Residency/Fellowship

St. Luke's-Mount Sinai Roosevelt
and Mount Sinai Beth Israel

Residency Progra
m in Anatomic and Clinical Pathology
Program Description

Bruce M. Wenig, MD Mark T. Friedman, DO Mildred Diaz, MSOL
DEPARTMENT CHAIR PROGRAM DIRECTOR PROGRAM COORDINATOR

 

FOREWORD

Mount Sinai St. Luke's Roosevelt is one of the largest (1076 beds) not-for-profit voluntary hospitals in the nation. Mount Sinai St. Luke's Roosevelt was formed in 1979 as a result of a merger between Mount Sinai St. Luke's (founded in 1846), Woman's Hospital (founded in 1855), and Mount Sinai Roosevelt (founded in 1871), and is a major teaching affiliate of Columbia University College of Physicians and Surgeons. Mount Sinai St. Luke's Roosevelt is a member of Mount Sinai Health System, the seventh largest employer in New York City, which also includes Mount Sinai Beth Israel, Long Island College Hospital, and the New York Eye and Ear Infirmary of Mount Sinai.

Mount Sinai St. Luke's Roosevelt principally serves Manhattan's Midtown West and Upper West Side communities, which are historically and culturally rich and diverse; just a few of the many highlights include the Broadway Theater District, Lincoln Center/Metropolitan Opera House, Central Park, the American Museum of Natural History, and the Cathedral of St. John the Divine (the largest gothic cathedral in North America). Imagine living and working within these great communities!

Mount Sinai Beth Israel is a 1368-bed hospital located on the Lower East Side of Manhattan and is a major teaching affiliate of the Albert Einstein College of Medicine of Yeshiva University.



PROGRAM DESCRIPTION

Mount Sinai St. Luke's and Mount Sinai Roosevelt, in collaboration with Mount Sinai Beth Israel, offer a concentrated 4-year program, accredited by the Accreditation Council for Graduate Medical Education (ACGME), which provides training in clinically-oriented diagnostic Anatomic and Clinical Pathology. Attending staff based at St. Luke's Roosevelt are faculty members of the Columbia University College of Physicians and Surgeons, and at Beth Israel are faculty members of the Albert Einstein College of Medicine of Yeshiva University. Residents have access to many of the facilities at both institutions. The department interacts closely with clinical departments through a variety of inter-departmental conferences and rounds. The curriculum of the residency program is oriented toward integrated human pathology, with the faculty working as a closely-knit group of general pathologists, each with a special field of expertise. The core curriculum consists of supervised training with emphasis on increasing resident responsibility in autopsy and surgical pathology, cytology, cytogenetics, hematopathology, clinical chemistry, serology, microbiology and blood banking/transfusion medicine. Specialized training is offered in laboratory management and computer applications.

GOALS AND OBJECTIVES

The goal of the program is to graduate pathologists and laboratory directors with superior technical competence, clinical acumen, and intellectual depth. By developing these characteristics, the graduates will be able to bring the methods and scientific principles of current and developing pathology practice to the aid of the clinician. The objectives of the program are to instill and develop in the residents the competencies required for the practice of pathology and medicine in general:

A. Patient Care: Residents will acquire the skills to provide and demonstrate appropriate, compassionate and effective care for the treatment of disease. Competence will be assessed by direct observation and self-evaluation quizzes.

B. Medical Knowledge: The resident will demonstrate knowledge about established and evolving general and hematologic biomedical, clinical and cognate sciences, and the application of this knowledge to patient care. This should include an understanding of the etiology (including molecular basis of disease), epidemiology, pathogenesis, clinical manifestations, laboratory diagnosis, and differential diagnosis. Competence will be measured by the formation of appropriate differential diagnoses and treatment plans, and by annual in-service examinations.

C. Practice Based Learning and Improvement: The resident will learn the principles of practice based learning and improvement and demonstrate the ability to appropriately utilize information system technology. Residents should demonstrate the ability to identify their strengths and weaknesses and to implement strategies to improve their knowledge and skills and processes of patient care. Residents will participate in performance improvement activities, critical assessment of medical literature in support of practice patterns and patient management. Competency in these activities will be evaluated by direct observation and by documentation in the fellow’s portfolio.

D. Interpersonal and Communication Skills: The resident should gain the skills to effectively exchange information with other health professionals (e.g., attendings, fellows, residents, and laboratory staff) within the Department of Pathology and Laboratory Medicine and the clinical departments. This should include effective written and verbal communication and effective teaching and presentation skills. Competence will be demonstrated by direct observation and by the course directors.

E. Professionalism: Residents will demonstrate professional, ethical and responsive behavior in their interaction with other health professionals. They will also demonstrate a knowledge and understanding of local and national regulatory requirements, and their application to clinical and laboratory practice. Competence will be demonstrated by direct observation and by evaluation from multiple sources.

F. Systems-Based Practice: The resident will demonstrate an awareness and understanding of the need to respond to the larger context of the health care system and the ability to utilize system resources effectively. The fellow will also demonstrate the ability to utilize evidence-based, cost conscious strategies to provide laboratory services and patient care. Competence will be demonstrated by direct observation and by evaluation from multiple sources.


RESIDENT DUTIES AND RESPONSIBILITIES

Residents have intense experience and gradually increasing responsibility in the various disciplines of anatomic and clinical pathology. Close daily contact with the attending staff, often one-on-one, assures close supervision and continuing evaluation. Residents are expected to attain the basic and practical knowledge of pathology and to gradually develop expertise and partake in increasing responsibilities in service practice (including analyzing data, initiating case-based studies, managing the services, and interacting with clinicians). Each rotation includes a curriculum, which defines the educational goals of the rotation and provides guidance for training technical aspects of the laboratory’s operation, management and quality control. This occurs under direct supervision of attending pathologists and senior management. Laboratory management and statistical techniques for managing data are stressed, particularly in clinical pathology. Intellectual and scientific aspects of pathology, including pathogenic mechanisms and clinico-pathologic correlation, are emphasized in didactic conferences, autopsy conferences and clinical pathology conferences.

Residents are considered integral members of the Department of Pathology and participate in matters related to the planning and management of the Department. Chief Residents serve on the Education Committee, and monthly meetings are held by the Program Director with all residents to discuss the planning and management of the training program. The program director ensures that residents are given reasonable call and duty assignments, are allotted at least one 24-hour period each week free of hospital duties, and have no more than one on-call assignment in three. There is scheduled back up support in the event of unanticipated increases in routine or call load.

MANNER IN WHICH RESIDENTS ARE EVALUATED

Faculty evaluate the residents in each of the six core competencies by electronic completion of a standard form at the end of each rotation. These evaluations are supplemented by evaluations provided by the directors of elective or specialty rotations. The evaluations are reviewed with the residents biannually by the program director. The program director also reports to the Education Committee on findings from these reviews, with recommendations for further action (promotion, development, remediation), as appropriate.

Advancement of residents to positions of higher responsibility occurs on the basis of their satisfactory progress of scholarship and professional growth. The rotation director, who is responsible for facilitating this advancement, evaluates this progress. The progress of the residents is monitored closely by the program director, who is in daily contact with residents at all sites on routine matters of program administration and cases of interest in both anatomic and clinical pathology, and by the chairman. The program director and the chairman are also in daily contact with the attending pathologists on administrative and patient care issues, and utilize these contacts to inquire about the progress of each resident. If an area of difficulty with a resident is observed, the resident is informed in a timely manner, with the intent of remediation of the difficulty. The Education Committee is also apprised of any issues with resident performance, and in council recommends appropriate corrective action. Discussion at the departmental level occurs only when progress is not regarded as appropriate, an event that has been rare during the past years. The program director and chair (if necessary) counsel, resolve and follow-up on any such issue(s).

When a resident completes the program, a written final evaluation is completed, which reviews the resident's performance during the final period of training and verifies their professional ability to practice competently and independently. This final evaluation is part of the resident's permanent record maintained by the institution.

SAMPLE ROTATION SCHEDULE BY POST-GRADUATE YEAR

PGY

1

2

3

4

5

6

7

8

9

10

11

12

1

ABI

ABI

ABI

ASL

ASL

Hem

ABI

ASL

ASL

ARH

ARH

ARH

2

Mic

Mic

Mic

ARH

BB

BB

Chm

ASL

Chm

ABI

Mic

Hem

3

ABI

ABI

Hem

ME

Elect

ARH

Cyt

Cyt

Hem

ARH

LMI

Mol

4

ASL

Cytog

Hem

Elect

FNA

ARH

Chm

Ped

BB

ASL

ARH

Hem

 

ANATOMIC PATHOLOGY  (27 MONTHS)

AP Mount Sinai Roosevelt (ARH)

8 months

AP Mount Sinai Beth Israel (ABI)

7 months

AP Mount Sinai St. Luke's (ASL)

7 months

Cytopathology (Cyt)

2 months

Fine Needle Aspiration (FNA)

1 month

Medical Examiner / Forensic Pathology (ME)

1 month

Pediatric Pathology (Ped)

1 month

 

 

CLINICAL PATHOLOGY  (19 MONTHS)

Hematopathology / Hematology (Hem)

6 months

Microbiology (Mic):
Bacteriology/Virology/Immunology/Mycology/Parasitology

4 months

Blood Bank / Transfusion Medicine (BB)

3 months

Chemical Pathology (Chm)
3 months

Cytogenetics (Cytog)

1 month

Molecular Pathology (Mol)
1 month

Lab Management and Informatics (LMI)

1 month

 

 

 

 

ELECTIVE ROTATIONS (2 MONTHS) [Elect]

Electives Rotations (Elect)
Sample elective rotations:
Bone Pathology, Dermatopathology, GYN Pathology, Liver Pathology, Neuropathology, Renal Pathology

1 month each


PROGRAM APPLICATIONS

Interested candidates may apply to the program through the Electronic Residency Application Service (ERAS), beginning early September and preferably prior to December 31 of the application year. Due to the anticipated high volume of applicants, only a small percentage of qualified candidates can be invited for interview.

Pre-match and match positions are offered as available. Consideration is given to international medical graduates (IMG's), and the program may sponsor visas (J-1 or H-1B). IMG's should have graduated medical school within the past 10 years and must have a valid ECFMG certificate. USMLE scores (Step 1 and 2) greater than 80 are preferred. Passing USMLE Step 3 and experience or prior training in pathology, whether in U.S. or abroad, is helpful (experience in other clinical specialties is considered as well).

ANATOMIC PATHOLOGY FACULTY

Mount Sinai Roosevelt (RH)
Ippolito Modica, M.D., Site Director
Elizabeth Ames, M.D., Attending Pathologist
Arzu Buyuk, M.D., Attending Pathologist
Wen Fan, M.D., Ph.D., Director,
Hematopathology Fellowship Program
Antonio Macias, M.D., Attending
Cytopathologist
Edwarda Rorat, M.D., Attending
Cytopathologist
Seth Wilentz, M.D., Attending
Dermatopathologist
Nebras Zeizafoun, M.D., Attending Pathologist
Tammy Mitchley, Manager, Anatomic
Pathology and Technical Director of
Cytopathology

Mount Sinai Beth Israel
Beverly Wang, M.D., Site Director
Jean-Marc Cohen, M.D. Director, FNA (PACC)
Alexander Filatov, M.D., Attending Pathologist
Violette Ghali, M.D., Director,
Immunopathology
Cary Johnson, M.D., Attending Pathologist
Gabriel Levi, M.D., Attending Pathologist
Manju Harshan, M.D., Attending
Cytopathologist, FNA (PACC)
Codrin Iacob, M.D., Attending
Neuropathologist
Lawrence Kiss, M.D., Attending Urologic
Pathologist
Jonathan Sarlin, M.D., Attending Pathologist
Neil Theise, M.D., Attending Liver Pathologist
Henry Votava, M.D., Attending Pathologist,
Dermatopathology
Songyang Yuan, M.D., Attending Pathologist
Leslie Obrizzo, Supervisor, Cytopathology
Deborah Shank, Flow Cytometry,
Immunopathology

Mount Sinai St. Luke's
Pushpa Kancherla, M.D., Site Director
William Miller, M.D., Attending Pathologist
Abdelsalam Sharabi, M.D., Attending
Pathologist
Rose Thayaparan, M.D. Attending Pathologist

Long Island College Hospital (LICH)
Elpidio Jimenez, M.D., Chairman
Richard Alexis, M.D., Attending Pathologist
Savco Bardarov, M.D., Attending Pathologist
Miquel Echevarria, M.D., Attending Pathologist
Roosevelt Torno, M.D., Attending Pathologist

Columbia Presbyterian Hospital
Rosanna Abellar, M.D., Pediatric Pathologist

New York City Office of Chief Medical Examiner
Barbara A. Sampson, M.D., Deputy Chief Med
Examiner

 


CLINICAL PATHOLOGY FACULTY

Mount Sinai St. Luke's Roosevelt                                                                                  

Mark Friedman, D.O., Dir. Blood Bank and
Transfusion Service, Dir. Pathology
Residency Program
Emilia Mia Sordillo, M.D., Ph.D., Director,
Microbiology
Bruce Polsky, M.D., Chair, Dept. of Medicine,
Medical Director, Virology, Director,
Retrovirology Research Laboratory
Penny Baron, M.S., Sup., Retrovirology
Research Lab
Kang Liu, Molecular Diagnostics
Thanh Ly, B.S., Supervisor, Clinical Virology
Jeanne McPhee, M.S., Clinical Virology
Mary Ellen Nusbaum, Lab Quality Assurance
and Safety
Carol Pagliaro, Coordinator, Point of Care
Testing
Anna Shapiro, Manager, Blood Bank
Patricia Valonis, Laboratory Mgr., Roosevelt
Hospital

Mount Sinai Beth Israel                                        

Vijay Shah, M.D., Dir., Blood Bank and Transfusion Service, Hematopathology
Ralph Zalusky, M.D., Attending Physician, Division of Hematology/Oncology
Dan Chen, Ph.D., Director, Clinical Chemistry
William Riley, Ph.D., Director, Microbiology Service, Dir., Pathology Residency Program
Deborah Shank, Manager, Immunopathology and Flow Cytometry Laboratory, Mount Sinai Beth Israel
Yvonne Smiley, Laboratory Manager

Columbia Presbyterian Hospital
Brynn Levy, Ph.D., Director, Cytogenetics

Montefiore Medical Center
C. Rizwan Naeem, M.B.B.S., Dir, Molecular
Pathology