Undergraduate Medical Education
Letter from the Medical Director for Undergraduate Medical Education, Nicholas Perchiniak, MD

Welcome to medical education at Beebe Healthcare! Located in Lewes, DE in Sussex County, medical students will have an outstanding opportunity to experience the friendly atmosphere of a rural community hospital, committed to comprehensive patient care.
As part of the R. Randall Rollins Center for Medical Education, students will receive full access to our hospitals – including libraries and classrooms. Students will also utilize educational resources at the Margaret H. Rollins School of Nursing, including our accredited simulation lab and participate in weekly didactic programs as well.
Our undergraduate medical education will offer rotations in Family Medicine, Internal Medicine, Cardiology, Psychiatry, Pediatrics, General Surgery, Obstetrics and Gynecology, as well as elective time in medical and surgical sub-specialties.
Outside of our commitment to medical education, students are encouraged to explore the communities of Lewes and Rehoboth Beach to take advantage of numerous outdoor activities, restaurants, shopping, beaches, and venues. It would be our pleasure to welcome you to the Beebe Healthcare family!
Nicholas Perchiniak, MD
Medical Director for Undergraduate Medical Education
Opportunities
During July 2021, Beebe Healthcare welcomed its first group of medical students! Jeremy Heinle, OMS III, and Anson Marsh, OMS III, both attending the Philadelphia College of Osteophathic Medicine, came to Beebe to do their clinical rotations.
Beebe, in partnership with Philadelphia College of Osteopathic Medicine, hosts third-year medical students for clinical education experiences in Family Medicine, General Surgery, OB/GYN, Psych with Sun Behavioral Health and Jewish Family Services, and Pediatrics with Beacon Pediatrics.
This hands-on clinical experience is vital to the education of these future physicians and we are honored to be a part of their medical education journey.

Messages from Past Students
Beebe’s education and clinical staff offer an atmosphere and program that fostered both my professional and personal life. Beebe offers an excellent beginning to your clinical education and future career. It offered a wide variety of clinical experiences with a varied patient population. The Core Clinical Campus at Beebe not only exposed me to medicine with a wide variety of patients and pathologies, but also introduced me to the professional relationships you’ll have with your patients. Lewes is an amazing place where your neighbors will be your patients and you’ll feel a true sense of community.
Adam Hawkins, Philadelphia College of Osteopathic Medicine
I was with OB/GYN for my month at Beebe. The rotation allowed me to have a wide array of experiences across all aspects of OB/GYN patient care. I'm thankful for how willing everyone I interacted with was to teaching and helping me learn. The skills and knowledge I gained at my time at Beebe will be with me through the rest of my medical education.
-Jeremy Heinle, OMS III, Philadelphia College of Osteopathic Medicine
Clinical Rotations - Medical Students (DO, MD)
Beebe's Undergraduate Medical Education program allows medical students such as those on the path to obtaining an MD or DO degree to rotate with our medical staff and faculty.
Beebe offers the following rotations:
Family Medicine: The clinical rotation in Family Medicine will take place at our Family Medicine Residency Continuity Clinic in Millsboro. Students will have the opportunity to work with the faculty and residents, in both the outpatient and inpatient settings.
Osteopathic Manipulative Medicine: This rotation will also take place at our Family Medicine Residency Continuity Clinic. OMM will be taught in both the inpatient and outpatient settings.
General Surgery: During the Gen Surg rotation, students will work directly with the surgeons in both the outpatient, inpatient, and OR settings. Students will also have the opportunity to interact with other sub-specialty surgeons such as Vascular, Orthopedic, and Urology.
OB/GYN: Students on the OB/GYN rotation will also have the opportunity to work both inpatient and outpatient. Students will have the opportunity to learn multiple aspects of women’s health, including experience with laboring mothers.
Internal Medicine: Students on this rotation will work inpatient on the academic service.
Psychiatry: Students on this rotation will work with our physicians from Beebe’s Behavioral Health. This rotation will give students the opportunity to work both inpatient and outpatient.
How to Schedule Rotations: All rotations must be requested via Clinician Nexus. Please contact [email protected] for more information on these opportunities.
Students or learners who have an interest in observing with Beebe Healthcare medical staff must meet the below criteria to be considered for a rotation.
- Applicants must be 18 years of age
- Applicants must have an approved rotation with a clinical provider with a date range for the agreed upon rotation
- Applicants must complete the online application through Clinician Nexus
- Applicants must be able to provide the following documents:
- Covid Vaccination Records
- CPR Certification
- Criminal Background Check
- DE Adult Abuse Registry
- DE Child protection
- Registry Drug Screen
- Fit Test
- Immunizations: Hepatitis-B, Influenza, MMR, & Varicella Tdap verification
- Health Stream Education (online learning)
- Photo Tuberculosis Testing (last 12 months)
Rotation Request Process
Once you have secured a rotation, completed your initial appellation through Clinician Nexus, and gathered the required documents you may email the Undergraduate Medical Education office at [email protected] for assistance with your onboarding.
Onboarding should begin 4-6 weeks in advance of the start date for the job shadow. Please note, you may not begin your rotation until all onboarding steps are completed. Requests for rotations are granted at the discretion of the UME Department and are based on staff approval and program/rotation availability.
How to request an observation rotation through Clinician Nexus:
- Access onboarding system at Clinician Nexus Click – “Sign Up for Free” and create your student account
- Once you access the system, click “Find clinical experiences” and search “Beebe”
- You will then see the following opportunity: Add opportunities
- Click “apply” and complete the application steps for a non-employee: Application Questions – Physician, NP, PA
- This will then come to the UME Coordinator for approval. Once approved you will be given access to your onboarding checklist to complete.
UME Faculty

Medical Director, Undergraduate Medical Education
Nick Perchiniak, MD, FACEP was born and raised in Wilmington, Delaware. He graduated from the University of Delaware Honors Program with degrees in Liberal Studies and Biological Sciences. He received his medical degree from Jefferson Medical College and completed his residency training in emergency medicine at The Ohio State University Medical Center, where he also served as Chief Resident in the final year of his training. He is board certified in Emergency Medicine and is a Fellow of the American College of Emergency Physicians. He joined Beebe Healthcare in 2010 and currently serves as the Medical Director for Emergency Services.

Osteopathic Manipulative Medicine
Beebe Family Medicine at Long Neck
Ryan Arias, DO, is a core faculty member in the Family Medicine Residency and provides supervision in the continuity clinic and inpatient. Dr. Arias graduated Magna Cum Laude from Campbell University Jerry M. Wallace School of Osteopathic Medicine in Buies Creek, North Carolina. He has served as a Teaching Assistant of Osteopathic Manipulative Medicine and an Adjunct Professor of Family Medicine at his alma mater. He completed his residency at Harnett Health in Coats, North Carolina, where he rose to Chief Resident of Family Medicine Residency.

Dennis Flamini, DO
Radiology
Southern Delaware Imaging Associates
Dr. Flamini is a partner with Southern Delaware Imaging Associates and has worked at Beebe since 2011. He completed his medical training in 2005 at UMDNJ - School of Osteopathic Medicine in Stratford, New Jersey, graduating as a member of the Sigma Sigma Phi Honors Fraternity. Dr. Flamini completed a traditional rotating internship at UMDNJ in Stratford, New Jersey, serving as chief intern. Dr. Flamini then completed his diagnostic radiology residency at Long Island College Hospital in Brooklyn, New York, from 2006 to 2010 followed by a fellowship year in abdominal imaging at Thomas Jefferson University Hospital in Philadelphia, Pennsylvania

Harvey Lee, MD
Inpatient Medicine
Beebe Healthcare Hospitalists
Dr. Lee completed his medical education at the Newcastle University School of Medicine in Newcastle upon Tyne, UK. He was a House Officer at Sunderland Royal Infirmary in the UK. He completed his Internal Medicine Residency at Christiana Care and is board certified in Internal Medicine. He joined team Beebe in 2019 as a hospitalist.

Rajinder Prasad, MD
Cardiology
Delaware Cardiovascular Associates
Dr. Prasad is board certified in internal medicine, cardiovascular disease, and nuclear cardiology. He received his medical degree from Medical School Indira Gandhi Medical College. He completed his residency and fellowship training at Howard University Hospital, Washington, D.C. He sees patients with Delaware Cardiovascular Associates in Lewes, Ocean View, and Milford locations, and at Beebe Healthcare's Margaret H. Rollins Lewes Campus. He also serves as medical director of Beebe's Cardiac Rehabilitation program.

Afua Nyain, MD
OB/GYN
Beebe Women’s Health
Dr. Nyanin is a board-certified obstetrician and gynecologist with Beebe Medical Group's Women's Health team. After receiving her undergraduate from Stanford University and medical degree at Rutgers Robert Wood Johnson Medical School in New Jersey, Dr. Nyanin completed her OB/GYN residency at the University of Maryland Medical Center in Baltimore and the West Virginia University/Charleston Area Medical Center. Prior to joining Beebe, Dr. Nyanin worked at the Luminus Health Chesapeake Women’s Health in Easton, Maryland. She is a member of the American Congress of Obstetricians and Gynecologists. She has numerous leadership and teaching experiences, as well as published research and presentations. Her passions include integrative medicine, sexual health and infertility.

Christopher Manieri, MD
General Surgery
Beebe General Surgery Center
Dr. Manieri is a graduate of the Philadelphia College of Osteopathic Medicine. His post-graduate clinical training began at Christiana Care Health System in Newark, Delaware, where he pursued a clinical rotation internship, before later completing a general surgical residency. Dr. Manieri’s clinical training concluded with a bariatric and minimally invasive surgical fellowship at Inova Fair Oaks Hospital in Fairfax, Virginia. He is a member of the American College of Surgeons, the American Society for Metabolic and Bariatric Surgery, and the Society of American Gastrointestinal and Endoscopic Surgeons. Dr. Manieri practices at the Beebe General Surgery Center, located in Lewes. Dr. Manieri values the opportunity to build meaningful relationships and bond with his patients.

Leonard Lev, MD
Psychiatry
Beebe Behavioral Health
Dr. Lev is board certified in Psychiatry and Neurology. He obtained his medical degree from Samara State Medical University in Russia in 1988. He completed his psychiatric residency at New York Presbyterian Hospital, where he was promoted to Chief Resident. He has served as an assistant professor at both Weill Medical College of Cornell University, and the University of Connecticut School of Medicine. His most recent position before joining Beebe was as the Delaware State Medical Director of LifeStance Health.

Nancy Gideon, MD
Pediatrics
Beacon Pediatrics
Dr. Gideon grew up in Anne Arundel County, Maryland. She completed her undergraduate degree in biology at University of Maryland College Park. She then attended Hahnemann University School of Medicine in Philadelphia. Throughout high school, college and medical school, she enjoyed teaching young children a variety of subjects. Early on she realized that she enjoyed pediatrics the most. She did her pediatric residency training at the Children's Hospital of the King's Daughters (affiliated with Eastern Virginia Medical School) in Norfolk, Virginia. One of the greatest things about her training was that even though it was a small program the hospital was the pediatric tertiary care center for the area of more than 2 million people. The small program allowed us as residents to be much more hands-on with our care of patients. After residency, she moved to Sussex County to practice general pediatrics and has been here for over 15 years.