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Training Environment

Faculty and Leadership Structure Academics Research Teaching

  Varma R, Aronow WS, Basis Y, Singh T, Kalapatapu K, Weiss MB, Pucillo AL, Monsen CE. Relation of bone mineral density to frequency of coronary heart disease.

American Journal of Cardiology 101: 1103-1104, 2008 Lai HM, Aronow WS, Rachdev A, Asija A, Lai KV, George J, McClung JA: Incidence of mortality in 1,040 patients with coronary heart disease or hypertensive heart

disease with normal and abnormal left ventricular ejection fraction and with normal and abnormal QRS duration. Archives of Medical Science 4: 140-142, 2008 Lai HM, Aronow WS, Kruger A, Desai H, Amin H, Frishman WH, Cohen M, Sorbera C: Effect of beta blockers, angiotensin-converting enzyme inhibitors or angiotensin

receptor blockers, and statins on mortality in patients with implantable cardioverter-defibrillators. American Journal of Cardiology 102:77-78, 2008 Tsenovoy P, Aronow WS, Joseph J, Kopacz MS: Patients with infective endocarditis and increased cardiac troponin I levels have a higher incidence of in-hospital

mortality or valve replacement than those with normal cardiac troponin I levels. Cardiology 112:202-204, 2009 Sandhu R, Aronow WS, Rajdev A, Sukhija R, Amin H, Sangha A: Relation of cardiac troponin I levels with in-hospital mortality in patients with ischemic stroke,

intracerebral hemorrhage, and subarachnoid hemorrhage. American Journal of Cardiology 102:632-634, 2008 Lleva P, Aronow WS, Amin H, Sandhu R, D’aquila K: Prevalence of electrocardiographic abnormalities in patients with ischemic stroke, intracerebral hemorrhage,

and subarachnoid hemorrhage. Archives of Medical Science 3:259-262, 2008 Pierre-Louis B, Aronow WS, Palaniswamy C, Singh T, Weiss MB, Kalapatapu K, Pucillo AL, Monsen CE. Prevalence of obstructive coronary artery disease in patients

with diabetes mellitus with and without hypothyroidism. Open Longevity Science 2:104-106, 2008 Singh P, Lai HM, Lerner RG, Chugh T, Aronow WS: Guidelines and clinical use of inferior vena cava filters: a review of an institutional experience. Journal of

Thrombosis and Haemostasis 7: 65-71, 2009 Cronin A, Aronow WS, Devabhaktuni S, Asija A, Varma R, Deluca AJ, Sumers EH, Poplausky MR, Kim PH, Young K, Weiss MB, Belkin RN: Prevalence of incidental

noncardiac findings diagnosed by computer tomography in 875 consecutive patients in an outpatient cardiac computer tomography facility. Archives of Medical Science 4:401-403, 2008

Ramdeen N, Aronow WS, Chugh S, Asija A: Patients undergoing -coronary angiography because of chest pain with hepatitis C virus seropositivity have a higher prevalence of obstructive coronary artery disease than a control group. Archives of Medical Science 4: 452-454, 2008

Pierre-Louis B, Aronow WS, Palaniswamy C, Singh T, Weiss MB, Kalapatapu K, Pucillo AL, Monsen CE. Obstructive coronary artery disease in high risk diabetic patients with and without atrial fibrillation. Coronary Artery Disease 20:91-93, 2009

Dudha M, Lehrman SG, Aronow WS, Butt A: Evaluation and management of cough. Comprehensive Therapy 35: 9-17, 2009 Rajdev A, Aronow WS, Lai H, Ravipati G, DeLuca AJ, Weiss MB, Belkin RN: Comparison of left ventricular ejection fraction by single photon computed tomographic

myocardial perfusion imaging versus coronary computed tomography angiography. Archives of Medical Science 5:28-31, 2009 Kruger A, Aronow WS, Lai H, Desai H, Singla A, Frishman WH, Cohen M, Sorbera C: Prevalence of appropriate cardioverter-defibrillator shocks in 1,038 consecutive

patients with implantable cardioverter-defibrillators. American Journal of Therapeutics Accepted for publication Singh P, Aronow WS, Mellanna WM, Gutwein AH. Prevalence of appropriate management of diabetes mellitus in an academic general medicine clinic. American

Journal of Therapeutics Accepted for publication Tsai F, Aronow WS, Devabhaktuni S, Desai H, Kruger A, Lai HM, Frishman WH, Cohen M, Sorbera C: Prevalence of complications during implantation and during 38-

month follow-up of 1,060 consecutive patients with implantable cardioverter-defibrillators. American Journal of Therapeutics Accepted for publication Kannam H, Aronow WS, Chilappa K, Devabhakturi S, Singh T, Kalapatapu K, Weiss MB, Pucillo AL, Monsen CE: Association of the QRS duration on the resting

electrocardiogram with the severity of coronary artery disease in 2,196 patients undergoing coronary angiography for suspected coronary artery disease. Archives of Medical Science Accepted for publication

Amin H, Aronow WS, Lleva P, McClung JA, Desai H, Gandhi K, Marks S, Singh B: Prevalence of transthoracic echocardiographic abnormalities in patients with ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Archives of Medical Science Accepted for publication

Ravipati G, Aronow WS, Kumbar S, Kumar A, Rapera-Lleva R, Menga G, Weiss MB, McClung JA: Patients with diabetes mellitus with ischemic stroke have a higher hemoglobin A1c level and a higher serum low-density lipoprotein cholesterol level than diabetics without ischemic stroke. Archives of Medical Science Accepted for publication

Pierre-Louis B, Aronow WS, Palaniswamy C, Singh T, Ahn C, Asija A, Weiss MB, Kalapatapu K, Pucillo AL, Monsen CE: Major adverse cardiac event rates at 43-month follow-up after bare-metal stenting versus drug-eluting stenting in patients with ST-segment elevation acute myocardial infarction undergoing thrombolysis and percutaneous coronary intervention. American Journal of Cardiology Accepted for publication

Pierre-Louis B, Aronow WS, Yoon JH, Ahn C, Kalapatapu K, Pucillo AL, Monsen CE: Risk factors for major bleeding and for minor bleeding after percutaneous coronary intervention in 634 consecutive patients with acute coronary syndromes. American Journal of Therapeutics Accepted for publication

Tsai FS, Mellana WM, Aronow WS, Ahn C, Ferraris A, Dudha M, Kalapatapu K, Pucillo AL, Monsen CE: Interhospital transfer of patients with ST-segment elevation myocardial infarction for percutaneous coronary intervention.American Journal of Therapeutics Accepted for publication

Pierre-Louis B, Aronow WS, Yoon JH, Ahn C, DeLuca AJ: Relation of bone mineral density to stress test-induced myocardial ischemia. American Journal of Cardiology Accepted for publication

Palaniswamy C, Singh T, Aronow WS, Ahn C, Kalatapu K, Weiss MB, Pucillo AL, Monsen CE: A planar QRS-T angle >90 0 is associated with multivessel coronary artery disease in patients undergoing coronary angiography. Archives of Medical Science Accepted for publication

Dudha M, Lehrman SG. Aronow WS, Rosa J: Hemoptysis: diagnosis and treatment. Comprehensive Therapy Accepted for publication

Gandhi K, Aronow WS, Dudha M, Lehrman SG: Hemoptysis in a patient with tracheopathia osteochondroplasia. Comprehensive Therapy Accepted for publication

Chilappa K, Aronow WS, Rajdev A, Ahn C, Kalapatapu K, Pucillo AL, Monsen CE: Mortality at 60-month mean follow-up in 2,057 patients with coronary angiographic evidence of no coronary artery disease, nonobstructive coronary artery disease, and revascularized obstructive coronary artery disease of 1, 2, and 3 major vessels. Archives of Medical Science Accepted for publication

Desai H, Aronow WS, Tsai FS, Ahn C, Lai HM, Amin H, Gandhi K, Frishman WH, Cohen M, Sorbera C: Statins reduce appropriate cardioverter-defibrillator shocks and mortality in patients with heart failure and combined cardiac resynchronization and implantable cardioverter-defibrillator therapy. Journal of Cardiovascular Pharmacology and Therapeutics Accepted for publication

Sukhija R, Aronow WS, Palaniswamy C, Singh T, Ahn C, Kalapatapu K, Pucillo AL, Sorbera C, Kakar P, Weiss MB, Monsen CE: Major adverse cardiac events at long-term follow-up in patients treated with single versus multiple stents during single vessel percutaneous coronary intervention. Journal of Interventional Cardiology Accepted for publication

Sukhija R, Aronow WS, Palaniswamy C, Simgh T, Kalapatapu K, Mohan D, Chaturvedi B, Pucillo AL, Sorbera C, Kakar P, Weiss MB, Monsen CE: Major adverse cardiac events in patients with moderate to severe renal insufficiency treated with sirolimus-eluting stents versus paclitaxel-eluting stents. Submitted for publication

Sekhri A, Aronow WS, Palaniswamy C, Ahn C, Singh T, Sandhu R, McClung JA, Lerner RG: Warfarin use may increase the prevalence of valvular calcification. Submitted for publication

Desai H, Aronow WS, Ahn C, Tsai FS, Lai HM, Gandhi K, Amin H, Frishman WH, Kalapatapu K, Cohen M, Sorbera C: Incidence of appropriate cardioverter-defibrillator shocks and mortality in patients with heart failure treated with combined cardiac resynchronization plus implantable cardioverter-defibrillator therapy versus implantable cardioverter-defibrillator therapy. Submitted for publication

Lai HM, Aronow WS, Kalen P, Adapa S, Patel K, Goel A, Vinnakota R, Chugh S, Garrick R: Incidence of thromboembolic stroke and of major bleeding in patients with atrial fibrillation in patients with chronic kidney disease treated with and without warfarin.Submitted for publication.

Sekhri A, Aronow WS, Sekhri V, Palaniswamt C, Chandy D: A prospective study of treatment of 98 consecutive patients with supraventricular tachyarrhythmias in an academic medical intensive care unit. Submitted for publication

Desai H, Aronow WS, Ahn C, Gandhi K, Amin H, Lai HM, Tsai F, Sharma M, Babu S: Incidence of perioperative myocardial infarction and of 2-year mortality in 577 patients undergoing noncardiac vascular surgery treated with and without statins. Submitted for publication

Pierre-Louis B, Aronow WS, Yoon JH, Ahn C, DeLuca AJ, Weiss MB, Kalapatapu K, Pucillo AL, Monsen CE: Incidence of myocardial infarction or stroke or death at 47-month follow-up in patients with diabetes and a predicted exercise capacity ≤85% versus >85% during an exercise treadmill sestamibi stress test. Submitted for publication

Department LeadershipDepartment Leadership

William H. Frishman, M.D., M.A.C.P.William H. Frishman, M.D., M.A.C.P.– Chairman, Department of MedicineChairman, Department of Medicine

Stephen J. Peterson, M.D., M.A.C.P.Stephen J. Peterson, M.D., M.A.C.P. Executive Vice Chair, Department of MedicineExecutive Vice Chair, Department of Medicine Chief, Section of Internal MedicineChief, Section of Internal Medicine

Stephen E. Moshman, M.D., F.A.C.P.Deputy Program Director, Clerkship DirectorDirector of Clinical Skills Education

Arif Mumtaz, M.D. FACP; Associate Section Chief; Chief of Hospitalist Division

Sachin Sule, M.D., F.A.C.P.Senior Associate Program DirectorAssociate Director for Clinical Skills Education

Gary Stallings, M.D.Associate Program Director

Tushar Shah, M.D.Associate Program DirectorDirector for Evidence Based Medicine Education

Melissa Gennarelli, M.D.Associate Program DirectorDirector for Hospital Medicine Education

Eric Wold, M.D.Associate Program DirectorDirector for Ethics and Co-Director for EBM Education

Leanne Forman, M.D.

Associate Program DirectorDirector for Outpatient Education

Associate Director for Hospital Medicine Education

Christine Carosella, M.D.Associate Residency Program Director, Director of Ambulatory Training in

Private Practice; Director of Medicine Sub-Internship

Chris Nabors, MD, PhD Associate Program Director

One of 17 programs in the country selected by the ACGME in Phase 1 to re-define Medical Education for Internal Medicine (there are now 21 total)

Flexibility to create a training program that emphasizes the knowledge, skills and attitudes in the 6 core competencies for physicians of the 21st century

In 2005, the Residency Review Committee for Internal Medicine (RRC-IM) developed the Educational Innovations Project (EIP) to reform internal medicine accreditation and foster residency training innovation

Integration of events reporting with call duties

Code 99

Rapid Recognition Event

Unexpected transfer to ICU

CMMS Never Event

Fall

Non-fall related injury

Procedure-related complication

Surreptitious medication/intoxicants usage

Lack of proper resources that interferes with patient care

Unexpected intubation or extubation

Patient elopement or AMA departure

New significant neurological symptoms

Transportation delays or issues

Transfusion reaction

New Pressure sores

Nosocomial infection

Other

Westchester Medical Center is the Regional Tertiary Care CenterFor the Entire Hudson Valley Region of New York

more than 700 transfers per month

Cardiology/Cardiothoracic Surgery – Busiest cath lab in NY

Oncology – One of the largest Bone Marrow Transplant centers in NY

Neurosciences – Designated stroke center

Transplant Center – Liver, Kidney, Heart, Pancreas, Bone Marrow

Level I Trauma Center – Only one in the region

Women’s and Children’s Center

Training Level Positions

PGY-1 Preliminary 14PGY-1 Categorical 14PGY-2 Categorical 14PGY-3 Categorical 14

Total 59

Chief Residents 3

PGY1 $54,094$55,175 $56,279

PGY2 $58,898$60,076 $61,277

PGY3 $64,353$65,640 $66,953

CIR ensures that pay goes up every 6 months!

•Books and Equipment - $500/year

• Conference - $700 (PGY 1) and $1500 (PGY 2 and 3)

• Optical - $100/year (also available for the spouse)

• Lawyer privileges for immigration issues/wills

• Medical insurance/Medication reimbursement

• Life insurance

• Disability

i-touches for sign-out system

Schedule PGY-I

3 ½ months Medicine/Specialty floors

2 months Intensive Care Unit

1 ½ month Elective

1 ½ months Night Float

1 month Ambulatory Clinic (Prelim’s do Step-Down unit)

1 month Vacation

1 Month ER

2 weeks Quality Improvement Rotation

Elective Rotations

Schedule PGY II

3 months Medicine

1 ½ months Medicine Specialty Floor (Liver/Onc)

2 months Elective

1 month CCU

1 month Night Float

1 month Ambulatory Clinic

1 month Ortho / Psych Consults

1 month Vacation

2 weeks Quality Improvement Rotation

PGY III

6 months Electives

1 month Ambulatory Clinic

1 ½ months ICU

1 month ICU Night Float

1 month ER

1 month Vascular/Medicine Consults

1 month Vacation

Comprehensive daily conference series including noon conference, grand rounds, journal club, humanities, and ethics conferences – all run by our faculty

Daily resident report, and weekly intern report - run completely by our Program and Department Leadership

Clinical Teaching - Physical Diagnosis Focus: at the bedside with Dr. Sule during Night Float and with Dr. Moshman at the Harvey

Code simulation training just before ICU/CCU rotations

Typical Noon Conference MonthNovember 2009

November 2009Sunday Monday Tuesday Wednesday Thursday Friday Saturday

1 2ThyroidDr. Mogul

3 Holiday 4Grand Rounds 5Thrombocytopenia Dr. Lerner

6 COPDDr. Macquire

7

8 9Dysarythmias IDr. Sorbera

10Hep CDr. Lebovics

11 HOLIDAY 12 ERDr. Jarvis

13 DermatologyDr. Schliftmann

14

15 16TuberculosisDr. Dhand

17 M&M Conference 11:30-1pmChildrens Hospital

18Grand Rounds 19HumanitiesArvind Goel

20Dysarythmias IIDr. Sorbera

21

22 23House Staff Meeting

24 Journal ClubFarrah Gutwein

25Grand Rounds 26 HOLIDAY 27HOLIDAY 28

29 30Fellow PANEL on ABIM Pgy3’s only

         

A Typical Day on the Floors

7:30 AM Sign-in

8:00 AM Team Rounds

10:00 AM Hospitalist Team Bedside Rounds

11:00 AM Attending Teaching Rounds (Weekly Chairman Rounds)

12:00 PM Noon Conference/Grand Rounds

1-4:30 PM Time to do work (weekly Continuity Clinic for categorical)

4:30-5 PM Staggered eSign-out Rounds

Number of FellowsNumber of Fellows

CardiologyCardiology

Interventional CardiologyInterventional Cardiology1212

11

GastroenterologyGastroenterology 77

Pulmonary/Critical CarePulmonary/Critical Care 66

NephrologyNephrology 55

Hematology/OncologyHematology/Oncology 88

Infectious DiseasesInfectious Diseases 44

EndocrinologyEndocrinology 33

RheumatologyRheumatology 22

Past 5 years of Fellows

CardiologyWestchester Medical Center

(many), University of Arkansas Medical Sciences, Montefiore Medical Center, Lexington University, Danbury Hospital

GastroenterologyWestchester Medical Center

(many)Pulmonary/Critical Care

Westchester Medical Center (many), Brigham and Women’s Hospital

NephrologyWestchester Medical Center

(many)Hematology/Oncology

Westchester Medical Center (many), Yale University, Duke University Hospital, Mayo Clinic

Endocrine, Washington Hospital CenterWestchester Medical Center

(many), UMass Memorial Medical Center, Nassau University Medical Center, Yale, Tulane

RheumatologyWestchester Medical Center

(many)Pain and Palliative Care –

Memorial Sloan Kettering Infectious DiseaseInfectious Diseases

Tufts Medical Center, Mount Sinai Hospital, Montefiore Medical Center

GeneticsEmory

Geriatrics Hannepin County Medical

Center