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Long
Island College Hospital Obstetrics and Gynecology
Residency
Training Program
Welcome
Continuum Health Partners Inc.
Long Island College Hospital
Department of Obstetrics and Gynecology
Brooklyn: A borough of Distinction
Faculty
Application Procedure
WELCOME
The faculty and staff of Long Island College Hospital's Department of Obstetrics
and Gynecology welcome your interest in our residency training program.
Selecting a residency program is one of the most important decisions you
will make in shaping your medical career. Our comprehensive program provides
you with extensive training and practical experience in all facets of this
specialty; our dedicated faculty will guide you in becoming an accomplished
obstetrician/gynecologist who will play critical roles in health care for
women.
The hospital's location in the Cobble Hill/Brooklyn Heights section of Brooklyn
ensures a diverse and vibrant cosmopolitan patient population, representing
a wide variety of ethnic and socioeconomic groups. In addition to conducting
an active didactic and clinical teaching program, the department is engaged
in cutting-edge research initiatives. Graduates of the residency program
are board-eligible and amply qualified to practice obstetrics and gynecology
in the clinical setting, embark on a career in research, or academia, or
continue with fellowship training.
We invite you to visit Long Island College Hospital and the Department of
Obstetrics and Gynecology, meet with residents and attendings, and tour
the neighborhood. You will see first-hand how our training program will
best satisfy your expectations and provide a fulfilling and productive experience.
We are confident that our residency program will offer you every opportunity
to advance your career.
Joseph
T. Chambers, PhD, MD
Chairman, Obstetrics and Gynecology
CONTINUUM
HEALTH PARTNERS INC.
Continuum Health Partners, Inc. was formed in January, 1997 as a partnership
of two venerable hospitals: Beth Israel Medical Center and St. Luke's-Roosevelt
Hospital Center. Building upon the strengths of both institutions, the partners
soon established a broad-based, integrated health services network extending
throughout the New York metropolitan region. In May, 1998, the partnership
was joined by a third distinguished institution, Long Island College Hospital,
located in the Cobble Hill/Brooklyn Heights section of Brooklyn. Continuum
continues to grow with the addition, in August, 1999, of New York Eye and
Ear Infirmary—an outstanding specialty care institution.
Continuum Health Partners, Inc. delivers inpatient care through nearly 3,100
beds located in seven major hospital facilities in Manhattan and in Brooklyn.
Continuum providers also see patients in group and private practice settings
and ambulatory centers in the five boroughs of New York and in Westchester
County. All four Continuum hospitals were established more than a century
ago by civic-minded individuals with a shared commitment to improving health,
and health care, in their communities. Today, participation in the Continuum
partnership enables each member institution to better fulfill its traditional
mission by making available an impressive array of resources for the provision
of state-of-the-art and compassionate care. Together, they are superbly
equipped to identify and respond to the health-related needs of their populations
in a patient- and physician-friendly environment.
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LONG
ISLAND COLLEGE HOSPITAL
Long Island College Hospital (LICH), which serves as the hub of Continuum's services in Brooklyn, is a 516-bed teaching hospital located in the Brooklyn Heights/Cobble Hill section of Brooklyn. LICH is the primary clinical teaching affiliate of the State University of New York Health Science Center at Brooklyn (SUNY-Downstate Medical Center) and offers training programs for resident physicians in more than 20 medical specialties.
Founded in 1858 as a medical school as well as a hospital, Long Island College Hospital has made exceptional contributions to U.S. medicine. In 1860, it became the first U.S. medical school to make bedside teaching a standard part of its medical curriculum, establishing an approach that was subsequently adopted around the country. Medical achievements of early LICH faculty include introduction of the stethoscope and early use of anesthesia. In 1930, the Long Island College of Medicine was incorporated as a separate medical school, with LICH as its hospital affiliate. In 1954, the College of Medicine became part of SUNY. LICH remains the primary clinical teaching affiliate of SUNY.
Today, Long Island College Hospital prides itself on combining the best features of a major medical center with the personal, caring approach of a community-centered hospital. The hospital is nationally recognized for clinical excellence in nephrology and urology, and is highly respected for its work in bloodless medicine and surgery; allergy, asthma and immunology; otolaryngology, including communicative disorders; and head and neck surgery.
Medical Staff and Faculty
The chairpersons of the LICH's clinical departments are jointly recommended for their positions by the hospital and by SUNY-Health Science Center at Brooklyn. These nationally recognized clinicians and educators have earned numerous awards, lead national and local medical associations, and have published extensively with definitive texts in areas as divergent as allergy and immunology, head and neck imaging, and toxicology. The LICH medical and dental staff numbers over 500, with approximately 440 attending physicians, some of whom handle teaching
and administrative responsibilities either full- or part-time. More than 90 physicians are on the consultant, courtesy or honorary staff. Most active members of the medical staff also hold faculty appointments at SUNY-HSCB.
Our Patients
Approximately 500,000 people live in LICH's service area. Many patients are referred from the greater metropolitan area, including Long Island and northern New Jersey, to benefit from the quality and sophistication of the hospital's resources and services. More than 22,000 patients
representing a diverse mix of ethnic and socioeconomic backgrounds are admitted annually, and the average daily inpatient census is approximately 400.
The Clinical Setting
Long Island College Hospital offers a full range of medical and surgical subspecialty care to its patients. Residents train in a clinically stimulating environment, which provides a number of diverse learning opportunities. The hospital's clinical departments are chaired by board-certified physicians who take a keen interest in medical education. State-of-the-art technology is evident in many areas and includes the latest generation magnetic resonance scanning and imaging software for advanced diagnostic capabilities, and modern intensive care, cardiac care and arrhythmia units.
Emergency Services
The hospital's state-of-the-art Emergency Department is a designated "911" receiving hospital with its own ambulance service. The hospital also has been designated a Heart Association Emergency Cardiac Care Station reflecting its excellent facilities, staff and level of care. Staff treats more than 50,000 people annually in the Emergency Department, admitting more than 13,000 of those patients. Scheduled on-call Emergency Department service is an important facet of all residents' experiences.
Outpatient Care
LICH has a large outpatient program that provides comprehensive services in 60 different clinics, which exceed more than 150,000 patient visits each year. Residents in several departments benefit from the crossover training opportunities in one or more of the hospital's outpatient clinics. The hospital also operates several programs approved by the Bureau of Handicapped Children, as well as school-based clinics, which serve more than 2,000 children.
Specialized Centers and Services
LICH is renowned for many areas of excellence, and the hospital offers a
wide variety of specialized centers and services which expose residents
to important clinical experiences. These include the Cystic Fibrosis Center,
designated as the regional center for treatment of this disease; the Othmer
Cancer Center, which offers advanced oncology care for all types of cancer
and houses Brooklyn's most powerful linear accelerators; and The New York
Center for Bloodless Medicine and Surgery, the preeminent program for bloodless
care in New York City.
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DEPARTMENT
OF OBSTETRICS AND GYNECOLOGY Curriculum
Overview
The Department of Obstetrics and Gynecology offers a four-year training
program that provides residents with comprehensive clinical and didactic
instruction in all areas of obstetrics and gynecology. Our primary educational
objective is to produce skilled and understanding physicians who are fully
qualified for careers in clinical medicine, teaching or research.
The residency program offers graded levels of responsibility, and residents
at each level are evaluated to ensure that they reach the technical and
educational milestones required at that level. Our full-time and voluntary
faculty possess expertise in each area of the specialty. These include
general obstetrics and gynecology, maternal/fetal medicine, normal and
high-risk obstetrics, benign gynecology, gynecologic oncology, reproductive
endocrinology, urogynecology, pelvic reconstruction, genetics and sexology.
The department emphasizes the teaching of primary care and continuity
clinics, which take place in a brand new clinic facility. Our faculty
strives to create an environment in which excellent patient care and first-rate
teaching are mutually supportive.
Long Island College Hospital pioneered the innovative technique of bedside
teaching which has become the cornerstone of American medical education.
In continuing this tradition, the day-to-day teaching activities of the
department revolve around the clinical material which is close at hand.
An ambitious formal teaching schedule includes daily rounds on the obstetrical
and gynecological services, rounds with full-time and voluntary attending
staff, and an ongoing didactic lecture series, which covers important
areas of knowledge relevant to the discipline. Residents also function
as teachers for their juniors, and for the medical students who regularly
rotate through our institution. Weekly conference days include formal
lectures, chief-of-service rounds, pathology rounds, and morbidity and
mortality rounds. Weekly grand rounds are given by invited guest speakers,
often of national/international reputation. Departmental teachings, conferences,
and programs are approved for continuing medical education (CME) credits
by ACOG, AMA, SUNY MSCB, and the New York State Medical Society.
Chief residents take part in the department's ongoing quality assurance
activities and education committee meetings. They are also given time
to travel to national conferences and Board review courses of their choosing.
Extensive learning resources are made available to residents. A 13,000-volume
library offers complete literature searching capabilities, a wide selection
of peer-reviewed journals, and facilities to promptly obtain virtually
any needed reference. A satellite departmental library is equipped with
core references for immediate availability.
Obstetrics
The inpatient teaching service of the obstetrical division includes normal
obstetrics, maternal-fetal medicine, obstetrical ultrasound, genetics
and fetal testing. Residents participate in the management of medical,
surgical and obstetrical problems at all levels of residency training.
A considerable high-risk caseload provides ample opportunities for our
residents to become familiar with the full spectrum of obstetrical conditions
and complications. High-risk cases are managed by a close and careful
collaboration among maternal-fetal medicine specialists, members of the
attending staff, and consultants from other hospital departments. By participating
in both private and staff cases, residents benefit fully from the educational
opportunities afforded by the department's 2,800 deliveries each year.
An approved antenatal unit has over 12,000 visits and procedures per year.
State-of-the-art ultrasound equipment provides the staff and the residents
with the highest competency to diagnose and treat all antenatal complications.
A fully equipped neonatal intensive care unit supports the obstetrical
service, and the obstetrical anesthesia service provides 24-hour on-site
coverage. Genetics training includes lectures on clinical genetics, cytogenetics,
molecular biology and genetic counseling. The department is closely affiliated
with a fully approved cytogenetic laboratory. Residents are provided with
the opportunity to observe and participate in genetic amniocentesis.
Gynecology
Residents are exposed to an abundance of surgical procedures on this busy
service. By the time they complete their training, graduates of the program
are qualified to perform virtually all types of abdominal and vaginal
procedures. In addition to service cases, which are worked up by the residents
under direct supervision by a teaching attending, a variety of private
surgeries are available to the residents for hands-on operating experience.
Over 10,000 service patient visits occur each year in the gynecologic
ambulatory care setting. This is augmented by the private cases of the
department's attending physicians. Each year, approximately 1,500 major
procedures and 1,800 minor procedures are performed in our inpatient and
ambulatory surgical units. Each of these is a teaching case, and residents
follow all patients and manage postoperative care and complications. Modern
operative laparoscopic, hysteroscopic, laser, and microsurgical equipment
enable the department to provide residents with training in the most up-to-date
surgical techniques.
Also in the ambulatory care setting, residents learn the skills necessary
to practice modern office gynecology, in both primary care and consultative
settings. This includes management of pre-invasive cervical disease with
exfoliative cytology, colposcopy, and LEEP; breast disease management,
pediatric, adolescent, geriatric gynecology; and the management of benign
and preinvasive vaginal and vulvar disease.
We also provide contraception and family planning, low risk obstetrics,
primary care medicine, perimenopausal and post menopausal cared.
The gynecologic oncology service provides residents with experience in
diagnosing and treating the full range of gynecologic malignancies. This
service also offers residents the opportunity to assist in radical surgeries,
such as radical hysterectomy, pelvic exenteration, ovarian debulking,
bowel and urinary surgeries (related to gynecologic malignancies), laparoscopic
oncologic procedures, and all associated reconstructive surgeries. In
addition, residents are exposed to external and internal radiation therapy
and chemotherapy including intraperitoneal chemotherapy during their gynecologic
oncology rotations. Reproductive endocrinology rotations provide didactic
and practical experience in the various diagnostic and therapeutic modalities
of assisted reproduction, including the evaluation of infertility, ovulation
induction, artificial insemination, and advanced assisted reproductive
techniques.
Facilities
The Department of Obstetrics and Gynecology is committed to caring for
patients in modern, well-equipped facilities, utilizing state-of-the-art
diagnostic and treatment equipment. Twenty-four-hour, on-site coverage
is provided by obstetric anesthesiologists and residents. Our labor and
delivery suite is equipped for labor/delivery/recovery, four triage rooms
and two operating/complicated delivery rooms. Our aim is to reach 4,000
deliveries per year in the very near future.
The hospital has a modern 14-room operating suite, which is computerized
and equipped with a state-of-the-art minimally invasive surgery suite.
The Department of Anesthesiology supports surgeons with advanced methodologies
such as erythrocyte salvage, hypotensive techniques, and a pain management
service offering advanced techniques for both chronic and post-operative
pain relief, including patient controlled analgesia.
Faculty
The residency training program is staffed by a full-time program director
and 13 full-time attendings. In addition, a large and active staff of
voluntary attending physicians take an enthusiastic role in resident education.
Our faculty demonstrates expertise in virtually every area of obstetrics
and gynecology, including maternal-fetal medicine, gynecologic oncology,
reproductive endocrinology, general obstetrics and gynecology, urogynecology
and medical informatics. In-house colleagues are always available for
formal or informal consultation. These include specialists in anesthesiology,
epidemiology, medical ethics, medical oncology and chemotherapy, pulmonary
and critical care medicine, radiation therapy and urology.
Clinical Rotations
PGY-1
During the first year in obstetrics, residents gain experience in the
labor and delivery unit and are exposed to normal and complicated cases
daily. Basic skills of history taking and physical examination, labor
management under direct supervision, and labor analgesia are acquired.
PGY-1 residents round on postpartum patients and manage the normal puerperal
course. Features of normal and abnormal adaptations to pregnancy and birth
are studied, including lactation, postpartum depression, and child abuse
prevention. Surgical techniques are taught, including the correct use
of episiotomies, repair of lacerations, and indications and techniques
for primary cesarean sections. First-year residents are expected to master
basic sonography, including the determination of fetal position, morphology,
gestational age, placental localization and amniotic fluid volume.
In the gynecology division, residents scrub on minor surgical cases and
follow patients from the preoperative encounter through the operating
room and ambulatory surgical experience. Emphasis is placed on developing
the skills necessary to perform complete histories and physical examinations.
First-year residents are expected to refine their knowledge of normal
surface and surgical anatomy as a basis for detecting abnormal findings.
In the ambulatory care setting, residents are exposed to medical and surgical
methods of family planning, including pregnancy terminations and tubal
ligation. Under appropriate supervision, the PGY-1 resident learns to
perform complete "well-women examinations," with appropriate attention
to areas of concern at different stages of the life cycle.
PGY-2
In the second year, rotations continue through the divisions of obstetrics
and gynecology. Elective time is also set aside for ultrasonography, ER,
geriatric and breast disease rotations.
On the obstetrical service, the PGY-2 resident performs more complicated
cesarean sections, cervical cerclage and external cephalic versions. High-risk
antepartum patients are seen regularly in outpatient and inpatient clinical
settings.
The second-year resident on gynecology evaluates more complicated cases,
and is introduced to basic colposcopy, laparoscopy, and laser procedures.
Exposure is gained to tumor case evaluation, workup and staging.
On the ultrasound rotation, vaginal sonography and genetic diagnosis,
and amniocentesis are introduced. Ultrasound machines are available for
24-hour use by the residents.
PGY-3
The third year of training is divided among rotations in obstetrics, endocrinology,
oncology, and urogynecology. The third-year resident provides immediate
supervision to the first-year resident in labor and delivery, thereby
gaining experience in teaching. Complicated operative obstetric cases,
such as instrumental deliveries, multifetal gestations, and obstetric
emergencies are the responsibilities of the PGY-3.
The reproductive endocrinology rotation includes experience in operative
laparoscopy, microsurgery, and assisted reproductive techniques.
The resident scrubs on laser surgical procedures and assists in the workup
and postoperative management of tumor patients, who may require critical
care techniques.
PGY-4
The chief resident is responsible for the supervision of the entire obstetrical
service, functioning as a consultant to the third-year residents in problem
cases. PGY-4 residents gain experience as the primary surgeon in cesarean
and postpartum hysterectomies, and in the repair of complicated soft tissue
trauma in labor. Integrating the previous years of experience and teaching,
the chief resident has an opportunity to manage the most challenging cases
with backup from the attending staff.
The gynecology chief resident has the ultimate responsibility for all
gynecologic surgeries and carries out complete management of all surgical
cases, assigning cases to other residents according to their levels of
skill. The PGY-4 resident is called upon to assess cases of gynecologic
malignancies and coordinate preoperative workup, perform major surgical
oncology procedures, and coordinate pre- and post-operative management
with the third-year resident. Subspecialty training in urogynecology
and reproductive endocrinology continue during the 4th year training.
Research
Residents on all levels, but especially PGY-4 residents, are required
to work on an original research project in keeping with their interests
and abilities. Faculty preceptors and biostatistical consults are available
to assist with these endeavors. In recent years, several of our residents
have won recognition in regional resident research competitions.
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BROOKLYN:
A BOROUGH OF DISTINCTION
Long Island College Hospital is located in the historic Cobble Hill/Brooklyn
Heights section of Brooklyn and overlooks some of the country's most spectacular
views: New York Harbor, the Statue of Liberty, the Brooklyn Bridge and
the towers of Lower Manhattan. The borough, which is the most populated
of New York City with more than 2.4 million people, attracts visitors
from the metropolitan area and beyond to its large array of cultural and
recreational attractions. These include The Brooklyn Museum, the Brooklyn
Academy of Music and the Brooklyn Botanical Garden.
The hospital's ideal location–adjacent to the Brooklyn-Queens Expressway–makes
access to New York City's endless variety of activities quick and easy.
The hospital is convenient to subway and bus lines leading to all parts
of the city and the metropolitan area.
Residents of the thriving, diverse community surrounding the hospital
are proud of their historic neighborhood and strive to maintain the appearance
and quality of its streets and well-preserved brownstones residences.
It is an area filled with wonderful restaurants and quaint shops more
suggestive of a small town rather than an urban environment. The attractiveness
and vitality of the area surprises and delights newcomers who quickly
grow to understand why this is considered one of New York City's finest
neighborhoods.
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FACULTY
AND ATTENDING STAFF
Joseph
T. Chambers, PhD, MD
Chairman, Department of Obstetrics and Gynecology
Sanford
M. Lederman, MD
Residency Program Director
Director of Obstetrics
For full list of physicians, please click
here.
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APPLICATION
PROCEDURE
The Residency Training
Program in Obstetrics and Gynecology at Long Island College Hospital participates
in the National Residency Matching Program with the Electronic Residency
Application Service (ERAS). An application, as well as supplemental information
about the program, is included in this folder.
For further information, please contact:
Sanford
M. Lederman, MD
Residency Program Director
Department of Obstetrics and Gynecology
The Long Island College Hospital
339 Hicks Street
Brooklyn, New York 11201
(718) 780-1884
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