The Internal Medicine Residency Program at BronxCare Hospital Center is one of the largest producers of primary care physicians in the nation.
The BronxCare Hospital Center
( formerly know as the
Bronx-Lebanon Hospital Center) is a major teaching hospital and a part of The BronxCare Health System.
The Department of Medicine covers about 250 inpatient beds and 37 beds in the ICU and CCU units. Currently, we have 85 full-time faculty members, 108 residents and 20 fellows. In addition, the department runs 6 Ambulatory Care clinics under the Chief of Primary Care & Preventive Medicine. House staff manages all patients admitted under medicine.
Fully accredited by the Joint Commission, the nation’s leading hospital accrediting authority; The BronxCare Health System consists of two hospital divisions, a comprehensive psychiatric program, two specialized long-term care facilities, and an extensive network of clinics, including a recently completed 9-story Health and Wellness Center for outpatients, and Life Recovery Center for chemical dependency (one of only a few such facilities in New York State), as well as the Dr. Martin Luther King Jr. Health Center.
The BronxCare Health System now provides more than one million outpatient and 141,000 ER visits.
It is also certified as a Level Three Patient Centered Medical Home (the highest level) by the National Center for Quality Assurance.
We adopt and practice the following principles as fundamental to our program.
A firm commitment to hands-on bedside teaching.
The most stimulating and best-remembered lessons in medicine are derived from direct patient care.
We regard residents’ participation in program development as a serious function.
The housestaff formally contributes as members of many of the department’s committees and through the evaluation process, and informally, through discussion with the attending staff, chief residents and associate program directors and director.
A philosophy of innovation and resident participation in developing the content of the program.
We are constantly evaluating and trying new approaches to learning and patient care. We adapt what works and discard what doesn’t.
A supportive environment.
An atmosphere of warmth and support is an immeasurable but vital ingredient in our program. At BronxCare, where physicians from many parts of the world interact as colleagues at the house staff and attending levels, there is a special emphasis on teamwork and emotional support for each individual resident.
The Curriculum of the Internal Medicine Residency Program was developed based on the principles and recommendations of the Accreditation Council on Graduate Medical Education (ACGME) on the Internal Medicine Residency Program Requirements. Revisions to the curriculum have been accomplished with participation from faculty and residents. It is designed to reflect the shift from process-based evaluation to outcomes-based evaluation.
There is a core curriculum in internal medicine and its sub-specialties, which is given by all members of the Department throughout the year.
Regularly scheduled conferences include Medical Grand Rounds, Sub-specialty Rounds, Journal Club, Bedside Teaching Rounds, and Monthly Scientific Seminars with leading scientists, Clinico-Pathologic Conferences, Autopsy conferences with the Departments of Pathology and Radiology. There is a separate review course to prepare residents for the American Board of Internal Medicine certifying examinations.
Fellowship programs : The department currently has fellowship programs in Gastroenterology, Cardiology, and Pulmonary Medicine. The hospital also has residency programs in many other fields, including Pediatrics, Surgery, Family Practice, Obstetrics and Gynecology, Ophthalmology and Psychiatry. The medical library is online and accessible 24 /7. BronxCare Hospital Center has a medical school affiliation with Mount Sinai’s Icahn School of Medicine.
THE FIRST YEAR
Even during the first year of residency you are "the doctor" to BronxCare patients. Perhaps more than at any other hospital, you gain essential experience with many kinds of medical patients by taking responsibility for them in the hospital and by recruiting them for your office practice, where you follow them throughout your residency. During the first year, you will rotate through a range of sub-specialty oriented and general medicine floors.
A typical day for the first year resident during these months combines experience and didactic learning.
THE SECOND YEAR
As a matter of scheduling, the second year resident's typical day is similar to the first year. Your role in inpatient care is, however, a very different one. As the team leader you supervise a team of interns and serve as a role model to the junior residents. Also, as a second year resident you will rotate through the emergency room, the intensive care and coronary care units. As in the first year, you will continue to follow your regular patient panel in the general medicine setting twice a week. Greater independence and a larger patient panel in the second year begin to resemble the conditions of an internist's role.
A typical day for a second year resident combines learning with leadership.
THE THIRD YEAR
As a senior year resident you will take further responsibility for patient care and sharpen your subspecialty skills in preparation for the internal medicine boards. During this year you will serve as a medical consultant providing consults to surgical and obstetrical services. Much of the third year is elective.
You will choose in-depth sub-specialty experiences based on your interest and availability. As in the first two years, you will continue to expand your primary care practice, gaining speed and accuracy in the management of patients with multiple medical problems and practicing with still greater independence.
A typical day for a third year resident stresses leadership and in-depth study of specific areas of medical practice.
Our graduates are well equipped to handle the diversity and complexity of primary care internal medical practices. In fact, a majority of our graduates go into practice upon leaving the program. Many in the area surrounding the hospital or in hospital based practices. Hospital admitting privileges are offered to program graduates planning to practice in the area. A significant number go on to subspecialty fellowship training in Cardiology, Gastroenterology, Pulmonary medicine, infectious Diseases, Critical Care, Nephrology, Hematology, Oncology, Endocrinology, Neurology and Geriatrics. Graduates are encouraged to become members of the newly formed alumni association.
We offer a wide array of educational and learning activities throughout the week.
These activities are designed to supplement bedside care and learning that occur every day on the medical floors.
Morbidity and Mortality (M&M) Conference
Root Cause Analysis (RCA) Meetings
Performance Improvement and
Quality Improvement Projects (PI & QI)
Residents' Salary & Benefits
Residents are part of the Committee of Interns and Residents (CIR) union.
Representatives are chosen from the department and serve as delegates for the residents.
CIR has been very successful in negotiating a competitive compensation package, including medical, dental and vision benefits, as well as life insurance. In addition, residents receive four weeks of paid vacation, malpractice insurance paid by the hospital, disability insurance and reimbursement for travel to academic conferences.
For the complete list of benefits click here.
THE EXCITEMENT OF NEW YORK CITY
The Bronx, this borough at the northernmost tip of the city is the only one attached to the North American mainland. The Bronx also has more parkland than any of the other boroughs, a renowned botanical garden, a world-renowned zoo, its own Little Italy, beaches and even an island reminiscent of a New England fishing village. The Bronx is named for Swedish commercial sea captain Jonas Bronck, who in 1639 became the first European settler to establish himself in this area. During its golden age in the 1920s, the building of the elevated subway line increased the borough's population, Yankee Stadium was built and the mile-long Grand Concourse was fashioned as New York’s Champs-Elysees, lined with elaborate art deco buildings.
"People all around the world know the Bronx as the home of the New York Yankees, the Bronx Zoo and the New York Botanical Garden—not to mention as the birthplace of hip-hop. Look deeper and you’ll discover the quaint maritime village of City Island, the cultural attractions of Fordham and Belmont, aka the “real Little Italy,” centered on the restaurants and cafés of Arthur Avenue. Grand Concourse, in the South Bronx, is full of art deco marvels. " For more click on the NYC - Official Guide for the Bronx logo.
Only a short ride from the Concourse pavilion is Manhattan, the cultural heart of New York. World famous attractions, museums and cultural institutions. New Yorkers cheer for the best of almost every American sport: baseball's Yankees and Mets, football's Giants and Jets, basketball's Knicks and Nets, three professional hockey teams, and boxing at Madison Square Garden. Soccer fans root for New York Red Bulls. Historically, New York has welcomed new arrivals from all over the globe. In medicine, as in other fields, New York is a city of rich diversity.
Approximately 9,000 international medical school graduates practice or teach in New York, and nearly 2,000 are currently in residency at New York City hospitals. Almost every country is represented by a medical society, which offers friendship and support to residents far from home.