On the general medical floors, teams consist of an attending, a second or third year resident, two interns, as well as third-and fourth-year medical students. Attending rounds are conducted at least six days a week. The attending physicians will review with the house-staff the presentation and management of patients. In addition, team discussions are led in the epidemiology, clinical manifestations, pathophysiology, diagnosis and evaluation, treatment, and prognosis of the medical conditions affecting their patients, incorporating relevant and recent literature.
Our institution offers excellent training in the outpatient setting, to prepare those pursuing careers in primary care and outpatient based specialties. Each categorical resident participates in a primary care clinic experience one half day per week during each of the three years. In addition, second and third year residents attend a community-based practice with a mentor of their choice to learn first hand office based learning. Lastly, outpatient experiences are provided during the ambulatory care blocks and during elective time. The curriculum includes:
St. Luke's Emergency Department
The housestaff take primary responsibility of managing critically ill patients, including performing most diagnostic procedures. All major management decisions are reviewed by the ICU medical team on daily morning rounds and evening rounds.
Each hospital site has a fully staffed CCU. A wide spectrum of cardiac conditions is managed in the CCU including patients with acute heart failure, myocardial infarction, unstable angina and cardiogenic shock. Cardiac catheterization and intra-aortic balloon pumps are routinely employed. The St. Luke's site is an active member of the Continuum Heart Institute, where coronary angioplasty, coronary artery bypass graft operations and balloon valvuloplasty are frequently performed. There is a step down telemetry unit for patients with lower risk cardiac problems. Because of our fellowship programs in Cardiology and Advanced Cardiology (Electrophysiology, Interventional, and Nuclear Cardiology) the residents have continuous exposure to state of the art cardiac interventions.
Housestaff attend the weekly cardiology conferences and the cardiology journal club. All medical orders are written by the medical housestaff. During the rotation residents are taught:
St. Luke's Roosevelt Hospital Center, in addition to NYU and Cornell, sends its medical housestaff to Memorial Sloan Kettering Cancer Center to learn state-of-the-art cancer care. Interns and residents care for patients on all of the major services (Lymphoma/Leukemia, Breast, Bone Marrow Transplant, GU Oncology, GI Oncology, Head and Neck) and learn about quarternary cancer care from outstanding fellows and clinician/researchers. Residents from St. Luke's/Roosevelt have also served as Assistant Chief Residents at MSKCC during their 2nd and 3rd years of residency.
The training program offers an intensive experience in the management of neurological disease. Stroke patients are immediately taken care of by a "Stroke Team" which is staffed by a neurology attending and medicine housestaff. In addition, interns rotate through a neurology consultation service to learn to diagnose, evaluate and treat common neurology problems in both the inpatient and outpatient setting. The medical housestaff also attend neurology conferences and clinics and take call with the Stroke Team.
There is a fully staffed dedicated inpatient AIDS Unit at each hospital site, providing exposure to the broad range of pathology affecting patients with HIV/AIDS. The AIDS Unit provides a highly coordinated, comprehensive care program with a larger team of nurses, psychiatrists, social workers and ancillary support staff. Housestaff also have the opportunity to participate in clinical research.
Electives Sub-Specialty rotations are available in:
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SLRHC is committed to working toward a fully geographic in-patient service. A medical floor on which patients, nurses, social workers, physicians and support staff are centrally located enhances patient care and provides an environment conducive for teaching and learning multidisciplinary care.
Our fully integrated electronic web based evaluation system allows for timely, accurate, and meaningful evaluations of both faculty and housestaff. Faculty members will receive anonymous composite reports of their teaching and attending performance every six months. Housestaff will review their own evaluations upon request and semi-annually with the program leadership.