
Medical Director Series: Presented by regional leaders in Nursing Home Medical Directorship, this eight hour course is divided into four sessions. Topics include: roles and responsibilities of the Medical Director, physician documentation, regulatory and legal issues, state surveys, infection control and quality assurance, and transitions in care.
Neuropsychology Series: Presented by a Neuropsychologist, this series addresses the role of Neuropsychology testing in diagnosing dementia, as well as provides education about dementia and other cognitive disorders. (7 hours, provided in four separate sessions)
|Eghosa Eronmwon||Geriatric Hospitalist||Long Island, NY|
|Swe Swe Myo||Geriatric Hospitalist||California|
|Rochelle Remolana||Geriatric Hospitalist||Queens, NY|
|Sartaj Sandhu||Geriatric Primary Care||California|
|Nagham Ali||Memorial Hospital||Quesnel, BC, Canada|
|Keith Brennan||Hospitalist||South Nassau Communities Hospital, Long Island, NY|
|Noah Canlas||Outpatient Family Practice||One Medical Group, Manhattan, NY|
|Brian Son||Geriatrics Practice||Unity Geriatrics Associates, Rochester, NY|
|Josephine DelaCruz||Hem/Onc Fellowship||Winthrop-University Hospital, Mineola|
|Ricardo Elagio||Subacute Rehabilitation Physician||Stern Center for Health Care & Rehabilitation/Northwell Health, Manhasset, NY|
|Pavel Groysman||Palliative Medicine Faculty||Winthrop-University Hospital, Mineola, NY|
|Sukhminder Sahansra||Geriatric Medicine Faculty
Subacute Rehabilitation Physician
|Winthrop-University Hospital, Mineola, NY
Sun Harbor Manor, Roslyn Heights, NY
|Sara Gitte||General Practice||Lakeview Internal Medicine, Ocala, Florida|
|Yelena Khaitin||ElderOne/PACE||Rochester Regional Health System, NY|
|Nadia Malik||Hospitalist||Laconia, New Hampshire|
|Lucan Rodrigues||Director, Palliative Medicine||Flushing Hospital Medical Center, NY|
“This program offers a balanced exposure to all aspects of Geriatric Medicine, where teaching takes place at all levels. The atmosphere imparts both guidance and independence so that fellows can gain the knowledge, skills, and confidence to care for their patients. My training experience has equipped me with the skills that are essential for becoming an effective, efficient, and compassionate Geriatrician who can make a positive impact on healthcare for the elderly in a variety of settings. Completing my fellowship in Geriatrics at Winthrop-University Hospital was the best decision I ever made!”
Irving Gomolin, MD, CMD, FACP, AGSF, FCP, FRCPC
Lucy O. Macina, MD, FACP
Rachel A. Fermo, MD
Paula E. Lester, MD, FACP, CMD
Alka Nischal-Rednam, MD, FACP
Sukhminder (Simmi) Sahansra, MD
Nancy S. Foldi, PhD
Sum Lam, PharmD, BCPS, FASCP
Linda Martinez, LCSW, ASW-G
Ana Sanchez, RN
Gregory Maddox, LPN
Adjunct faculty participate at other teaching sites.
Recent academic accomplishments by our Fellows:
View the publications by NYU Winthrop Geriatric Faculty at the National Library of Medicine’s (NLM) Medline database (PubMed).
NYU Winthrop Hospital’s graduate medical education programs create an atmosphere in which cultural and ethnic differences among patients, staff, and house staff are recognized, respected, understood and embraced. Residents participate in the care of a diverse group of patients and have the opportunity to work with colleagues from varied backgrounds. NYU Winthrop aims to bring the best residents, fellows and faculty from all ethnic, racial and gender groups to learn and care for patients in this diverse environment.
Housing accommodations, at heavily subsidized rates, are available in apartment buildings and residential homes within close proximity to the NYU Winthrop Hospital campus. If a member of the house staff requests NYU Winthrop housing and it cannot be provided, a live-off allowance may be provided.
Salaries are highly competitive with other academic medical centers in the New York metropolitan region. Tax deferred annuity is available.
|2019-2020 Annual Salary|
Residents and fellows are provided with three complimentary meals per day, seven days per week, in NYU Winthrop’s full service cafeteria (up to $4.00 for breakfast, $4.50 for lunch and $5.90 dinner).
NYU Winthrop Hospital’s new house staff lounge is accessible 24/7. The spacious and comfortable lounge is equipped with computers, wifi, television, foosball table, lockers, lounge chairs, as well as coffee and tea.
NYU Winthrop Hospital residents and fellows receive four weeks of vacation (20 working days) within each contract year.
PGY 1 level residents are eligible to attend one local conference (New York Metropolitan Area), at the discretion of the Program Director. House staff at the PGY 2 level and above are eligible for one trip, maximum of five consecutive weekdays, to an approved professional conference in the continental United States each year, at the discretion of the Program Director.
Reimbursement for allowable educational expenses is available up to a maximum of $75 for PGY 1 residents and $700 for PGY2 and higher residents and subspecialty fellows.
The TransitChek Commuter Benefit Program is available. This program allows the resident/fellow to deduct pre-tax money to pay for mass transit or commuter parking (up to a predefined maximum).
Additional Benefits Include:
NYU Winthrop Hospital is committed to providing residents with a comprehensive benefits program. Benefits include generous medical, pharmaceutical, and dental coverage, as well as flexible spending accounts. Benefits are effective from the first day of residency/fellowship.
Residents/fellows are covered by short-term, non-occupational disability insurance (up to six months). To be eligible for disability insurance benefits, one must be on the payroll for a minimum of twenty (20) work days (four consecutive weeks) and unable to work for more than seven (7) calendar days, due an injury or illness that does not arise out of, and in the course of, employment. These benefits, which supplement lost income, are based on salary level and are payable for up to 26 weeks after the employees accrued sick time has been used.
The long term disability benefit begins after six months of short term disability. It pays a monthly benefit for an extended illness or injury. The monthly benefit is offset by benefits from other sources, such as Workers Compensation and Social Security.
House staff receive compensation, in accordance with the Workers Compensation Law, for any illness or injury which is job related. Benefits include payment for medical expenses and lost pay.
In accordance with the Family and Medical Leave Act (FMLA) of 1993, NYU Winthrop Hospital will grant residents/fellows unpaid leave(s) for up to 12 weeks in a 12-month period. To be eligible, one must have worked 12 months at the Hospital and a minimum of 1250 hours in the twelve-month period prior to the start date of the requested leave. FMLA leave may be granted for the birth, adoption or acceptance for foster care of a child; for the care of a child, spouse, or parent with a serious health condition; or for the employee’s own serious illness.
Residents/fellows may to return to their training program after a leave of absence, without loss of training status, if their leave does not exceed that allowed by the specialty boards.
NYU Winthrop’s residents/fellows are provided with professional liability coverage for the duration of their training through the Hospital’s self-insurance program. Coverage provides legal defense and protection against awards from claims reported or filed after the completion of graduate medical education if the alleged acts are within the scope of the education program.
Basic Life Insurance is provided by the hospital at no cost to the resident/fellow. This benefit equals 1 X the resident/fellow’s annual salary payable to the beneficiary. Residents/fellows may purchase additional voluntary life insurance up to 3X their annual salary (combined basic and voluntary may not exceed $500,000).
Provided by the hospital at no cost to the resident/fellow.
A Defined Contribution 403(b) Plan is available for voluntary pre-tax/after-tax contribution.
NYU Winthrop Hospital residents and fellows are provided with pre-employment physicals, annual health assessments, and Tuberculosis screenings, as well as vaccines and required health surveillance free of charge through the hospital’s Employee Health Service. In addition, if a member of the house staff becomes ill while at work, he or she will be seen at no charge by an Employee Health practitioner, or by the Emergency Room staff if the Employee Health Service practitioner is not available.
Free assessment, referral and brief psychotherapy services are available on a confidential basis to members of the House Staff and their immediate families.
This resource is available to residents/fellows and their family members to assist with:
The longest and largest island in the contiguous United States, Long Island stretches over 100 miles from New York City to Montauk Point. A celebrated summer vacation spot, Long Island offers seasonal beauty, professional sports events, art museums and galleries, and fabulous cuisine. Eastern Long Island has gained fame as for its vineyards, and is home to almost 20 wineries. From NYU Winthrop it is a short trip to Manhattan, where you can enjoy world class dining, museums, and endless cultural opportunities. From scenic Atlantic Ocean beaches to Fire Island, the Hamptons and Montauk Point, Long Island has something for everyone.
Convenient access to NY City is available by Long Island Railroad located directly adjacent to NYU Winthrop Hospital. Residents and fellows take advantage of the opportunity enjoy the myriad of cultural, social, and professional activities in New York City. Additionally, NYU Winthrop’s location in central Nassau County allows easy access to spectacular beaches.
The village of Mineola is a wonderful place to live and work. Mineola affords one the opportunity to enjoy the relaxed Long Island lifestyle, while living only 30 minutes away (via LIRR) from the attractions of NYC.
The close vicinity of the hospital, where most of the resident housing is located, is an excellent location for both families and single residents. Aside from a LIRR station leading directly into NYC, the area is surrounded by a quiet residential neighborhood and a large park with sports facilities, open fields, and a local library. The Roosevelt field mall, one of the largest retail centers on Long Island, is located less than a mile away from the hospital along with a large conglomerate of brand name stores and services.
You can also enjoy the wonderful things that Long Island itself has to offer You will find that living in Mineola is a sound choice from the economic perspective. While residents living in large cities incur significant living expenses, Mineola is very affordable.
Please apply through the ERAS Fellowships Applicant Site. We participate in the NRMP match. NYU Winthrop Geriatric Medicine Fellowship is fully committed to the NRMP match process and has signed the “Geriatric Medicine Fellowship Match Code of Ethics.” For more information, see the ADGAP webpage.
Necessary components of an application are:
Residents and fellows can apply for a rotation with any department by contacting the academic coordinator for that program via email with a copy of your CV and the dates you are requesting for your rotation.
The department will review your CV and let you know if there are any rotation spots available for the time requested. If you are approved for the rotation the Office of Academic Affairs will contact you with the necessary paperwork.
Lucy O. Macina, MD, FACP
Fellowship Program Director, Division of Geriatric Medicine
NYU Winthrop Hospital
222 Station Plaza North
Mineola, NY 11501
Academic Coordinator, Division of Geriatric Medicine
NYU Winthrop Hospital
222 Station Plaza North,
Mineola, NY 11501
Lucy O. Macina, MD, FACP
Fellowship Program Director, Division of Geriatric Medicine