Residency Training Program in General Pediatrics
Residency Program Sites
SUNY Downstate Health Sciences University
The State University of New York Health Science Center at Brooklyn, also known as Downstate Health Sciences University, 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 51 GME 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 that 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. A new academic building housing the School of Public Health will be completed by spring 2018. Several floors of web labs, classrooms, team-based learning facilities and the Center for Healthcare Simulations, and state-of-the-art simulation unit containing procedure trainers, facilities for high fidelity simulation as well as structured standardized patient encounters.
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, Clinical Key Pediatrics and Medicine, 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 size swimming pool, sauna, racquetball courts, tennis courts, and meeting rooms. Also housed in the Student Center Building is the medical school bookstore where most texts and medical instruments are in stock or easily ordered.
Kings County Hospital Center
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 AIDS Center, Level 3 Perinatal Center and Trauma Center with eight ICUs and 639 beds accepting 35,000 admissions annually. The pediatric medical and pediatric surgical services occupy approximately 30 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 2300 pediatric med-surg admissions, 600 pediatric mental health admissions, 2200 newborn 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 inpatient has a unit cares for children until 21 years age. There are 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. The Ambulatory Pavilion has designated 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 undergone major redevelopment with construction of entirely new facilities. The new hospital inpatient tower was occupied in December 2001. All medical and surgical outpatient services have relocated to a newly renovated ambulatory services building. 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 and providing primary care, acute and trauma care and mental health services to patients in need from our many diverse communities.
University Hospital at Downstate and the Children's Hospital at Downstate
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 5 bed pediatric ICU, 4 bed step-down units, 21 bed inpatient units and a new 29 bed level III neonatal intensive care unit 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, orthopedic 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 1400 pediatric admissions plus 330 PICU admissions and 1357 newborn deliveries with 550 NICU admissions annually. The pediatric outpatient services at Downstate see nearly 50,000 scheduled and acute general pediatric and subspecialty patients per year. UHB has 5 school-based health centers, a dialysis center, and 2 community health facilities. In Bay Ridge UHB provides urgent care, ambulatory surgery clinics, sleep center and an imaging center.
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 and radiology, oncologic evaluation and management, and all other modalities of pediatric diagnostic and therapeutic intervention. At UHB there are outpatient units for hemodialysis, peritoneal dialysis, infusion therapies 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 contiguous with the medical school. The Department of Pediatrics' offices are located in UHB, in close proximity to the inpatient units, and contain a departmental library, conference room, and lounge. UHB has implemented a new comprehensive electronic medical record system including CPOE, labs diagnostic and imaging services. 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 child and adolescent friendly contemporary Child Life Center. The PICU is due to complete a major overhaul renovation. A pediatric faculty practice is present across the street from the hospital and further of ambulatory specialty services into community sites is planned. UHB also operates several satellite facilities throughout various neighborhoods in Brooklyn.
Coney Island Hospital
Coney Island Hospital is a 371 bed municipal hospital with over 290,000 ambulatory visits annually. It is one of 11 hospital facilities of NYC Health + Hospitals and the only major health care facility serving the many diverse communities in diversely populated southern Brooklyn. The hospital serves a culturally diverse urban population comprised of varied socioeconomic classes. This diversity allows for a breadth of patient care experience. There is a large ambulatory population which crosses all age groups. The mission of the institution stresses the provision of health care regardless of the patient's ability to pay. The hospital sits in a middle-class neighborhood serving patients of all socioeconomic groups as well as being a safety net hospital for those community residents lacking other access to health care.
Memorial Sloan-Kettering Cancer Center
Memorial Sloan-Kettering Cancer 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 33 bed pediatric inpatient unit with a 5 PICU beds admitting over 1200 patients annually and a 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 PL2 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.