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MESSAGE FROM THE CHAIRMAN AND
PROGRAM DIRECTOR, DEPARTMENT OF PEDIATRICS
This is an exciting time in the
field of Pediatrics. Over the past ten years, we have seen
major advances in pediatric tertiary care, as well as a renewed
focus on primary care and community outreach. The mission of the
Department of Pediatrics at St. Barnabas Hospital is to provide
high-quality and compassionate care to our patients while
offering community resources dedicated to children’s health.
The graduate training program of the Department of Pediatrics
offers a well-balanced experience in primary care and
subspecialty pediatrics. As a result of this focus on the entire
spectrum of pediatric practice, our graduates have chosen
careers in both general and subspecialty pediatric and are now
practitioners across the country as well as participants in
fellowship programs at major academic centers. This brochure
describes the Department of Pediatrics as well as the Pediatric
Residency Training Program. I would like to personally thank
you for considering St. Barnabas Pediatrics for your
post-graduate training.
David H. Rubin, MD, FAAP
Chairman and Program
Director, Department of Pediatrics
St. Barnabas Hospital
Clinical Professor of
Pediatrics
Weill Medical College of
Cornell University
July 2008
ST. BARNABAS HOSPITAL
St. Barnabas Hospital is a
not-for-profit, nonsectarian, acute care community hospital
located in the heart of the central Bronx. St. Barnabas, the 15th
largest hospital in New York State, is adjacent to Fordham
University, the Bronx Zoo, New York Botanical Gardens and the
Arthur Avenue shopping district. The expanding St. Barnabas
healthcare delivery system provides inpatient, outpatient and
emergency medical and dental services. The hospital’s primary
care facilities are conveniently located throughout the Bronx.
History
St. Barnabas
Hospital was established on April 6, 1866 as The Home for the
Incurables. At the time, it was America's first chronic
disease hospital, and the world's second (the first such
hospital opened three years earlier in England). Reverend
Rodman, the rector of the Grace Episcopal Church, founded the
Hospital. He called together a group of public-spirited
citizens to explore how to provide a haven for the so-called
incurables, who could not be cared for in existing hospitals.
His goal was to bring hope and medical care to a group that had
neither. Dr. P. C.
Pease, the Home for Incurables' first physician, noted that,
"...where the faintest hope exists, no efforts are spared nor
are any new remedies left untried." The Home received its first
patients in 1867 in a small, frame building. Thirty-three
patients were admitted the first year.
The Hospital has since grown to become a major supplier of
healthcare in New York State. The following list describes some
features of the institution:
Ø
Impressive 10-acre landscaped campus with 450 hospital beds
Ø
New
York State-designated Level 1Regional Trauma Center
Ø
New
York State-designated AIDS Center
Ø
Training programs for 250 physicians in 9 different specialties
Ø
Pediatric Inpatient Unit and Pediatric Special Care Unit
Ø
Pediatric Emergency Department
Ø
Newborn Nursery and Neonatal Intensive Care Unit (Level 3)
Ø
Child Protection Program/Child Advocacy Center
Ø
Early Intervention Program
Ø
Adolescent Medicine and Teenage Pregnancy Prevention Program
Ø
6 Pediatric
Ambulatory Care sites, including a new $13.6 million 7-story
ambulatory care building.
Ø
Pediatric medical library and conference room with internet
access
Ø
Major location for pediatric clerkships for students from Weill
Medical College of Cornell University
THE DEPARTMENT OF PEDIATRICS
Since January 1999, the
Department of Pediatrics has grown from a faculty of 11
pediatricians to over 50 experienced pediatric primary care and
pediatric subspecialty attending physicians. During the past
five years, the Department experienced an impressive annual
growth rate in outpatient, inpatient and pediatric emergency
services. The goal of the Department has been to address the
full spectrum of pediatric problems from primary care to
complicated diagnostic dilemmas. The Department consists of the
following divisions: Inpatient Pediatrics, Pediatric Emergency
Medicine, Normal Newborn and Neonatal Intensive Care and
Ambulatory Care.
Division
of Inpatient Pediatrics/Pediatric Special Care Unit
The Pediatric Inpatient Unit at
St. Barnabas Hospital is a sixteen-bed unit staffed by our group
of attending pediatric hospitalists. The unit provides care to
children up to eighteen years of age. Interdisciplinary rounds
are held daily on the unit offering our patients and their
families needed social as well as medical support. In our
efforts to create a child-friendly environment, all patient
rooms have been re-designed with wildlife themes. In
cooperation with the Bronx Zoo, Tats Cru, a local group
of artists, has painted each room depicting a different animal
species in its natural habitat. The rooms provide a
nonthreatening environment, which also serves to educate
children about wildlife conservation. Within the unit, the
Child Life Room offers patients a safe environment for play.
The Pediatric Special Care Unit (PSCU) is a 4 bed advanced care
unit for those children who require an increased level of care
not offered on the inpatient pediatric unit. Teaching Rounds are
held daily on all patients admitted to the PSCU and the
Pediatric Inpatient Unit.
Division
of Pediatric Emergency Medicine
The
Division of Pediatric Emergency Medicine of St. Barnabas
Hospital functions in a physically separate advanced care
facility dedicated to the emergency care of children. For each
of the past 5 years, there has been a substantial growth in the
volume of patients seen. During 2007, there were approximately
24,000 pediatric patient visits. The case mix of patients seen
in the Pediatric Emergency Department is impressive and ranges
from simple to extremely complex medical, surgical, and
trauma-related problems. St. Barnabas Hospital is a New York
State designated Level 1 Regional Trauma Center, which further
contributes to the pediatric emergency experience. The new
physical expansion of the Pediatric Emergency Department has
created a large patient and staff friendly environment in which
patient care is optimized
Division of Neonatology
The Division of Neonatology
includes the Well Baby Nursery (WBN) and a Level III Neonatal
Intensive Care Unit (NICU). Four full-time neonatologists staff
the department, with 24 hour attending coverage. Our
impressive group of Attending Neonatologists conducts teaching
rounds daily. Due to a greater than 15% increase in annual
deliveries, there are plans to expand the division. This will
include the NICU and WBN and the development of a high-risk
clinic.
The Division of Neonatology is a
member of the Bronx Perinatal Consortium, allowing for seamless
collaboration on clinical cases and research projects.
Division
of Ambulatory Pediatrics
The
Department of Pediatrics offers children comprehensive pediatric
primary care at six locations throughout the Bronx. The
Pediatric Ambulatory Division continues to grow at a rapid
pace. There were approximately 56,000 patients seen during the
past year. The Ambulatory Division has several specialized
primary care programs serving the Bronx Community:
Ø
The Adolescent
Medicine Program, led
by pediatricians trained in adolescent medicine, serves the
community through a teen pregnancy program and a general
adolescent practice.
Ø
The Child
Advocacy Center
provides support services for children and families exposed to
high-risk environments. The Center also facilitates diagnostic
evaluations and treatment for children who are suspected of
being victims of child neglect or abuse. Evaluations are
conducted in a child-friendly setting designed to minimize
trauma and maximize safety for the entire family.
Ø
Reach Out
and Read, an
innovative national program aimed at promoting early childhood
literacy, is a major initiative of the Division.
Ø
The
Developmental and Behavioral Program
applies progressive techniques in the management of a variety of
developmental disorders.
Ø
The Early
Intervention Program
provides advanced diagnostic and therapeutic care to young
children with developmental delay.
Ø
The New York
State-designated AIDS Center
features comprehensive medical
care and case management for HIV infected women and newborns.
Ø
The Community Outreach Program
includes participation in local health
fairs, school educational seminars, community-based
organizations, and participation in local and regional TV and
radio informational sessions.
Research
Our Department is committed to
becoming a premier institution for clinical research dedicated
to child health. As a part of the Clinical Trials Network of
the New York-Presbyterian Hospital, we are currently
participating in clinical trials with personnel experienced in
clinical research. Our areas of particular interest include
pediatric respiratory disease, pediatric infectious diseases,
and clinical epidemiology. In addition to our participation
within the network, we have also initiated several clinical
research projects related to child safety, pediatric asthma,
adolescent psychiatry, pediatric dentistry, and developmental
and behavioral pediatrics. The Residency Research Program
offers monthly Research Seminars (focused on principles of
epidemiology and methodology), a monthly Journal Club, and
faculty mentoring of resident initiated research projects.
The success of the Pediatric
Residency Research Program is clearly reflected in the number of
presentations by residents at regional and national pediatric
scientific meetings and the enthusiasm displayed by fellowship
directors in appreciating the level of clinical research
experience by our residents – which is often translated into
recruitment for advanced fellowship training. A representative
sample of research projects is noted below:
Ø
The
prevalence of ADHD in 6-12 year olds in an inner city primary
care setting
Ø
Bronchiolitis
and risk in the pediatric emergency department
Ø
Are
physicians following the AAP Guidelines regarding febrile
seizures?
Ø
Incidence,
risk factors, and outcome of brachial plexus injuries
Ø
Randomized clinical trial of educational anti-smoking program
among pregnant teens
Ø
Criteria for
radiological evaluation of pelvic fractures in children
Teaching
All faculty of the Department
of Pediatrics maintain academic appointments at the Albert
Einstein College of Medicine and have completed postgraduate
training at leading pediatric residencies throughout the
country. The Department of Pediatrics also serves as a site for
the pediatric clerkship and primary care rotations for medical
students from the Albert Einstein College of Medicine. Since its
inception at our hospital, this program has consistently
received the highest student evaluations, and is currently the
most requested site for the Weill third year pediatric
clerkship. We also serve as a pediatric clerkship site for
students from Ross University School of Medicine, New York
College of Osteopathic Medicine (NYCOM), the Columbia University
Nurse Practitioner program, and the Physician Assistant Studies
Program of the New York Institute of Technology. Medical
student education is considered a high priority within the
Department.
A
selection of Departmental conferences are listed below:
Ø
Weekly Pediatric
Grand Rounds
Ø
Morning Report
Ø
Morbidity and
Mortality Conference
Ø
Pediatric Research
Seminar
Ø
Pediatric Journal
Club
Ø
Pediatric
Chairman’s Rounds
Ø
Ambulatory
(Primary Care) Pediatric Conferences
Ø
Pediatric
Emergency Medicine Conferences
Ø
Neonatal
Conferences
Ø
Core Curriculum
Conferences conducted by Pediatric Subspecialists
Ø
Daily Inpatient
Rounds
Ø
Radiology Rounds
Ø
Noontime Core
Pediatric Conference
THE PEDIATRIC RESIDENCY PROGRAM: THE
CURRICULUM
The Pediatric Residency Training
Program at St. Barnabas Hospital is an ACGME approved Residency
Program (#3203521416) that provides medical school graduates
with the essentials of the entire Pediatric educational
curriculum - ranging from Pediatric Primary Care to Subspecialty
and Intensive Care training, as well as the tools to become
leaders in the field of Pediatrics. The training experience
emphasizes the management of general and subspecialty problems
in both primary care and hospital settings. Rotations at St.
Barnabas Hospital, the Children’s Hospital at Montefiore, and
the New York Presbyterian Hospital - Columbia campus as well as
Memorial Sloan Kettering Cancer Center and the Hospital for
Special Surgery provide both the intensity and diversity needed
for a well-rounded competency based pediatric education. Our
residency offers in-depth clinical experiences, progressively
increasing individual responsibility, and opportunities for
elective study and research. All rotations are organized in
4-week blocks. There are 13 blocks per year.
St. Barnabas Hospital Pediatric
Residency Graduates – Where are they now?
Graduates from this Residency
Program are currently participating in the following activities:
pediatric practice (primary care pediatrics), neonatal
fellowship programs (Dartmouth, University of Rochester,
Children’s Hospital of Buffalo), pediatric endocrinology
fellowship programs (Johns Hopkins School of Medicine,
University of Pittsburgh Children’s Hospital), pediatric
critical care (Schneider Children’s Hospital), pediatric
hematology/oncology (Yale University School of Medicine), and
medical genetics fellowship (Children’s Hospital of Pittsburgh).
PL-1 Internship: The Basics
The PL-1 year is designed to
provide the intern with experience and education pertaining to
all aspects of the care of the hospitalized and ambulatory
pediatric patient. It is essential that interns assume the
responsibility for patient care decisions with the supervision
of senior residents and attending physicians. Through inpatient
rotations at St. Barnabas Hospital and the Hospital for Special
Surgery, interns learn the diagnosis and management of common
pediatric problems. They also study the management of sick
newborns at the St. Barnabas NICU. The Well Baby Nursery
rotation provides the framework for the year’s focus on general
pediatric care. Interns also actively participate in the
Pediatric Ambulatory Group Practice, where they follow their own
patients throughout their three years of training. All PL-1
residents are assigned to one clinical location (St. Barnabas
Hospital Pediatric Primary Care Clinic, Pediatric Primary Care
Clinic at Grand Concourse, Pediatric Primary care Clinic at
Union Community Health Center) where they serve as a resident
primary care continuity provider between 1 and 4 half days per
week (depending on the rotation). The intern is identified as a
patient’s pediatrician and will follow that patient through all
scheduled and, when possible, non-scheduled appointments
throughout their three year residency. Block rotations in the
Outpatient Pediatrics and Pediatric Emergency Department give
interns a feel for the important link between the ambulatory and
inpatient settings. Rotations in Allergy/Immunology and
Cardiology provide the necessary knowledge base for the resident
to gain confidence in managing problems in these areas. Finally,
it is during the PL-1 year that the design and implementation of
the resident’s research project begins to take shape with the
assistance of faculty mentors and core research conferences.
PL-2 Junior Resident: Transition
to Leadership
The second year allows the
resident to take on greater supervisory and decision-making
roles during two block rotations on the Inpatient service and
two block rotations in the Pediatric Emergency Department.
Residents also spend one block rotation on the Pediatric
Oncology Service at Memorial Sloan Kettering Cancer Center.
Management of acutely ill children is the primary focus of the
rotation at the Children’s Hospital at Montefiore Pediatric
Intensive Care Unit. Ambulatory-based rotations in Adolescent
Medicine, Child Development and Neurology provide residents with
the depth of knowledge they need to become well-rounded
pediatricians. Residents may spend one block rotation as
elective time in any clinical or academic pursuit, in
consultation with the program director.
PL-3 Senior Resident:
Independence and Teaching
Third year residents function as
leaders among the housestaff and medical students at St.
Barnabas Hospital. The rotations in Outpatient Pediatrics and
Community Medicine enable senior residents to become familiar
with a variety of settings outside of the hospital. There are
also 2 block rotations of elective time that the resident can
use to supplement his/her core educational experience. Residents
are also given the opportunity to complete the research projects
initiated during the PL-1 year and present their findings in a
formal setting.
Ambulatory Group Practice: The
Continuity of Care
Based on a resident’s training
period of 10 one-half day sessions per week, all house officers
spend between 1 - 4 sessions per week in the Group Practice
Continuity Clinic (depending on specific year of training and
rotation) where they longitudinally follow a cohort of patients
through all aspects of well and sick pediatric care. All
residents are assigned to one of three locations for their
pediatric primary care continuity clinic: the St. Barnabas
Hospital Pediatric Primary Care Clinic, the Pediatric Primary
Care Clinic at Grand Concourse or the Pediatric Primary Care
Clinic at Union Community Health Center. All three locations
are staffed by experienced full-time pediatric primary care
faculty who care for their own panel of patients in addition to
serving as preceptors for residents. Residents will also rotate
through these same assigned locations while on the Outpatient
pediatric rotations. Each site gives the residents the
experience of practicing in a supervised pediatric primary care
practice – very similar to one they may find themselves working
in after graduation. The practices include an appointment system
that accommodates scheduled appointments and walk-in visits, as
well as comprehensive on-site and telephone coverage. Residents
monitor their patient’s consultative visits outside of the
clinic and any hospitalizations and/or emergency room visits.
Residency
Rotations
YEAR 1
3 Rotations General Pediatric
Inpatient Service
1 Rotation Hosp Special
Surgery-Pediatric Orthopedic
And
Rheumatology Inpatient and Outpatient Service
3 Rotations Pediatric Emergency
Department
1 Rotation Neonatal Intensive
Care
1 Rotation Well Baby Nursery
1 Rotation Cardiology
Selective
1 Rotation Outpatient Service
1 Rotation Allergy/Immunology
4 weeks Vacation
YEAR 2
2 Rotations General Pediatric
Inpatient Service
1 Rotation Memorial Sloan
Kettering Cancer Center/Pediatric Oncology Service
2
Rotations Pediatric Emergency Department
1 Rotation Neonatal Intensive
Care
1 Rotation Children’s Hospital
at Montefiore Pediatric Intensive Care Unit
1 Rotation
Developmental/Behavioral/Neurology
1 Rotation Infectious Disease
Selective
1 Rotation Outpatient Service
1 Rotation Adolescent Medicine
1 Rotation Elective
4 Weeks Vacation
YEAR 3
3
Rotations
General Pediatric Inpatient Service
2 Rotations Pediatric Emergency
Department
1 Rotation Neonatal Intensive
Care
1 Rotation
Developmental/Behavioral/Neurology
2 Rotation Outpatient Service
1 Rotation NYPH-Columbia
Pediatric Intensive Care Unit
2 Rotations Elective
4 Weeks Vacation
Benefits and Salary
The following benefits are
available to all residents:
Ø
Professional
liability coverage for all
activities
that are approved components
of the
resident program
Ø
Health Insurance
Ø
Dental insurance
Ø
Prescription drug
plan
Ø
Disability
insurance
Ø
Uniforms
Ø
Vacation: 4 weeks
Ø
Current salaries
are:
·
PL-1 $46,558
·
PL-2 $49,397
·
PL-3 $52,805
New York City: Capital of the
World
 There
is no place like the Big Apple! St. Barnabas Hospital is just a
20-minute drive away from the heart of New York City. There are
endless possibilities for cultural and social activities in the
city that never sleeps, such as Broadway theaters, the South
Street Seaport, Madison Square Garden, Yankee and Shea Stadiums,
Lincoln Center, the Metropolitan Museum of Art, the Statue of
Liberty, the Empire State Building, Central Park, Greenwich
Village and Times Square, to name only a few. In short, it is a
great place to live and work!
APPLICATION REQUIREMENTS
PL-1 Applicants
All
interested candidates for PL-1 positions (categorical
pediatric internship) for July 2009 should apply through the
Electronic Residency Application Service (ERAS). We only
accept ERAS applications for these positions and do not accept
any applications by mail or fax for these positions. Evaluation
of every applicant includes a thorough, comprehensive evaluation
of all aspects of an applicant’s folder. Due to the extremely
high level of interest in this Pediatric Residency Program, we
have established suggested guidelines for your consideration.
- USMLE
Step 1 - ≥83 no more then two attempts.
- USMLE
Step 2 CK- ≥85 no more then two
attempts.
- USMLE
Step 2 CS passing grade
- USMLE
Step 3 - >80 (in order to complete your application,
this test must be completed by March 15, 2009).
- ECFMG
certification
-
Graduation date after 2001.
- No US
clinical skills required; however, if you have completed
this it will help your application.
- We only
sponsor H-1B Visas.
- Three
letters of recommendations.
10.
Deans letter of recommendation.
PL-2 and/or PL-3 Applicants
There may be a limited number
of PL-2 and/or PL-3 positions open to superior candidates. For
those interested in these positions, please submit:
q
Completed ERAS
Application Form
q
USMLE scores
(front and back of report)
q
ECFMG Certificate
(if applicable)
q
Three letters of
recommendation
q
Dean’s Letter
q
Medical school
transcript (including diploma if available) and
q
A recent
photograph
to the following address:
Zaida Batista
Program Coordinator
Pediatric Residency Program
Department of Pediatrics
St. Barnabas Hospital
4422 Third Avenue, Mills
Building 4th Floor
Bronx, NY 10457
For further information please
call 718-960-6635; for information regarding St. Barnabas
Hospital and the Department of Pediatrics, please consult our
WEB site at: www.stbarnabashospital.org
DEPARTMENT OF PEDIATRICS FACULTY LISTING 2008-2009
(Residency
and Fellowship institutions are included)
Pediatric Residency Program
David H.
Rubin, MD, Chairman, Department of Pediatrics and Program
Director
David Fagan,
MD, Associate Program Director
Anna Ganster,
MD, Chief Resident
Zaida
Batista, Program Coordinator
Ambulatory Staff
David
Perlstein, MD, Director, Ambulatory Pediatrics: New York
Hospital/Cornell University
F. Marlon
Ali, MD: New York University/Bellevue Hospital
Ahisu Ayeni MD:
Metropolitan Hospital
Janine Clark, MD: New York
University Medical Center/Bellevue Hospital
Omar
Chowdhury, MD: Interfaith Medical
Center
David Fagan,
MD: Children's Hospital of New York/Columbia
University
Karen Greer,
MD: Children's Hospital of Philadelphia/University of
Pennsylvania
Julie Hurtado, MD: St, Barnabas Hospital, Bronx,
NY
Elizabeth
Kwon, MD, MPH: New York Presbyterian Hospital/Cornell
University, Harvard University School of Public Health
Rosemary
Pezzullo, MD: Massachusetts General Hospital/Harvard University
Paulo Pina,
MD: New York University Medical Center/Bellevue Hospital
Melissa
Renolds, MD: Vanderbilt University Medical
Center
Michelle
Ratau, MD, MPH, Children's Hospital of New York/Columbia
University
Luz Reyes,
MD: St Luke’s/Roosevelt
Hospital
Karen Sawitz,
MD: Children's Hospital of New York/Columbia University
Jenna
Scholnick, MD: Children’s Hospital at Montefiore Medical Center
Inpatient Pediatrics
Hai Jung
Helen Rim, MD, Director, Inpatient Pediatrics- Children’s
National Medical Center, Washington, DC
Kotha
Sudharani, MD: Methodist Hospital
Avni
Bhalakia, MD: Hasbro Child’s Hospital/Brown University School of
Medicine
Neonatology
Lazaro
Lezcano, MD, Director, Neonatology: Interfaith Hospital,
Mt. Sinai Medical Center
Ronald
Arevalo, MD: Overlook Hospital, New York Presbyterian
Hospital/Cornell University
Marie
Lourdes Bautista, MD: Flushing Hospital, North Shore
Hospital/New York University
Feliciano
Emralino, MD: Elmhurst Hospital, Schneider Children's
Hospital/Long Island Jewish Medical Center
Pediatric Emergency Medicine
David
Listman, MD, Director, Pediatric Emergency Medicine;
Yale-New Haven Children’s Hospital (Residency and Fellowship)
Ada Aponte,
MD: Jacobi Medical Center, Bronx, New York
Cesar Arias,
MD: Jacobi Medical Center, Bronx-Lebanon Hospital Center
Heather
Becker, MD: Bellevue Hospital/New York University Medical Center
Naomi
Hughes, MD: University of Maryland Medical Center
Samantha
Lowe, MD: Bellevue Hospital/New York University Medical Center
David H.
Rubin, MD: University of California, San Francisco, Yale
University
Subspecialty Staff
Paola
Carugno, MD: Behavior/Development: Albert Einstein College of
Medicine, Kennedy Center
Amy Defelice,
MD, Pediatric Gastroenterology: Children's Hospital of New
York/Columbia University:
Candace
Erickson, MD, MPH, Behavior/Development: St. Christopher’s
Hospital, University of
Maryland
Sharon Beier,
MD, Adolescent Medicine: Montefiore Medical Center, University
of Maryland Medical Center
Leslie Lam,
MD: Pediatric Endocrinology: New York University Medical
Center/Bellevue Hospital
Paul Levy,
MD: Genetics: Montefiore Medical Center, Tulane University
Medical Center
Steven
Lobrito, MD, Pediatric Gastroenterology: New York Presbyterian
Hospital/Cornell
Tsoline
Kojaoghlanian, MD, Pediatric Infectious Disease; Children’s
Hospital at Montefiore
Dina
Kornblau, MD, Pediatric Neurology: Children’s Hospital of New
York/Columbia University
Haeyoung
Hwang, MD, Pediatric Allergy/Immunology: Georgetown University,
St. Luke’s/Roosevelt Hospital Medical
Center
Karen Moody,
MD: Pediatrics Hematology/Oncology: New York University Medical
Center/Bellevue Hospital, Cornell University
Thomas
Moulton, MD: Pediatric Hematology/Oncology: Rainbow Baby and
Children’s Hospital/Case Western Reserve University
Myles
Schiller, MD, Pediatric Cardiology: New York Presbyterian
Hospital/Cornell University (Residency and
Fellowship)
Robert
Woroniecki, MD: Pediatric Nephrology: University Hospital,
Stony Brook and Montefiore Medical Center
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