About the Program

 

The Program trains four graduates of A.B.I.M. accredited medical residency programs.  There are two trainees at each PGY4 and PGY5 levels.

PROGRAM COMPONENTS:

  1. Thirteen months of inpatient consultations (9 ½ months during the first year) on a highly active service that performs 90-100 consultations per month on all hospital services and responding to varied distribution of diseases among highly ethnically diverse populations.  One of five attending physicians conducts teaching rounds monthly with trainees for 3-4 hours daily.
  2. Seven months of active participation on the inpatient multi-disciplinary Antibiotic Stewardship Program (ASP)—an active service overseeing selected antibiotic utilization at NYHQ based on clinical, microbiologic, and pharmacologic data and principles.  Infectious Disease (ID) residents evaluate and make appropriate interventions and implement facility-wide guidelines.  This rotation extends the inpatient consultation experience and supervision is performed by the coordinator of ASP, as well as three attending physicians onsite. 
  3. Seven months of active participation on the Outpatient Parenteral Antibiotic Therapy (infusion) unit including selection of suitable out- and inpatient candidates, aiding in transition of care, and selecting and managing outpatient antibiotic care.  Emphasis is placed on strong collaboration with multiple services including patients and/or designated family members, pharmacy, case management, microbiology, primary healthcare providers and other consultants.  Residents have exposure to insurance providers, pre-authorization process, and diagnostic and billing procedures appropriate for outpatient practice management.  Supervision is performed by two attending physicians.
  4. Twenty-four months continuity outpatient clinical experience in the Special Care Clinic, part of a NYS AIDS Institute Designated Center (ADC) delivering care to over 800 HIV-infected persons.  Residents are exposed to the spectrum of HIV infection, as well as obtaining experience in the management of co-morbid conditions seen in HIV-infected persons.  In addition, residents participate in the outpatient ID faculty practice to appreciate diversity of outpatient clinical consultations.  Supervision is performed by three attending physicians.
  5. Seven months of dedicated research under the supervision of the Infectious Disease Research Director with mentorship by one or more of the attending physicians.  The productive clinical and basic science research centers on mechanisms, epidemiology and control of antibiotic resistance in bacterial pathogens and translation of laboratory antibiotic susceptibilities studies into practical clinical implementation.  In addition, the ADC is active in both HIV investigator-initiated, as well as pharmaceutical company novel antiretroviral agent studies.  A minimum of 3-4 peer-reviewed journal articles are published annually and include the responsible ID resident as a prominent author.
  6. A one-month rotation in transplant Infectious Diseases is conducted at New York Presbyterian Hospital—Columbia University Medical Center campus.
  7. Trainees have the opportunity to present their research at annual New York Hospital Queens Research Day and at the annual Infectious Disease Society of New York meetings.  In addition, trainees have the opportunity to attend and submit their research at annual international and/or national meetings, such as the Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Infectious Diseases Society of America (IDSA), Conference on Retroviruses and Opportunistic Infections (CROI), Society for Healthcare Epidemiology of America (SHEA), etc.
  8. Engagement in research and successful submission for publication in peer-reviewed journals are emphasized throughout the two-year program and prepare the ID resident for a future of ongoing personal scholarship.
  9. Didactic component includes:

The Division of Infectious Diseases at New York Hospital Queens is an endowed division in the name of Dr. James J. Rahal, Jr. (1933-2011), a renowned clinician and researcher best known for his early work on Staphylococcus aureus pathogenicity and later for his work on mechanisms of resistance of multidrug-resistant Klebsiella, Acinetobacter, and novel therapeutic approaches.  In addition, he is also known for his work on West Nile Virus treatment.

The Dr. James J. Rahal, Jr. Division of Infectious Diseases is the full-time clinical consultative service at New York Hospital Queens dedicated to training Infectious Diseases residents, performing cutting edge research in conjunction with the Dr. James J. Rahal, Jr. Infectious Diseases Research Laboratory, and providing outpatient infectious diseases care in the New York Hospital Medical/Surgical PC, as well as outpatient HIV care in the Special Care Clinic, a New York State AIDS Designated Center.

The Division divides its activities into: Education, Patient Care, Research, QA/PI, and Infectious Diseases training.

Educational activities delivered by all Infectious Diseases faculty members and residents include extensive attending and Infectious Diseases resident didactic and interactive sessions with all healthcare workers at New York Hospital Queens in the form of housestaff conferences, Medical Grand Rounds, Journal Clubs, etc.  In addition, we provide community education, as well as frequent interactions with print, internet, and live news media as part of local, regional, national and international news.

Patient care is delivered by all Infectious Diseases faculty members and residents and includes inpatient and outpatient consultations in the Infectious Diseases faculty practice (part of New York Hospital Medical/Surgical PC) and New York States AIDS Designated Special Care Center.  In addition, we care for patients in our seven-day a week, seven-chair outpatient parenteral antibiotic treatment (OPAT) unit.

Research activities under the direction of Dr. Carl Urban, Ph.D. (Director, Infectious Diseases Research Laboratory) and Dr. Sorana Segal-Maurer include: mechanisms of bacterial resistance to antibiotics, clinical epidemiology of antibiotic resistance, as well as novel approaches to therapies of these.  In addition, HIV metabolic research is an area of ongoing interest.  Research endeavors have led to a number of landmark publications and national and international recognition for our Infectious Diseases residents and faculty.

The Division engages in numerous QA/PI projects as part of a well-developed, comprehensive Infection Control Program and an established Antibiotic Stewardship Program.

Two-year post-graduate education and training of Infectious Diseases residents occurs as part of ACGME continuously accredited program.


SORANA SEGAL-MAURER, MD, DIRECTOR, THE DR. JAMES J. RAHAL, JR. DIVISION OF INFECTIOUS DISEASES

Sorana Segal-Maurer, M.D. is Director of the Dr. James J. Rahal, Jr. Division of Infectious Diseases.  A graduate of Barnard College and Mt. Sinai School of Medicine, she completed her residency training at Jacobi Medical Center/Albert Einstein College of Medicine Hospital prior to fellowship in infectious diseases at Montefiore Medical Center/Albert Einstein Hospital.

Dr. Segal-Maurer is an Associate Professor of Clinical Medicine at Weill Cornell Medical College of Cornell University.  Her interests include hospital-acquired infections, epidemiology of multidrug-resistant tuberculosis, and new treatment strategies of HIV infection.

She coordinates the research program jointly with the Director of Infectious Diseases Research Laboratory and is Program Director for the Infectious Diseases Training Program.  In addition, she has clinical responsibilities in the outpatient Special Care Clinic, Outpatient Parenteral Antibiotic Therapy Unit, and inpatient consultation service.

A diplomate of the American Board of Infectious Diseases, Dr. Segal-Maurer is a widely traveled speaker and has published numerous peer-reviewed articles.  She serves on editorial boards and as a peer reviewer for infectious diseases.

 

DR. SEGAL-MAURER’S THOUGHTS ON THE INFECTIOUS DISEASES FELLOWSHIP

“The fellowship serves to promote enthusiasm of learning and scholarship of a life-long career in infectious diseases through a varied inpatient and outpatient clinical experience, coupled with a strong foundation in clinical investigation.”

 
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