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Winthrop University Hospital

Obstetrics & Gynecology Residency Program

"Winthrop's Ob/Gyn Program is committed to creating and sustaining an optimal educational environment for acquiring knowledge, developing technical skill and fostering sensitivity toward women and their families."

Message from the Chairman


Dr. Anthony Vintzileos
Chairman, Dept of Obstetrics and Gynecology
Winthrop-University Hospital
259 1st Street
Mineola, NY 11501

Winthrop-University Hospital has had an abiding commitment to women's healthcare since the early part of this century, when it became the first Long Island hospital to establish a separate pavilion for women. The Department of Obstetrics and Gynecology has supported and sustained that focus. Our resolve to provide residents with the finest education and training experience is second only to our commitment to provide women with exceptional patient care.

The faculty and staff are committed to creating and sustaining an optimal educational environment for acquiring knowledge, developing and honing technical skill, and fostering sensitivity toward women and their families. We pride ourselves on selecting house staff members who are energetic, enthusiastic, diligent and dedicated to providing unparalleled patient care.

Our goal is to train physicians to be excellent clinicians with the ability to continue learning and advancing so they always remain outstanding practitioners. However, in this very challenging healthcare environment, we also focus on helping them prepare for a successful medical practice. Our broad-scoped opportunities meet the academic and clinical needs of primary care obstetricians and gynecologists, as well as those who choose to become subspecialists.

We appreciate your interest in our residency training program and invite you to visit us, evaluate our program and explore the many opportunities that await you at Winthrop.

Introduction & Philosophy

The belief that learning is not a finite experience, but rather a life-long continuum, is the fundamental educational principle of the Department of Obstetrics and Gynecology. Therefore, the Ob/Gyn training program provides a broad learning experience in the current standards of patient management and in the most up-to-date advances.

The department strives to teach each resident to become a compassionate, supportive, competent and ethical physician and primary care provider for women. In reaching these objectives the program provides increasing levels of responsibility, appropriate supervision, formal instruction, counseling and critical evaluation for each resident while never losing sight of each resident's individuality.

The program strives to enhance the educational experience by providing a comprehensive didactic program and an active research environment. The program maintains an environment of academic inquiry and scholarship. Residents obtain the skills and knowledge to serve as an educator and consultant to patients, colleagues and medical students.

The program teaches comprehensive patient assessment and management, as well as when to call on subspecialty expertise. While reaching the program objectives the resident will acquire the knowledge, skills and approach to pass both written and oral ABOG examinations, become a Diplomat of the ABOG, and a valued member of the profession.

Mission Statement

The mission of Winthrop University Hospital’s obstetrics and gynecology residency program is to produce physicians who are well-versed in all aspects of women’s health. We accomplish this by promoting lifelong learning and research, staying at the forefront of technology, emphasizing the education of residents and medical students, and advancing Winthrop University Hospital’s status as a leader in compassionate and culturally-competent women’s healthcare.

kinzler kinzler
Wendy Kinzler, MD
Residency Program Director
Department of Ob-Gyn
Peter Finamore, MD
Assistant Program Director
Department of Ob-Gyn

Program At-A-Glance

  • An independent four-year approved residency program with five residents per year
  • Competitive salaries and benefits, subsidized housing on the hospital campus, and 24-hour hospital support services
  • A three-year Maternal-Fetal Medicine fellowship program and a one-year Hospitalist fellowship program
  • A large, diverse patient population with approximately 5000 deliveries and more than 4000 gynecologic procedures per year
  • All training and education on site through the many resources available at Winthrop
  • Full time faculty actively involved in research and well-published in major peer review journals
  • Competitive placement of residents in postgraduate fellowships and private practice
  • Winthrop Women’s Wellness, a modern private practice center run by the residents for ambulatory patient care
  • 13-dome_room
    The New Life Center with 16 delivery suites, special monitoring rooms equipped with advanced computerized technology and programs for high-risk patients. The center houses the Conference Center and Ob/Gyn Resident Educational Resource Center comprising the resident library, lecture facility, training videos and other educational materials
  • 13-dome_room
    The Winthrop Research Institute, currently under construction, is a $95 million, 95,000 square foot, five story state-of-the-science center which will centralize Winthrop’s investigative endeavors under one roof. The institute includes laboratories, a clinical trial center and classrooms for our Stony Brook medical students.
    http://www.winthrop.org/newcentertour/give/
  • Our brand new comprehensive simulation center allows residents to develop surgical skills using virtual hysteroscopy and laparoscopy. The center also houses high-technology mannequins including Laedral SimMom and SimBaby, with which the residents can practice teamwork and leadership in monthly obstetrical drills.

Organization of the Department

Winthrop-University Hospital is one of the region's leading healthcare resources. It is a tertiary care teaching hospital with 591 beds that include a Level III NICU Referral Center, one of the 18 Regional Perinatal Centers in New York State. Winthrop also features a Category I Cancer Center, a Level I Trauma Center , a Regional Poison Control Center, and cardiac and pulmonary programs that have received outstanding ratings. Winthrop-University Hospital is a recipient for the Five-Star Award for Maternity Care, Women’s Health, and Gynecological Surgery. Winthrop is also ranked among the top 5% in the nation for Women’s Health and among the top 10% for gynecological surgery. We were placed among the best regional hospitals for gynecology by US News & World Report for 2013-14.

The Department of Obstetrics & Gynecology serves patients from all of Nassau County, as well as Eastern Queens and parts of Western Suffolk County. The department includes 27 full-time faculty and approximately 80 voluntary attending physicians. The faculty is actively involved in teaching, supervision, research and patient care and administration. Approximately 5000 deliveries, 2000 major and 3000 minor gynecologic surgeries are performed annually. All obstetric and gynecologic patients are teaching cases and are available to the residents for such purposes.

The New Life Center includes 16 labor and delivery suites, 6 triage rooms, three operating rooms and a level III NICU. The operating and recovery rooms are designated solely for c-sections and obstetrical procedures. Over 8000 triage visits are made to the triage unit at the New Life Center and approximately 12,000 surveillance tests and ultrasound scans are performed at the division's ultrasound lab.

Resident Rotation Schedule

Our schedule is divided into ten 5-6-week blocks per year
  • PGY-1:
    • Obstetrics- 2 blocks
    • Gynecology- 3 blocks
    • Night float- 2 blocks
    • Triage- 1 block
    • Ultrasound- 1 block
    • Surgical ICU- 1 block
  • PGY-2
    • Obstetrics- 2 blocks
    • Gynecology- 2 blocks
    • Night float- 2 blocks
    • Gyn Oncology- 2 blocks
    • Maternal Fetal Medicine- 1 block
    • Reproductive Endocrinology & Infertility- 1 block
  • PGY-3*
    • Obstetrics- 1 block
    • Gynecology- 1 block
    • Night float- 2 blocks
    • Maternal Fetal Medicine- 2 blocks
    • Reproductive Endocrinology & Infertility- 2 blocks
    • Urogynecology- 1 block
    • Robotic Surgery-1 block
  • PGY-4
    • Obstetrics- 3 blocks
    • Gynecology- 2 blocks
    • Night float- 1 block
    • Gyn Oncology- 2 blocks
    • Robotic Surgery- 1 block
    • Urogynecology- 1 block

*During the PGY-3 year, residents may arrange an elective rotation for one block.

Our work schedule adheres to the ACGME guidelines in which work hours are restricted to an average of 80 hrs/wk or less over a 4 week period, inclusive of all in-house call activities. Night Float allows residents to work from Sunday night-Friday morning with weekend coverage provided by a team of 3 residents. An in-house attending physician is available 24/7 for direct supervision and consultation, as needed.

Obstetrics

Junior residents (PGY-1 and 2) are responsible for the initial evaluation and management of patients presenting to the labor and delivery suite. Once the patient is admitted residents of all levels are actively involved in the management (antepartum, intrapartum and postpartum). The senior residents play a supervisory role in the management of normal intrapartum/postpartum obstetrics and uncomplicated cesarean deliveries. The senior residents also perform operative vaginal deliveries and complicated cesarean deliveries.

Gynecology

Experience in operative gynecology begins at the PGY-1 level with gradually increasing responsibility and exposure throughout the four years. Operative gynecologic procedures performed by the PGY-1 resident include dilatation and curettage, diagnostic and operative hysteroscopy, diagnostic laparoscopy, laparoscopic tubal sterilization, and minor operative laparoscopic surgeries. The PGY-2 resident is involved in similar cases, with greater involvement in operative hysteroscopy and operative laparoscopy. Minor laparotomies are also being performed at this level. PGY-3 and PGY-4 residents perform most laparotomies and vaginal surgeries. Some of the most difficult laparoscopic surgery will also be performed at this level.

Maternal Fetal Medicine

The Division of Maternal Fetal Medicine consists of 7 full-time faculty. The MFM resident is responsible for the assessment of all patients to be admitted to the MFM service. During this rotation, residents perform amniocentesis, assist in complicated procedures, receive additional hands-on training in fetal anatomy scans and survey, and serve as consultants under the MFM faculty. In addition to running the MFM service, residents attend weekly Perinatal conferences and high-risk clinic. The high-risk clinic is a unique experience where residents have the opportunity to follow patients and discuss management plans with the Chairman and MFM faculty. The rotation allows residents to become comfortable managing pregnancies complicated by preterm labor, preterm premature rupture of membranes, intrauterine growth restriction, diabetes, hematologic disease, and many other high-risk situations.

Gynecologic Oncology

The gynecologic oncology service at Winthrop University Hospital consists of four attending gynecologic oncologists. The group has several ongoing trials and is an NCI funded cooperative clinical trials group for gynecologic oncology patients.

The oncology service performs 500 major surgeries per year including many robotic cases each week. During the rotation, emphasis is placed on disease pathology, epidemiology, diagnosis, evaluation, treatment and prevention. The PGY-2 resident assists on many operative cases and masters the clinical and technical skills necessary for proper pre- and post-operative treatment. Office diagnostic procedures including biopsy and colposcopy are performed under the supervision of the oncologist.

The PGY-4 resident assists the gynecologic oncologist in all surgical cases. This resident is expected to master the pre- and post-operative management of their patients while supervising the junior resident. The PGY-4 resident develops a thorough understanding of the diagnosis and treatment of GYN malignancies, and hones his or her surgical techniques while fulfilling the objectives of this service.

Finally, the PGY 2 and 4 residents on the GYN-oncology service present at Tumor Board each month alongside the pathology residents. Multiple gynecologic oncology cases are presented and reviewed with supervision by the GYN oncologists.

Reproductive Endocrinology and Infertility

The division of Reproductive Endocrinology and Infertility is staffed by four full-time reproductive endocrinologists. The group has an office based in-vitro fertilization laboratory performing over 1400 assisted reproductive procedures yearly. Through their rotation on this service, residents evaluate and manage patients troubled by endocrinopathies and infertility while obtaining skills in ovulation assessment, semen analysis, Gyn ultrasound, endometrial assessment, and hysterosalpingography. Residents learn the techniques of ovulation induction and assisted reproduction, as well as the surgical skills of operative hysteroscopy/laparoscopy, tubal surgery, adhesiolysis and resection and ablation of endometrial implants.

Urogynecology and Reconstructive Pelvic Surgery

The Urogynecology and Pelvic Reconstructive Surgery division evaluates and treats urinary incontinence, pelvic organ prolapse, perineal defects, pelvic floor dysfunction, fistula repair and surgical complications.

Residents learn site specific evaluation of the pelvis, POPQ diagrams, simple and complex cystometrics, cystourethroscopy, uroflowmetry, pressure flow studies, voiding diary, and levator assessment. Once the evaluation is complete, residents learn how to formulate a treatment plan utilizing various medical, surgical, and non-surgical options that are available. Some of these treatments include pelvic floor exercises, pharmacological therapy, pessary, as well as minimally invasive and advanced surgical therapies.

Residents perform abdominal and robotic pelvic reconstructive surgery, abdominal and vaginal paravaginal repair, vaginal slings, anterior/posterior colporrhaphy, sacrospinous ligament fixation, McCall culdopexy, colpocleisis, repair of perineal breakdown, fistula repair, and enterocele repair/prevention.

Minimally Invasive Gynecologic Surgery/Robotic Surgery

In addition to laparoscopic surgeries, residents are also actively involved in robotic cases on one of our 2 DaVinci surgical robots. Through the use of Winthrop’s training laboratories, residents have the opportunity to practice basic and advanced techniques of minimally invasive surgery under simulated conditions before using these techniques in the operating room. Topics covered in the laparoscopic training lab include proper laparoscopic entry, laparoscopic survey of pelvic and abdominal anatomy, laparoscopic instruments, salpingostomy, tubal occlusion, removal of endometrial implants, and closure of trocar sites. Topics concerning laparotomy include principles of abdominal incisions, survey of pelvic/abdominal anatomy, salpingo-oophorectomy, cystotomy repair, enterotomy repair, hypogastric ligation, and abdominal wound closure. During the advanced course, topics include dissection of the ureter, pelvic and para-aortic lymph node dissection, bowel resection, vena cava repair as well as laparoscopic cystotomy, suture techniques, salpingo-oophorectomy, and supracervical hysterectomy.

Ultrasound

During the ultrasound rotation the PGY-1 resident practices ultrasound skills at the Anterpartum Testing Unit while receiving feedback from the MFM faculty and sonographers. The resident masters technique of cervical lengths measurement, biophysical profile and Doppler waveforms of fetal and maternal vessels. Residents also participate in anatomy surveys, invasive fetal testing and many other procedures. Residents attend weekly perinatal conferences that provide a unique opportunity for learning and teaching. This rotation gives the PGY-1 a head-start in ultrasound proficiency and allows for early exposure to MFM.

Hospitalist Fellowship Program

Winthrop University Hospital established a unique 1-year OB/GYN Hospitalist Fellowship that started July 1, 2013 and is the first OB/Gyn Hospitalist fellowship in New York. The Department of Ob/Gyn at Winthrop University Hospital has already established a successful Ob/Gyn hospitalist program since 2010 under the Directorship of Dr. Joseph Cioffi. The program provides the fellow with the experience in managing daily obstetric and gynecologic conditions and emergencies, working closely with the residents.

Ambulatory Care

In August 2010 we opened Winthrop Women’s Wellness Center (WWW), an Article 28 clinic in Hempstead, NY. The clinic provides comprehensive prenatal care including education, social work and nutritional support as well as gynecological care. There are approximately 500 visits to WWW each month. This office serves as the residents’ continuity clinic, where they follow patients throughout their pregnancies and manage gynecological pathologies. At WWW residents take ownership of their patients and actively participate in outpatient procedures such as colposcopy, endometrial biopsy and IUD or Implanon placements. https://www.winthrop.org/departments/institutes/family/ob-gyn/Womens-Wellness/

Curriculum

The Department of Obstetrics and Gynecology is committed to providing a rich scholastic environment for its residents and faculty. There are over 8 hours of protected didactic time each week where residents review a variety of obstetrical and gynecological topics. All residents take the annual CREOG in-service examination. Our residents have scored at or above the national average over the past seven years.

The didactic experience includes:

didactic
  • Weekly lectures and chapter reviews
  • Formal service rounds
  • Chairman's rounds & case presentations
  • Fetal surveillance rounds
  • Journal club
  • Tumor board
  • Grand Rounds
  • Ultrasound seminar
  • Perinatal/Neonatal conference
  • Clinical case presentation
  • Pathology conference
  • Life Learning Exams - ABOG
  • Obstetrical Pathology Conference
  • Obstetrical High Risk Drills

Research

The department has a distinguished scholastic tradition with many of the members currently involved in clinical and/or basic science research or having published in peer review journals. The program strives to enhance the educational experience of its residents by providing an active research environment and educating the residents in the proper methodology of research.

Residents are required to select a research topic by early second year and to present in the hospital-wide research day during PGY-3. A faculty member in the relevant area is selected to assist and guide the resident along this process. During this process, residents have access to the hospital's biostatistics department for assistance in such areas as study design, sample size, and interpretation of data. A majority of our studies have been published in peer review journals (Obstetrics & Gynecology, Journal of Ultrasound in Medicine, Journal of Reproductive Medicine) and presented to the Nassau Ob/Gyn Society.

Career Placement

didactic

Many of our recent graduates have attained subspecialty fellowships. Many of our graduates are also currently on staff at Winthrop-University Hospital.

Recent Fellowship appointments include:
  • Winthrop University Hospital - Maternal-Fetal Medicine
  • Albert Einstein Medical Center-Maternal-Fetal Medicine
  • Albert Einstein Medical Center- Urogynecology
  • Washington Hospital Center/John Hopkins-Family Planning
  • Mount Sinai Medical Center-Urogynecology
  • New York University Medical Center - Reproductive, Endocrine & Infertility
  • University of Arizona - Maternal-Fetal Medicine
  • Albert Einstein Medical Center - Reproductive Endocrinology & Fertility
  • New York Presbyterian Hospital (Columbia Presbyterian Medical Center) - Pelvic Surgery
  • Georgetown University- Maternal-Fetal Medicine

Key Faculty

Anthony Vintzileos, MD, Chairman

General OB/GYN

Cynthia Fretwell, MD, Director of Winthrop Women’s Wellness Center
Valerie Cucco, DO
Svetlin Ivanov, MD
Elana Kastner, MD
Mary Kriner, MD
Fredric Moon, DO
Rebecca Storch, MD
Patrick Vetere, MD

Hospitalists

Joseph Cioffi, MD, Director
Allen Frank, MD

Maternal-Fetal Medicine

Martin Chavez, MD, Chief of Maternal-Fetal Medicine
Genevieve Sicuranza, MD, Chief of Obstetrics
Barra Allaf, MD
Wendy Kinzler, MD
Jolene Muscat, MD
Timothy Rafael, MD

Gynecologic Oncology

Eva Chalas, MD, Chief of Gynecology Oncology
Kent Chan, MD
Edward Jimenez, DO
Jeannine Villella, DO

Reproductive Endocrinology and Infertility

Linda Sung, MD, Chief of Reproductive Endocrinology & Infertility
Maria Saketos, MD
James Stelling, MD
Bradley Trivax, MD

Urogynecology & Pelvic Reconstructive Surgery

George Lazarou, MD, Chief of Gynecology & Urogynecology
Peter Finamore, MD

Minimally Invasive Gynecologic Surgery

Farr Nezhat, MD, Director
Patrick Vetere, MD

Our 2013-2014 Residents


Benefits

didactic
  • Highly competitive salaries
  • Subsidized resident housing. Off-site allowances are provided for those who cannot be accommodated on campus
  • Free meals, uniforms and laundry services
  • Four weeks of vacation annually
  • Full malpractice insurance provided
  • Health and dental benefits for residents' families
  • Attendance at professional conferences is encouraged
  • Planned social activities include:
    • Holiday Party: The Department thanks its staff (including nurses, secretaries, etc.) for their service and commitment during an elaborate holiday party held at a beautiful venue in Mineola
    • didactic Graduation Dinner Dance: Ob/Gyn faculty, attendings, residents and administrators attend this celebratory affair for the graduating chiefs and their families
    • Employee Appreciation Day: Winthrop-University Hospital hosts this annual day-long event for employees, with the administrative/ management staff serving breakfast, lunch and dinner. Prizes are raffled, souvenirs distributed and music provided
Despite the intense educational atmosphere, Winthrop offers residents a superior quality of life and very supportive learning environment permeated with a deep sense of partnership and teamwork.

Application Procedure

  • Residency: All first-year residents are selected through the National Residency Matching Program (NRMP). Candidates for residency through the NRMP participate through the Electronic Residency Application Service (ERAS). The program considers only individuals who have passed Step I of the USMLE and who intend to take or passed Step II of the USMLE. This also applies to individuals who have passed Level 1 of Comlex and intend to take or passed Level 2. A limited number of candidates are selected for an interview; no candidate is ranked without an interview
  • Fellowship: All Fellowship applicants please submit the following:
    • Curriculum Vitae
    • Include any and all activities since medical school
    • Account for any time not in residency training
    • Personal Statement (limit one page)
    • Letters of Recommendation (up to three)
    • Include one letter from residency director
    • Include one letter from immediate superior of any activity after residency

Contact

For further information, contact:

Lorraine Friscia
didactic ARCOG Region 1 Representative
Residency Program Coordinator
Winthrop University Hospital
Department of Obstetrics and Gynecology
259 First Street
Mineola, NY 11501
(516) 663-8660
lfriscia@winthrop.org
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