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Internal Medicine

Our Training Program

RESIDENCY PROGRAM

Our Training Program

About Internal Medicine at St. John’s

A Message from the Director

Internal Medicine Residency Program Application

Accreditations

Sandra Plaskett, Residency Coordinator
splasket@ehs.org
Department of Medicine
Phone 718-869-7672
Fax 718-869-8530

The training program is a fully approved three year categorical program and is a major teaching affiliate of the State University of New York Downstate Medical School.

Our expected residency distribution for the coming year is as follows: 20 PGY-1's, 20 PGY-2's, and 20 PGY-3's.
The PGY-1 year includes approximately eight months on the General Medical Floors (two of which are on night float), two months in the Intensive Care Units, and one month of block continuity ambulatory care experience. The PGY-2 year consists of approximately six months on the General Medical Floor (of which 1-1/2 months are on night float), one month in the Medical Intensive Care Unit, one month in the Emergency Department, one month in the Neurology Unit, one month of elective, and one month of block continuity ambulatory care experience. The PGY-3 year consists of approximately four months of elective, one month on the General Medical Floors, one month in the Emergency Department, one month as the supervising resident in the CCU, one month on the Cardiology Unit, one month of Geriatrics, one month of block continuity ambulatory care experience, and one month of block interdisciplinary ambulatory care experience.

Our relationship with the medical school is a strong one. Medical students rotate to St. John's Episcopal Hospital during their second year and the medical school faculty provides many teaching conferences. St. John's Episcopal Hospital residents spend a total of five months at the medical school campus during their training; rotations include General Medicine, Neurology, Cardiology, and electives.

All of the intensive care units at St. John's Episcopal Hospital have the most up-to-date computerized equipment and are staffed year round with board-certified subspecialists. Residents are assigned to intensive care units a total of five months during their training, and receive additional critical care experience on night float.

While we remain a Categorical Internal Medicine Training Program with extensive in-patient experience, we have been expanding our emphasis on primary care and ambulatory medicine. Residents attend their medical continuity clinic twice weekly and have a total of four months of ambulatory block rotations in the three years of training. All clinics are directly supervised by faculty, and we have developed a separate ambulatory care curriculum. Our Ambulatory Care Center provides a modern and comfortable environment for patients and staff. Additional ambulatory experience is obtained in subspeciality clinics and private offices of local voluntary physicians.

Areas of emphasis in primary care include Adolescent Medicine, Gynecology, Behavioral Medicine, Preventive Medicine and Public Health. Ambulatory experience is also gained in Orthopedics, ENT Medicine, Neurology, Dermatology, Pediatrics, Geriatric Medicine, and many other fields. Clinical experience is supplemented by ample teaching rounds and a comprehensive lecture series in general Internal Medicine. By expanding our curriculum in primary and ambulatory care, we are providing residents with the broad skills needed to enter practice in general medicine. At the same time, the training in categorical internal medicine provides residents with the background to enter subspeciality training.

Each PGY-1 resident on General Medicine generally cares for approximately 8 to 10 patients. A team in General Medicine consist of two PGY-1 residents, one PGY-2 resident, and an attending physician.

St. John's Episcopal Hospital utilizes a night float system of on call. This system means that residents do not work more than 24 hours at a time and have adequate time off between shifts.

As a supplement to the broad range of clinical experience we provide, the training program offers an extensive conference schedule. Our weekly Medical Grand Rounds often features eminent speakers from major medical centers. At our monthly Basic Science Conference, speakers from the Medical School present the latest developments in basic science research. There are monthly conferences in every subspeciality of Internal Medicine, as well as twice monthly Radiology conferences and a monthly ECG conference.

Residents at St. John's Episcopal Hospital are actively encouraged to participate in medical research. Clinical projects at the Hospital are ongoing and opportunities for laboratory research are available at the Medical School. Our residents have been very successful at having numerous abstracted for poster presentations at local and state scientific meetings.

Residents who have completed the program at St. John's Episcopal Hospital are highly sought after for primary care practice positions, hospitalist positions and fellowships. In recent years, most graduating residents have gone into general practice all over the United States, and some have entered fellowships in Pulmonary Medicine, Nephrology, and many other Internal Medicine subspecialties. The faculty strongly supports our house staff in applying for these positions.

The ancillary services provided at St. John's Episcopal Hospital are extensive and efficient. These include the phlebotomy, the transporter service, and the ECG team.

About Internal Medicine at St. John's

Patients are housed in a state-of-the-art 11 story Patient Care Tower. A new Ambulatory Care Center and Outpatient Dialysis Unit are attached to the hospital. The hospital is equipped with the most modern invasive and non-invasive monitoring and imaging equipment, thus enabling our staff to care for over 10,000 admissions, 30,000 emergency cases, and more than 34,000 ambulatory care visits per year.

The biomedical laboratories at St. John's Episcopal Hospital provide a full range of testing on-site and are completely computerized. Terminals to access laboratory data are located in all patient areas, thus making the physician's job much easier. The Medical Service carries a daily census of approximately 120 patients. This includes patients located in a 12 bed Intensive Care Unit, an 8 bed Coronary Care Unit. On the Teaching Medical Service, approximately 70% are private patients and 30% are service patients. Our patient population reflects the heterogeneous community which we serve. We provide care for patients from all socio-economic classes and all races, with a special emphasis on critical care and geriatric medicine.

A large, active group of voluntary attending physicians complements the salaried faculty to give St. John's Episcopal Hospital strong representation in both General Internal Medicine and every subspecialty of Internal Medicine.

St. John’s Episcopal Hospital is an equal opportunity employer. Please review this information carefully and mail or fax your application to us with all supporting documentation. Thank you for your interest in our residency program.

Accreditations

Accreditation Council for Graduate Medical Education Residency Review Committee (RRC-ACGME)
The Joint Commission Certifications
Emergency Heart Care Station by the American Heart Association
911/Level II Trauma Receiving Hospital by New York City Department of Health