Pediatric Residency ProgramsFacilitiesInpatient ServiceThe Mount Sinai Kravis Children's Hospital in the Warren Alpert Pavilion is designed to function as a children's hospital within the larger medical center. The Children's Hospital serves patients from birth through about twenty years of age. There are 64 inpatient pediatric beds distributed as follows:
Also included in the building are lecture facilities, a conference room, housestaff library, on-call rooms, research facilities, and the offices of Pediatric Medical Education. The Kravis Women's Center sits adjacent to the Children's Hospital and houses three well baby nurseries that serve over 5,000 births per year. Additionally, the Newborn Intensive Care Unit is a 35 bed Level III Regional Perinatal Center with over 700 admissions each year. Infants cared for at Mount Sinai have a wide range of medical and surgical problems including rare metabolic diseases, congenital heart disease, liver and intestinal failure, as well as the common problems associated with prematurity. In addition to the faculty neonatologists and fellows, over 65 full-time nurses who specialize in newborn care are on staff, as are social workers, lactation consultants, rehabilitation specialists, and respiratory therapists who all have a dedication to family-centered care. Other features of the children's hospital are the cheerful and colorful floors, playrooms on each general pediatrics floor, family conference rooms, and fully-equipped children friendly treatment rooms. On the first floor of the hospital is the Zone, a state of the art environment dedicated to helping children and their families cope with hospitalization and an integral part of our robust Child Life Department. As a teaching institution, the inpatient pediatric housestaff supervises the care of all children (medical and surgical) admitted to The Mount Sinai Hospital. The attending pediatricians assigned to each of the various wards, nurseries, and intensive care units provide resident supervision and daily teaching. These physicians make rounds every day and are available for consultation at all times. Outpatient ServiceThere are over 58,000 visits a year to the three outpatient services of the department. The Pediatric Emergency Room is adjacent to the adult and surgical ERs in the Guggenheim Pavilion of The Mount Sinai Hospital. The emergency room is open and staffed by pediatric and emergency medicine house officers 24 hours each day with continuous attending coverage, as well as one incoming pediatric emergency medicine fellow per year. The patient volume is about 30,000 visits per year. It is graded as a level II trauma center. There are ongoing plans to renovate and expand the pediatric emergency room to increase current clinical space. Since Mount Sinai is a primary care pediatric program with 20% of the residents' training is spent in continuity clinic over the course of their three years of residency. There are two practice locations for continuity clinic: the Mount Sinai Diagnostic and Treatment Center Pediatric Associates group located within the Mount Sinai Hospital Center and Uptown Pediatrics, a private practice located nearby on 96th Street. Most of the residents are assigned to the Pediatric Associate practice with 4 residents maintaining their continuity site at Uptown Pediatrics. Pediatric Associates is a major provider of primary care to the East and Central Harlem community, and each resident serves as the primary care provider for a panel of patients who have a wide range of medical and social problems. The practice follows a group practice model with each team consisting of a PL-1, PL-2 and PL-3 supervised by an attending. The supervising attending works with the same residents over the course of their three years of residency, which allows for continuity for the patients as the PL-3 patient panel is passed on to the new PL-1 joining that team. To enhance the learning experience for the resident, each clinic session also includes an afternoon teaching conference to emphasize the core curriculum of outpatient pediatrics. The Adolescent Health Center provides primary care to teenagers. The multidisciplinary staff of the adolescent clinic includes pediatricians, gynecologists, psychologists, social workers, nutritionists, and consultants. The program includes counseling on contraception, venereal diseases, and AIDS. The Division of Adolescent Medicine is also actively involved with the medical and psychosocial aspects of adolescent drug addiction. All residents rotate through this center for four weeks as part of their training. |