<<

Icahn School of Medicine at

Internal Medicine Residency Program at

Mount Sinai Beth Israel Mount Sinai Internal Medicine Residency Program Icahn School Baird Hall of Medicine at 350 East 17th Street, 20th Floor Beth Israel New York, NY 10003 Tel: (212) 420-3363 | Email: [email protected] M

N 4 3 2 1

M

9th Ave. 9th Ave. N 4 3 2 1 Main Entrance 325 West 15thSt. Mount Sinai Comprehensive CancerCenter West-Side Campus Mount SinaiDowntownUnionSquare 10UnionSquareEast Dialysis Center120East16thSt. Petrie CampusCornerof1st Avenue andEast 1

9th Ave. 9th Ave. Main Entrance 325 West 15thSt. Mount Sinai Comprehensive CancerCenter West-Side Campus Mount SinaiDowntownUnionSquare 10UnionSquareEast Dialysis Center120East16thSt. Petrie CampusCornerof1st Avenue andEast 1 o 4 o 4 un un L 8th Ave. 8th Ave. L Subway 8th Ave. 8th Ave. Subway C t S C t S a

a 7th Ave. 7th Ave. East 14thSt. East 16thSt. East 15thSt. East 13thSt. 7th Ave. East 17thSt. 7th Ave. m East 14thSt. East 16thSt. i East 15thSt. East 13thSt. East 17thSt. m i n n p a p 6th Ave. 6th Ave.

a 6th Ave. 6th Ave. us M i B us M i B 6 th St. 6 1 th St. 6 1 6 E16th

5th Ave. E16th 5th Ave.

e 5th Ave. 5th Ave. e th I th I a a S U p S q U p n q u n ion u are ion are s s 5 6 Subway Union Square East 4 5 6 Subway r 4 6 Subway 4 5 6 (212) 420-2000 (212) 844-8611 (212) 420-2000 (212) 604-6000 5 Union Square East Subway

r 4 (212) 420-2000 (212) 844-8611 (212) 420-2000 (212) 604-6000 MSDUS MSDUS a a 3 L 3 L Subway e Subway e ve.ve. 4th A 120 E16th l 120 E16th l LexingtonLexington Ave. Ave. IrvingIrving Plaza Plaza 2 SecondSecond Avenue 2 InterbuildingBridge: 3Fierman–2Dazian;4Silver–6 Baird;9Silver–1412Silver–18 Baird at16th Street,New York, NY10003 |212-420-2000 InterbuildingBridge: 3Fierman–2Dazian;4Silver–6 Baird; 9Silver–1412Silver–18 Baird First Avenue at16th Street,NewYork, NY10003 |212-420-2000 N Park N

Stuyvesant Square Park PE (not(not to to scale) scale) PE 3rd3rd A Ave.ve. 3rd3rd A ve.Ave. Fierman Hall Fierman Hall Nathan D. Perlman Place 317 E17 Nathan D. Perlman Place 317 E17 T T B Emergencia Emergency B Emergencia Emergency 9 NathanD. Perlman Pl. 9 NathanD. Bernstein Perlman Pl. 1 NathanD. Perlman Pl. Bernstein t Auditorium 1 NathanD. Perlman Pl. h t Auditorium Pavillion RIE CA h Pavillion St. RIE CA St. Dazian Podell Dazian Podell Karpas HealthInformationCenter,311FirstAve. Karpas HealthInformationCenter,311FirstAve. E E E E 15th Street 15th Street E E 17th Street 16th Street 17th Street 16th Street Silver Building Silver Building 330 E17 330 E17 Patient Finance,307FirstAve. Patient Finance,307FirstAve. Karpas Karpas 2nd2nd A Ave.ve. 2nd2nd A ve.Ave. MP t MP t h h St. 1 St. 1 B P E B P E I I Information Parking Bridge Elevator Entrance Information Parking Bridge Elevator Entrance E E 281 FirstAve. 281 FirstAve. P US P US

Linsky Linsky B B 350 E17 Subway Baird Hall 350 E17 Entrada Principal Subway Baird Hall Entrada Principal Main Entrance I Main Entrance I E t E h t h

S

S t . t .

P P L

First Avenue L

First Avenue 1st1st A Ave.ve.

ve. A 1st

First Avenue First L

P Table of Contents

. t S h t E

I Map i Main Entrance Education Tracks Entrada Principal Baird Hall Subway 350 E 1 7 B Linsky

U S P Introduction to our Program 3 Overview 11 281 First Ave. E Entrance Elevator Bridge Parking Information Categorical Residency 12 I

E P

B 1 St. Why Choose Mount Sinai Beth Israel h t

M P ve. A 2nd ve. A

2nd 2nd Preliminary Residency 13 Karpas Patient Finance, 307 First Ave. Our Valued Housestaff 5 330 E 17 Silver Building 17th Street 16th Street E 15th Street A Tradition of Excellence 5 Our Residents

E E Location 5 Resident Life 17 Karpas Health Information Center, 311 First Ave. Podell Dazian St. RIE C A Pavillion h Auditorium t Perlman Pl. Perlman 1 Nathan D. Bernstein Perlman Pl. 9 Nathan D. Emergency Emergencia B

T Diversity of Experience 5 How to Apply 19

317 E 17 Place Perlman D. Nathan Fierman Hall

ve. A 3rd ve. A 3rd

(not to scale) to (not Our Faculty 6 Contact Information 21

P E Stuyvesant Square Park Square Stuyvesant N First Avenue at 16th Street, New York, NY 10003 | 212-420-2000

Interbuilding Bridge: 3 Fierman–2 Dazian; 4 Silver–6 Baird; 9 Silver–14 12 Silver–18 Baird Career Development 8 2 Avenue Second

Unique Curriculum 9

Lexington Ave. Lexington Irving Plaza Irving

l

120 E16th

A 4th ve. e Subway L 3 a MSDUS

(212) 604-6000 (212) 420-2000 (212) 844-8611 (212) 420-2000

4 r

Union Square East Square Union

5 Subway 6 5 4 6 Subway s ar e io n u n q p U S a t h I

e

ve. A 5th ve. A 5th E16th 6 1 th St. th St. 6 i B

us M

ve. A 6th ve. A 6th 6th a p n i

m East 17th St. East 13th St. East 15th St. East 16th St. East 14th St.

ve. A 7th ve. A 7th a t S C

Subway

ve. A 8th ve. A 8th L u n 4 o

Corner of 1st Avenue and East 1 Pe trie Campus Corner of 1st 120 East 16th St. Dialysis Center 120 East 16th St. Mount Sinai Do wntown Union Square 10 East Mount Sinai Comprehensive Cancer Center West-Side Campus West-Side Mount Sinai Comprehensive Cancer Center 325 West 15th St. 15th St. West 325 Main Entrance ve. A 9th ve. A 9th 9th

1 2 3 4 N

M

1 Introduction To Our Program

2 Dear Senior Medical Student: The Internal Medicine Residency Program at students on inpatient services, in the ambulatory Mount Sinai Beth Israel provides outstanding setting and on the subspecialty services within the clinical training, research opportunities and Department of Medicine. preparation for a career in either academic or The Mount Sinai Health System is in the midst of an clinical medicine. These endeavors are carried over $500 million transformation of Mount Sinai Beth out in a humane, respectful and supportive Israel, to create the new “Mount Sinai Downtown,” an environment where the delivery of compassionate, expanded and unified network of state-of-the-art high-quality care is the guiding principle. facilities stretching from the East River to the Hudson For us, excellence is not just a fancy buzzword River below 34th Street. When this transition is thrown around to inspire and motivate; it is completed in 2021, MSBI will host four independent a principle that we live by every day. Whether residency programs, including Internal Medicine. it’s excellence in patient care, in educating our The Internal Medicine residency at MSBI will be trainees, or in mentoring and nurturing budding redesigned to provide residents with world-class physician-scientists, it imbues our mission training and preparation for a career in either clinical and drives us to do better for ourselves and or academic medicine. Keeping pace with the for our patients. national trend to shift the delivery of care from the Ultimately, the goal of our program is to provide traditional inpatient setting to the ambulatory one, you with solid clinical skills, and the ability residents in this program will spend one-third of their to adapt and function in the ever-changing time in the traditional setting and two-thirds environment of modern health care. We want of their training time in ambulatory subspecialty and you to graduate with the ability to pursue any general medicine venues. area of academic medicine. Our residents consistently secure top fellowships around the We recognize that the changes described above country and thrive in academic medical centers. are significant. As you consider your next step in Our program supports resident scholarly activity, post-graduate training, we want to affirm that the with many residents traveling each year to Icahn School of Medicine at Mount Sinai is present their research work at local, national wholeheartedly committed to ensuring that each and international meetings. of our trainees receives the highest quality training experience at all of our clinical training locations. The residency program places a great deal of emphasis on and takes great pride in the diversity So if you are interested in advancing your medical of trainees’ clinical experiences. The patient mix is training in a dynamic, urban environment that well-balanced and represents the cultural and promises to provide unique opportunities for socioeconomic diversity of Mount Sinai Beth Israel’s learning and living, we urge you to consider joining metropolitan location. Residents are responsible our mission. for and play a major role in the care of all of these patients, including continuity of care between Daniel I. Steinberg, MD inpatient and ambulatory settings. Director, Internal Medicine Residency Program Mount Sinai Beth Israel As a member of the Mount Sinai Health System, our residents are in a unique position to leverage the Harry Fischer, MD expertise and resources of the largest health care Interim Site Chair, Department of Medicine provider in the area. As part of the Mount Sinai Beth Israel Icahn School of Medicine at Mount Sinai, our David C. Thomas, MD, MHPE residents have access to world-class educational Vice Chair for Education, Department of Medicine and clinical resources, including clinical or research Mount Sinai Health System electives at across the system. Full-time faculty members hold academic appointments Barbara Murphy, MD at the Icahn School of Medicine at Mount Sinai Chair, Department of Medicine and are involved in training residents and medical Mount Sinai Health System

3 Why Choose Mount Sinai Beth Israel

4 At first glance, it is often difficult to distinguish foodie scene in New York with the famous Union among residency programs. All promise to provide Square Greenmarket and a cultural and shopping excellent medical training and to open doors for mecca. Beyond Union Square is the Flatiron future careers. We believe that at Mount Sinai District and Chelsea—two other populous and Beth Israel we can and do provide so much distinct areas with different health care needs. more, including an appreciation and value of our To our south is the and Alphabet housestaff, a continued tradition of excellence, a City, an economically and culturally diverse area varied and diverse experience, and an outstanding where the population faces a variety of challenges faculty who are deeply involved in your training. around health care. OUR VALUED HOUSESTAFF DIVERSITY OF EXPERIENCE At Mount Sinai Beth Israel, we are proud of our As a resident at Beth Israel, you will care for and reputation for running a respectful and humane be exposed to a large, varied patient population residency program. We ask for and value regular and complex cases in both the inpatient and feedback from our housestaff about the program. ambulatory settings. We foster a warm and collegial atmosphere that is so appealing many residents choose to stay at or Inpatient care is delivered at the Milton and return to Mount Sinai Beth Israel after their training. Carroll Petrie Division located at First Avenue and 16th Street. The Petrie Campus is an acute care A TRADITION OF EXCELLENCE , which is the main site for training For more than a century, Beth Israel has been in Internal Medicine. serving the downtown New York community, providing excellent primary, secondary and tertiary The majority of our residents spend a significant health care to a robust and diverse population. period of time each year in the ambulatory setting, Today, as a member of the Mount Sinai Health consistent with current ACGME requirements. System, the physicians of the Department of As an “on the ground” institution dedicated to Medicine at Mount Sinai Beth Israel remain serving our communities, Mount Sinai Beth Israel committed to giving their patients the very best is proud of its ambulatory care network, one clinical care all while creating a rigorous and of the largest in New York City. Each ambulatory challenging environment for our residents. continuity training site is designated as Level 3 Patient-Centered Medical Homes. LOCATION (GMA) is located Located in the heart of lower on the General Medical Associates steps from one of the busiest subway stations in East Side, our campus is conveniently located New York City at Mount Sinai Downtown - Union between two different and vibrant neighborhoods. Square. Its location results in a large and diverse To our west lies Union Square, a center of the patient population from all five boroughs. At GMA, physicians provide comprehensive primary care, with all medical, surgical and subspecialties located within the same building. Dedicated primary care faculty supervise residents in a longitudinal fashion, providing exceptional teaching and mentorship. The Ryan NENA Community Health Care Center located on East 3rd Street in the Lower East Side of Manhattan is a Federally Qualified Health Care Center that serves a diverse community. Ryan NENA offers residents an outstanding precepting, learning and practice experience.

5 Our Faculty gastroenterology and endoscopy, with a particular As a medicine resident at Mount Sinai Beth Israel, you will emphasis on the treatment of hepatitis, portal hyperten- have the opportunity to work with and be mentored by a sion and other disorders of the liver. group of physicians who are dedicated to your education and training. The following is a sampling of our program General Internal Medicine and faculty leadership: Christina M. Cruz, MD, is the Associate Allergy & Immunology Program Director for Ambulatory Care, Mary Lee Wong, MD, is Assistant and Assistant Professor of Medicine. Professor of Allergy & Immunology. A well- She oversees the residency’s Ambulatory known clinician in New York City, she and Wellness Curricula. Dr. Cruz regularly maintains a very busy practice at the Mount reviews clinical vignettes and medical Sinai Downtown Union Square. Dr. Lee education workshops for the Society of General Internal Wong mentors many residents in academic Medicine’s (SGIM) annual and regional conferences. She projects and runs a very popular allergy elective. participates in medical education research around End of Year Transfers of Care for high risk patients and more Asian Services recently a multi-center study of prevalence and potential Wan Lam, MD, is the Medical Director of contributors to burnout among resident physicians. the Asian Inpatient Service, which provides Dr. Cruz’s primary area of interest is the intersection culturally sensitive care to the Chinese between medical education and social accountability. population of and other boroughs in New York City. Dr. Lam Geriatric Medicine manages patients across the hospital, Joyce F. Fogel, MD, is Associate allowing residents to interact with her and her patients. Professor and Chief of Geriatrics. Dr. Fogel Cardiology has developed a consolidated approach to John Fox, MD, is the Director of the caring for the geriatric patient, which Interventional Cardiology and Cardiac includes ambulatory, hospital and home- Catheterization Lab at Mount Sinai Beth based care. Dr. Fogel oversees the Israel and Associate Professor of Cardiol- residency program’s geriatrics rotation, which has been a ogy. He is a member of the Cardiac popular experience for our housestaff. Steering Committee, and Chairman of both the Cath Lab Leadership Committee and the Cath Lab Hematology and Oncology Quality Improvement Committee. Peter Kozuch, MD, is Associate Professor Endocrinology & Diabetes of Medicine and the Associate Program Director of the Icahn School of Medicine Terry Davies, MD, is the Chief of the at Mount Sinai’s Hematology/Oncology Division of Endocrinology and Diabetes Fellowship. His clinical and research and the Florence and Theodore Baumritter interests include malignancies of the Professor of Medicine. Dr. Davis is an pancreas and gastrointestinal tract. internationally known expert in thyroid disease, and his lab is known for its work in Hospital Medicine autoimmune thyroid disease research. Dahlia Rizk, DO, is Associate Professor Gastroenterology and Chief of the Division of Hospital Ilan Weisberg, MD, MSc, is Assistant Medicine. Dr. Rizk has built the hospitalist Professor of Medicine (Gastroenterology) program into one of the major inpatient clini- and the Director for the Gastroenterology cal and teaching services in the hospital. and Hepatology Fellowship Program. His She leads and is involved in numerous clinical interests span the entire breadth of systems-based initiatives for the Department of Medicine and throughout the institution.

6 Alfred Burger, MD, is Associate Dana Mazo, MD, MSc, is Assistant Program Director, Associate Professor Professor of Medicine (Infectious of Medicine and Medical Education, Diseases) and Interim Hospital and an attending in the Division of Epidemiologist. Her interests include Hospital Medicine. Dr. Burger has infection prevention and antimicrobial specific interests in clinical reasoning , stewardship. quality improvement and in mentoring trainees in the development of clinical vignettes and case write-ups Nephrology as early academic projects. Dr. Burger maintains Nikolas Harbord, MD, is Assistant involvement in several national society workgroups, Professor of Medicine and Chief of the focusing on hospital medicine, hospital systems and Division of Nephrology. He is Director of quality improvement. He has taught numerous the Nephrology Fellow’s Ambulatory sessions and pre-courses on quality improvement at Clinic as well as Director of the Diabetic national society meetings. He was a member of the Nephropathy Clinic. Society of General Internal Medicine’s Choosing Wisely Recommendations Work Group and is Pulmonary, Critical Care and Sleep Medicine President-Elect of the New York State Chapter of the Paru Patrawalla, MD, is Assistant Association of Program Directors in Internal Medicine. Professor of Medicine, Program Director of the Pulmonary Critical Care Daniel I. Steinberg, MD, is Program and Sleep Medicine Fellowship Director, Associate Professor of Training Program, and Director of the Medicine, and Medical Education, and Mount Sinai Beth Israel Simulation an attending in the Division of Hospital Training Program. Medicine. Dr. Steinberg’s academic interests include medical education, David Steiger, MD, is Professor of mentorship of trainees, faculty development and Medicine and Chief of the Division of evidence-based medicine. He is actively involved in Pulmonary, Critical Care and Sleep the Society of Hospital Medicine (SHM), and the Asso- Medicine. He is an expert in interstitial ciation of Program Directors in Internal Medicine. He is lung disease, perioperative medical a past President of the New York State Chapter of the management, critical care medicine and Association of Program Directors in Internal Medicine. a researcher in cognitive dysfunction in orthopaedic He presents regularly at national meetings and serves surgical patients. on multiple national society committees. He serves Patricia Walker, MD, is Associate on the 2018 Annual Meeting Committee for SHM Professor of Medicine (Pulmonary, and is an Associate Editor of the American College Critical Care and Sleep Medicine). of Physician’s Journal Club which appears in the She is an internationally known Annals of Internal Medicine. specialist in cystic fibrosis who runs the CF program at Mount Sinai Beth Israel. Infectious Diseases Rheumatology David Perlman, MD, is Professor and Chief of the Infectious Diseases Division. Harry D. Fischer, MD, is Associate He is an active investigator at the Baron Professor and Chief of the Division of Edmond de Rothschild Chemical Rheumatology and Interim Site Chair of Dependency Institution at MSBI and the Department of Medicine. Dr. Fischer also serves as the Director of the was one of the first rheumatologists to Infectious Diseases Core at the Center for Drug Use describe the rheumatic manifestations and HIV Research. of HIV infection. His additional clinical interests include systemic lupus erythematosus, rheumatoid arthritis, vasculitis and Lyme disease.

7 CAREER DEVELOPMENT Faculty and Peer Mentoring: There are different At Beth Israel, our residency program is designed to types of mentoring, and our system allows for each create a well-rounded and rigorously trained house trainee to select which kind of mentoring works officer. What makes us proud is that so many of our best for them. Every trainee is automatically part of trainees choose to remain as fellows or return as the buddy program, described above. But support faculty members. Regardless of your career plans, for residents doesn’t stop there. Many house we provide thorough and thoughtful mentorship and officers naturally connect with subspecialty faculty professional development that best suits your who come to serve as mentors based on common individual trajectory and career plans. interests, either professional or personal. The Buddy System: Upon entry into our training Peer-to-peer mentoring is another important way program, each house officer is paired up with both a we foster support and collaboration in the Depart- chief resident and a program director who serve as ment of Medicine. Our housestaff will often work the house officer’s “buddies.” The buddy system with a fellow who helps guide them in the develop- allows for personalized, longitudinal mentoring. Chief ment of a project. The high level of research residents provide one-on-one evaluation, counseling collaboration attests to the close relationship and advice to their house officer buddies. between these two groups of trainees. House officers meet formally twice per year with The Summer Research Presentation Series: their program director buddy to review perfor- Throughout July and August of each year, the mance, discuss career plans or fellowship applica- subspeciality divisions in the Department of Medicine tions, and any other pertinent issues. In addition, all present their ongoing research projects to the new our program directors pride themselves on being residents. This gives incoming housestaff an overview available to any resident for any issue whenever of what is going on in each division, and helps them they should arise, and their doors are always open identify faculty and fellows that they can contact for to housestaff and students. further guidance and research pursuits.

8 UNIQUE CURRICULUM learn in a relaxed, stress-free environment. Topics Our curriculum aims to develop and refine residents’ range from clinical medicine to quality improvement to clinical reasoning skills and their ability to practice cultural competency and beyond. Multiple formats are high-quality, evidence-based medicine. Multiple used, including interactive small-group based work- venues and opportunities ask residents to integrate shops, interactive case conferences and traditional their knowledge of the basic and clinical sciences lectures. Our innovative ambulatory curriculum also into real-life patient care and decision-making. includes a Wellness Curriculum which consists of a A focus on critical appraisal and application of the series of mindfulness sessions led by local mindfulness most current literature to patient care is a theme experts and guided debrief/reflection sessions led by throughout all teaching venues. our faculty. (A similar Wellness curriculum is in place for Preliminary residents.) 6+2 Inpatient/Outpatient System: Our program was an early adopter of this innovative scheduling The Alice and Richard Netter Simulation Center: With the days of “see one, do one, teach one” gone, system for our categorical program. Rather than simulation training has become an essential part of the running to and from their ambulatory clinic once residency experience. Mount Sinai Beth Israel boasts a a week during inpatient rotations, our residents now state-of-the-art simulation center. Under the guidance rotate on inpatient services for six weeks at a time of a chief medical resident and faculty, our housestaff without ambulatory responsibilities. This allows undergo intense and wide-ranging training for manag- residents and inpatient teams to be most efficient ing a variety of emergent clinical situations. From behind and provide uninterrupted care on the wards. a one-way mirror, dedicated Simulation Center staff and Then two dedicated weeks are spent full-time faculty throw out scenarios for residents to work in the ambulatory setting. Our residents experience through as a team. Interns are taught proper airway the daily routine of an outpatient physician, and management and chest compressions. Medical have great opportunity and flexibility to provide residents serve as Code Team and Rapid Response continuity of care. This scheduling provides Team leaders for all such calls throughout Mount Sinai for a variety and change of pace to the usual Beth Israel, and receive intensive clinical and leadership inpatient environment. training in these areas. Communication and other tools Academic Half-Day: One morning a week during adapted from the aviation industry and the military are ambulatory continuity rotations, residents from all taught and practiced. Residents also learn central line three outpatient sites come together to learn as a insertion and other procedures in the Simulation Center. group. Without the pressure of clinical responsibilities This is widely viewed among the housestaff as a superb immediately before and after, residents are able to learning experience.

9 Education Tracks

10 OVERVIEW background, current trends, and future directions. As a resident at Mount Sinai Beth Israel, you will be In addition, residents critically appraise and present fully immersed in a program that teaches you the an article from the recent literature that is relevant clinical skills, knowledge and leadership qualities to the topic being given. Direct one-on-one of a twenty-first century physician. mentoring and assistance with preparation are given to each resident by a chief medical resident. Formal instruction begins each morning with the residents leading bedside teaching and work rounds. Resident Report: Separate resident report Team members review the progress of each patient, conferences exist for inpatient day and night float incorporating patient management, teaching and teams. At night float report, overnight teams present discussion of clinical decision-making. Residents and newly admitted cases to the program directors, interns regularly present and discuss patients during chief residents and other faculty. Teaching occurs rounds with the teaching faculty. Discussions range as the history, physical, radiology and lab results are from the bench to the bedside with a focus on clinical reviewed and the overnight teams’ management reasoning, diagnostic skills and application of the plans are discussed. At senior resident report, latest evidence to patient care. which occurs during the day, housestaff present multiple cases for higher-level discussion of clinical Conferences provide another method for teaching reasoning, diagnosis and management. Residents and training. But at Mount Sinai Beth Israel we do not are asked to teach their peers by providing evidence- believe in a one-way educational experience. Instead, based answers to questions that came up at report in dynamic, interactive venues, housestaff meet with the previous day. the chief medical residents, the program directors and the teaching faculty to present and discuss Department of Medicine Grand Rounds: interesting and instructive cases. In a supportive Throughout the year, the Department of Medicine environment senior residents are asked to explain hosts nationally and internationally known speakers their medical reasoning, to justify their decisions with who present on topics in the basic and clinical evidence and to consider the costs and risks of care. sciences. Recent past speakers have included Nobel Laureates and other world-renowned EDUCATIONAL CONFERENCES luminaries in medicine. Noon Conference: Each day residents are Subspecialty Conferences: Each division holds provided a noon conference that can take many weekly subspecialty conferences, frequently formats. Case presentations and lectures are including prestigious outside speakers. Residents delivered in an interactive format, with audience on elective participate in these conferences. Senior response technology used to enhance the learning residents rotating in the CCU are required to present experience. Lunch is provided. The noon conference formally to the faculty and fellows of the Department curriculum covers the range of clinical Internal of Cardiology. Medicine and subspecialty topics, as well as topics such as ethics, cost-effectiveness, business aspects of medicine and health care systems. On certain days, interns learn together while senior residents attend a separate resident report conference, and on other days, residents of all three levels are in conference together. Resident Grand Rounds (“Journal Club”): In the PGY2 year, residents present a clinical or research topic of their choosing to their housestaff peers and selected faculty. A faculty member who is an expert in the field moderates the session. During the presentation, the resident presents a scholarly review of the topic, including basic science

11 CATEGORICAL RESIDENCY consultations to other services. In the ambulatory The primary goal of Mount Sinai Beth Israel’s setting, you will enjoy an ever-increasing sense of Department of Medicine categorical residency continuity as your personal patient panel grows. training program is to provide the trainee with PGY2s use their elective time to explore career advanced medical knowledge, progressive interests or conduct research. Increased academic experience in clinical decision-making and the expectations include regular presentations at opportunity to practice medicine in an environment resident report and other conferences. of academic excellence. Training occurs in an atmosphere of openness, where residents are A sample PGY2 schedule is as follows: encouraged to raise questions and contribute ideas. PGY2 Months It is a point of pride that our hospital is considered Inpatient Medical Wards 2-4 a place that offers a cooperative and supportive environment for both faculty and housestaff. Ambulatory Continuity 3 (spread over 6 All members of the health care team work Practice recurring 2 week blocks) closely together. The hospital provides excellent MICU 0-1 ancillary services, including transport staff, ED 1 clerks, phlebotomists and IV teams to facilitate safe and efficient patient care. Night Float 1 PGY1: As a PGY1 you will further develop and Elective See below under master your organizational skills and ability to make Elective Time efficient, clinically sound decisions as you rotate Medical Admitting 0-1 through various experiences. We expect our PGY1 Resident housestaff to begin to think independently and to voice their opinion on diagnosis and treatment plans. Rapid Evaluation and 0-0.5 PGY1s participate in our “Residents As Teachers and Treatment Unit Leaders” seminar in the spring to help prepare them Vacation 1 for their PGY2 year.

A sample PGY1 schedule is as follows: PGY1 Months Inpatient Medical Wards 3.5-4.5 Ambulatory Continuity 3 (spread over 6 Practice recurring 2wk blocks) Night Float 1-1.5 Elective Time See below under Elective Time CCU 1 MICU 1 Rapid Evaluation and 0.5 Treatment Unit Vacation 1

PGY2: As a PGY2, your responsibilities grow. You will lead and teach teams of interns and medical students on the inpatient wards and perform medical

12 PGY3: Our PGY3s assume major clinical leadership than just a stop along the way towards an advanced roles on the medical service. Advanced rotations residency. Our program is challenging, but is widely include the CCU, the telemetry unit, and serving as viewed as a tremendous developmental experience. the Code and Rapid Response Team leader for the The clinical and educational activities and the work institution. We expect our PGY3s to role model schedule for preliminary housestaff are the same as professionalism and outstanding clinical care to their for categorical housestaff. The exception to this is junior peers. The transition to fellowship or clinical that preliminary housestaff do not attend ambulatory practice moves into high gear at the beginning of this continuity clinic or ambulatory-related activities. In year with ongoing individual mentoring by the recognition of the fact that our preliminary interns do program directors and faculty. more inpatient ward rotations than our categorical interns, they get significantly more elective time. A sample PGY3 schedule is as follows: For anesthesia preliminary residents, in order to PGY3 Months satisfy your advanced program’s requirement for rotation, we require that two Inpatient Medical Wards 2-3 or four weeks of your elective time will be used. Ambulatory Continuity 3 (spread over 6 The exact amount will vary depending on the make Practice recurring 2 week blocks) up of the intern class. Medical Consult/Rapid 0-0.5 Also, please note that residents in the Preliminary/ Response Team track have the same schedule as preliminary residents, but must apply using a CCU 1 separate NRMP number. Night Float 1 MICU 0-1 A sample Preliminary schedule is as follows: Medical Admitting 0-1 Preliminary Months Resident Inpatient Medical Wards 5-7 Geriatrics 0-1 Elective 2 (see above for anesthesia exception) Elective See below under Elective Time Night Float 1.5 Rapid Evaluation and 0-0.5 CCU 1-2 Treatment Unit MICU 1-2 Vacation 1 ED 1 (if required) Elective Time Vacation 1 Categorical residents are allotted five months of electives over the course of their three-year training. Two weeks are scheduled in the PGY1 year. The remainder may be taken over the PGY2 and PGY3 years to suit individual preference and to allow for natural variability in the schedule. Two months of elective time must be taken in the ambulatory setting.

PRELIMINARY RESIDENCY Beth Israel offers an outstanding preliminary year for housestaff heading towards careers in other specialties. We regard the preliminary year as a discreet and important educational experience rather

13 14 The Class of 2017: Where are they now? CATEGORICAL RESIDENTS Pooja Agarwal Hospital Medicine Sentara General Hospital, Norfolk, VA Elizabeth Bond Endocrinology Fellowship Medical University of South Carolina, Charleston, SC Ricardo Cabello Hospital Medicine University of Pittsburgh/Presbyterian Shadyside, PA Jamie Deseda Hospital Medicine The Miriam Hospital, Providence, RI Xuan Gao Hospital Medicine Montefiore Medical Center, Bronx, NY Genta Ishikawa Pulmonary/Critical Care Fellowship Icahn School of Medicine at Mount Sinai/MSH Marjan Islam Pulmonary/Critical Care Fellowship Albert Einstein/Montefiore, Bronx, NY Tina Kapaida Hospital Medicine UCLA Medical Center, Los Angeles, CA Matthew Kessler Primary Care Western Connecticut Medical Group, Brewster, NY Eileen Kim Hospital Medicine , Long Island, NY Michael Lau Pulmonary/Critical Care Fellowship Winthrop Hospital, Mineola, NY Steven Leung Cardiovascular Diseases Fellowship New York Presbyterian , Flushing, NY Daniel Luger Cardiovascular Diseases Fellowship Icahn School of Medicine at Mount Sinai/MSBI Neeraj Mangla Hospital Medicine Fellowship Scripps Health, San Diego, CA Marcelo Mendez Cardiovascular Diseases Fellowship Icahn School of Medicine at Mount Sinai/MSBI Marian Mercader Hospital Medicine HIMA San Pablo Hospital in Caguas, Puerto Rico David Nesheim Pulmonary/Critical Care Fellowship Elmhurst Hospital, Elmhurst, NY Coral Olazagasti Hospital Medicine Beth Israel Deaconess Medical Center, Boston, MA Brett Pettee Private Practice Summit Medical Group, Berkeley Heights, NJ Toshihisa Satta Hematology/Oncology Fellowship Virginia Commonwealth University, Richmond, VA Fatima Shaik Primary Care Harlem Hospital, New York, NY Punita Shroff Hospital Medicine Montefiore Medical Center, Bronx, NY Eliud Sifonte ...... Endocrinology Fellowship New York University, New York, NY Michelle Tong Gastroenterology Fellowship New York Presbyterian Queens, Flushing, NY Hung Trinh Rheumatology Fellowship University of Rochester, Rochester, NY Benjamin Verplanke Hospital Medicine New York University, New York, NY Tina Wang Infectious Diseases Fellowship Weill Cornell Medical College, New York, NY Michele Yeung Endocrinology Fellowship Weill Cornell Medical College, New York, NY Lily Yung Hospital Medicine Northwell Health, Long Island, NY PRELIMINARY INTERNS Kourosh Beroukhim Residency UC Davis Medical Center, Sacramento, CA Daniel Bodmer Diagnostic Radiology Residency Brigham and Women’s Hospital, Boston, MA Joshua Budhu Partners Neurology Residency Brigham and Women’s Hospital, Boston, MA Helen Cheung Neurology Residency Icahn School of Medicine at Mount Sinai/MSH Christopher Fleming Radiation Oncology Residency Cleveland Clinic, Cleveland, OH Eric Gutflais Neurology Residency Icahn School of Medicine at Mount Sinai/MSBI Konstantin Karmazin Neurology Residency Icahn School of Medicine at Mount Sinai/MSBI Carey Kim Dermatology Research Fellowship Columbia University/NYP, New York, NY Hayley Leight Dermatology Residency Icahn School of Medicine at Mount Sinai/MSH Mariam Mathai Residency Georgetown University, Washington, DC Vincent Moscato Ophthalmology Residency Rutgers Institute of Ophthalmology and Visual Science Jeremy Price Radiation Oncology Residency Duke University, Durham, NC Debashis Reja Neurology Residency Icahn School of Medicine at Mount Sinai/MSBI Celine Satija Ophthalmology Residency University of Minnesota, Minneapolis, MN Steven Shapiro Adult Radiology Residency Columbia University, New York, NY Lucy Sun ...... Ophthalmology Residency Northwell Health, Long Island, NY Miguel Velez Physical Medicine & Rehab Residency Spaulding Rehabilitation Hospital/Harvard, Boston, MA Matthew Wieder Ophthalmology Residency Albert Einstein College of Medicine, Bronx, NY Clover Youn Neurology Residency Icahn School of Medicine at Mount Sinai/MSBI CHIEF RESIDENTS Nathanial Ernstoff Gastroenterology Fellowship University of Miami, Miami, FL Nitin Kabra Cardiovascular Diseases Fellowship New York Medical College Stephen Peeke Hematology/Oncology Fellowship Montefiore Medical Center/Albert Einstein, Bronx, NY Corey Tapper Hospice and Palliative Med. Flwship UPMC Medical Education Program

15 Our Residents

16 The residents at Mount Sinai Beth Israel give the As an example, we have an anonymous “online program its unique character and feeling. Our house­ suggestion box” web survey through which staff is a truly representational group, hailing from housestaff can express views or concerns. This some of the best medical schools in the United survey is checked weekly, and new submissions States and around the world. are discussed by the chief residents and program directors at their weekly cabinet meeting. The Internal Medicine Residency Program is designed to foster a team approach to patient care Institution Level Involvement of Medical and learning. An essential component of that is Residents: We encourage our residents to take creating an environment of friendship, camaraderie advantage of the chance to help shape the institu- and well-being among residents and between tion they are training in. Many of our residents sit residents and faculty. on institution-level committees, placing them at the Four residents are chosen annually to stay on an table with hospital leaders and giving them oppor- additional year. The Chief Medical Residents are a tunity to provide direct resident input into various major force in our residency training program. initiatives. Institutional committees that medical In addition to scheduling conferences and speakers residents sat on during past years included: Blood at grand rounds, they are an invaluable resource Utilization, Cancer, Code/RRT, Ethics, Lesbian/ for teaching, conducting rounds, disseminating Gay/Bi-Sexual/Transgender Health, Patient Safety, medical literature and overseeing administrative Medication Error, Beth Israel Medical Board, and educational aspects of the program. Graduate Medical Education, Quality Performance Through the initiatives of the Chief Medical and Improvement, among others. Residents, new program improvements are proposed Community Involvement: Our residents have and accomplished. the chance to serve the New York City community RESIDENT LIFE in multiple ways beyond traditional rotations. Our medical residents have regularly served as doctors Despite the demands of residency training, there is at the New York City Marathon, providing care to still an opportunity to become involved in extra- runners in the finish line medical tent. Residents curricular activities and have a personal life. And at have also staffed blood pressure, HIV and colon Beth Israel we value input from our housestaff on a cancer screening booths at community events, variety of subjects including scheduling, curriculum such as the HOWL! Art Festival on the Lower and operations. Your life as a resident is not a East Side of Manhattan. Our program offers a one-dimensional experience; there is time to give unique elective in Lesbian, Gay, Bi-Sexual and back, time to explore New York City and to make Transgender Health, in which residents spend lifelong connections. time learning and providing care at the world class Housestaff Council and the Importance of Callen-Lorde Community Health Care Center in Resident Feedback: A peer-elected Internal the Chelsea section of Manhattan. Medicine residency housestaff council meets regularly with the program leadership to explore Life in NYC: Our location in lower Manhattan new ideas and problem solve. The council may bring offers innumerable activities for time away from any issue to the table for collaborative discussion. work. Virtually everything you will need on a day- All PGY classes are represented on the council to-day basis will be within walking distance from including preliminary interns. where you live. For longer trips in the city, you abso- lutely don’t need a car, as our public transportation Resident feedback about all aspects of the program system is fast, reliable and very safe. Cyclists will is regularly sought and highly valued. Housestaff find lower Manhattan to be extremely bike friendly, input and feedback is considered and incorporated with dedicated bike lanes throughout the neighbor- when new initiatives or policies are considered. hoods that surround Mount Sinai Beth Israel.

17 Restaurants and shops abound within walking distance in our immediate neighborhoods of , Union Square, and the East Village. Union Square, a few blocks from the hospital, has a Whole Foods store, a Trader Joe’s, and an enormous multi-level Barnes & Noble bookstore. Nothing like writing up a case report or research project on your laptop overlooking Union Square! In addition, New York City’s flagship Greenmarket, a collection of vendors selling fresh produce and other foods from local and upstate farms, is found in the center of Union Square. With a little research (check out Time Out New York, Yelp, New York Magazine, or City Search) even a couple of hours off can become a wonderful dinner at a tapas bar, a trip to a wine bar, or a Broadway show. A short subway ride can result in a stomach full of fantastic, truly authentic Indian or Pakistani food in Jackson Heights, Queens, or a complete cultural immersion experience in the peaceful and fascinating Russian neighborhood of Brighton Beach in . Like the outdoors? Well, this isn’t Colorado of course, but there are plenty of options. A peaceful or active day in Central Park cures many woes and people have been known to actually forget they are in New York City after a few hours (granted there have been no randomized trials for this, but we draw this conclusion based upon good, anecdotal evidence). Ninety minutes north of the city is the Mohonk Preserve, home to spectacular hiking. Some of the best rock climbing in the country, and an exceptionally cool town, can be found in and around New Paltz, NY, also just 90 minutes north of Manhattan. For those of you who crave the beach, Jones Beach and Robert Moses State Park are all just a short way from the city and make nice day trips. Salary, Benefits and Contractual Information: Salary and benefits are very competitive with other area programs. For more information on these topics please visit the Beth Israel Graduate Medical Education website at: www.bethisraelgme.org (applicants who have been invited for an interview will receive a password to this site in their invitation email, and it is recommended that you review the information on this site).

18 HOW TO APPLY The following information pertains to General Information International Medical School Graduates: • Applications will only be accepted through ERAS, • If all requirements are met prior to submitting our the Electronic Residency Application Service. rank list, we can sponsor J-1 and H1-B visas. • No applications or supporting materials (letters, • We will not interview an International Medical score reports) will be accepted via mail or fax. Graduate without ECFMG certification. • There is no minimum score requirement for the USMLE or COMLEX, however, applicants with • US clinical “observerships” are not required, but any failing score(s) will not be considered for are helpful. an interview. Information on the program application/ • Application deadline is November 15. interview notification process: • In order to apply you must submit: Dean’s Letter, Department of Medicine letter if you are • A committee reviews the applications to an American medical school graduate, two determine if an interview will be granted. Due to additional letters of recommendation from the volume of applications received we will not attendings who supervised you, medical school be able to interview all applicants. transcript, personal statement, curriculum • Our interview session starts in early November vitae and USMLE transcript with Step 1 and 2 and ends in January. There are no interviews scores or COMLEX transcript with Level 1 and between Christmas and New Year. We conduct Level 2 scores. all interviews on weekdays; we do not interview on • You must have graduated medical school within the weekends. the last five years in order to apply.

19 20 • If selected for an interview, you will receive an Cynthia Dominguez invitation via email to the address you submitted Manager, Internal Medicine to ERAS. Residency Training Program • Application status is never communicated to Department of Medicine applicants by phone. We do not provide updates Mount Sinai Beth Israel on an application. 350 East 17th Street, 20th Floor, Baird Hall New York, NY 10003 • Due to our very high number of applicants, we (212) 420-3363 apologize that we will not be able to notify you if Email: [email protected] you are not selected for an interview. You may also email the Program Director or Chief Residents with questions or for more information. POSITION NRMP # Categorical – 1470140C0 Krystle Hernandez, MD Preliminary Program – 1470140P0 [email protected] Preliminary/ Neurology Program – 1470140P1 Rifat Mamun, MD [email protected] CONTACT INFORMATION

Applications for positions in our residency program Ana I. Velazquez Manana, MD [email protected] will be processed through ERAS (Electronic Residency Application Service). Inquiries Rebecca Voaklander, MD concerning the philosophy, content or form of the [email protected] program should be addressed to:

21 Mount Sinai Beth Israel Internal Medicine Residency Program Icahn School Baird Hall of Medicine at 350 East 17th Street, 20th Floor New York, NY 10003 Tel: (212) 420-3363 | Email: [email protected]