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Beth Israel Residency Program in Internal Medicine
The majority of subspecialty divisions in the Department of Medicine have strong fellowship training programs and offer the residents elective periods of one to several months' duration during the PGY-1, PGY-2 and PGY-3 years. Each subspecialty is fully represented in the Medical Center through the presence of well-respected and widely published faculty and research activity. Rotations through subspecialties provide opportunities for close personal interaction with fellows and subspecialty attendings and for experience in the relevant diagnostic and therapeutic modalities. Each subspecialty group has daily consultation rounds, journal clubs, subspecialty grand rounds and guest lecture series. Following are descriptions of the divisions
James M. Rubin, MD, chief of the division, has major interests in drug allergies and the diagnosis and treatment of asthma. He has published numerous papers on these and other subjects in the field. Since 1975, Dr. Rubin has organized a postgraduate course for allergists and immunologists that has come to be recognized as one of the best such educational efforts in the country.
The Residency Experience This optional rotation is of significant value to residents, since there is little exposure to allergy and immunology during the medical school years. Future clinicians can benefit greatly from the opportunity to explore these fields and become familiar with the most advanced diagnostic procedures and therapeutic modalities. Faculty:
AMBULATORY MEDICINE/GENERAL MEDICAL ASSOCIATES Jayson Park, M.D. is the Medical Director of the General Medical Associates(GMA), the Internal Medicine ambulatory primary care teaching practice of Beth Israel Medical Center. He is also an associate of Global Leadership, Inc. His interests and research involve the field of leadership and mentorship in academic medicine. The Department of Medicine has risen to the challenge of the Accreditation Council on Graduate Medical Education and American Board of Internal Medicine to provide training in ambulatory care by creating a superb academic experience in the outpatient setting. Beth Israel's General Medical Associates provides an intense primary care learning experience. Residents treat all patients under the direct supervision of faculty whose dedication to teaching equals its dedication to patient care. We are located in the Phillips Ambulatory Care Center in Zeckendorf Towers on Union Square. The Center, which occupies 300,000 square feet, provides a broad range of diagnostic and treatment services in an efficient, patient-friendly environment. Your experience in GMA will lay the foundations of your ambulatory medicine skills, professionalism, and medical systems.
Research
The Residency Experience Faculty:
Dr. Steven Bergmann joined Beth Israel Medcial Center in 2003 as Chief of Cardiology. He received his Ph.D. in Cardiovascular Physiology and Biophysics from the Hahnemann Medical College and his M.D. from Washington University in St. Louis. Dr. Bergmann did his clinical training at Barnes-Jewish Hospital in St. Louis and rose to the rank of Professor of Medicine and Radiology there. In 1996, he joined the faculty at the College of Physicians and Surgeons of Columbia University, Columbia-Presbyterian Medical Center, where he was Director of Nuclear Cardiology and the Margaret Milliken Professor of Medicine and Professor of Radiology. Cardiology at the Beth Israel Medical Center is a very active clinical service that treats the full spectrum of cardiac diseases. The service admits patients to 2 fully monitored, geographically localized units and also runs a 12 bed Cardiac Care Unit (CCU). The patients we serve represent the full spectrum of New York's socioeconomic diversity, with approximately 50% "private" admissions, the remainder being "service" cases. Cardiology services include catheterization and interventional cardiology, nuclear cardiology, echocardiography, electrophysiology, heart failure, consultative cardiology, preventive cardiology and cardiac rehabilitation. Approximately 3000 invasive coronary diagnostic and 1500 interventional procedures are performed each year. The Nuclear Cardiology laboratory performs over 2000 studies annually and includes a large volume of studies performed with positron emission tomography (PET). The Echocardiography laboratory performs over 4000 procedures per year including transesophageal and stress echocardiography. The Electrophysiology section performs all invasive and non-invasive procedures including radiofrequency ablation of tachyarrhythmias, and ICD and pacemaker implantation. BIMC sponsors 2 ACGME accredited fellowship training program in Cardiovascular Disease, one with all clinical experience at the BI main campus and the other combined BI-LICH program with 50% plus experience at BI main campus and remaining at LICH which is the Brooklyn campus. The LICH site also has active CCU and Consult service as well as Echo, Nuclear, EP and Catheterization laboratories.
Clinical Research
The Residency Experience Faculty:
Stanley Yancovitz, MD, a board-certified specialist in infectious diseases and chief of the Nathaniel Meltzer, MD Division of Chemical Dependency, also is director of AIDS clinical activities at Beth Israel. Under his leadership, the chemical dependency division has become a paradigm for educational programs in the field of chemical dependency. The division faculty is involved in clinical research in substance abuse and AIDS.
Research
The Residency Experience
Faculty:
Dr. Leonid Poretsky is the Chief of Endocrinology since June 2000. He graduated cum laude from the First Medical Institute in Leningrad, Russia, in 1977. He completed his endocrine training at Boston's Beth Israel Medical Center Hospital at Harvard Medical School and is board-certified in both internal medicine and endocrinology. Dr. Poretsky's prior position was Director of Diabetes Center, Associate Director of General Clinical Research Center and Professor of Medicine at Cornell University Medical College. He is the author of over 50 publications. His research work has been supported throughout the years with NIH funding. He has served on review panels of many general medical and endocrine journals. His research studies are presented annually at the Endocrine Society and American Diabetes Association meetings. The division's clinical program encompasses all aspects of endocrinology in both in-patient and outpatient settings. The division is administering a two-year endocrine fellowship program. The division operates a fully equipped basic science research laboratory.
Research
The Residency Experience Faculty:
The Division of Digestive Diseases has expanded rapidly in the past few years with the addition of five new faculty members and provides state of the art expertise in clinical gas troenterology and liver diseases and liver pathology. Henry C. Bodenheimer, Jr., MD is chief of the Division. He is Professor of Medicine, has authored more than 50 peer-reviewed manuscripts, served on NIH study sections, was associate editor of Hepatology and currently remains on the editorial board, and is a medical board member of the New York Organ Donor Network. He has served as president of the New York Gastroenterology Association. His current active research is in the areas of viral hepatitis and primary biliary cirrhosis. The division has recently enhanced and modernized the Endoscopy Unit. This Unit been treating patients for more than 20 years and is one of the busiest in the region. This unit performs highly specialized procedures such as endoscopic retrograde cholangiopancreatography to outline the ducts of the gall bladder and pancreas, endoscopic ultrasound, laser endoscopy and capsule endoscopy. Dr. David Clain serves as the associate director of the division and has been instrumental in the division's growth. The gastroenterology laboratory performs a number of sophisticated tests such as 24-hour pH monitoring of the esophagus and esophageal and rectal manometry. The division supports specialized expertise in interpretation of liver biopsy pathology. In cooperation with the department of pathology liver biopsy slides from throughout the Continuum system are evaluated by Dr. Neil Theise.
Research
The Residency Experience Faculty:
The Betty and Morton Yarmon Division of Geriatric Medicine, has expanded the training component of the service and has developed a consolidated approach to caring for the geriatric patient. In July 1992, the Leo and Rachel Sussman Geriatric and Alzheimer's Disease Unit was established as a geographically based 35-bed unit devoted to the care of the elderly and patients with dementia hospitalized for medical illness. The focus of the unit is to maximize functional potential and enhance quality of life for the patients. The Residency Experience Faculty:
The Hematology/Oncology fellowship at Beth Israel Medical Center provides comprehensive training in Medical Oncology and benign and malignant Hematology. The program is directed by Dr. Ronald Blum, an internationally recognized expert in lung cancer, melanoma and sarcoma. The curriculum is designed to offer exposure to patients with the full spectrum of disorders in hematology and oncology. The fellows' experiences with patients are supplemented by a full complement of didactic lectures, disease specific academic conferences, weekly grand rounds, a research conference and a monthly journal club. Fellows are expected to actively contribute to a scholarly research project during their second and third years of training. Because Beth Israel Medical Center and St. Luke's-Roosevelt Hospital are partners with a single division of Hematology-Oncology, fellows also can take advantage of clinical and research opportunities at the St. Luke's-Roosevelt campus. Faculty: Michael Grossbard, MD, chair of the Hematology/Oncology Division for both Beth Israel Medical Center and St. Luke's-Roosevelt is a recognized expert in hematologic malignancies and also has contributed to academic programs in thoracic oncology, gastrointestinal cancer and melanoma. He has authored many peer-reviewed publications and is an Associate Professor of Clinical Medicine at Columbia University College of Physicians and Surgeons. Ronald H. Blum, MD, Director of Continuum Cancer Centers, assumed leadership of the Hematology/Oncology fellowship program in July 2003, and is involved with daily teaching and supervision of the subspecialty program. In addition, he directs the Cancer center research program. Dr. Blum is a Professor of Medicine at Albert Einstein College of Medicine and an internationally recognized expert in lung cancer ,melanoma and sarcoma. Ralph Zalusky, MD, former division chair, was previously a member of the hematology division at Mount Sinai Medical Center. His research interests include the anemias and bone marrow failure syndromes, and he has published extensively on both topics. Stephen Malamud, MD, is known for his expertise in the treatment of solid tumors of the lung, breast, colon and prostate. Dr. Malamud has extensive experience in the conduct of clinical trials in patients with GI, thoracic and breast cancers. Bruce Culliney, MD leads the medical oncology component of the Head and Neck cancer program at Beth Israel Medical Center. This program is internationally recognized for its landmark work in organ preservation, radiation oncology and innovative combined modality approaches to these tumors. Ilan Shapira, MD serves as the Associate Director of the Hematology/Oncology training program. He mentors the fellows, residents and students in the hematology clinic, helps organize the journal club. His interests are benign and malignant hematology, coagulation disorders and GU and GYN oncology. Peter Kozuch, MD joined the faculty at Beth Israel Medical Center in 2006. Prior to coming to Beth Israel, he was an Assistant Professor of Clinical Medicine, Columbia University College of Physicians and Surgeons and Attending Physician, Division of Hematology/Oncology, St. Luke's-Roosevelt Hospital Center. His primary area of expertise is in gastrointestinal malignancies and is one of the program directors of the newly formed multidisciplinary GI cancer program of the Continuum Cancer Centers of New York.
Facilities: The inpatient program of the division is clustered on a 35-bed hematology/oncology unit, utilized for patients hospitalized for chemotherapy, as well as for the initiation of diagnostic and therapeutic efforts. In addition to fellows and residents, several physician assistants work on this floor. A major clinical cancer center facility at the Phillips Ambulatory Care Center is where patients are seen in an interdisciplinary outpatient setting. A 12-station chemotherapy infusion unit suite is located within the facilities.Research The Residency Experience Divisional conferences and tumor board conferences are held each week. This rotation offers the opportunity to become familiar with the fundamentals of neoplastic disorders and a variety of hematological disorders and is valuable in helping house officers determine whether they wish to specialize in these areas. Clinical Faculty:
Dr. Dahlia Rizk, Hospitalist Program Director, has been instrumental in the growth and success of the group. Her interests include quality improvement, reduction in medication errors, improved clinical efficiency in health care delivery, and improved physician - patient communication. As one of the founding Hospitalists, she has helped the group assume a central role in the Beth Israel Internal Medicine Program. Since its inception in 1998, the Beth Israel Department of Medicine Hospitalist Program has become an integral part of the residency training program. The Hospitalist Program was begun with the dual mission of providing inpatient care and continuity for the ambulatory teaching practice, and enhancing the supervision and education of the medical residents. In response to the growing needs of many primary physicians and specialists throughout the community, the Hospitalist Program has now grown to become a critical part of the institution as a whole. Paralleling the nationwide trend towards increasing numbers of hospital based physicians, Beth Israel's Hospitalist Program has expanded from one to eight physicians with plans for future growth based on current successes. The group's goal is to partner with the medical residents to provide first-rate quality of care with a focus on patient satisfaction and safety, utilizing evidence-based medicine and best practices. Teaching house staff is one of the primary goals of the Beth Israel Hospitalists. While encouraging residents to manage their cases with as much autonomy as they feel comfortable, we are available to support them 24 hours a day, 7 days a week. We expect the house staff to think through each of their cases carefully in order to develop logical, comprehensive differential diagnoses and learn to navigate through the various studies available. We assist the house staff to become proficient and confident in the management of complicated inpatients with a wide variety of diseases. We also train our residents in other important areas of medicine, including communication with patients and their families, perioperative evaluation and consultative medicine. Faculty includes 8 board certified physicians all additionally with academic appointment to The Albert Einstein College of Medicine.
Faculty:
Donna Mildvan, MD, is Chief of the Division of Infectious Diseases, Director of AIDS Research at Beth Israel Medical Center in New York, NY and Professor of Medicine at the Albert Einstein College of Medicine, Bronx, NY. Dr. Mildvan is an elected fellow of the Infectious Diseases Society of America and of the American College of Physicians. She has served on numerous national committees and panels, including the AIDS Charter Research Review Committee for the National Institute of Allergy and Infectious Diseases (NIAID), and has been a consultant to the Centers for Disease Control and Food and Drug Administration. Dr. Mildvan has authored more than 200 articles on HIV/AIDS clinical trials and is principal investigator of the NIAID-sponsored AIDS Clinical Trials Unit at Beth Israel Medical Center. Inpatient Rotation Infectious Diseases Elective Rotation Peter Krueger Clinic Infectious Diseases Fellowship Program Research Faculty:
James F. Winchester, M.B., Ch.B., M.D., FRCP (Glasgow), FACP, received his internal medicine and nephrology training in Glasgow, Scotland, developing clinical and research interests in poisoning and removal of toxins with dialysis and hemoperfusion. Dr. Winchester joined the staff at Georgetown University Medical Center, Washington, DC, in 1976, achieving tenure as Professor of Medicine (1987), as well as Chief of the Division of Nephrology from 1988-1994. From 2000-2004, he was Chief Medical Officer, RenalTech International, directing research into the use of sorbents in end-stage renal disease, inflammation and sepsis. His New York appointments include faculty positions at Albert Einstein College of Medicine, Downstate Medical Center and Columbia University. He was appointed Chief, Division of Nephrology and Hypertension at Beth Israel Medical Center in July, 2004. He has over 250 scientific papers, reviews and chapters. He was editor of "Clinical Management of Poisoning and Drug Overdose" is current Editor-in-chief of "Replacement of Renal Function by Dialysis." He is past President of the American Society for Artificial Internal Organs, and was in leadership positions in the International Society for Peritoneal Dialysis, and the National Kidney Foundation. Research The Residency Experience Clinical experience with dialysis is gained from the management of patients receiving hemodialysis at two large outpatient facilities, one located on the lower east side of Manhattan (Irving Place Dialysis Center) in proximity to the Petrie Division, the second on the upper east side of Manhattan (Yorkville Dialysis Center). Peritoneal dialysis experience is gained by rotation to Long Island College Hospital, Brooklyn, where Dr. Paul Fine has the largest ambulatory peritoneal dialysis unit in the New York Metropolitan area. Transplantation experience is gained at Montefiore Medical Center, Bronx, where Dr. Daniel Glicklich has a large group of kidney transplant patients. Continuity clinical experience is gained at the Phillips Ambulatory Care Center in proximity to BIMC, and the Irving Place Dialysis Center, where the residents see their own group of patients through the training years, supervised by the nephrology faculty. The hemodialysis program is a unique experience for the residents as a result of the expertise of our faculty and our relationship with the Renal Research Institute. The Renal Research Institute is an organization designed to provide the highest caliber of care based on advanced clinical technology and is committed to research and innovation that will lead to improved patient outcomes and quality of life. The Renal Research Institute entered into a dialysis partnership with Beth Israel Medical Center in 1996 and has modified the Yorkville Dialysis Unit to be a dialysis research center. As a consequence this focus, the unit has become a national flagship center. Dr. Nathan Levin, the medical and research director, is an international figure in the field of dialysis. Major publications by the Renal Research Institute since its inception in 1996 along with divisional faculty members have resulted in changes in the practice of dialysis. The fellows and faculty are involved in research in various aspects of nephrology including, treatment of poisoning, all stages of CKD, acute renal failure, hypertension, bone disease, anemia and dialysis. Teaching is bedside-oriented and based on the application of physiological principles to the analysis of clinical phenomena. Teamwork is stressed, with physicians working closely with nutritionists, nursing staff, technicians and social workers to deal with all the medical, social and psychological problems of the patient with end-stage renal disease. A pediatric nephrologist is a member of the division, and there is ample opportunity for residents and fellows to gain experience in diagnosis and management of renal diseases, which are unique to the pediatric population. Scheduled conferences include a "Teaching Day" with rotating journal club, renal grand rounds, renal biopsy conference, research conference and a separate clinical case conference presided over by Dr. Winchester and Dr. Feinfeld and members of the attending staff. Visiting professors from other institutes frequently give lectures and describe their research experiences. Members of the division collaborate closely with other subspecialists , allowing for a coordinated and multidisciplinary approach to the wide variety of diseases and disorders to which end-stage patients are susceptible. Faculty:
OCCUPATIONAL MEDICINE & EMPLOYEE HEALTH David D. Souza, medical director of the Division of Occupational Medicine and Employee Health, is a board certified physician with over 9 years of experience in Occupational Medicine. Under his direction, the Division provides occupational health care to Beth Israel employees, as well as to the employees of various metropolitan area employers, and also provides consultations regarding occupational health and safety programs to employers. The division brings a very important perspective regarding the prevention, medical surveillance, diagnosis and management of work-related illness to the Beth Israel Medical Center system. Research
The Residency Experience Residents will work several sessions per week in the occupational medicine/employee health clinic. Residents also will participate in occupational medicine and toxicology consultations within the Medical Center. Faculty:
PULMONARY & CRITICAL CARE MEDICINE Mark Rosen, MD, heads the Division of Pulmonary and Critical Care Medicine. Dr. Rosen's research interests include pulmonary disease and critical illness in-patients with HIV infection and AIDS, hospital-acquired infections, respiratory failure and medical ethics. Dr. Rosen has an international reputation as a leader in Pulmonary and Critical Care Medicine, with a strong reputation as an educator in the field. He will be President of the American College of Physicians (ACCP) in 2006-2007, and has served on the faculty of that for the last 14 years, four years a Course Director. He is currently the ACCP representative to the American Board of Internal Medicine Liaison Committee on Recertification, advising that group on issues of training and recertification in his specialties. He brings not only great educational expertise, but has access to a large array of educational materials that are shared with fellows in the division in the form of written materials and oral presentations. In addition, trainees are often involved in the development of educational materials for national distribution. This unique experience not only enhances their knowledge of the field, but also in the methodology and processes of medical education. Research Research within the division covers the pathophysiology and treatment of asthma, pulmonary complications of HIV infection, the diagnosis and management of respiratory failure and difficult airways, thoracic sonography, quality improvement in critical care units, respiratory monitoring, pulmonary physiology and computer modeling. The Residency Experience Residents rotate through the medical ICU during all three years and are responsible for management of critically ill patients under the supervision of full-time certified intensivists. Multidisciplinary rounds by members of the division are held daily in the ICU. The medical intensive care unit is a 16-bed unit, and a 10-bed respiratory special care unit provides rehabilitation of patients on prolonged mechanical ventilation. Residents heavily subscribe to the Pulmonary Consultation elective rotations on this popular service. An outstanding and enthusiastic faculty offers a program of training in the diagnosis and treatment of a wide variety of pulmonary diseases and critical illnesses. A series of conferences cover topics that include pulmonary radiology, pathology and physiology. Residents on elective participate in consultations and are trained in indications for procedures such as bronchoscopy, pulmonary function testing and cardiopulmonary exercise testing. Faculty:
Beth Raucher, M.D. is Chief of the Division of Quality Improvement in the Department of Medicine and Medical Director of the Clinical Informatics Program at Beth Israel Medical Center. Dr. Raucher is a Professor of Clinical Medicine at the Albert Einstein School of Medicine and an Attending Physician in the Department of Medicine and Division of Infectious Diseases. She is an elected fellow of the Infectious Diseases Society of America, Society of Healthcare Epidemiologists of America and of the American College of Physicians. Dr. Raucher also holds a Master's Degree in Health Care Management from the Harvard School of Public Health. The Mission Statement of Beth Israel Medical Center is to provide the highest quality patient care, with compassion and with concern for patient's well being. To this end, we are committed to furnish training of the highest caliber for our residents so that they may deliver the finest quality health care services to our patients. Quality is emphasized in each and every formal and informal activity that the trainee participates in throughout their tenure at Beth Israel. The program emphasizes state of the art treatment and services, outcomes of care, patient satisfaction and safety. The Division of Quality Improvement, through its monitoring process and multidisciplinary committee, objectively assesses patient care and services by monitoring and evaluating programs established by each Division of the Department and the Residency Program.
The Residency Experience One of the Chief Residents is a standing member of the QI Committee and in some years other residents have joined as well. All house staff participate in real-time quality projects from time to time. Recently, residents conducted a survey to determine the current usage of deep vein thrombosis prophylaxis in their patients and in 2004 took part in a customer satisfaction improvement program in response to observations provided by their patients. Research
Quality Improvement Committee:
Harry D. Fischer, MD, heads the Division of Rheumatology. Dr. Fischer was one of the first rheumatologists to describe the rheumatic manifestations of HIV infections. Additional clinical interests include systemic lupus erythematosis, rheumatoid arthritis, vasculitis and Lyme Disease. Paula Rackoff, MD,has a particular interest in women's health. She is a principal investigator for the Women's Health Initiative. Beth Israel Medical Center is the Manhattan site for this NIH-funded study. Her other area of interest is osteoporosis, and she serves on the board of a major osteoporosis journal. Residents on rotation have the opportunity to evaluate, diagnose and help manage patients with rheumatic diseases. The underlying disease mechanisms as well as the multi-system nature of rheumatic conditions are emphasized. Physicians see patients in both an inpatient and ambulatory setting. Faculty: BACK TO MAIN INTERNAL MEDICINE RESIDENCY PAGE For more information visit BethIsraelGME.org |