Department of Medicine Residency Training Program in Primary Care Internal Medicine

(A major affiliate of the State of NY Health Science Center at Brooklyn)

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Message From The Program Director

Thank you for your interest in the residency program in Primary Care Internal Medicine offered by St. John's Episcopal Hospital South Shore. Our training program has a rich history of producing high quality physicians who go on to excel in both general and subspeciality medicine. We have as our mission the education of physicians who have the clinical skills and the humanistic qualities to practice as well rounded primary care general internists. In order to meet our goals, the training program at St. John's Episcopal Hospital South Shore has undergone significant, exciting change. While retaining the best, high-quality categorical internal medicine program, we have added several months of ambulatory care experience to our schedule. Residents will, therefore, acquire expertise in the nuances of both inpatient and outpatient care. Much of this training takes place in our new Ambulatory Care Center and is provided by an experienced faculty of Board Certified physicians. Our curriculum has also been expanded in the areas of ambulatory and general internal medicine, as well as evidence-based medicine, to provide our residents with the knowledge necessary to practice comprehensive Primary Care Internal Medicine.
We welcome your interest and look forward to meeting with you.

Sheldon Markowitz, M.D. - Program Director

The Hospital

St. John's Episcopal Hospital South Shore is a 322 bed voluntary community teaching hospital located in Far Rockaway, Queens County, New York City. The hospital campus is situated two blocks from the Atlantic Ocean and ten blocks from the border with Nassau County, Long Island.
First established as the St. Joseph's Hospital in 1905, the institution came under the administration of Episcopal Health Services Inc. in 1976.

Patients are housed in a state-of-the-art 11 story Patient Care Tower. A new Ambulatory Care Center and Outpatient Dialysis Unit have recently been completed. 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 South Shore 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 150 patients. This includes patients located in an 8 bed Intensive Care Unit, an 8 bed Coronary Care Unit, and a 10 bed Special Care Unit. On the Teaching Medical Service, approximately 60% are private patients and 40% 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 South Shore strong representation in both General Internal Medicine and every subspecialty of Internal Medicine.

In addition to the training program in Internal Medicine, St. John's Episcopal Hospital South Shore serves as a teaching site for rotating residents in Pediatrics, Psychiatry, Obstetrics/Gynecology, Pathology, and Rehabilitation Medicine.

The Training Program In Internal Medicine

The training program is a fully approved three year categorical program and is a major teaching affiliate of the State University of New York Health Science Center in Brooklyn (SUNY-HSCB), formerly known as the Downstate Medical School.
Our expected residency distribution for the coming year is as follows: 18 PGY-1's, 16 PGY-2's, 16 PGY-3's and 2 chief residents.

The PGY-1 year includes 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 five 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 in the Special Care Unit, one month of elective, and one month of block continuity ambulatory care experience. The PGY-3 year consists of 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 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 South Shore during their second and third years and the medical school faculty provides many teaching conferences. St. John's Episcopal Hospital South Shore residents spend a total of six 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 South Shore 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 four months during their training, and receive additional critical care experience on night float. Fellowships at St. John's Episcopal Hospital South Shore sponsored by SUNY-HSCB have been established in Pulmonary/Critical Care Medicine, Gastroenterology, and Cardiology.

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 state-of-the-art Ambulatory Care Center, opened in December 1994, 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 backgrounds to enter subspeciality training.

Each PGY-1 resident on General Medicine cares for 8 to 12 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 South Shore 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 all around the country, and our weekly Morbidity/Mortality Conference is a highlight of the educational program. At our monthly Basic Science Conference, speakers from the Medical School present the latest developments in bench 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 South Shore 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. St. John's Episcopal Hospital South Shore has been a participating institution in several major international cardiology studies such as the third and fourth versions of the International Study of Infarct Survival (ISIS 3 and ISIS 4). Several publications with residents as co-authors and resident entries into writing competitions have resulted from these efforts.

Residents who have completed the program at St. John's Episcopal Hospital South Shore are highly sought after for primary care practice positions and fellowships. In recent years, graduating residents have gone into general practice all over the United States, and have entered fellowships at large academic centers in Cardiology, Gastroenterology, 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 South Shore are extensive and efficient. These include the 24 hours per day phlebotomy, the transporter service, and the ECG team.

We offer a very competitive salary and a full range of benefits that includes health, life, and disability insurance. The hospital provides training in Basic and Advanced Cardiac Life Support. As an added benefit, senior residents are given a stipend towards attending a broad review course.

Housing is readily available for a reasonable cost and excellent schools are located near the hospital. The cultural and social attractions of Manhattan are within an hours traveling time.

Accredited

Residency Review Committee, Accreditation Council for Graduate Medical Education (RRC-ACGME)

The Joint Commission on Accreditation of Health Care Organizations (JCAHO)

Certified

Emergency Heart Care Station by the American Heart Association

911/Level II Trauma Receiving Hospital by New York City Department of Health

For further information on the Department of Medicine Residency Training Program or to obtain an Application Form if you wish to apply, please call, e-mail, or fax to:

St. John's Episcopal Hospital South Shore

327 Beach 19th Street

Far Rockaway, NY 11691

Attn: Sandra Plaskett- Residency Coordinator

splasket@ehs.org

Department Of Medicine

Phone: (718) 869-7672

Fax: (718) 869-8530

St. John's Episcopal Hospital South Shore 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.