Residency/Fellowship

Long Island College Hospital Allergy and Immunology
Residency Training Program

Welcome
Continuum Health Partners Inc.
Long Island College Hospital
Allergy and Immunology Residency Training Program
Faculty
Application Procedure
Brooklyn: A borough of Distinction



WELCOME

The faculty and staff of Long Island College Hospital's Department of Allergy and Immunology welcome your interest in our residency training program. Selecting a residency program is one of the most important decisions you will make in shaping your medical career. Our comprehensive program will provide you with the didactic teaching and hands-on clinical experience you will need to specialize in the care of patients with asthma, allergies and other immunodeficiency disorders. Long Island College Hospital pioneered the innovative technique of bedside teaching, which has become the cornerstone of American medical education today. Our residency training program in allergy and immunology continues that tradition, providing you with extensive clinical experience and thorough diagnostic and therapeutic training. The hospital's location in the Cobble Hill/ Brooklyn Heights section of Brooklyn ensures a diverse and vibrant cosmopolitan patient population, representing a wide variety of ethnic and socioeconomic groups. At the end of their two years, residents are amply qualified to begin private practice or to assume an academic appointment.

We invite you to visit the Department of Allergy and Immunology, meet with residents and attendings, and tour the neighborhood, so that you can see first-hand how our training program will best satisfy your expectations and provide a fulfilling and productive experience. We are con-fident that our residency program will offer you every opportunity to advance your career.

Arlene Schneider, MD
Chairman
Allergy and Immunology


CONTINUUM HEALTH PARTNERS INC.

Continuum Health Partners, Inc. was formed in January, 1997 as a partnership of two venerable hospitals: Beth Israel Medical Center and St. Luke's-Roosevelt Hospital Center. Building upon the strengths of both institutions, the partners soon established a broad-based, integrated health ser-vices network extending throughout the New York metropolitan region. In May, 1998, the part-nership was joined by a third distinguished institution, Long Island College Hospital, located in the Cobble Hill/Brooklyn Heights section of Brooklyn. Continuum continues to grow with the addition, in August, 1999, of New York Eye and Ear Infirmary–an outstanding specialty care institution.

Continuum Health Partners, Inc. delivers inpatient care through nearly 3,100 beds located in seven major hospital facilities in Manhattan and in Brooklyn. Continuum providers also see patients in group and private practice settings and ambulatory centers in the five boroughs of New York and in Westchester County. All four Continuum hospitals were established more than a century ago by civic-minded individuals with a shared commitment to improving health, and health care, in their communities. Today, participation in the Continuum partnership enables each member institution to better fulfill its traditional mission by making available an impressive array of resources for the provision of state-of-the-art and compassionate care. Together, they are superbly equipped to identify and respond to the health-related needs of their populations in a patient- and physician-friendly environment.

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LONG ISLAND COLLEGE HOSPITAL

Long Island College Hospital Long Island College Hospital (LICH), which serves as the hub of Continuum's services in Brooklyn, is a 516-bed teaching hospital located in the Brooklyn Heights/Cobble Hill section of Brooklyn. LICH is the primary clinical teaching affiliate of the State University of New York Health Science Center at Brooklyn (SUNY-Downstate Medical Center) and offers training pro-grams for resident physicians in more than 20 medical specialties.

Founded in 1858 as a medical school as well as a hospital, Long Island College Hospital has made exceptional contributions to U.S. medicine. In 1860, it became the first U.S. medical school to make bedside teaching a standard part of its medical curriculum, establishing an approach that was subsequently adopted around the country. Medical achievements of early LICH faculty include introduction of the stethoscope and early use of anesthesia. In 1930, the Long Island College of Medicine was incorporated as a separate medical school, with LICH as its hospital affil-iate. In 1954, the College of Medicine became part of SUNY. LICH remains the primary clinical teaching affiliate of SUNY.

Today, Long Island College Hospital prides itself on combining the best features of a major med-ical center with the personal, caring approach of a community-centered hospital. The hospital is nationally recognized for clinical excellence in nephrology and urology, and is highly respected for its work in bloodless medicine and surgery; allergy, asthma and immunology; otolaryngology, including communicative disorders; and head and neck surgery.

Medical Staff and Faculty


The chairpersons of the LICH's clinical departments are jointly recommended for their positions by the hospital and by SUNY-Health Science Center at Brooklyn. These nationally recognized clinicians and educators have earned numerous awards, lead national and local medical associations, and have published extensively with definitive texts in areas as divergent as allergy and immunology, head and neck imaging, and toxicology. The LICH medical and dental staff numbers over 500, with approximately 440 attending physicians, some of whom handle teaching and administrative responsibilities either full- or part-time. More than 90 physicians are on the consultant, courtesy or honorary staff. Most active members of the medical staff also hold faculty appointments at SUNY-HSCB.

Our Patients


Approximately 500,000 people live in LICH's service area. Many patients are referred from the greater metropolitan area, including Long Island and northern New Jersey, to benefit from the quality and sophistication of the hospital's resources and services. More than 22,000 patients representing a diverse mix of ethnic and socioeconomic backgrounds are admitted annually, and the average daily inpatient census is approximately 400.

The Clinical Setting


Long Island College Hospital offers a full range of medical and surgical subspecialty care to its patients. Residents train in a clinically stimulating environment, which provides a number of diverse learning opportunities. The hospital's clinical departments are chaired by board-certified physicians who take a keen interest in medical education. State-of-the-art technology is evident in many areas and includes the latest generation magnetic resonance scanning and imaging software for advanced diagnostic capabilities, and modern intensive care, cardiac care and arrhythmia units.

Emergency Services


The hospital's state-of-the-art Emergency Department is a designated "911" receiving hospital with its own ambulance service. The hospital also has been designated a Heart Association Emergency Cardiac Care Station reflecting its excellent facilities, staff and level of care. Staff treats more than 50,000 people annually in the Emergency Department, admitting more than 13,000 of those patients. Scheduled on-call Emergency Department service is an important facet of all residents' experiences.

Outpatient Care

LICH has a large outpatient program that provides comprehensive services in 60 different clinics, which exceed more than 150,000 patient visits each year. Residents in several departments benefit from the crossover training opportunities in one or more of the hospital's outpatient clinics. The hospital also operates several programs approved by the Bureau of Handicapped Children, as well as school-based clinics, which serve more than 2,000 children.

Specialized Centers and Services


LICH is renowned for many areas of excellence, and the hospital offers a wide variety of specialized centers and services which expose residents to important clinical experiences. These include the Cystic Fibrosis Center, designated as the regional center for treatment of this disease; the Othmer Cancer Center, which offers advanced oncology care for all types of cancer and houses Brooklyn's most powerful linear accelerators; the Stanley S. Lamm Institute for Child Neurology and Developmental Medicine, a regional center providing diagnostic and therapeutic services to children and adults with developmental issues, including speech and language disabilities; and The New York Center for Bloodless Medicine and Surgery, the preeminent program for bloodless care in New York City.

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ALLERGY AND IMMUNOLOGY RESIDENCY TRAINING PROGRAM

Curriculum Overview

The Department of Allergy and Immunology provides its residents with an outstanding specialty education. The two-year residency program combines exceptional clinical opportunities, advanced study in all facets of the specialty and modalities of therapy, and interaction with both regional and national leaders in the field. Approved by the Accreditation Council for Graduate Medical Education, the program accepts candidates who have previously fulfilled specialty board eligibility requirements in internal medicine or pediatrics.

Clinical Experience

The program's faculty members are personally involved in the progress and evaluation of each resident, while the voluntary staff contributes a tremendous amount of clinical experience to draw upon. Residents spend the majority of their time in the hospital clinic where they see both pedi-atric and adult patients. The primary mission of the clinic is the care of patients with chronic asthma; each year the clinic logs more than 6,000 allergy/immunology outpatient visits. The department stresses continuity of care, and residents follow their patients through the entire two-year program. During their first year, residents become proficient in a large variety of diagnostic techniques. These include, but are not limited to, allergic skin testing, antibiotic desensitization, hearing screening and all facets of chronic asthma management.

Residents also take part in various programs for hospital and community-based patient education. Patient groups are instructed on a variety of topics, including proper asthma management, the use of spacer devices for the delivery of medication, asthma control during exercise, breathing exer-cises and home environment cleaning methods.

Educational Conferences and Lectures

Residents attend weekly rounds, chart review and lectures given by members of the allergy/immunology attending staff. Opportunities are available to attend guest lectures by noted leaders in the field as well as talks of interest hosted at other major medical centers throughout the New York metropolitan area. The Journal Club reviews the literature on specific topics in allergy/immunology.

Electives

Residents can choose from a wide variety of electives to gain additional exposure to related fields and to gain further experience in clinical immunology. The choices include:

Immunodeficiency, which is conducted at a dedicated clinic at Mount Sinai Medical Center;
Immunopathology, which includes exposure to the cell sorter and other immunological tests;
Otolaryngology, which concentrates on hands-on training in flexible rhinoscopy;
Pulmonary physiology, conducted by the Division of Pulmonary Medicine, which includes training in and analysis of pulmonary function testing;
Rheumatology, through the Division of Rheumatology, which offers residents clinical exposure to a broad spectrum of immunologic disorders, as well as opportunities for clinical research; and
Infectious Diseases, conducted through the Division of Infectious Disease.

Research

All residents in allergy and immunology are expected to perform timely and important research with a minimum of 25 percent of training earmarked for this purpose. Many residents have gone on to publish their findings in major journals or present their work at the leading allergy and immunology conferences, including the annual meetings of the American College of Allergy and Immunology and the American Academy of Allergy and Immunology. Important works from for-mer residents include papers on:

skin sensitivity to common aeroallergens in inner city asthmatics;
osteoporosis among adult asthma patients receiving chronic corticosteroid therapy;
comparisons of health-related quality of life among tracked inner city asthma center patients compared to those not tracked;
home peak flow monitoring;
compliance; and
the role of cockroaches in asthma.

The department's major clinical research endeavor is focused on chronic asthma management, and residents are encouraged to pursue research in this area. More than 100 articles have been pub-lished in academic journals and textbooks by members of the department.

Resources

Long Island College Hospital's E. King Morgan, MD, Health Sciences Library houses an excel-lent collection of texts on allergies, immunology and related topics. The library, which contains over 6,000 volumes and 13,000 bound periodicals, makes available the leading journals in the field and, through its inter-library loan system, provides residents with access to the materials of over 300 other regional medical libraries. A departmental allergy/immunology library supple-ments the Health Sciences Library.

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FACULTY AND ATTENDINGS

Faculty

Arlene Schneider, MD
Chairman
Clifford Bassett, MD
John Castronovo, MD
Y.A.K. Rao, MD
Bernard Silverman, MD

Attendings

Mandakolathur Murali, MD
Y.K. Rao, MD

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APPLICATION PROCEDURE

The Residency Training Program in Allergy and Immunology at Long Island College Hospital participates in the National Residency Matching Program with the Electronic Residency Application Service (ERAS). An application, as well as supplemental information about the pro-gram, is included in this folder. For further information, please contact:

Arlene Schneider, MD
Chairman
Department of Allergy/Immunology
Long Island College Hospital
Brooklyn, New York 11201
(718) 780-4674

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BROOKLYN: A BOROUGH OF DISTINCTION

Long Island College Hospital is located in the historic Cobble Hill/Brooklyn Heights section of Brooklyn and overlooks some of the country's most spectacular views: New York Harbor, the Statue of Liberty, the Brooklyn Bridge and the towers of Lower Manhattan. The borough, which is the most populated of New York City with more than 2.4 million people, attracts visitors from the metropolitan area and beyond to its large array of cultural and recreational attractions. These include The Brooklyn Museum, the Brooklyn Academy of Music and the Brooklyn Botanical Garden.

The hospital's ideal location–adjacent to the Brooklyn-Queens Expressway–makes access to New York City's endless variety of activities quick and easy. The hospital is convenient to subway and bus lines leading to all parts of the city and the metropolitan area.

Residents of the thriving, diverse community surrounding the hospital are proud of their historic neighborhood and strive to maintain the appearance and quality of its streets and well-preserved brownstones residences. It is an area filled with wonderful restaurants and quaint shops more sug-gestive of a small town rather than an urban environment. The attractiveness and vitality of the area surprises and delights newcomers who quickly grow to understand why this is considered one of New York City's finest neighborhoods.

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