I'm from the area and I'd imagine this is comparing apples and oranges. I don't see Winthrop being a high volume program, it is a pretty sleepy hospital... I'm sure it's fine for general peds training though. A lot of my hometown doctors trained there. Cohen Children's is a few minutes away and probably takes most or all of the really sick kids so if you want to subspecialize that may be a better bet. Mineola is a small town but the hospital is literally on top of a busy train station, where trains go to NYC quite often. If you wanted to live in the city, commuting to winthrop is probably a lot easier than commuting to LIJ which necessitates driving.