NYMC Richmond IM

发信人: docrockville (docrockville), 信区: MedicalCareer
标 题: NYMC Richmond IM: details
发信站: BBS 未名空间站 (Sat Jan 17 12:58:07 2009)

NYMCrichmond

New York Medical College (Richmond) Program
Identifier: 140-35-11-303
Specialty: Internal Medicine




Program Director:

Susan D Grossman, MD
Richmond Univ Med Ctr
Dept of Internal Med
355 Bard Ave
Staten Island, NY 10310-1699 Tel: (718) 818-4355
Fax: (718) 818-3225
E-mail: sgrossman@rumcsi.org


Person to contact for more information about the program:

Susan D Grossman, MD
Richmond Univ Med Ctr
Dept of Internal Med
355 Bard Ave
Staten Island, NY 10310-1699 Tel: (718) 818-4355
Fax: (718) 818-3225
E-mail: sgrossman@rumcsi.org






Accredited length 3
Required length 3
Accepting applications for 2009-2010 Yes
Will be accepting applications for 2010-2011 Yes
Program start dates January, July
Participates in ERAS Yes
Affiliated with U.S. government No




Institution list
Sponsor: New York Medical College - Valhalla, NY
Clinical Site: Richmond University Medical Center - Staten Island, NY






Key points:


Staten Island is half ann hour from Manhattan, by free ferry between South
Ferry station and SI. No need to own a car. Mall, museums, parks, and beach
on SI.


No medical questions in interview unless you do not know any other topics...
; interview starts at 10:30, with lunch provided. They will offer second
looks to people they like. No prematch offered.



5 year accreditation

No scut work for residents


Hands-on experience in ICU/CCU (no fellows in ICU/CCU)


Intern carrires 6-10 patients on the floor. You see service patients,
hospitalist patients, and private patients. Low percentage of HIV+ patients.


Excellent salary (55065 for intern, 59780 for pgy2, 65175 for pgy3) in
comparison to other IM programs, plus free parking & cheap onsite housing (
500-590 for studio, 750-860 for 1bedroom, 920-980 for 2BR). A catholic
school on island (200 per month).


Friendly/diverse house staff


Excellent tour of hospital given by Dr. Willam Kolhoff, an U.S. medical
graduate who stayed with the program after finishing his prelim year and
converted to categorical. He is also head of resident housing stuff
committee. His email is wkolhoff@verizon.net


No EMR right now. But they are trying to get one in place.


People called each other by first name in the program.


Intern has no overnight calls.


On call schedule: Q5 (most program Q4).


Outreach to community. One APD does smoking cessation work. They also has a
concer survivor program.


In-house fellowships: cardio 2 spots, GI 1 in every 3 years, renal 1/yr, hem
/onc.


Clinical research. (Department pays for conference attendance; but you have
to do research in your own spare time).


64-slice CT.

CMGs united and help each other. In total 4 Indian residents in this program
(one PGY3, one PGY2, and two PGY1).


No wireless yet.


You need to purchase MKSAP and Up-to-Date your self.



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What do they look for in a candidate and in a resident?


1. High scores. (my scores are early 90s)


2. Do physical exam on patient daily during residency.


3. Curiousity.


4. Good will.


5. Nice personality.


6. Good communication skills


7. Writes in a legible way.


8. Professionalism.



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500,000 people live on the Staten Island, a diverse population.


Residents in the program need to help out with translation, otherwise they
use a language line.


The hospital has 200 beds and takes 2,500 admissions each year.


The rates of smoking, hypertension, diabetes, CVA, obesity, and CVDs are
high among Staten Island communites.


Common chief complaints for admissions to the hospital include SOB, chest
pain, etc.


Common diseases treated in the internal medicine program include ACS, DM,
DKA, septic shock, GI problems/bleeding, stroke, pneumonia, UTI, asthma, and
COPD.


The house staff on the floor are divided into 3 team color-coded as red,
green, and blue.


Each team includes one PGY3, three PGY2, and five interns.


Most attending physicians are private attendings.


There are 55-60 residents in the program in total, depending on the years.


Sometimes programs in NYC and CA close and some of their residents would
come to join this program, bringing funding.
Therefore it is beneficial to the program, because they help share calls and
also bring funding.


Typically there are 25 PGY1 (made up of 10 prelims and 15 categoricals), 15
PGY2, 15 PGY3, and 1 PGY4 (chief resident).


Typical schedule is


7am show up at the hospital (the latest 7:15am), and take a peek at your
patients and new admissions.


7:30am morning report (resident presentation using PowerPoint, monthly renal
journal club, grand round on every other Wednesday given by outside expert).


10am-11:20am teaching round.


11:30am-12:30pm noon conference given by attending (free lunch provided;
monthly medical discipline lectures with a quiz at the end of each month;
end of life issues; near miss cases; M&M; medical humanity issue; cultural
diversity issue; resident fatigue issue; nutrition)


4pm leave hospital if your work is done.

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Call schedule:


Q5 (short call) on the floor, and Q4 (24 hour call) in ICU or in CCU. There
is nightfloat for PGY1-3.


No overnight calls for PGY1.


When on call on the floor, you come to work at 7am like regular days till
4pm, and then you start admiting patients from 4pm till 9 pm.


When on call in ICU or CCU, you come to work at 7am like regular days till
4pm, and then you start admiting patients from 4pm till 7am the next day.
You leave hospital at 7am (the latest 10am).


The PD is known to be very serious about reducing resident fatigue. She
would yell at attendings who tend to keep residents too long post call.


You do 2 night float blocks each year, with 2-3 weeks in each block. During
nightfloat, you work two nights (9pm-7am) consecutively, and the third night
you get off. During the days you sleep at home without hosptial duties. You
cover about 70-75 patients when on nightfloat.



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Residents (categotical) have two half-day clinics seeing patients on campus
in continuity clinics. No clinics during your vacation or ICU/CCU blocks.
One of the two clinics is a preceptorship hosted by a private attending,
during which you learn outpatient medicine and also the real business stuff
like how to bill for services.


Electives: PGY1 gets one month elective in house (no outside elective
allowed for PGY1), PGY2 and PGY3 get to do outside electives anywhere you
want and will get paid during the electives.


ER rotation: 2-4 weeks blocks, you work on shifts.They have 3 kinds of
shifts in ER: 7am-7pm; 11:30am-10pm; 3pm-midnight.


You get 4 weeks of vacation each year, divided into 2 blocks.



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Every year there is a one-week spring review course hosted by the program,
joined by physicians from all over the island. Residents get to attend
lectures on recent advances in medicine. However, as an intern, you still
need to work first and foremost, only to be able to catch one or two
lectures per day.


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The hospital is a Level I trauma center, and has a stroke center. There is a
radiology residency program in the hospital, providing timely radiology
reading support for internal medicine program.



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Quality improvement efforts in the program and the hospital:


1. Chart review / note review: to help interns improve their medical writing
skills.


2. Patient statisfaction survey: inpatient ward only.


3. Dictation required for PGY2 and 3 residents.


4. Documentation periodically reviewed by hospital experts in documentation
issues: this way the hospital gets appropriate reimbursement. Also it is
important for medical/legal reasons


5. Pharmacists are very helpful and also they will timely notify residents
to correct the dosing and usage of medications.


6. Patient complaints are taken seriously.


7. Monthly quality department meetings



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Evaluation of residents are based on:


1. Monthly quiz (more difficult than ACP board exam): quiz content based on
the monthly medical discipline lectures and the online self-education
modules for residents.


2. ACP annual in-service exam


3. meeting with PD twice a year


4. monthly evaluation by peers, staff, and attendings.


Resident performance is evaluated using 6 core measures: knowledge,
professionalism, patient care, system-based learning, communication skills.
(I am not sure why they only talked about 5 measures in the presentation.)



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Program helps residents prepare for their future careers:


1. Seminars on life after residency.


2. One of the two clinics is a preceptorship hosted by a private attending,
during which you learn outpatient medicine and also the real business stuff
like how to bill for services.


3. Residents allowed to take 2 board review courses, and are free of
hospital duties during the courses.


4. Seminar on getting fellowships takes place in each October.



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They have a nice library with journals I like to read and several computers.
They let you use your book allowance to puchase books through the libary,
saving 10% of book cost and the shipping cost.



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Fellowship placement:


The hospital used to be part of St. Vincent Hospital (which has a Staten
Island campus, and a Manhattan campus). Later, the SI campus joined NY
Medical College and therefore was renamed Richmond University Medical Center
.


Howver, the close tie still exist between St. Vincent Hospital in Manhattan
and Richmond University Medical Center. Fellowships in St. Vincent Hospital
in Manhattan tend to take residents from the Richmond University Medical
Center. This way , you can say that the NYMC (Richmond) has in-house
fellowships.


In fact the 2 cardiology fellowship spots in the St. Vincent Hospital in
Manhattan were both taken by NYMC (Richmond) IM residents.


Richmond University Medical Cente also has nephrology fellowship.


2008, 75% graduates went to fellowship. The rest either did not want to
apply for fellowship or did not try hard enough.

Dr. Gu is PGY4 chief and he will go to NYU for Hem-Onc. Chief resident's
email is chiefrumc@yahoo.com
Dr. Song is PGY3 co-chief and he will go to SUNY downstate for GI.
Dr. Havill is another PGY3 co-chief and he will go to JH for Nephrology.

All Chinese residents (total 8) got fellowship in recent 3 years, including
GI 1, Cardiology 3, Hem-Onc 3, and Endo 1.



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Where did the residents match for fellowship 2009?

Cardiology - St. Vincent's Hospital, New York, NY

Endocrinology - University of Kentucky, Lexington, KY

Gastroenterology - SUNY Downstate Medical Center, Brooklyn, NY

Hematology-Oncology - National Institutes Of Health, Bethesda, MD
- New York University, New York, NY

Infectious Diseases - Wake Forest Baptist Medical Center, Winston-Salem, NC

Nephrology - Johns Hopkins Hospital, Baltimore, MD


Recent Graduates - Where Did They Go?


Cardiology Fellowship - Wayne State University, Detroit, Michigan
- University of Iowa, Iowa City, Iowa
- St. Vincent's Hospital, New York, NY

Critical Care Fellowship - Mount Sinai Hospital, New York, NY

Endocrinology Fellowship - University of Kentucky, Lexington, KY

Gastroenterology Fellowship - SUNY Downstate Medical Center
- St. Vincent's Hospital, New York
, NY

Hematology-Oncology Fellowship - New York University, NY, NY
- National Institutes Of
Health, Bethesda, MD
- New York Medical College,
Westchester Medical Center, Valhalla, NY

Infectious Diseases Fellowship - University of Missouri
- Wake Forest Baptist Medical
Center, NC
- New York Medical College,
Brooklyn, Queens, NY

Nephrology Fellowship - Johns Hopkins Hospital
- New York Medical College, Richmond
University Medical Center, Staten Island, NY

Pulmonary Fellowship - University of Stony Brook , Long Island, NY


Rheumatology Fellowship - Robert Wood Johnson , New Jersey
- University of Oregon

Hospitalist Program - Richmond University Medical Center, Staten Island, NY

Private Practice - Staten Island, Brooklyn, Long Island, New York, New
Jersey
- North Carolina, Pennsylvania, Wisconsin, San
Francisco