Program Structure
Total Positions Available in the program:
|
Categorical
|
|
|
PGY1
|
18
|
|
PGY2
|
18
|
|
PGY3
|
18
|
|
Preliminary
|
|
|
PGY1
|
8
|
|
Chief Medicine Residents
|
3
|
PGY-I (Categorical)Yearly Schedule:
- 12-14 weeks Medicine/Specialty
floors
- 4-6 weeks Intensive Care Unit
- 6-8 weeks Elective
- 8 weeks Night Medicine
- 10-11 weeks Ambulatory Clinic
- 4 weeks Vacation
- 2 weeks ER
PGY-I (Preliminary)
- 18-24 weeks Medicine/Specialty
floors
- 8 weeks Intensive Care Unit/CCU
- 8-10 weeks Elective
- 6-8 weeks Night Medicine
- 4 weeks Vacation
Prelims program tailored to meet advanced
program requirements.
PGY II
- 10-12 weeks general floors
- 8-10 weeks Elective
- 2-4 week CCU
- 8-10 Medicine Specialty Floors
- 2-4 weeks Night Float
- 10-11 weeks Ambulatory Clinic
- 1-2 weeks Medicine Consults
- 4 weeks Vacation
- 2 weeks Quality Improvement /
Research Rotation
- 2 Weeks ICU
PGY III
- 14-16 weeks Electives
- 10-11 weeks Ambulatory Clinic
- 6 weeks ICU
- 6-8 weeks ICU Night Float/Rapid
Response Team
- 6-8 weeks Admitting Team ER
- 2 weeks Medicine Consults
- 4 weeks Vacation
- 4 weeks General Floors
A Typical Day on the Floors:
7:00 AM Morning Sign-in
7:45 AM Morning Report
10:00 AM Hospitalist Team Bedside Rounds
12:30 PM Noon Conference/Grand Rounds/Chairman Rounds/CCU Rounds
1:30-4:30 PM Time to do work
4:30-5 PM Sign-out
Floors:
- Weekends, Call and Night Float
Floor Call:
- Every 4th night from
4:30pm-8:00pm
Floor Night Float:
- Six nights/week from
8:00pm-7:00am (Sun – Fri)
Ancillary Services:
- 24/7 phlebotomy shifts
- IV’s by nurses
- EKG technicians 24/7
- Patient transporter support by
STAT flight
Clinical Skills Education:
- Simulation - State of the Art
Simulation Center
- Standardized Patient Program
for all PGY1s.
Conference & Didactics (Monday, Tuesdays & Thursdays)
To ensure protected time & cater to the
appropriate target audience, we split our afternoon conferences into two separate
series for the interns & residents. The curriculum is not only designed on
the ABIM blueprints to aggressively prepare the house-staff for their boards
but also equip them to be mature & confident clinicians.
For PGY2s & 3s: From 12:30pm to 1:10pm with the specialists & chief
medical residents covering a wide variety of topics & discussing in detail
vital aspects of clinical management. In addition, the following have been
recently incorporated into the conference schedule:
- Weekly afternoon report (case-based
discussion) with the program director & faculty.
- Weekly board review sessions
(MKSAPs & UWorld).
- Bi-weekly pharmacy lectures on
relevant topics by directors of clinical pharmacy.
- Monthly EKG sessions.
- Monthly evidence-based
medicine/journal club.
- Monthly Point of Care
Ultrasound Training (POCUS).
For PGY 1s, Sub-Interns & Medical
Students: From 1:15pm to 2:00pm with the general
IM faculty & chief medical residents covering introductory aspects of
internship, refreshing basic pathophysiology and discussing ways to approach
basic & advanced clinical scenarios. In addition, the following have been
recently incorporated into the conference schedule:
- Bi-weekly clinical reasoning
sessions (instead of morning report).
- Bi-weekly pharmacy lectures on
relevant topics by directors of clinical pharmacy.
- Monthly EKG sessions.
- Monthly evidence-based
medicine/journal club.
- Monthly Point Of Care
Ultrasound Training (POCUS).
- Monthly high value care
curriculum.
Grand rounds (Wednesdays):
On Wednesdays, we have departmental grand
rounds from 12:00pm to 1:00pm for all PGY levels where distinguished guests are
invited to present topics of interest and engage with the house-staff &
faculty in scholastic discussions.
Critical care rounds (Fridays):
Weekly critical care rounds are organized from
12:15pm to 1:00pm at Macy Pavilion where ICU residents from the CCU or Medical
ICU present interesting cases, moderated by critical care attendings.
Chairman rounds (Fridays):
Weekly chairman rounds are organized in the
main hospital from 1:00pm to 1:45pm where on-call intern presents an
interesting case from the floors, moderated by Dr. Frishman & faculty.
Humanities rounds (Last Tuesdays of the
month):
Once a month, usually last Tuesdays from
12:30pm to 1:30pm, we all meet for humanities rounds organized by the
house-staff, coordinators & faculty where we share insights into the human
society & culture as they arise in literature, religion, art, music,
history, language & philosophy.
Research and Scholarly Activities
Participation in clinical research activities to produce
abstracts and publications is encouraged and supported by the program; however,
it is not mandatory. Our program’s goal is to help you thrive into a well
–rounded and confident clinician. You will be paired with faculty mentors from
your sub-specialty of interest during internship to foster a professional and
personal support system.
Quality Improvement/Patient Safety Projects
Each categorical resident is encouraged to identify a patient
safety or quality improvement concern in the in-patient setting and devise a
research project to improve such issues, mentored by either Dr. Forman or Dr.
Nabors. Two weeks of dedicated research time is allotted in the PGY-2 year for
this purpose. Additional time can be allotted in the PGY-3 year if needed to
finish the project or if you want to work on more ideas. You will have the
opportunity to present the findings/recommendations of these projects at the
WMC monthly QI/Patient Safety meetings attended by the heads of various
clinical departments. Our house-staff present these projects at the American
College of Physicians meeting as well. Such projects are required for academic
hospitalist positions and reflect well on your fellowship applications.
In the ambulatory setting, one half-day of each clinic week is
dedicated for all PGY levels to work on one of the numerous ongoing QI
projects.
A few QI projects done by our house-staff recently:
1.
Tasleem Katchi:
Optimizing Medication Management in the Elderly.
2.
Joanna Blanco and
Shashvat Gupta: Appropriate discharge planning for hospitalized patients.
3.
Srikanth Yandrapalli:
Medication dosing in patients with renal impairment.
4.
Katherine Linder:
Attitudes towards palliative care consultation.
5.
Akshay Khatri and
Tausif Siddiqui: Appropriate use of respiratory multiplex PCR.
6.
Tasleem Katchi:
Knowledge, attitude, and practices about Pre-Exposure Prophylaxis for HIV.
7.
George Jolly:
Knowledge, attitudes, and practices about Pertussis Vaccination.
8.
Suman Pal, Alina
Kifayat, Nicole Zagelbaum, Anila Kumar: Determinants of primary healthcare
utilization among LGBT individuals.
9. Jagjit Khosla: Depression screening, management, and follow-up in adult primary care center patient centered medical home.
Clinical Research:
Opportunities in clinical research are available for interested
housestaff. Clinical research takes place in the inpatient, tele-health, and
ambulatory settings. While case-reports and retrospective data review studies
are more popular, house-staff are also currently involved in prospective studies
undergoing at WMC and basic research studies at NYMC. Internal medicine and
subspecialty faculty work actively with the housestaff to mentor them and
guide them with developing an idea, designing the project, preparing IRB
submission, data gathering and analysis, and preparation for publication. Our
housestaff is very active in presenting case- and research abstracts orally and
as posters at various regional and national Internal Medicine and Subspecialty
meetings. Additionally, the Internal Medicine program hosts half-yearly
research meetings in which interested residents present their case vignettes
and research posters. Prizes are given to the best poster in both categories.
Recent House-staff publications:
1.
Katchi T, Cooper HA, Yandrapalli S, et al. Prosthetic
aortic valve endocarditis without evidence of vegetation. J Heart Valve Dis.
2017;26(3):365-367.
2.
Gupta T, Patel K, Kolte D, et al. Relationship of hospital
teaching status with in-hospital outcomes for ST-segment elevation myocardial
infarction. Am J Med. 2017 Oct 13. pii: S0002-9343(17)31033-1.
3.
Yandrapalli S, Tariq S, Aronow WS. Advances in chemical pharmacotherapy for
managing acute decompensated heart failure. Expert Opin Pharmacother.
2017;18(5):471-485.
4.
Andries G, Khera S, Timmermans RJ, Aronow WS. Complete versus
culprit only revascularization in ST-elevation myocardial infarction-a
perspective on recent trials and recommendations. J Thorac Dis.
2017;9(7):2159-2167.
5.
Sanaani A,
Yandrapalli S, Jolly G, Paudel R,
Cooper HA, Aronow WS. Correlation between electrocardiographic changes and
coronary findings in patients with acute myocardial infarction and
single-vessel disease. Ann Transl Med. 2017;5(17):347.
6.
Yandrapalli S,
Raza A, Tariq S, Aronow WS. Ambulatory pulmonary
artery pressure monitoring in advanced heart failure patients. World J Cardiol.
2017;9(1):21-26.
7.
Nagpal P, Bhalala M, Vidholia A, et al. Abdominal skin rash after TACE
due to non-target embolization of hepatic falciform artery. ACG Case Rep J.
2016;3(3):217-220.
8.
Gupta N, Chaudhary R, Krishnamoorthy P, Mahajan S, Bodin R, Sule S.
Coronary artery disease in patients with disorders of bilirubin excretion. Am J
Ther. 2017;24(6):e653-e658.
9.
Linder K,
Gandhiraj D, Hanmantgad M,
Seiter K, Liu D. Complete remission after single agent blinatumomab in a
patient with pre-B acute lymphoid leukemia relapsed and refractory to three
prior regimens: hyperCVAD, high dose cytarabine mitoxantrone and CLAG. Exp
Hematol Oncol. 2016 Jul 26;5:20.
10. Chakinala RC, Haq KF,
Barsa JE, Solanki S, Chawla L, Khan MA, Farooq T, Schorr-Lesnick B.
Incidentally Discovered Extranodal Marginal Zone B-Cell Lymphoma of
Mucosa-Associated Lymphoid Tissue in the Colon. Case Rep Med.
2017;2017:1505706.
11. Yandrapalli S, Mehta
B, Mondal P, et al. Cardiac papillary fibroelastoma: The need
for a timely diagnosis. World J Clin Cases. 2017;5(1):9-13.
12. Raza A, Zaid S,
Michev I, et al. “Cusp Overlap” View Facilitates Accurate Fluor-Guided
Implantation Of Self-Expanding Valve In TAVR. Journal of the American College
of Cardiology. 2016, Mar; 69(11): 1045.
13. Yandrapalli S, Jolly G, Horblitt A, Sanaani A, Aronow WS. Cardiovascular benefits and safety
of non-insulin medications used in the treatment of type 2 diabetes mellitus.
Postgrad Med. 2017:1-11. doi: 10.1080/00325481.2017.1358064
14. Katchi T, Kolandaivel K,
Khattar P, Farooq T, Islam H, Liu D. Extramedullary hematopoiesis presented as
cytopenia and massive paraspinal masses leading to cord compression in a
patient with hereditary persistence of fetal hemoglobin. Biomark Res. 2016 Sep
1;4(1):17.
15. Lai HM, Pawar R, Wolf
DC, Aronow WS. Impact of cardiovascular risk factors on long-term mortality
after liver transplantation. Am J Ther. 2016;23(2):e357-62. doi:
10.1097/MJT.0b013e31829c4c5f
16. Yandrapalli S,
Tariq S, Kumar J, et al. Chronic thromboembolic pulmonary
hypertension: Epidemiology, diagnosis, and management. Cardiol Rev. 2017. doi:
10.1097/CRD.0000000000000164
17. Raza A, Steinberg K,
Tartaglia J, Frishman WH, Gupta T. Enhanced External
Counterpulsation Therapy: Past, Present, and Future. Cardiology in Review.
2016, Mar; 25(2): 59-67.
18. Gupta T, Mujib M, Agarwal P, Prakash P, Garg A, Sharma N, Aronow WS, Nabors C. Association Between Opioid
Abuse/Dependence and Outcomes in Hospitalized Heart Failure Patients. Am J
Ther. 2016;23(2):e350-
19. Mehta D, Chugh P, Chawla
L, Jodorkovsky D. Paraneoplastic Hepatopathy Associated with
Gastrointestinal Carcinoid. ACG Case Rep J. 2017 Nov 8;4:e117
20. Katchi T, Liu D.
Diagnosis and treatment of CD20 negative B cell lymphomas.
21. Yandrapalli S,
Aronow WS, Mondal P, Chabbott DR. Limitations of
sacubitril/valsartan in the management of heart failure. Am J Ther.
2017;24(2):e234-e239.
22. Karass M, Chugh S, Andries
G, Mamorska-Dyga A, Nelson JC, Chander PN. Thrombotic
microangiopathy associated with synthetic cannabinoid receptor agonists. Stem
Cell Investig. 2017 May 26;4:43.
23. Karass M, Mondal P,
Alkayem M, Ojo A, Aronow WS, Puccio C. A rare presentation of acute heart
failure secondary to aggressive uterine leiomyosarcoma metastatic to the
myocardium initially diagnosed as hypertrophic obstructive cardiomyopathy. Ann
Transl Med. 2016 Oct;4(19):374
24. Yandrapalli S, Andries G,
Biswas M, Khera S. Profile of sacubitril/valsartan in the treatment
of heart failure: patient selection and perspectives. Vasc Health Risk Manag.
2017 Oct 5;13:369-382.
25. Gupta T, Kolte D,
Mohananey D, Khera S, Goel K, Mondal P, et al. Relation
of Obesity to Survival After In-Hospital Cardiac Arrest. Am J Cardiol. 2016 Sep
1;118(5):662-7.
Meeting Abstracts:
Our housestaff is very active in presenting oral and poster
presentations at local and national scientific meetings and more than half of
our residents presented at various Internal Medicine and sub-specialties
including NYACP, ACP, ACC, AHA, NJ-ACC, Chest, HFSA, SCAI, ACG, DDW,
ASCO, SHM, SGIM, NKF, ASN, ACR, CCR, ATS, IDSA.
Internal Medicine Resident Research Day Prizes:
March 2018
Clinical Vignette: Shashvat Gupta for “Wolf Parkinson White syndrome causing Non-ST
elevation Myocardial Infarction”
Original Research: Daniel Elefant for “Alkaline Phosphatase Enriched Exosomes as Guidance
Cues in the Developing Optic Chiasm”
October 2017
Clinical Vignette: Tasleem Katchi for “Rapidly Progressive Heart Failure From Light Chain
Cardiac Amyloid” (Also presented at Heart Failure Society of America National
Meeting, September 2017)
Original Research: Tausif Siddiqui for “Hepatic Portal Venous Gas in Pediatric Liver
Transplant Patients: Incidence and Clinical Significance”.
Research Awards:
1.
Khwaja F. Haq, Chief Resident 2017-18 2017 Fellows-in-Training Award (Liver
Category), American College of Gastroenterology
2.
Asritha
Gollapudi, PGY-2 2016 Case Vignette National Winner,
American College of Physicians Meeting
3.
Dhruv Mehta, PGY-2 2015 Presidential Poster Award, American College of
Gastroenterology
4.
Nancy Gupta, PGY-3 2015 Best Poster Award, American College of Physicians
5.
Nisha Sharma, PGY-3 2015 Presidential Poster Award, American College of
Gastroenterology
6.
Dhaval Kolte, Chief resident 2014-2015 2014 Best Poster Award, American
College of Cardiology
7.
Marjan Mujib, Chief Resident 2015-16 2013 and 2014 Young Investigators'
Award, New York American College of Cardiology