Internal Medicine

Welcome

The mission of the Nassau University Medical Center’s Internal Medicine Residency Program is to train the future leaders of internal medicine and its subspecialties in a superior academic environment of diverse clinical and research opportunities. We invite you to join our team of faculty, house staff, and healthcare professionals, who are dedicated to providing an optimal teaching environment while delivering top-notch, compassionate care to a diverse group of patients. With these opportunities you will be well-prepared for a myriad of careers whether you decide on academic medicine or a clinical practice. Furthermore, the training exposes you to all of the subspecialties and prepares you for highly competitive academic fellowships if that is the path you choose.

Faculty members provide a vibrant environment where cross-fertilization of ideas is the norm, and they teach all of us to learn the mechanism of disease and thus become thoughtful investigators and practitioners. You also will learn a great deal from your colleagues in the residency since our house staff is made up of a highly select group of talented trainees. Additionally, our location affords you many opportunities for recreational activities. From culture and art to the nearby water and mountains, you will have all of the essential ingredients for a full life with friends, loved ones, patients, and colleagues.

We are delighted to introduce you to our residency training program. We are quite proud of our residents and believe that we can offer you an exciting, well-rounded and challenging experience that will serve you well in your future endeavors.

Paul Mustacchia MD, MBA, FACP
Chairman, Department of Medicine
Chief and Program Director, Division of Gastroenterology
Assistant Professor of Medicine, SUNY at Stony Brook

Prachi Anand, MD, FACP
Program Director, Internal Medicine
Chief of Rheumatology
Assistant Professor of Medicine, SUNY at Stony Brook
Associate Clinical Professor, NYCOM
Clinical Professor, American University of the Caribbean

Program Description

NuHealth has a long history of training medical residents. The challenging and comprehensive training program is dually accredited by the Accreditation Council of Graduate Medical Education (ACGME) and the American Osteopathic Association. The medical center is also a clinical campus of SUNY at Stony Brook and has major affiliation with the New York College of Osteopathic Medicine and the American University of the Caribbean. Students from these institutions rotate through the Department of Medicine and work on medical floors and in units under the supervision of medical residents and attendings. On the inpatient side, the “hospitalist” model is followed so that each medical team has only one attending physician on record. This allows for excellent continuity of care and comprehensive clinical experience for the medical residents. With over 10,500 admissions to the Department of Medicine’s assigned beds and lots of “hands on” opportunities, graduating residents are well-trained in all aspects of General Medicine.

THE 4 + 1 SYSTEM
Internal Medicine has incorporated the “4 +1 system”. This enables non-conflicting inpatient and outpatient responsibilities. In this system, the year is divided into 10, five-week blocks; the first four weeks of every block are devoted to wards, electives or ICU/ER rotations. The last week of the block is assigned to ambulatory clinics (i.e., continuity clinics). Residents would NOT be going to outpatient clinics during their inpatient rotation and vice versa.

MEDICAL FLOORS/HOSPITAL MEDICINE
This division provides primary and general medical care on a consultative or ongoing basis. The division specializes in the diagnosis and management of complex internal medicine disorders, including acute and chronic multisystem disease. Treatment planning, coordination, and follow-up are provided. Medical Floor teams are organized by hospitalist teams, allowing improved communication and patient care. Each team consists of one resident and two interns and 1-2 medical students. In keeping with national guidelines and to maximize the learning environment, the goal is for each team to be responsible for a maximum of 20 patients. Integrated health care, often referred to as interdisciplinary health care, is an approach characterized by a high degree of collaboration and communication among health professionals. Interdisciplinary rounds run by senior residents under supervision of attendings are held daily on the floors.

AMBULATORY BLOCK & CONTINUITY CLINIC (OMNI)
Residents obtain outpatient experiences in all medical sub-specialties as well as office gynecology, orthopedics, otolaryngology, physical medicine and rehabilitation and ophthalmology. Residents are assigned to a continuity clinic week; this is the fifth week of 4+1. This experience is designed to produce a true continuity of care/longitudinal exposure, such that patients are able to identify the house officer as his/her doctor facilitating a lasting doctor-patient relationship. A remarkable variety of diagnoses, pathology and patient demographics are strengths of the program. New Ambulatory Center is scheduled to open in the fall 0f 2015 as the training site supported by large number of activities undertaken for the Hospital-Medical Home grant, many centering on the transformation of our resident primary care teaching clinics to Patient Centered Medical Homes. Enhancements have been made to the electronic health record to facilitate data capture and reporting. Patient navigation staff has been added and sites transformed to team based care. Resident-attending teams are in place to enhance continuity. PCMH concepts have been incorporated into residency training via didactic sessions/training and revision of the residency curriculum.

GERIATRICS
Senior Residents spend a four-week block in Geriatrics Rotation at the A Holly Patterson Extended Care Facility in Uniondale, NY. This Nursing Home is one of the largest in NY State and is also run by NuHealth. Residents work under the supervision of a Board-certified Geriatrician, rotating through some of the specialized units including dementia, wound care, rehabilitation and HIV units. In addition, residents have an opportunity to attend a busy dermatology clinic.

ELECTIVES
Elective time may be spent with any of the Internal Medicine subspecialty consultative services. During this block, the resident will see in-patient consultations as well as patients referred to that particular specialties’ outpatient practice. These clinical and accompanying didactic experiences are performed under the supervision and guidance of the faculty of the various sub-specialty divisions of the Department of Medicine. House staff may also select to perform clinical research projects under the mentorship of experienced faculty during a portion of their elective time which is available in Endocrinology, Rheumatology, ID, GI, Renal, Cardiology, Oncology and Critical Care.

CONSULTATION SERVICE
Third year residents serve as medical consultants to the full spectrum of surgical and non-surgical specialties. Under the supervision of an attending, a wide variety of pre and post-operative clinical questions are addressed in both the inpatient and outpatient setting. The service staffs a pre-operative ambulatory clinic. Non-operative questions allow the resident to experience Internal Medicine as a specialty service, along the line of the “master diagnostician”.

PULMONARY & CRITICAL CARE
The Division of Pulmonary and Critical Care Medicine provides a wide range of consultative services, regular follow ups, and a large number of therapeutic services for patients with pulmonary and sleep disorders. The division supports an AOA accredited three year Fellowship. In addition, the division plays a major role in providing care to critically ill patients in Medical Intensive Care Unit (MICU). The division also provides services on Pulmonary Care Unit (PCU), which is a unit for chronic ventilator dependent patients who need weaning. The hospital has one of the best weaning units in the area. Specific clinical services include daily pulmonary consultative service, twice-weekly chest clinics, and daily clinical and teaching rounds in MICU, PCU and during consultations. The wide spectrum of pathology seen at this hospital serves as a solid foundation for our clinical education curriculum. In addition to our didactic lecture series, the division has weekly teaching conferences where medical students and residents take active part. The faculty is highly trained in various interventional procedures like Bronchoscopy with TBNA, and its other related procedures, ultrasound use in MICU, reading polysomnographic studies, and other common MICU procedures. A hands-on training is provided to procedures under constant supervision.

RHEUMATOLOGY
The Division of Rheumatology provides a wide range of consultative and therapeutic services for patients with rheumatic and autoimmune disorders through active outpatient and inpatient services. Specific clinical services include weekly Arthritis and Lupus/Connective tissue disease clinics. Nassau University Medical Center integrated Rheumatology fellowship with Winthrop-University Hospital strives to produce well-trained consultants in rheumatic and immunological disorders. The wide spectrum of pathology serves as a foundation for our clinical educational curriculum. Our didactic basic science enhances the clinical curriculum by emphasizing the pathophysiology and immunology of rheumatic diseases and by encouraging creative approaches to the diagnosis and therapy of rheumatic disorders.

EMERGENCY ROOM
Residents play an active role in the busy state of the art medical emergency room for one block during their three years of training. All patients are first seen by a resident and are then presented to the supervising attending. Management and disposition are discussed. During the four-week rotation, the resident will experience day and night shifts, refining judgment and abilities in acute management of illness as well as admission decision-making.

ALLERGY & IMMUNOLOGY
The Division of Allergy & Immunology provides comprehensive outpatient patient care & consultation for cases with extensive allergic, immunologic-diagnostic problems, along with teaching and assistance with clinical research projects. These areas include patients with asthma, allergic rhinitis, sinusitis and other allergic and immune disorders, including anaphylaxis, food, drug, skin, insect allergy, mast cell disorders, and immunodeficiencies. The Division hosts an Annual CME Allergy Immunology Symposium, offers a basic and clinical science course, assists residents in clinical and basic science projects and has an ECRIP NYS fellowship opening related to clinical asthma for 2010.

GASTROENTEROLOGY & HEPATOLOGY
The division offers a full array of diagnostic and therapeutic procedures for disorders of the gastrointestinal system including diseases of the esophagus, stomach, small bowel, colon and rectum as well as the liver, gallbladder, and pancreas. Commonly treated problems are peptic ulcer disease, gastroesophageal reflux (GERD), inflammatory bowel disease, colonic polyps, gallstone disease, acute and chronic liver disease, gastrointestinal bleeding, colon cancer screening and motility disorders of the esophagus, stomach and colon. The division supports an ACGME accredited three year Fellowship.

ENDOCRINOLOGY
The Endocrinology division at NUMC offers consultation in the diagnosis and treatment of diabetes mellitus, thyroid, bone, pituitary and adrenal disorders. The faculty is diverse, with particular expertise in treating patients with thyroid disease and diabetes mellitus. The division provides inpatient consultation and ambulatory care facilities. A close association is maintained with pediatric and reproductive endocrinology and surgery. The fellowship program is a comprehensive sub-specialty program designed to produce outstanding clinical endocrinologists. The division supports an ACGME accredited two year Fellowship.

INFECTIOUS DISEASES
The ID section offers consultation in the diagnosis and treatment of infectious diseases of all types. Particular expertise is available for travel related diseases and the occurrence of parasitic or unusual infections. The division was the first Designated AIDS Center (DAC) on Long Island and continues as a leader in the field. Other areas of interest include tuberculosis and the management and administration of antibiotics as well as emerging infections.

HEMATOLOGY / ONCOLOGY
The hematology section offers consultation in the diagnosis and treatment of all types of blood disorders. Areas of interest include hemoglobinopathies, such as sickle-cell disease, myelodysplasias, leukemias, lymphomas and bone marrow failure. The clinical oncology section provides comprehensive diagnosis, staging, and treatment services to cancer patients. Particular expertise is available in the areas of breast cancer, lymphoma, colon cancer and HIV associated malignancies. The division supports an AOA accredited three year Fellowship.

CARDIOLOGY
Residents rotating through the CCU, telemetry, and cardiology consults receive training and supervised experience in the evaluation and management of a wide variety of patients with acute and chronic cardiovascular conditions. They will become proficient in all aspects of cardiovascular disease including chronic coronary heart disease, congestive heart failure, arrhythmias, acute myocardial infarction and other acute ischemic syndromes, lipid disorders, hypertension, cardiomyopathy, valvular heart disease, pulmonary heart disease, as well as peripheral vascular disease. Residents will develop and demonstrate competence in basic and clinical knowledge, procedural skills, clinical judgment, professionalism and interpersonal skills required as an internist. The breadth of pathology seen here at NUMC provides a substantial foundation for the development of an advanced understanding of cardiac disease. The division supports an AOA accredited three year Fellowship.

NEPHROLOGY / HYPERTENSION
The division offers a wide range of expertise in the diagnosis and treatment of renal and hypertensive disorders. The diagnosis of these conditions is facilitated by extensive experience in performing and interpreting ultrasound guided renal biopsies, urinalysis and immunologic studies. The division also runs a new, state-of-the-art hemodialysis center. The division supports an ACGME accredited two year Fellowship.

NEUROLOGY
Department of Neurology provides comprehensive neurological care to adults with brain, spine and neuromuscular disorders. Inpatient and outpatient consultative, as well as continuity of care and neurodiagnostic services like EEG, EMG and Evoked Potentials are performed. Residents and students participate in evaluations and management of conditions like stroke, seizure, coma, neuropathy, Parkinson’s disease, multiple sclerosis, backache, etc., under the supervision of staff neurologist. Didactic weekly lectures are held to enhance clinical experience in addition to bedside teaching.

Internal Medicine Program Leadership

Paul J. Mustacchia, MD, MBA, FACP
Chairman Department of Medicine
Chief & Program Director Gastroenterology
Assistant Professor of Medicine, SUNY at Stony Brook

Prachi Anand, MD, FACP
Program Director, Internal Medicine
Associate Chair, Education
Chief of Rheumatology
Assistant Professor of Medicine, SUNY at Stony Brook
Associate Clinical Professor, New York College of Osteopathic Medicine
Clinical Professor, American University of the Caribbean

Vincent Cappello, MD
Associate Residency Program Director
Clinical Assistant Professor of Medicine, New York College of Osteopathic Medicine

Walter Chua, MD
Associate Program Director of Internal Medicine
Associate Fellowship Director of Pulmonary Critical Care

Sofia Rubinstein, MD, MS, FACP
Associate Residency Program Director
Associate Chair, Research
Associate Professor of Clinical Medicine, SUNY at Stony Brook
Associate Program Director, Nephrology Fellowship

Roman Zeltser, MD, FACC
Program Director, Osteopathic Internal Medicine Residency
Associate Chairman, Cardiology
Assistant Professor of Cardiology Hofstra North Shore-LIJ School of Medicine

Susan Bunting, C-TAGME
Residency Program Coordinator

Divisions of Internal Medicine

ALLERGY/IMMUNOLOGY

Marianne Frieri, MD, PhD
Chief, Allergy/Immunology
Professor of Medicine & Pathology, SUNY at Stony Brook

AMBULATORY MEDICINE

Chris Elsayad, MD, FACP
Clinical Associate Professor in Medicine, New York College of Osteopathic Medicine
Instructor of Clinical Medicine, SUNY at Stony Brook
Clinical Associate Professor in Medicine, American University of the Caribbean

Anjum Maqbool, MD
Ambulatory Attending Physician

Vilma Vas, MD
Ambulatory Attending Physician

ENDOCRINOLOGY, DIABETES AND METABOLISM

Salini C. Kumar, MD, FACE, FACP, ABOM
Program Director, Division of Endocrinology
Assistant Clinical Professor St. John’s University College of Pharmacy and Allied Health Professions

David Rosenthal, MD

Alice Lee, MD

GASTROENTEROLOGY

Paul J. Mustacchia, MD, MBA, FACP
Chairman Department of Medicine
Chief & Program Director Gastroenterology
Assistant Professor of Medicine, SUNY at Stony Brook

Kaleem Rizvon, MD FACP FACG
Director of Endoscopy and Associate Chief of GI
Clinical Associate Professor of Medicine, SUNY at Stony Brook
Clinical Associate Professor of Medicine, New York College of Osteopathic Medicine

Prakash Viswanathan, MD
Associate Program Director, Gastroenterology Fellowship
Clinical Assistant Professor in Medicine, New York College of Osteopathic Medicine

HEMATOLOGY/ONCOLOGY

Alida Podrumar, MD
Chief & Fellowship Director, Hematology/Oncology Osteopathic Fellowship

Asmat Ullah, MD

HOSPITAL MEDICINE

Jose O. Mejia, MD, FACP, FCCP
Associate Chair of Clinical Services
Chief, Division of Hospital Medicine

Samia Qazi, MD
Assistant Professor of Clinical Medicine, SUNY at Stony Brook
Clinical Assistant Professor of Medicine, New York College of Osteopathic Medicine
Clerkship Director, 3rd Year Students, SUNY at Stony Brook

Nita Kaul, MD
Attending Physician, Hospital Medicine
Assistant Professor of Clinical Medicine, SUNY at Stony Brook

Dovile Kulakauskiene, MD
Attending Physician, Hospital Medicine

Sethu Muralidharan, MD
Attending Physician, Hospital Medicine

Leonid Rankov, MD
Attending Physician, Hospital Medicine

Jaswinder Singh, MD
Attending Physician, Hospital Medicine

INFECTIOUS DISEASES

Janice Verley, MD, FIDSA
Chief of Infectious Diseases
Assistant Professor of Clinical Medicine, SUNY at Stony Brook

Shadab H. Ahmed, MD, FACP, FIDSA
Professor of Clinical Medicine, SUNY at Stony Brook

Tabassum Yasmin, MD
Assistant Professor of Clinical Medicine, SUNY at Stony Brook

PULMONARY CRITICAL CARE

Javed Iqbal, MD, MPH, FACP, FCCP
Chief, Pulmonary Critical Care Medicine
Clinical Assistant Professor of Medicine, New York College of Osteopathic Medicine

Jagadish Akella, MD, FCCP
Assistant Program Director, Pulmonary/Critical Care Osteopathic Fellowship
Clinical Assistant Professor in Medicine, New York College of Osteopathic Medicine

Artur Alaverdian, MD
Program Director, Pulmonary/Critical Care Osteopathic Fellowship
Site Director, 3rd Year Medical Student Clerkship, Stony Brook School of Medicine
Clinical Assistant Professor of Medicine, New York College of Osteopathic Medicine

NEPHROLOGY

Leah Balsam, MD, FACP
Chief & Program Director, Nephrology
Professor of Clinical Medicine, SUNY at Stony Brook

Sofia Rubinstein, MD, MS, FACP
Associate Residency Program Director, Associate Chair, Research
Associate Professor of Clinical Medicine, SUNY at Stony Brook
Associate Program Director, Nephrology Fellowship

Zae Kim, MD
Co-Director, Medical Student Clerkship, American University of the Caribbean

RHEUMATOLOGY

Prachi Anand, MD, FACP
Program Director, Internal Medicine
Associate Chair, Education
Chief of Rheumatology
Assistant Professor of Medicine, SUNY at Stony Brook
Associate Clinical Professor, New York College of Osteopathic Medicine,
Clinical Professor, American University of the Caribbean

Gary Rosenblum, DO

Conferences

  • Resident Morning Report: Daily 8-9 AM
  • Journal Club: Twice a month
  • Grand Rounds: 1x/week, Tuesday at 12 PM (September through May)
  • Noon Conferences: Daily ( covers the IM Core Curriculum and includes)
  • Medical Debates
  • Morbidity/Mortality/Pathology Conference
  • Continued quality improvement conference
  • Senior Resident Lectures
  • Board review lectures
  • Hospitalist lectures
  • Special conferences*

*Covered topics include: Bioethics, preventive medicine, medical informatics, critical assessment of the medical literature, clinical epidemiology, biostatistics, health law, pain management, end-of-life care, and medical economics, care of patients/families in terms of substance abuse, domestic violence and adolescent medicine, career planning.

 

Contact Us

Susan Bunting, C-TAGME
Residency Program Coordinator
Telephone: (516) 572-6501
Email: sbunting@numc.edu

Other Important Information

80 Approved positions:

  • PGY1: 34 (23 Categorical/11 Preliminary)
  • PGY2: 23 categorical Residents
  • PGY3: 23 categorical residents
  • Chief Residents: 3 PGY4 Residents
  • Faculty: We have teaching faculty in all medical sub-specialties.
  • Received a maximum of 10 years accreditation from ACGME.
  • Diverse pathology is the foundation of the curriculum.
  • Teaching Hospitalist model in inpatient services.
  • Continuity clinic blocks with resident groups provide optimum outpatient experience.
  • Procedure team made of attending and resident, residents perform ABIM required procedures under attending supervision.
  • Residents are also part of teams such as Rapid Response Team and Code Team.
  • Annual resident Research day is modeled after the ACP competition, Over 50 posters in various categories were displayed at the last Research day. The top 3 posters are submitted to the Hospital Research day.
  • Resident representation in ACP and other renowned organizations.
  • Conferences include daily noon lecture to cover the core curriculum. Daily morning report covers all specialties.
  • Grand Rounds are held weekly, cover wide topics which are competency based.
  • Special conferences include Journal clubs, Debates, Morbidity and Mortality, Continued Quality improvement, Board review sessions and Medical jeopardy.
  • Social activities throughout the year such as welcome BBQ, attending-resident Soccer match, Halloween party, Holiday party and Graduation party.
  • Long Island location is prime, suburbs of NYC, safe and friendly environment. Easy access to beaches, malls, Nassau Coliseum and Manhattan!