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PEDIATRIC RESIDENCY PROGRAM
"Excellent resident education is our primary goal, and our residents are provided with unique and varied training opportunities with a faculty of the highest caliber who provide a warm and individualized approach."
Warren Rosenfeld, MD
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Message from the Chairman
Winthrop-University Hospital, a major teaching hospital and tertiary center for Long Island has established excellent resident education as a fundamental goal. Winthrop has been honored nationally as the Outstanding Pediatric Training Program by the Ambulatory Pediatric Association for its innovative educational program that has served as a national model of excellence. We are a New York State Designated Priority Program (DPP), emphasizing longitudinal and comprehensive patient care in a variety of primary care settings. We have also been recipient of the Special Delivery Award by the American Academy of Pediatrics in recognition of our Neonatal Resuscitation Program. The Department has been awarded over $2,000,000 in National Residency Training Grants and presently has over $3,000,000 in NIH research grants. Our faculty holds many offices in national organizations and has been recognized as a leader in pediatric education, faculty development and research. The stellar reputation of our program and the high caliber of our residents have enabled our graduates to obtain excellent fellowship and practice positions.
We strongly believe that pediatric residency training is the time to build a foundation in primary care pediatrics. Continuity experiences in ambulatory pediatrics have been rated highly and may be based in our Ambulatory Care Center, private pediatric practices (all practitioners have participated in our Faculty Development Program) or Winthrop Pediatrics at Hempstead (precepted by full time Winthrop faculty). Practice management and community pediatrics are also addressed during training.
A brand new facility housing the pediatric inpatient center is evidence of the growth of our department thanks to the commitment of our faculty, residents and institution. Upon completion of construction, the state of the art facility will have three times the amount of space currently allocated to Pediatrics, a 10 bed PICU, a 34 bed pediatric floor with designated resident teaching space, resident on-call rooms and a computer learning center.
While residents are exposed to extensive primary care pediatric experiences, our sophisticated tertiary care hospital sees a broad spectrum of patients. Therefore, rotations include all pediatric subspecialty services. Both residents and students have recognized our excellence in neonatology, pulmonology, hematology/oncology, pediatric neurology, endocrinology, gastroenterology, genetics, critical care, behavioral pediatrics, poison control and infectious disease.
Dr. Rosenfeld, Chairman of Pediatrics at Housestaff Welcome Picnic
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The cohesiveness between attendings and residents is Winthrop's most distinguishing feature. Attendings are always available to consult with residents, and we strive to create a relationship that is both collegial and supervisory. Attendings act as preceptors, and their primary purpose is to teach. We tailor the program to meet the individual needs of our residents and we let them know that they are important to us as physicians and people.
Winthrop-University Hospital offers an organized and stimulating teaching program in a hospital setting conducive to learning. We prepare our residents for the future. Our graduates have excelled in all areas including private practice, fellowships and academic positions. In addition, they have an excellent first-time pass rate for the pediatric boards.
Warren Rosenfeld, MD
Chairman, Department of Pediatrics
Winthrop-University Hospital
259 First Street
Mineola, NY 11501
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Introduction & Philosophy
The Pediatrics Department offers a compassionate and comprehensive residency training program. The primary role of the 50 full-time faculty members from both general and specialty pediatrics is to teach. More than 250 pediatricians from Long Island practices admit patients to our pediatric floors. Winthrop has a large ambulatory setting, a 34 bed Pediatric floor, a Regional Perinatal Center designation for its Neonatal Intensive Care Nursery, an Emergency Department with approximately 10,000 pediatric visits per year and a regional Pediatric Trauma Center.
In addition to providing excellent medical care, the Pediatrics Department also addresses the emotional needs of our young patients through a Child Life Program. Begun in February of 1992, the Child Life Program is and remains a "safe haven" for children within the hospital environment. It is a unique space for children where they are safe to play and be themselves without any fear or anticipation of medical procedures, exams or medicines. It is truly a "Child Friendly" space.
In the Child Life activity center, children are encouraged to act out their fears and anxieties in this space while having access to normal developmental activities, such as playing games, participating in arts and crafts, and enjoying the important and necessary socialization with peers.
The Child Life Program is staffed by two certified Child Life Specialists and two assistants. They provide services to the hospital's pediatric floor/pediatric intensive care unit, our specialized pediatric emergency room and our Cancer Center for KIDS. Additionally, services are provided on an on call basis to the pediatric ambulatory surgical unit and the neonatal intensive care unit.
Winthrop-University Hospital has 48 pediatric residents, 16 in each of the three training years, and 2 fourth year Chief Residents. The house staff works with rotating residents from the family practice program at Stony Brook Hospital. The residents immerse themselves in opportunities offered by the residency, those offered by Winthrop's ideal location on Long Island and the institutions proximity to NYC. Public Parks and Beaches, Restaurants and the Theatre name but a few of the many venues available for rest and relaxation. Pediatric Residents, reflecting on their commitment to serve those less fortunate, go on an annual missionary trip to El Salvador that many state, has been a defining moment in their lives.
Pediatric residents and their families enjoying some of what Long Island has to offer
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Students from SUNY Stony Brook, New York College of Osteopathic Medicine and many other schools participate in clerkships, sub-internships and electives in Pediatrics at Winthrop. This provides residents with opportunities to gain experience in teaching medical students and other health professionals. In addition to the excellent clinical training, residents are able to enjoy the quality of life that living on Long Island with its natural seashore and country lifestyle offers. A 30-minute commute from Winthrop will place you in New York City with its many diverse and interesting activities.
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Program-At-A-Glance
- 48 pediatric residents, 2 Chief Residents
- Strong rotations through ambulatory offices, general pediatrics floor, newborn nursery, neonatal and pediatric intensive care, pediatric emergency, poison control and elective subspecialty rotations
- Cohesiveness between attendings and residents, with strong team approach to patient care
- Rotations to affiliated hospitals (Good Samaritan Hospital), providing further experiences in community pediatrics, pediatric emergency services, pediatric gastroenterology, pediatric infectious diseases, and pediatric cardiology
- Extensive video taping of ambulatory sessions to enhance patient/doctor communication skills
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Reviewing patient status on the inpatient unit
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Curriculum
Clinical Training
The Department of Pediatrics offers a fully accredited three-year residency program designed to take full advantage of Winthrop-University Hospital's status as a major teaching affiliate of the State University of New York - Health Science Center at Stony Brook, and as a tertiary care hospital with an active and skilled private attending staff and strong community ties. Incorporated into the educational processes is evidence based medicine and initiatives for learning as recommended by the American Academy of Pediatrics.
The Department of Pediatrics is involved in teaching, service and research in virtually every aspect of pediatric disease and child and adolescent healthcare. Winthrop provides trainees with an excellent environment for learning, teaching, and most important, patient care. Opportunities to maximize options for career direction, whether in general practice, subspecialties or research, are an important aspect of the training experience.
Dr. Joseph Stambouly, Pediatric Critical Care Intensivist receives "Attending of the Year Award" from Pediatric Residents in appreciation for his educational commitment
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While we present practical pediatrics in an informal and pleasant atmosphere, our curriculum is rigorous and utilizes a variety of innovative teaching techniques. The teaching of educational and leadership skills is integrated throughout the three years. Daily teaching rounds are made with full-time attendings. Our integrated teaching conference, covering both general and subspecialty topics, is conducted by our full-time staff. A daily teaching conference covering both general and subspecialty topics is conducted by our full-time staff and outside speakers.
Each year pediatric residents care for approximately 6,000 newborns, 900 neonatal intensive care patients, 3,000 general pediatric admissions, 30,000 total ambulatory visits and 15,000 emergency cases. Rotations through the Ambulatory Care offices, General Pediatric floor, Newborn Nursery, Neonatal and Pediatric Intensive Care Services, and subspecialty rotations provide residents with a wide and complete pediatric education. The program is designed to prepare high-quality graduates who excel in general pediatrics or fellowship and subspecialty careers.
During their PL-2 and PL-3 years, residents have the opportunity to rotate in a busy Emergency Department and in cardiac pediatrics at Good Samaritan Hospital in Suffolk County.
Clinical rotations include the following experiences:
Ambulatory Pediatrics
The Ambulatory Care block provides residents with a wide variety of experiences. During ambulatory rotations, faculty generalists supervise residents. The broad spectrum of patients seen by this service provides residents with opportunities to develop excellent clinical, diagnostic and interviewing skills.
Continuity of care is a major emphasis of the program. Continuity sessions are held in one of three settings: the Hospital Ambulatory Suite; Winthrop Pediatrics at Hempstead, which serves an indigent community; and private pediatricians' offices. All sites utilize computerized appointment systems that ensure each resident a following of a selected panel of patients.
Residents can participate in many enriched community-based experiences, including schools, community organizations and HMO corporate headquarters.
Neonatology
Our Neonatal Intensive Care Unit, a Regionally Designated Perinatal Center, serves a large regional system with over 15,000 births (5,000 at Winthrop). Our neonatologists, with vast research experience and a commitment to make an academic contribution, have been recognized for their excellence in teaching and clinical management. Residents participate actively in the NICU. Procedures, delivery room resuscitation and hands-on care are emphasized, giving our residents strong neonatology training.
Pediatric Inpatient (Floor)
All patients under 19 years of age are cared for on the Pediatric Floor. Every patient, including surgical patients, has an assigned pediatric team. A supervising generalist conducts daily attending rounds, ensuring residents an excellent educational and learning experience. Our attending specialists also work closely with the resident team, resulting in a varied and challenging inpatient rotation.
Teaching rounds in the PICU
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Pediatric ICU
Our 10 bed unit provides sophisticated treatments for complex diseases. Under the direction of three intensivists and pulmonary/critical care fellows, residents gain valuable hands-on experience, resulting in excellent patient management and procedural skills. From neurosurgical trauma to complex cardiac disease and septic shock, residents learn the pathophysiology and management of the critically ill child with both acute and chronic disease.
State of the art Pediatric Emergency Room
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Emergency Room
Our newly constructed, state-of-the-art, ten-bed Pediatric ER has developed into one of our program's most exciting and valuable learning experiences. Our ER functions as a referral center rather than a pediatric walk-in center. Therefore, cases are challenging. Supervised 24/7 by Pediatric Emergency Medicine Attendings, patients often receive their initial diagnostic work-up and therapy in the ER. As a level I Trauma Center and Pediatric Referral Center for our 11-Hospital Health System, the ER is a busy, exciting and challenging center of learning for didactic knowledge and technical skills..
Adolescent Medicine
During their adolescent medicine rotation, residents evaluate and treat teenagers in a wide variety of settings. Whether on the inpatient floor, in the outpatient suite or at the school-based health facility, residents have excellent clinical exposure and attending supervision. Topics such as Puberty, Eating Disorders, STD's, and Substance Abuse are thoroughly addressed.
Dr. Ronald Marino, Director of Ambulatory Pediatrics with another happy patient
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Behavioral Pediatrics
Our expert staff of behavioral pediatricians and psychologists provide residents with the basics of psychometric evaluation. Residents experience a wide variety of clinical behavioral problems including ADHD, ADD, autism and enuresis, and learn valuable techniques for helping patients and their families.
Cardiology
Residents are involved in both inpatient and outpatient care of cardiac patients. Residents will work side by side with the pediatric cardiac faculty and participate in the evaluation and care of cardiac patients. They will work with the cardiologists in their office suites, learning physical diagnosis and interpretation of X-rays, EKG's, echocardiograms, and non-surgical correction of cardiac lesions.
Pediatric Endocrinology/Genetics
The hallmark of this rotation is access to a wide variety of endocrine disorders ranging from the common to the unique. The challenging case mix includes large numbers of patients with genetic disorders, growth disorders, diabetes, intersex problems and Prader-Willi Syndrome. Winthrop's Pediatric Endocrine Division is home to the largest Prader-Willi population in the Northeast. The four endocrine attendings are well recognized for their teaching skills and inclusion of residents in the management of their patients.
Infectious Diseases
This service provides extensive inpatient services, as well as a strong outpatient experience. The frequency and importance of infectious diseases in pediatrics, combined with the quality of the faculty, ensure a worthwhile educational experience. Focal areas of faculty interest are RSV and Chronic Fatigue Syndrome.
Exposure to evaluation and treatment of International Adoptees adds another dimension to this rotation. In excess of 100 children from various parts of the globe are seen annually, adding an invaluable opportunity to assess growth and development, infectious diseases and behavioral health.
Gastroenterology
Our gastroenterologists provide both inpatient and outpatient services. A busy Outpatient Consultative Service enables residents to see a wide variety of diseases including cystic fibrosis, liver diseases and inflammatory bowel disease. Our busy Endoscopy Suite provides a dynamic approach to learning. Inpatient services range from care of our smallest patients in the NICU to teenagers on the Pediatric Floor.
Hematology/Oncology
Our Hematology/Oncology team have developed one of the most active services in the metropolitan area. Patient experiences vary and include oncologic disease (including leukemias, lymphomas and solid tumors), as well as a variety of hematologic disorders (including sickle cell and Cooley's anemias).
Pulmonology
Residents are exposed to a wide variety of pulmonary disease. Asthma, cystic fibrosis, congenital anomalies and infections are frequently seen, but other aspects of pulmonary care also play a significant role. Children with major handicaps, sleep disorders and home ventilation help to provide residents with an excellent learning experience.
Neurology
Our two neurologists follow numerous patients on both inpatient and outpatient services. This exposure to a wide variety of cases, including both ill and well patients, enables residents to hone their diagnostic skills and develop management ability for future practice.
Pediatric Research
Our Department has an excellent basic science laboratory that can be the center of research rotations. Many of our residents also participate in clinical research projects, many of which have resulted in publications. Although this is not a required rotation, there are always residents interested in this elective who have productive research experiences.
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Faculty
The Department of Pediatrics has 50 full-time faculty and a voluntary staff of over 250 attendings. Our full-time attending staff represents the following specialties: ambulatory (primary) care, critical care, endocrinology/metabolism, gastroenterology, hematology, oncology, neonatology, neurology, infectious disease, pediatric surgery, pulmonary care, behavioral/developmental pediatrics, cardiology, adolescent medicine, nephrology, toxicology, genetics, pediatric radiology and psychology. Other subspecialties represented on our faculty include pediatric allergy, dermatology, orthopaedics, ENT, urology and neurosurgery.
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Rotation Schedule
Joseph Greensher, MD, Vice Chairman
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Winthrop-University Hospital follows Duty Hour regulations as mandated by New York State and the ACGME. Residents have continuity sessions throughout the three years of training; interns have one afternoon per week and senior residents (PGY 1-2 and PGY1-3) have one morning and one afternoon per week. Residents do not go to continuity clinic post call; they make up the session on the following day.
The call schedule is done on a 13 rotations/year (4 week/rotation) basis and is released two weeks before the start of each rotation. On call schedules are as follows: PL-1 (1/4), PL-2 (1/5), PL-3 (1/6).
Click here for Training By Year.
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Radiology is incorporated into daily teaching rounds
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Conferences
One to one bedside teaching is part of a typical day
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- Teaching Rounds - Residents round daily with attendings on the floor, PICU, NICU and regular nursery. Discussions about patient management, lectures and case presentations take place in each service.
- Morning Conference - Presented by faculty attendings or guest speakers, who select and present a topic in pediatrics.
- Televideo Case Conference - Residents and attendings present cases and specific topics from three different hospitals. This conference is a live broadcast shared with Good Samaritan Hospital with video technology.
- Board Review - An ongoing board review course has rated high marks from the residents.
- Pediatric Grand Rounds - National experts in general pediatrics or pediatric subspecialties are invited to present at weekly sessions. All faculty and private pediatricians affiliated with Winthrop attend this meeting for CME credits.
- Chairman Rounds - Each week, a resident presents a case to the Chairman of Pediatrics and residents. This interactive session provides a dynamic learning experience.
- Pediatric Mock Codes - To improve critical care skills, unscheduled mock codes simulate real-life experiences with life-threatening emergencies. Nurses and respiratory therapists also participate in this activity to make it as realistic as possible.
- Interdepartmental Conferences - Throughout the year, the Department participates with ob-gyn, pathology, radiology and surgery in organizing these activities.
Memberships, Conferences, Books and Journals
The Department pays for the AAP membership of each senior resident, which allows them to receive many books and subscriptions to pediatric journals. Senior residents have a five-day conference leave also paid for by the Department. At the completion of training, each graduating resident is presented with a book of his/her choice. Each resident is given a PDA at orientation to assist with learning and organizational needs.
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Research
Philip Domenico, PhD Senior Scientist, Winthrop's Cardiopulmonary Research Institute (seated), is joined by his colleagues (l-r) Jonathan Davis, MD, Director of Neonatology at Winthrop, and Jeffrey Kazzaz, PhD, Research Director, Winthrop's Cardiopulmonary Research Institute.
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The Department of Pediatrics offers varied research opportunities for its residents. The Cardiopulmonary Institute of Research is directed by the Department and conducts basic science and clinical research. All divisions are actively engaged in clinical research projects and resident participation is encouraged. Numerous publications, including book chapters, have been written by faculty attendings, fellows and residents. Please contact the Department of Pediatrics for a listing of publications.
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Graduation Dinner Dance
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Professional and Social Environment
Benefits
- Full medical and dental coverage
- Free meals for residents
- Subsidized housing within walking distance of the hospital or live-off allowance, if appropriate housing is unavailable
- Four weeks vacation each year
- Free parking
- Employee discount tickets to movies, Broadway shows, travel, etc.
- Lobster Picnic - Each year the Department welcomes incoming residents and their families at a picnic. Faculty, residents and families enjoy this activity, which includes sports and great food.
- Holiday Party - The Department thanks all its members at this traditional holiday party.
- Winthrop Graduation Party - Winthrop-University Hospital hosts a black-tie graduation party for residents from all departments to celebrate the completion of their training program. Residents present an award to the "Attending of the Year" at this event.
- Pediatrics Graduation Party - Faculty and residents attend this party in honor of the graduating class. Diplomas, gifts and books are given to residents. The "Excellence in Primary Care Award" is given to one of the residents by the Director of Ambulatory Services. Residents prepare an "End of Year Video" role-playing the attendings...a great way to say goodbye.
- Other activities - Residents celebrate the birthdays of the month and meet informally in
local restaurants and clubs. The Chief Residents provide "Meeting with the Chiefs" each month to
discuss problems encountered by residents.
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Graduates are prepared for a variety of pediatric clinical and academic opportunities
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Career Placement
Our graduates have been offered and have accepted positions in both general and specialty pediatrics. Following is a list of the positions accepted by our residents over the past 3 years:
| Private Practice on Long Island | 13 |
| Private Practice around the country | 14 |
| Teaching Practice | 1 |
| Hospitalist | 1 |
| Military Obligation | 2 |
| Chief Resident | 2 |
| Fellowships | 15 |
Development-Behavioral Pediatrics
Cincinnati Children's Hospital | 1 |
Pediatric Gastroenterology
Schneider Children's Hospital | 2 |
Pediatric Gastroenterology
Mattel Children's Hospital at UCLA | 1 |
Pediatric Critical Care Medicine
Miami Children's Hospital | 1 |
Adolescent Medicine
Miami Children's Hospital | 1 |
Pediatric Endocrinology
Johns Hopkins University Hospital | 1 |
Pediatric Endocrinology
Winthrop University Hospital | 1 |
Neonatal-Perinatal Medicine
Jackson Memorial Hospital | 1 |
Neonatal-Perinatal Medicine
Floating Hospital for Children at Tufts-NEMC | 1 |
Neonatal-Perinatal Medicine
New York University Hospital | 1 |
Pediatric Pulmonology
Childrens Hospital Los Angeles | 1 |
Pediatric Pulmonology
St. Louis Children's Hospital | 1 |
Child Neurology
Schneider Children's Hospital | 1 |
Pediatric Emergency Medicine
Connecticut Children's Medical Center | 1 |
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Application Procedure
We participate in the Electronic Residency Application Service (ERAS), which is sponsored by the Association of American Medical Colleges (AAMC). To apply for a residency program in Pediatrics at Winthrop-University Hospital, all allopathic candidates must apply via their medical school and all international candidates must apply via the Educational Commission of Foreign Medical Graduates (ECFMG).
For further information, contact:
 Veronica Napoli, Residency Program Coordinator
Department of Pediatrics
Winthrop-University Hospital
259 First Street
Mineola, New York 11501
Tel: (516) 663-8443
Fax: (516) 663-8955
E-mail: vnapoli@winthrop.org
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Winthrop-University Hospital, a major teaching hospital and tertiary
center for Long Island has established excellent resident education as a
fundamental goal. Our commitment to teaching is well recognized and is
supported by the fact that 93% of the Class of 2004 passed their boards
on their initial attempt.
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