Services

Mount Sinai Beth Israel

The Mount Sinai Beth Israel Petrie Campus serves as the PCCM Division’s primary patient care and training site. At Petrie, the PCCM Division is responsible for the management of several patient care units; a 16 bed Medical Intensive Care Unit, a 12 bed Respiratory Care Unit, a dedicated cardiopulmonary rehabilitation center, a comprehensive sleep laboratory, and a specialized bronchoscopy suite. The Division also staffs the hospital-wide rapid response team by providing leadership and advanced airway management.

The Phillips Ambulatory Care Center located at Union Square is also part of the Petrie Division and is where the Division offers outpatient consultation services in Pulmonary and Sleep medicine, pulmonary function testing, and cardiopulmonary exercise testing.

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Fellowship Training Program

The PCCM fellowship experience at BI is designed to prepare trainees for careers in academic pulmonary and critical care medicine as clinician-educators and to teach outstanding and compassionate interdisciplinary pulmonary and critical care medicine. Completion of the three-year fellowship fulfills the requirements for certification by the American Board of Internal Medicine in both Pulmonary Diseases and Critical Care Medicine. For information on salaries, housing, and benefits, visit Beth Israel’s Graduate Medical Education website at www.bethisraelgme.org.

Faculty

The core PCCM faculty includes 10 full-time, internationally-recognized faculty who possess a broad array of clinical and research interests covering the major fields of pulmonary medicine. The Program Director is Dr. Pierre Kory, an accomplished teacher and widely invited lecturer with an extensive background in using Medical Simulation Training techniques as well as a national expert in the field of critical care ultrasonography. Fellows interact with core faculty on a daily basis through bedside rounds, daily clinical conferences, journal clubs, and didactic sessions. The daily morning case-based teaching conference led by the previous nights’ on-call Fellow and Attending is a favorite of the Division and serves as a unique and intimate learning experience. Formal didactic sessions are built around a core lecture series given year-round by BI faculty and include respiratory physiology, hemodynamic monitoring, mechanical ventilation, and respiratory infections.

The clinical training emphasizes the diagnosis and management of acute and chronic respiratory diseases, with emphasis on the practical application of pulmonary physiological and biologic principles and all aspects of critical care, consultative chest medicine, rehabilitation, pulmonary hypertension, lung cancer, and sleep medicine. An equally important aspect of our program is training in a vast array of pulmonary and critical care procedures. BI training program includes in depth preparation in:

A unique aspect of the program is training in management of the difficult airway and the use of ultrasonograpjhy in the acute differentiation of shock states. Included in the program is training in conducting clinical research and expectations for submission of data to national meetings and peer reviewed journals. This rare combination of procedural and intellectual training has established BI as a national leader for physician-trainees interested in cutting edge patient care.

Please note that applications for fellowship training at BI are accepted exclusively through the Electronic Residency Application Service (ERAS). To apply to our fellowship program, please go to the ERAS website at www.aamc.org/audienceeras.htm. Applications and related documents submitted without the use of ERAS are not accepted. Additional information about the fellowship application process is provided below. We appreciate your interest in our training program and look forward to receiving your application.

We invite you to review the information in this web site to learn more about our program.

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Medical Intensive Care Unit (MICU)

Located on the 7th floor of the Dazian Building, this 16-bed intensive care unit specializes in the care of medical critical illness. Led by Samuel Acquah, MD, the MICU features a team comprised of an array of health professionals committed to delivery of cutting-edge critical care. Our team consists of Intensive Care trained physicians ("Intensivists"), along with a dedicated critical care nursing staff, physical therapists, respiratory therapists, nutritionists, social workers. The Intensivist staff provide night-time coverage of the MICU, allowing for close supervision and teaching of all housestaff. With over 1200 admissions per year, we are one of the busiest areas of the hospital and a major area of training for medical students, residents, and fellows.

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Palliative Care Program

An important part of the MICU care program is active participation by pain and palliative care specialists from the renowned Jacob Perlow Hospice. Dr. Earle Hayes, Board Certified in both Critical Care Medicine and Hospice and Palliative Care Medicine has been instrumental in integrating the Palliative Care team and MICU teams as well as providing both daily teaching and elective opportunities to both fellows and residents in the principles and practices of Palliative Care medicine.

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Respiratory Care Unit (RCU)

Our 12 bed respiratory care and medical step-down unit is primarily dedicated to the care of patients with respiratory diseases and slowly resolving critical illnesses who require extended periods of mechanical ventilation for acute and prolonged forms of respiratory failure. With a dedicated staff of respiratory therapists, nutritionists, physical therapists and pulmonologists, we offer high success rates in liberating patients from mechanical ventilation.

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Bronchoscopy and Interventional Pulmonary Service

The BI Bronchoscopy service gained a local and regional reputation due to its long and increasing expertise in the use of endobronchial ultrasound (EBUS) a highly accurate and non-invasive technology for the diagnosis and staging of lung cancer. The Service offers an array of other diagnostic and therapeutic procedures in the evaluation and treatment of both pleural, parenchymal, and central airway processes.

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Pulmonary Medicine Clinic

Located in the Phillips Ambulatory Care Center (PACC), outpatient consultation and care of the entire spectrum of pulmonary disease and sleep disorders is offered by a team of board certified lung specialists. These pulmonologists work with PCCM fellows to address common and complex disorders of the respiratory system. Some of the many illnesses treated include asthma, acute and chronic cough, chronic obstructive pulmonary disease, interstitial lung diseases, sarcoidosis, and lung cancer. Specialized pulmonary function testing and cardiopulmonary exercise testing are also performed here. To make an appointment for a consultation with one of our physicians, please call 212-420-2377.

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Pulmonary Function Testing Lab

The Beth Israel Pulmonary Function Laboratory is located on the 3rd floor of PACC. This state of the art facility is directed by a world leader and pioneer in lung function and cardiopulmonary exercise testing, Dr. Albert Miller. The lab offers a full-array of pulmonary function testing including airway responsiveness testing (methacholine & histamine challenges) and cardiopulmonary exercise testing.

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Sleep Medicine Center

The Beth Israel Mount Sinai Sleep Medicine Center’s Director is Alfredo Astua, MD. The center offers comprehensive diagnostic and treatment services for all types of sleep disorders, including excessive daytime somnolence, snoring, obstructive sleep apnea (OSA), insomnia, narcolepsy, restless legs syndrome, central sleep apnea, and REM behavior disorder. It does so by using state of the art technology in evaluating sleep disorders in both the in-lab as well as the in-home setting. Studies available through the Sleep Medicine Center include: the general sleep study (also called a polysomnogram), CPAP and ASV titration studies, split night studies, multiple sleep latency testing, maintenance of wakefulness testing, daytime “nap” studies, and daytime sleep studies for people who work during the night hours. The Center’s director, Dr. Alfred Astua is a sleep fellowship-trained board certified sleep disorders specialist. He will meet with patients in his office to determine the best course of action for testing and treating the sleep disorders. Dr. Astua will discuss the patient’s individual care plan that might include addressing the correction of unhealthy sleep habits, medical as well as possible surgical options for treating diagnosed sleep issues. As part of treatment plan, the Center will coordinate care with the relevant physicians involved to provide a comprehensive and holistic approach to treatment.

Given that many sleep medicine patients also have breathing problems, Dr. Astua’s extended expertise and board certifications in Pulmonary, Critical Care and Internal Medicine yield a complimentary set of tools to ensure the patient receives the best care possible.

The center is also very active in pre-surgical as well as pre-bariatric (weight loss) evaluation that patients need to undergo in order to have a safe and successful surgical experience.

Visit our partner United Sleep Diagnostics at unitedsleepd.com for information and virtual tours of the sleep laboratories at the patient's disposal.

If you would like to schedule a sleep study or a consultation with Dr Astua, please call 212-420-2697.

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Pulmonary Hypertension Center

The BI Pulmonary hypertension program is among the largest in the US. Dr. Roxana Sulica, a national expert in the diagnosis and treatment of Pulmonary Hypertension (PH), serves as Director. Dr. Sulica is well published in the area of pulmonary hypertension and participates in many national, multi-center studies of new therapies for pulmonary hypertension. The PH center receives referrals from a wide geographical region due to its offering of the most current diagnostic and treatment modalities for this disease and its participation in clinical research trials. For referral or consultation please call: 212-844-8824.

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Cardiopulmonary Rehabilitation Center

Directed by Jonathan Raskin, MD, a national leader in both cardiac and pulmonary outpatient rehabilitation. The BI rehabilitation program is a specialized program that is geared toward improving the quality of life in patients with pulmonary disease by increasing exercise tolerance and reducing symptoms of dyspnea. For referral or consultation, please call 212-420-2357.

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Simulation Training Center

The BI Medical Simulation Training Center is directed by Pierre Kory, MPA, MD and located in newly renovated space in the Baird building. The center utilizes the most modern, life-sized, computerized patient simulator (SimMan™ 3G) to emulate a vast array of clinical scenarios to facilitate critical skills acquisition in areas such as basic and advanced airway management, resuscitation from cardiac arrest & shock, medical crisis leadership tactics and task based procedures such as insertion of central lines under ultrasound guidance. Dr. Kory has authored several widely-cited publications in the field, and trains both residents and fellows in simulation training skills in order to serve as simulation center faculty and to promote and practice these skills during their careers.

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Critical Care Ultrasonography

The Division has become a national leader in this young field, having applied the use of ultrasonography to the care of ICU patients since the early 1990’s. The Division currently owns 6 ultrasound machines with diverse applications. Critically ill patients admitted to the ICU are routinely scanned using this safe, non-invasive imaging modality to determine the causes of shock, respiratory failure and guidance in the always-challenging assessment of intravascular volume status. Drs. Pierre Kory and Samuel Acquah serve as Directors of the Advanced Critical Care Ultrasonography courses given by the American College of Chest Physicians and are also Principal Investigators of several studies within the field. Dr. Kory has been an invited lecturer at many regional and national conferences from both medical and surgical intensivist societies. He is also one of only a handful of non-cardiologists in the country to have passed the National Board of Echocardiography exam.

Critcaresono.com
A major effort by the Division has been its work in creating the first free, educational website devoted to teaching all the concepts and components of General Critical Care Ultrasonography as outlined in the recent Competence Statement published by the American College of Chest Physicians and the Societe de Reanimation de Langue Francaise (the major European society for Intensive Care physicians). The site features hundreds of ultrasound clips detailing major findings in the critically ill along with supplemental text teaching the important concepts, principles, and applications of the field. A popular feature for practicing intensivists will be the library of “unknowns” used for practicing interpretive skills.

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Multi-Disciplinary Lung Cancer Program

Lung cancer is the leading cause of cancer death in this country and presents highly challenging problems in both the diagnosis and treatment of the disease and its complications. BI as part of the Continuum Health Partners network participates in a multi-disciplinary lung cancer program that includes clinicians from the fields of Pulmonology, Thoracic Surgery, Radiology, Medical Oncology and Radiation Oncology. Participation in this program offers patients one-stop, comprehensive consultation from nationally recognized experts in their respective fields.

Appointments

PULMONARY DISEASE CONSULTATION

Dr. David Steiger 212 420 2377 #2
Dr. Samuel Acquah - 212-420-2377, option 2
Dr. Alexandra Adams 212 420 2377 #1
Dr. Roxana Sulica - 212-420-2377, option 2
Dr. Albert Miller - 212-420-2377, option 1

PULMONARY HYPERTENSION CONSULTATION

Dr. Roxana Sulica – 212-420-2377, option 2

SLEEP MEDICINE AND SLEEP STUDIES

Dr. Alfredo Astua 212 420 2377 #1
Sleep Study Scheduling: 1-877-753-3742
Sleep Study Results and/or Questions: 212-420-2377 option 4

PULMONARY FUNCTION TEST

212-844-8107

DIVISION MAILING ADDRESS

Division of Pulmonary, Critical Care and Sleep Medicine
Mount Sinai Beth Israel

7 Dazian Building
First Avenue at 16th Street
New York, New York 10003
Telephone #: 212-420-2377
Fax #: 212-420-4684 or 212-420-2677

OUTPATIENT PRACTICE AND PULMONARY FUNCTION LAB LOCATION

10 Union Square East, Suite 3E
New York, New York 10003
Telephone: 212-844-8107
Fax: 212-844-8413

PHONE NUMBERS

DIVISION CHIEF

David Steiger, MD – 212-420-2377, option 1

PROGRAM DIRECTOR - FELLOWSHIP

Paru Patrawalla, MD - 212-420-2377, option 2

MEDICAL INTENSIVE CARE UNIT

DIRECTOR – Dr. Samuel Acquah, 212-420-2377, option 2
Nurse Manager, Ina Jabara, RN – 212-420-4578
Location: 7 Dazian
Unit Telephone: North Side: 212-420-2937, South: 212-420-2371

CYSTIC FIBROSIS

Patricia Walker, MD – Co Director – 212-420-4100
Maria Berdella, MD – Co Director – 212-420-4100
Location: 7th Floor Bernstein Building

PULMONARY HYPERTENSION

Roxana Sulica, MD – Director – 212-420-8824

INTERVENTIONAL PULMONOLOGY

Arthur Sung, MD – Director: 212-420-2377

CARDIOPULMONARY REHABILITATION

Jonathan Raskin, MD, Director Location: 3rd Floor Linsky Building Telephone: 212-420-2357 212-420-2377, option 8

BRONCHOSCOPY SUITE AND SCHEDULING

Location: 8 Dazian
Telephone: 212-420-2895

PULMONARY FUNCTION TESTING LAB

Albert Miller, MD - Director
Jean Arly Mondesir, Cardiopulmonary Technician, Pulmonary Function Laboratory: 212-844-8107
Jo Ann Ocasio, Cardiopulmonary Technician, Pulmonary Function Laboratory: 212-844-8107
Location: 10 Union Sq East Suite 3E

PULMONARY AND CRITICAL CARE FELLOWS

212-420-2377, option 7

ADMINISTRATIVE STAFF

Ayeisha Kirby-Brown, Administrative Manager, MS: 212-420-2377
Brian London, Fellowship Coordinator, Pulmonary/Critical Care: 212-420-2303
Artina Windley, Secretary, Sleep Medicine: 212-420-2377
Donna Mclenan, Secretary, Pulmonary Medicine:212-420-2377
Rosaura Torres, Secretary, Pulmonary Medicine – 212-420-2377
Tema Roman, Office Manager, Cystic Fibrosis Program: 212-420-4100
Leahanna Romain, Outpatient Coordinator, Pulmonary, Critical Care & Sleep Medicine: 212-844-8364
Rebecca Fenton, Clinical Coordinator, PH Program: 212-844-8824
Nakia Mitchell, Administrative Assistant, Pulmonary Hypertension Program: 212-844-8824 Lisa Smith, Receptionist, PACC Suite 3E – 212-844-8107

RESPIRATORY CARE DEPARTMENT: 212-420-2765

Boris Berlin, Manager, MSA, RRT, RRT-NPS, RPFT, – 212-420-4473
Location: 7 Dazian

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