The State University of New York Health Science Center at Brooklyn, also known as Downstate Medical Center, is among the largest health science centers in the United States, and it is the largest of four such centers within the 64 unit State University of New York public higher education system. The Health Science Center at Brooklyn, an amalgam of facilities occupying 13 acres in the geographic center of Brooklyn, in fulfilling its mandate is a major provider of medical education, research in the medical sciences, and clinical care for the communities of Brooklyn and Staten Island.
The Center consists of the College of Medicine, Health Related Professions (including Nurse-Midwifery, Physician Assistants, Occupational Therapy, Physical Therapy, Health Administration, Radiological Sciences), Nursing, the School of Graduate Studies and the new School of Public Health. The Center has a student body of 1,600, a full-time, part-time and voluntary faculty of nearly 3,000, and support staff of 3,000. Downstate sponsors 51GME programs with about 900 residents and fellows affiliated with over 20 hospitals.
The Health Science Center facilities expanded in January 1992 with the opening of the new Health Science Education Building. Within the new building are state-of-the-art conference rooms, classrooms, laboratories, a 500 seat auditorium, and the new Medical Research Library of Brooklyn occupying three floors of the facility. More recently, the Center has led efforts in biotechnology with the Advanced Biotechnology Incubator and Park and the BioBAT at the Brooklyn Army Terminal.
The Medical Research Library is one of the largest medical libraries in the United States, with over 250,000 volumes and 1200 current periodical titles in its active collection. The library is automated with an on-line catalog, MEDLINE literature search, CINDAL, and the Bibliographic Retrieval Services' 150 databases. Articles not held by the library can be obtained via Inter-Library Loan. Additional features include a collection of video tapes, slides, audio cassettes and multimedia. The library also supports an array of on-line web based resources including full-text journals, textbooks and services such as MD-Consult and Up to Date.
The Health Science Center has a Scientific/Academic Computing Center and a department of Computer and Information Services. The Center's Student Center Building provides numerous recreational facilities available to housestaff. These include a gymnasium, weight room, indoor olympic swimming pool, sauna, racketball courts, tennis courts, meeting rooms, and discount theater ticket office. Also housed in the Student Center Building is the medical school bookstore where most texts and medical instruments are in stock or easily ordered.
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Kings County Hospital Center, located across the street from Downstate and University Hospital of Brooklyn, is a large general acute-care municipal hospital. Situated on 43 acres and once containing 24 buildings, Kings County is the major provider of health services in the Borough of Brooklyn. It is a designated Trauma Center with eight ICUs and 700 beds accepting 35,000 admissions annually. The pediatric medical and pediatric surgical services occupy approximately 50 beds, there is a 7 bed PICU and there are 50 bassinets in the newborn service with an additional 30 for special care and intensive care needs. There are approximately 3000 pediatric admissions, 2000 term deliveries, 450 PICU and 750 NICU admissions to Kings County annually. The pediatric outpatient service (including the pediatric emergency room, subspecialty clinics, continuity clinics and walk-in services) sees an average of 350 patients per day and over 100,000 patients per year.
At Kings County, all patients are service patients, with the house staff assuming responsibility for their care under the supervision and tutelage of the attending faculty. All clinical services are well equipped with computers and access to information services and on-line educational resources. All inpatient and outpatient areas of KCHC utilize electronic medical records, computerized physician order entry, computerized clinical testing, pathology and laboratory services and imaging studies accessible via a PACS system. The pharmacy is automated and distributes medications via Pyxis. Specimen transport is facilitated by a pneumatic tube system. Phlebotomy, IV and transport services are administered by the Nursing Department. The pediatric service at Kings County Hospital has a unit for children 5 years of age through adolescence until 21 years age, a unit for the care of infants and toddlers with several step-down and several isolation beds, and a state of the art PICU. The spectrum of patients admitted to these units span the entire range of acute illnesses, trauma and exacerbations of chronic diseases seen in children. There is an ultra modern neonatal intensive and special care unit and normal newborn service.
The pediatric outpatient service at Kings County Hospital is quite active. There is a new state-of-the-art pediatric Acute Care and Emergency Facility that is separate from and functions independently of the adult Emergency Room. In addition, there are areas for routine follow-up and preventive care, resident continuity clinics, subspecialty clinics, and the clinical services dedicated to the care of children at high risk.
Kings County Hospital, founded in 1833, has been undergoing major redevelopment with construction of entirely new facilities. The new state of the art hospital inpatient tower was occupied in December 2001. All medical and surgical outpatient services have relocated to a newly renovated ambulatory services pavilion. A new diagnostic and treatment building for Emergency Services, operating rooms, diagnostic and therapeutic radiology, and maternity services was completed in Spring 2004. In 2009, entirely new inpatient and outpatient mental health facilities serving children and adolescents were completed as well. Kings County continues to fulfill its staunch commitment to patient-centered care.
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Children's Hospital at Downstate
(University Hospital at Brooklyn)
University Hospital of Brooklyn (UHB) is a 376-bed teaching and research hospital with the latest in medical equipment. Approximately 60 of its beds are utilized by pediatrics, including a pediatric ICU, step-down unit, 24 bed inpatient unit and a brand new 29 bed level III neonatal ICU designated as a Regional Perinatal Center. The hospital is the major tertiary care center for the boroughs of Brooklyn and Staten Island with referrals for pediatric surgery, genitourinary surgery, neck and airway surgery, spinal surgery, renal transplantation, neurosurgery, neonatal intensive care, and all other pediatric subspecialties. The Children's Hospital at Downstate has about 1600 pediatric admissions plus 330 PICU admissions and 1600 newborn deliveries with 850 NICU admissions annually. The pediatric outpatient services at Downstate see nearly 50,000 scheduled and acute general pediatric and subspecialty patients per year.
The UHB teaching program encompasses both general service patients and the private patients of full time and voluntary faculty members. Patients are admitted for endoscopy, bronchoscopy, diagnostic and interventional catheterization, oncologic evaluation and management, and all other modalities of pediatric diagnostic and therapeutic intervention. At UHB there are outpatient units for hemodialysis, peritoneal dialysis, and hypertransfusion. In addition, the pediatric outpatient department handles about 20,000 visits per year, many subspecialty patient visits plus a general pediatric service for diagnostic problems, well child preventive care and guidance. UHB is physically adjacent to the medical school. The Department of Pediatrics' offices are located in UHB, in close proximity to the inpatient units, and contain a departmental library with online access. UHB is now implementing a new hospital wide electronic medical record system and computer physician order entry. Lab and radiology services already are computerized. Effective phlebotomy, IV and transport services are provided.
The Children's Hospital at Downstate has a very active Child and Family Life Program based in an attractive new contemporary Child Life Center. The PICU is due to undergo a major renovation. A new pediatric outpatient center is being opened across the street from the hospital and expansion of ambulatory specialty services is planned. Construction of a new ambulatory care tower is expected in the very near future. UHB also operates several satellite facilities throughout various neighborhoods in Brooklyn and has a Mobile Asthma Center providing preventative, screening and educational services throughout the borough.
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Long Island College Hospital (LICH) is a community hospital serving the residents of the beautiful and historic Brooklyn Heights/Cobble Hill/Carroll Gardens communities of Downtown Brooklyn. The hospital has 516 beds and is the primary teaching affiliate for State University of New York's Health Science Center at Brooklyn. As of May 2011 LICH became an official part of SUNY Downstate. The hospital provides training programs for physicians in about 20 medical specialties. Established in 1858 as a hospital and medical school, LICH was the first medical school in the nation to add bedside teaching as part of its curriculum. Medical achievements of early LICH faculty include introduction of the stethoscope and early use of anesthesia.Its School of Nursing is one of the oldest of its kind in the nation. Specialty services include immunology, radiology, women's services, and pediatrics. Long Island College Hospital today prides itself on combining the best features of a major medical center with the personal, caring approach of a community-centered hospital.
The Department of Pediatrics includes a 25 bed inpatient unit and a 5 bed pediatric ICU. The nursery occupies 38 bassinets and offers both regular, high risk and intensive care. The outpatient division includes an emergency service, general pediatric and high risk clinics and subspecialty clinics. Long Island College Hospital has about 1500 pediatric admissions, 2700 newborn deliveries, 15,000 pediatric emergency room visits and 40,000 acute and scheduled outpatient visits per year. LICH has a very active pediatric ambulatory care service with clinic sites at the hospital and in the community. In addition, LICH sponsors a sizeable grant supported school health program for children and adolescents.
Long Island College Hospital (LICH) has been an integrated part of the SUNY HSCB General Pediatrics Residency Program since July 2008. Residents are assigned to rotate there approximately 2-3 months in each year of the program. At LICH, the residents are generally assigned to the outpatient department for at least one of the months (ambulatory clinics or practices in general pediatrics or subspecialties, community pediatric practice sites or emergency/acute care). The other months are spent on the inpatient services (general pediatric ward or term nursery) and/or to subspecialty experiences in Adolescent Medicine, Cardiology, Pulmonology, Hematology, ENT, Dermatology, Allergy/Immunology. SIUH gives the residents a necessary experience in a private, nonprofit hospital, a community based setting with a typical middle class population and the opportunity to interact with a large number of general pediatricians in practice. Appropriate attending physicians maintain the ultimate teaching and medico-legal responsibilities for their patients, while providing residents with extensive clinical experience. LICH is very easily accessible by subway from Downstate.
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Memorial Sloan-Kettering Cancer Center located on Manhattan's Upper East Side, an internationally recognized research and patient care facility devoted to oncologic disorders, has been an affiliated program since before 1985. Specializing in the latest treatment protocols, Sloan-Kettering offers patients the state-of-the-art in cancer therapy. Sloan-Kettering features a 37 bed pediatric inpatient unit, a new pediatric day hospital caring for over 100 patients each day and very active outpatient services. Our pediatric residents rotating at Sloan-Kettering for one month during their second year manage the many patients with rare or complex neoplastic disease and are supervised by the medical scientists who direct the treatment. Residents also rotate to Sloan-Kettering for one month during the PL3 year when they serve as senior supervising residents on the pediatric inpatient unit. Additional clinical and research electives are available. In addition to patient care, the physician scientists at Sloan-Kettering are engaged in active research in molecular and cell biology, immunology and all other fields related to the understanding of neoplastic disease, its treatment and cure. This is an experience in state of the art care of the pediatric cancer patient and exposure to scientists on the forefront of molecular, cellular and immunology research
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