Obstetrics & Gynecology › NuHealth - Nassau Health Care Corporation

Obstetrics & Gynecology

Welcome

NuHealth’s Department of Obstetrics and Gynecology has a rich heritage of resident education, community service and faculty members dedicated to the educational mission of the residency program.

Resident education here is characterized by formal teaching, direct clinical supervision, and graduated patient responsibility. There is broad exposure to basic obstetrics and gynecology, all of the subspecialties, excellent clinical and surgical volume, and a strong emphasis on the ambulatory health care of women. Residents participate in the care of all patients with the goal of becoming competent and sensitive health care providers. Our subspecialty divisions include Maternal-Fetal Medicine, Gynecology Oncology, Reproductive Endocrinology and Infertility, Urogynecology and Gynecologic Laparoscopy. There is also an experienced cadre of full-time generalists in Obstetrics and Gynecology, and many voluntary staff members, all of whom have a strong interest in resident education and research.

We encourage you to become familiar with the exceptional educational opportunities available
within our program.

Chaur-Dong Hsu, MD, MPH, FACOG
Chairman

Peter Hong MD
Program Director

Program Description

The residency program is a fully accredited, independent, four-year program. It has 16 categorical residents and one preliminary resident. The program has affiliation with South Nassau Communities Hospital, and Memorial Sloan-Kettering Cancer Center.

The Division of Obstetrics provides a broad scope of clinical care in Perinatal Medicine. This includes, but is not limited to, prenatal genetic counseling and testing. We provide Prenatal Diagnosis and Intervention, Antepartum Testing, and High-Risk Obstetric care. The Division of Gynecology provides services in Gynecology Oncology, Urogynecology and Pelvic Floor Surgeries, Reproductive Endocrinology and Infertility, and Minimal Invasive Surgery. We also provide Colposcopy evaluation and treatment.

CURRICULUM OVERVIEW

PGY1 residents spend the entire year at NuHealth. They have three months of obstetrics on the day tour and three months of obstetrics on the night tour. They rotate on the Gynecology Service for three months and on the Ambulatory Services (Medicine, Breast Clinic and Prenatal Diagnostic Unit) for three months.

PGY2 residents rotate on the Gynecology Services for three months, Family Planning for three months, and Gynecology ER for three months. They also rotate at South Nassau Communities Hospital for three months to cover the Obstetric and Gynecologic Service.

PGY3 residents rotate on Reproductive Endocrinology and Infertility Service for three months, the Antepartum Service for three months and South Nassau Communities Hospital for three months. There is a one month rotation at the Memorial Sloan Kettering Cancer Center and a two month rotation on the Prenatal Diagnostic Unit with day tour Emergency Room consultative duties.

PGY4 residents spend three months on Obstetrical Service day tour and three months on Obstetrical Service night tour. They spend three months on Gynecology rotation and three months on Gynecology Oncology rotation.

Faculty

Chaur-Dong Hsu, MD, MPH, FACOG Chairman
Subspecialty: Maternal-Fetal Medicine

Peter Hong, MD, FACOG Program Director
Subspecialty: Maternal-Fetal Medicine

Elsie Santana-Fox, MD, FACOG Associate Program Director

General Obstetrics & Gynecology
Vinette Greenland, MD (Director of Obstetrics & Quality Assurance)
Maggie Tetrokalashvili, MD (Director of Gynecology and Research)
Lennox Bryson, MD (Co-Director of Clinical Affairs)
Elsie Santana-Fox, MD (Director of Education)
Marilyn Robertson, MD (Director of Ambulatory Gynecology & Faculty Practice)
Yasmeen Nazli, MD
Snezhana Mullokandov, MD
Scott Stanislawski, MD
Marc Behar, MD

Maternal-Fetal Medicine/High-Risk Obstetrics
Chaur-Dong Hsu, MD, MPH (Chairman and Director)
Vinette Greenland, MD
Peter Hong, MD

Gynecology Oncology
Pau Liu, MD, JD (Director)

Reproductive Endocrinology And Infertility
Maggie Tetrokalashvili, MD, FACOG

Minimally Invasive Surgery:
Maggie Tetrokalashvili, MD

Education/Conferences

At NUMC, your education will be enhanced by a wide range of learning experiences. From daily teaching rounds to subspecialty conferences and visiting professor lectures, formal teaching occurs multiple times each day. Your confidence will grow from the interaction and guidance you will receive from our attending physicians. During your residency you will participate in:

  • Grand Rounds. Weekly formal lectures prepared by residents provide an overview of the pathophysiology, diagnosis, and treatment of various disease processes. Clinical seminars feature many prominent speakers from outside the Medical Center.
  • Core Lecture Series. Lectures by faculty from the attending staff on both general and subspecialty internal medicine.
  • Journal Clubs. Monthly discussions of recent literature with an emphasis on critical appraisal skills.
  • Morbidity and Mortality Conferences. A formal opportunity for the residents to discuss cases each week with the program directors in a supportive learning environment.
  • Clinical-Pathological Conferences. Residents are presented with the clinical course, radiological findings, and relevant laboratory results for a particular patient. The resident then analyzes the case and presents his or her thinking process to the program in an educational format.
  • Critical Care Conferences. Residents rotating in the ICU have lectures scheduled several times a week with intensivists to review relevant topics such as EKG tutorials or ventilator management.
  • Attending Work Rounds. Attending work rounds are held by board-certified, specialist-trained faculty. These discussions focus on patients' management skills.
  • Teaching Report. Full-time faculty lead these case-based teaching sessions. All levels of residents and medical students participate in these practical discussions. Topics range from differential diagnosis, therapeutic plan, controversies, and ethical dilemmas.
  • Morning Report. A morning report audience will include medical students, residents, fellows, and general and subspecialty attendings coming together to contribute to the learning environment.

These conferences are well-attended by both faculty and house staff, which encourages the active interchange of ideas.

Research

NHCC has launched a new web-based training course through the Collaborative Institutional Training Initiative (CITI) Program. This program is widely recognized throughout the research industry for providing ethics education to all members of the research community.

The CITI Program is used by NHCC to educate researchers and key personnel involved in research with human subjects. The CITI program will replace our prior NIH online tutorial. Going forward, all new clinical research investigators and staff must complete the CITI program and submit a confirmation of completion of the program to the NHCC IRB in order to participate in research studies at NHCC. This program is offered through our affiliation with the North Shore–LIJ Health System (NSLIJHS).

Clinical research investigators and staff who have already met their education requirements through completion of the current NIH online tutorials must complete the CITI program.

All clinical researchers must complete CITI's "Basic Human Subjects" program—either for the first time or as a refresher course—by choosing the track that corresponds to their area of research:

  • Biomedical,
  • Social and Behavioral, or
  • Biomedical and Social/Behavioral.

Investigators who want their CITI training to meet requirements for more than one institution will be given the option to affiliate with another institution after logging on to the program. If the affiliated organization requires the same modules as NHCC, the investigator will only have to complete them once to get credit at both institutions.

Requirements

New Clinical Research Investigators and Staff: As of July 1, 2008, will be required to take the CITI program only.

Existing Clinical Research Investigators and Staff who have already completed the NIH Human Subject Protection Tutorials must complete the applicable CITI modules as well.

Procedure: Certification must be secured prior to submitting protocols for review by the Institutional Review Board (IRB).

Go to http://www.citiprogram.org.

Register. (Your participating institution is "North Shore–LIJ Health System.")
When completing the profile information, "NHCC" should be listed as the Department.
All Clinical Researchers must take the Basic Human Subjects (if they are taking the CITI program for the first time) or the Refresher Course (if they are renewing their CITI training) in the area most appropriate to their research:

  • Biomedical,
  • Behavioral, or
  • Biomedical and Behavioral.

It is highly recommended that Clinical Researchers also take the modules on Good Clinical Practice and ICH and the Responsible Conduct of Research. Both modules are optional for now but may be required in the future.

One of the key benefits of this program is that course completion is transferable between member institutions with brief updates required each year. As a result, if you have transferred to NHCC from another CITI institution and/or you are considering transferring to or collaborating with a CITI institution, you will already have met the majority of your human subject protection educational requirements by completing this course.

In addition, CME/CEU credits are available through the University of Miami for completion of the Human Subjects Protection Basic Course and for the Human Subjects Protection Refresher Course.

Questions regarding your requirements should be addressed to:

Christine Deiker 516-296-2830, cdeiker@numc.edu

Technical issues should be addressed to:
citisupport@med.miami.edu, 305-243-7970

Thank you for your cooperation. We look forward to continuing to work with you in the advancement of human subject research.

The minimum passing aggregate score for the quizzes is 80%. If you want to improve your score on a quiz, you may repeat any quiz in which you did not score 100% correct.

Print or download a Course Completion Report as evidence that you have met your institutional requirements. A copy will be sent to your administrator. You may return to the course site in the future to obtain a copy of the completion report.

CITI Fact Sheet

The CITI program consists of online tutorials with online exams and is offered through the University of Miami. It was developed by experts in the IRB community and focuses on different aspects of bioethics and human subjects research. There is a basic course for the protection of human subjects in either biomedical or social/behavioral research. Choose the basic course that best describes your research. The courses have some content overlap. Students should ask for guidance from their departments about which course to take. The CITI training is designed, updated, and maintained by a number of nationally known IRB professionals. Modules are housed at the University of Miami. The Basic CITI training takes approximately 4 to 6 hours to complete, usually far less if the material is not completely unfamiliar. This training does not need to be completed in one sitting. However, we suggest that you start and finish a quiz without taking a break. The modules are completed in succession. Topic-specific modules are each followed by a short quiz. You may repeat a quiz to improve your score. CITI is user-friendly and available 24 hours a day all year round.

The Collaborative Institutional Training Initiative (CITI) modules include:

  • Biomedical Focus
  • Social and Behavioral Focus
  • Refresher Courses
  • Good Clinical Practice Course
  • Health Information Privacy and Security Course (HIPS)
  • Laboratory Animal Welfare Courses for investigators and IACUC Members
  • Responsible Conduct of Research (RCR)

Registration for CITI

CITI can be accessed at www.citiprogram.org. Closely follow the instructions for registration. Remember your username and password for future access to the CITI program. If you are having problems with the CITI site or course, contact the CITI Office at citisupport@med.miami.edu or at 305-243-7970.

Training

CITI training is required of all faculty, staff, and students who are engaged in the design, conduct, or reporting of research at NUMC that involves human subjects. All personnel listed as investigators on the protocol must submit CITI certification.

Proof of completion of CITI training must be provided at the time of protocol submission.

Renewal of CITI Certification

CITI training must be renewed every two years through a refresher set of modules available through the CITI website at http://www.citiprogram.org.

Contact Us

Chrissy Deiker
Residency Coordinator
Phone: (516) 572-6254
Fascimile: (516) 572-3124
Email: cdeiker@numc.edu