School of Medicine
- Anatomical Sciences
Department of Anatomical Sciences
The department conducts graduate studies leading to the PhD degree, through its own and interdisciplinary programs (e.g., the Interdepartmental Doctoral Program in Anthropological Sciences). It also provides instruction in the anatomical sciences for students in the Schools of Medicine, Health Technology and Management, and Dental Medicine.
Department of Anesthesiology
The Department of Anesthesiology provides instruction in the clinical science of the specialty, and the physiology, pharmacology, and biochemistry on which it is founded. Emphasis is placed upon the integration of basic and clinical sciences, and upon an interdisciplinary approach to attain optimal care of patients. Instruction is provided to medical students during their clinical training years. All students rotate through anesthesiology for two weeks during their surgery selective month. Those students interested in more advanced training are encouraged to apply for a third-year elective or a fourth year sub-internship, during which they will be exposed to all aspects of clinical anesthesia management of surgical, obstetrical and chronic pain patients. They will administer anesthesia under supervision, participate in pre- and post-operative care, and become familiar with specialized aspects, such as intensive care, cardiopulmonary resuscitation, cardiac and neurosurgical anesthesia, perinatal medicine, and therapy of acute and chronic pain. Participation in ongoing clinical research projects and all teaching exercises is encouraged.
The Department of Anesthesiology also provides comprehensive instruction to dental, ER, and periodontal residents, and to orthopedic surgery, and medicine interns.
In its graduate program, the department provides a four-year training program of residents specializing in anesthesiology.
Fellowships in subspecialties and clinical research are available to physicians who have completed the requirements toward specialization.
- Biochemistry & Cell Biology
Department of Biochemistry and Cell Biology
This department offers fundamental courses in biochemistry and cell biology to students in the health professions, as well as to undergraduates and graduates in biochemistry and biology. Its graduate studies are centered on an interdisciplinary program in molecular biology, cell biology, and also a graduate program in biochemistry and structural biology. The department also offers a Biochemistry and Cell Biology (BCB) MS program.
- Biomedical Engineering
Department of Biomedical ENgineering
Biomedical engineering is at the forefront of medicine’s technologic revolution; its many successes have raised expectations for the prevention, diagnosis and treatment of disease. Faculty at Stony Brook University have been active contributors to the cutting-edge of this technology, and our University is building on internationally acclaimed strengths in bioelectromagnetics, biomechanics, biomaterials, biotechnology, tissue engineering, instrumentation and medical imaging. The program in biomedical engineering trains individuals with baccalaureate degrees in engineering, applied mathematics and the sciences to provide them with the synthesis, design and analysis skills necessary to contribute effectively to the advancement of science and technology in health and medical care.
Graduate degree programs are offered at the master’s and doctoral levels. These programs provide two distinct avenues of graduate study in biomedical engineering: the doctoral level is directed toward the student interested in a research or academic career, and the master’s level for those primarily interested in the application of biomedical engineering concepts in the development of advanced technology in biomedical products and processes. The department’s goal of actively promoting the development of a creative, versatile biomedical engineer is accomplished by exposing the individual to the biology, engineering, and business concepts critical to succeeding in the biomedical research and development environment.
The program’s goal is to actively promote the development of versatile biomedical engineers. This includes in-depth exposure to the biological and the engineering concepts underlying physiological processes. A Bachelor of Engineering in Biomedical Engineering (BE) is also offered.
To provide the permanent foundation on which to build a career in biomedical engineering, an integrated core set of biomedical engineering courses have been implemented. These provide our biomedical engineering students with the underlying engineering principles required to understand how biological organisms are formed and how they respond to their environment. Students will attain a credible level of sophistication in their understanding of cell, tissue, and organ physiology.
The student is then able to complement this background with additional engineering courses either within the Program in Biomedical Engineering (PIBE), or in the other disciplines of engineering.
The graduate program relies on the core set of courses to provide biomedical engineering students with an overview of the biophysical principles involved in cell, tissue and organ biology. The progression of the four PIBE core courses requires three resident terms to complete. In addition to these four courses, a seminar series providing exposure to the breadth of bioengineering research and development activities both within the University, as well as throughout the scientific/industrial community, is required of all PIBE students through their first two years of study. Finally, each course has a component of independent study to nurture the student’s abilities to pursue a topic specialized interest.
Master’s Degree Curriculum: The Master’s of Science Degree in BME is achieved by completing the core course and track/specialization requirements. The program of study can be chosen from any of the following approved tracks/specializations: general, biomechanics, biosignals, medical physics, or molecular bioengineering. The general program of study can be custom tailored in consultation with your faculty advisor/mentor to accommodate almost any BME area of interest. The core courses that all new graduate students must take are as follows: BME 501 Engineering Principles in Cell Biology, BME 502 Adv. Num. Comput. Analysis Appl. Biol. Syst., BME 505 Prin. and Practice of BME I, BME 520 Lab. Rotation I, BME 521 Lab. Rotation II. All students (except those pursuing the Medical Physics Track) must also fulfill a business/management course requirement, which can be met by taking: BME 509 Fundamentals of the Bioscience Industry or any MBA class (MBA 501-507, 511 or 589) from the School of Business. A given track/specialization will have additional requirements, which includes a minimum of six technical elective courses, 3 of which have to be BME. Students must maintain an overall grade point average (GPA) of 3.0 or better, and must maintain a GPA of 3.0 or better for all core courses.
Thesis or Non-Thesis Options: The student has the option of earning the Master’s of Science Degree in BME on either a thesis or non-thesis track. The non-thesis option is recommended for students who wish to pursue a career in industry that does not involve Research and Development (R&D). If non-thesis, the student undertakes elective graduate coursework to complete the 31 credits. The thesis option is recommended for students who will be continuing on for their doctoral degree and for students who wish to pursue an industrial career with an R&D focus. If non-thesis, the student can generally complete the requirements in three full-time academic semesters. In the thesis option, in addition to the general requirements, the student must complete at least six credits of thesis research (BME 599), and submit and defend a written thesis. Generally, it takes four full-time academic semesters to complete the MS degree with the Thesis option.
Doctoral Degree Curriculum: A minimum of 15 graduate credits, beyond the Master’s in BME level, is required for completion of the Doctor of Philosophy degree in BME. There are no course requirements per se, though certain courses may be required to fill any gaps in the student’s knowledge. Following completion of a qualifying exam, and independent basic research program will be undertaken. One semester of teaching practicum must be satisfactorily performed. Completion of this research program will culminate in the submission and oral defense of a dissertation. The University requires at least two consecutive semesters of full-time graduate studies. All requirements for the PhD must be completed within seven years after the completion of 24 credits of graduate study.
Undergraduate Biomedical Engineering Program
The Department of Biomedical Engineering offers the major in biomedical engineering, leading to the BE degree. In a rigorous, cross-disciplinary training and research environment, the major program provides an engineering education along with a strong background in the biological and physical sciences. It is designed to enhance the development of creativity and collaboration through study of a specialization within the field of biomedical engineering. Teamwork, communication skills, and hands-on laboratory and research experience are emphasized. The curriculum provides students with the underlying engineering principles required to understand how biological organisms are formed and how they respond to their environment.
Graduate Biomedical Engineering Program
The graduate program relies on the core set of courses to provide biomedical engineering students with an overview of the biophysical principles involved in cell, tissue and organ biology. The progression of the five BME core courses requires three resident terms to complete. In addition to these four courses, a seminar series providing exposure to the breadth of Biomedical Engineering research and development activities, both within the University as well as throughout the scientific/industrial community, is required of all BME students through their first two years of study. Finally, each course has a component of independent study to nurture the student’s abilities to pursue a topic of specialized interest. Degrees available through this program include the following:
• Master’s of Science (MS) in Biomedical Engineering
• Doctor of Philosophy (PhD) in Biomedical Engineering
The First Year
For MS students, the first year of study includes core courses, electives, and attending the PIBE seminars. Students in the MS research track are required to identify a research advisor by the end of their first spring semester in the program. For doctoral students, the first year includes preparation for the qualifying examination, taking any classes as directed by their Dissertation Defense Committee, and initiation of independent research. Most doctoral students will take their qualifying examination within the first year. Some international students may be required to take remedial English courses, depending upon their mastery of the language. Students who are being financially supported by teaching assistantships will assist designated faculty in instructing undergraduate students.
The Second Year and Beyond
In the second year, most students will finish any remaining core and elective courses. MS research track students will have begun their research projects under a faculty member’s supervision. Once PhD students have successfully passed their qualifying examination, they have no further requirements except the completion and defense of an original dissertation. To improve scientific communication skills, all students participate in the weekly program laboratory seminars where faculty, postdoc and graduate students present the latest research from their laboratories. These intimate, yet informal, meetings allow students to learn by watching and presenting research in a friendly and critical environment.
Department of Dermatology
The Department of Dermatology is committed to providing quality education in cutaneous biology, cutaneous oncology and skin disease to medical students, residents and fellows. Emphasis is placed on the integration of principles of basic pathophysiology with clinical manifestations and preventive medicine, and on the development of problem solving and diagnostic skills.
In conjunction with the Department of Orthopedics, Department of Pathology, Department of Radiology, and Department of Medicine/Divisions of Allergy, Immunology and Rheumatology, the Department of Dermatology participates in the Connective Tissue and Skin Systems Course for second year medical students. The format varies from didactic lectures to workshops and clinical pathologic correlations, including an opportunity for students to interact with patients.
A one-month clinical elective is offered during the fourth year, which provides exposure to the diagnostic and management of cutaneous disorders in both the ambulatory and inpatient settings at Stony Brook University Hospital, Stony Brook Technology Park and the Northport Veterans Affairs Medical Center.
A one-month research elective provides in-depth exposure to academic dermatology, and the application of laboratory science to clinical problems through participation in a laboratory or clinical research project.
A three-year dermatology residency training program provides structured education in basic cutaneous biology and pathophysiology, and extensive exposure to patients with skin disorders. The training experience comprises all aspects of ambulatory and inpatient dermatology, including dermatologic surgery, cutaneous oncology, dermatopathology and phototherapy. Opportunity is provided for involvement in basic science and/or clinical skin research.
Postgraduate fellowships are offered in basic and/or clinical research. The Department of Dermatology is actively involved in continuing medical education for staff, community practitioners and healthcare professionals, through CME accredited Grand Rounds, conferences, seminars and through participation in local dermatologic societies.
- Emergency Medicine
Department of Emergency Medicine
The Department of Emergency Medicine offers exposure to a wide range of clinical problems and to an evolving regional emergency medical services system. The academic department provides a home for dedicated faculty and students to learn, teach, and pursue basic science, clinical, and health policy research. Stony Brook offers ample opportunity for collaboration and exchange with faculty and students from many other disciplines.
The department conducts advanced life support training for medical students at the end of the second year. During the third year, the department offers a two-week clerkship in Emergency Medicine. The course includes 84 hours of clinical time in the Emergency Department, labs and simulation exercise.
For fourth-year medical students, the department offers four-week didactic courses in Emergency Medicine, twice a year. Those interested in pursuing a career in Emergency Medicine may take the course with incoming first-year Emergency Medicine residents in July. Lectures are offered on management of common emergency department presentations including chest pain/acute MI, trauma, burns, stroke, seizures, pediatric airway disorders, GI bleed, trauma and toxic syndromes. Labs include airway management, wound care, advanced surgical skills, splinting, ultrasound, regional nerve block and slit lamp. Special sessions include a Pediatric Advanced Life Support course and Advanced Trauma Life Support. This course is repeated in February as an elective for all fourth-year medical students. In addition to the clinical and didactic experiences, the department also offers a “sub-internship” in Emergency Medicine, where students take on the roles/responsibilities of a PGY-1 in Emergency Medicine. The department’s goal is to offer students a path to develop the clinical competence, academic excellence and administrative acumen to assume leadership roles in the field of Emergency Medicine.
The department sponsors an accredited three-year residency training program in emergency medicine. Stony Brook University Hospital is the primary clinical site of resident education. The comprehensive emergency medicine experience is augmented by community rotations at Good Samaritan Hospital (PGY2s), NYC Bellevue for toxicology (PGY2s), and Shock Trauma Center in Maryland for trauma ICU (PGY3s). The goal of the residency program is to train emergency physicians who are capable of providing thorough, competent, evidence- based patient care, and who are dedicated to improving and leading the field of emergency medicine into the future.
- Family, Population & Preventive Medicine
Department of family, population & Preventive medicine
The Department of Family, Population and Preventive Medicine officially launched on August 1, 2017 with the merger of the former Department of Family Medicine and Department of Preventive Medicine, both of which were established when the medical school first opened in 1971. With the recognition of numerous synergies between them, along with the growing focus on prevention, population health, and transformation of the delivery of primary care, the time was opportune for the creation of a department with Population as part of its name and identity. Indeed, the new department is well poised to build on the concepts espoused in the Institute of Medicine’s 2012 report Primary Care and Public Health: Exploring Integration to Improve Population Health
The Department’s mission is to improve the health and well-being of patients, families, providers, and communities through clinical, educational and research programs that incorporate primary care, public health, nutrition and preventive medicine.
In general terms, we fulfill our mission by:
- Providing comprehensive family medicine based primary care utilizing a biopsychosocial focus and the Patient Centered Medical Home (PCMH) delivery model
- Providing specialized services in Occupational & Environmental Medicine, Travel Medicine & Adult Vaccinations and Wellness & Chronic Illness
- Conducting extensive educational activities for a diverse group of learners and trainees
- Conducting a broad range of interdisciplinary research
- Participating in partnerships with communities and institutions to improve the healthcare and health status of populations
The Department is organized into the following 7 Divisions. Click on the links to view descriptions of each division’s focus, activities, and programs.
- Epidemiology & Biostatistics
- Family & Community Medicine
- Graduate Medical Education
- Medicine in Society
- Occupational, Environmental & Clinical Preventive Medicine
- Preventive Medicine & Population Health
In addition to teaching in the two Residency Programs, (Family Medicine Residency Program and General Preventive Medicine & Public Health), our faculty are actively involved in various educational programs throughout Stony Brook Medicine and the University. This includes teaching and mentoring medical students, residents, fellows and junior faculty from other departments, graduate students in the School of Nursing, Program in Public Health, and the Graduate Program in Biomedical Informatics.
The Medicine in Society Division offers a MA Degree in Medical Humanities, Compassionate Care and Bioethics.
Department of Medicine
The Department of Medicine encompasses nine divisions: Cardiology, Endocrinology and Metabolism, Gastroenterology and Hepatology, General Internal Medicine, Hospitalist and Geriatrics, Hematology/Oncology, Infectious Diseases, Nephrology and Hypertension, Pulmonary and Critical Care Medicine, and Rheumatology, Allergy and Clinical Immunology at Stony Brook, as well as at its clinical affiliates. The combined faculty of these institutions are charged with the responsibility for the following:
1) Directing and teaching the Introduction to Clinical Medicine program for first and second year medical students
2) Oversight and teaching of the Systems Approach to Medicine for second year medical students
3) Directing the Ambulatory Care Clerkship for third-year medical students
4) Directing the Clerkship and Sub-Internship in Medicine
5) Developing curriculum and supervising electives in the medical subspecialties
6) Training 49 residents and 75 fellows
7) Providing Continuing Education in Medicine
8) Providing superb clinical care for patients across Long Island who require Internal Medicine primary care and subspecialty services in both the inpatient and outpatient settings
The Department of Medicine education program is designed to provide medical students, residents and fellows with a solid foundation in general internal medicine and its subspecialties, including quality patient care and research. This goal is exemplified in the design of the medical clerkship. Under the tutelage of full-time faculty and community preceptors, students learn the arts, skills, and modes of reasoning in making diagnoses and managing patients. In addition, students become a part of the medical staff by delivering patient care. These educational activities are supplemented by conferences, a comprehensive lecture series of topics identified as a target “Core Curriculum,” the Chairman’s lecture series, small group sessions with the Program Director, and multi-departmental clinical pathology conferences. The study of the patient as the keystone to learning medicine is stressed throughout the inpatient and ambulatory experience. A fourth-year sub-internship is offered for those students with an interest in careers in Internal Medicine and as a foundation for many students pursuing other disciplines. The one to two months internal medicine sub-internship provides the students with an intensive patient care experience in the inpatient setting with faculty mentoring and oversight. Additionally, many fourth-year students elect to participate in a variety of subspecialty electives that provide in-depth, focused learning experiences in the internal medicine disciplines.
The Graduate Training program’s goals and objectives emphasize the department’s mission to educate compassionate, life-long learner physicians who are capable of delivering the highest quality of medical care. The core program consists of 49 residents in 5 different tracks including Traditional Internal Medicine training, Primary Care Medicine, Medicine/Pediatrics, and Medicine/Neurology. A preliminary year in Internal Medicine is offered for those pursuing training in other medical disciplines, such as radiology, which require a clinical internship. In addition, the core program supports 11 fellowships, including a full range of subspecialties from Geriatrics through Gastroenterology, and from Endocrinology through Electrophysiology.
The post-graduate program encourages trainee participation in research, and offers training in research. Post-doctoral traineeships are available in both applied and basic research for senior house officers planning careers in academic medicine. Separate clinical research fellowships for trainees are available through the General Clinical Research Center. Senior students and residents may take electives in general medicine and the medical subspecialties.
In keeping with the goals of our education program, continuing education is provided at various hospitals through regularly scheduled rounds and conferences. These activities, aimed at not only the members of the medical staff but for allhealthcare professionals, emphasize the importance of interdisciplinary approaches in analyzing problems, whether at the bedside or in the laboratory.
- Molecular Genetics & Microbiology
Department of Molecular Genetics and Microbiology
The Department of Molecular Genetics and Microbiology provides a focus for research activities ranging from the analysis of mechanisms responsible for the pathogenicity of microorganisms to the identification of genes involved in human cancer. Key discoveries in molecular genetics have been made in this department and world-renown scientists have flourished in this environment.
The department occupies laboratories and offices in the Life Sciences Building and the Centers for Molecular Medicine, a state of the art research and teaching facility. The research laboratories are fully equipped and, in addition, the department provides access to a variety of central facilities and services: a cell culture and hybridoma facility, microinjection facility, microscopy facilities, glassware washing, microarray facility, an analytical equipment lab, environmental rooms, darkrooms, and other department-shared equipment that are readily available to students and trainees.
As a basic science department of the School of Medicine, the department offers a diversified course of study leading to the PhD degree in Molecular Genetics and Microbiology. The major areas of study are the basic mechanisms of viral and bacterial pathogenesis, cell growth, signal transduction and the molecular mechanisms of cancer. The pre-doctoral training program offers its students the opportunity to study topics in virology, bacteriology, immunology, biochemistry, and cell and developmental biology utilizing the experimental approaches of the molecular biologist and geneticist. Instruction and course planning involve faculty members from the Department of Molecular Genetics and Microbiology, and selected members from the Departments of Biochemistry and Cell Biology, Medicine, Pathology, and Pharmacology, and from three outside institutions, Cold spring Harbor Laboratory, Brookhaven National Laboratory, and The Feinstein Institute for Medical Research. The department also offers undergraduate and graduate courses that are required for majors in the health-related professions as well as the basic sciences.
The department has an active seminar program of outside speakers who present topics relevant to molecular microbiology and genetics. In addition, there is a yearly retreat in which ongoing research in the department and recent progress in the field are presented and discussed. The department also presents a colloquium each fall on human diseases, with outstanding researchers from throughout the world presenting their current work on the selected topic.
Our training opportunities lead the way in interdisciplinary research with clinical and basic research cooperation in the fields of cancer research and infectious disease.
- Neurological Surgery
Department of Neurological Surgery
The Department of Neurological Surgery is a principal component of the neurosciences program at Stony Brook. The main objective of the department is to provide quality patient care using the latest technology while integrating a commitment to teaching and research in the neurosciences. The clinical faculty members provide surgical care to both adult and pediatric patients who require surgical treatment for diseases and disorders of the spine and brain. The Cerebrovascular Center offers expertise in the surgical and endovascular management of cerebral aneurysms, carotid and intracranial atherosclerosis, arteriovenous malformations, and acute stroke. The department includes faculty with training in Physical Medicine and Rehabilitation who provide non-surgical treatment of spine disorders, varying from prescription of physical therapy programs to performance of fluoroscopically guided injections.
Selected residents from neurology, orthopaedics and surgery programs may rotate on the neurological surgery service for intensive exposure to the surgical management of spine and brain maladies, in particular trauma and more complex neurosurgical problems that are characteristic of an academic practice. Medical students may be instructed on processes relating to the nervous system and pre-clerkship lectures are given periodically with emphasis on skull base tumors, craniospinal trauma, cranial pressure dynamics, central nervous system tumors, non-surgical management of spine pain, acute stroke and cerebrovascular disease. Some of the research faculty are engaged in multidisciplinary, translational research exploring fluid dynamics in hydrocephalus and intracranial flow disorders; and the role of amyloid ß-protein (Aß) in Alzheimer's disease and stroke. We are home to one of only three Artis® Zeego angiography suites in the country dedicated to research and training. The Cerebrovascular Center includes an active Clinical Trials Unit conducting numerous national and international trials of novel endovascular devices. Other research projects include research on interspinal spacers used in spinal surgery and the development of artificial discs. Sponsorship may be provided to qualified graduate students.
Department of Neurology
The Department of Neurology, part of the Neurosciences Institute, includes Divisions of Pediatric Neurology, Clinical Neurophysiology, and Neuropsychology, as well as sections in Stroke/Cerebrovascular Neurology, Multiple Sclerosis (MS)/Neuroimmunology, Epilepsy/EEG, Neuromuscular Diseases/EMG, Neuro-Oncology and Sleep Disorders. It includes the Comprehensive Epilepsy Center, the Adult MS Comprehensive Care Center and Pediatric MS Care Center, and the Stony Brook ALS Center of Excellence among others.
The department’s mission is to provide excellence in neurologic care for the patient, research, education and community service. The department provides basic and clinical training in neurological science to medical students, fellows and residents. The intent of this training is to provide a basis for scientific neurology and practical instruction in patient care. The department carries on a broad program of research that contributes to the understanding of the structure, function and diseases of the nervous system. The clinical faculty provides tertiary, as well as basic level clinical care in neurology, carried out within the context of medical student and residency/ fellowship training. The department strives to increase community awareness about neurologic disorders.
In addition to instruction of medical students the department provides ACGME approved training programs in the following areas with subsequent Board Certification: 1) Adult Neurology, 2) Child Neurology, 3) Clinical Neurophysiology, and 4) Cerebrovascular Neurology. The department participates in the Sleep Medicine program as well. A three-year residency program is offered to prepare postgraduate physicians for board certification in adult or child neurology. The residency training programs provide a firm background in basic neuroscience disciplines and extensive exposure to clinical neurology. The didactic and clinical curricula are emphasized. Residents complete separate rotations in neuropathology, neuroradiology, child neurology, and psychiatry, and are encouraged to become involved in clinical and/or basic neuroscience research. Graduates from all programs are eligible for certification exams upon completion of the program.
Instruction is provided at all levels of medical education. Members of the department participate in the teaching of basic neuroscience to medical students. The mandatory clinical clerkship consists of intensive inpatient (consultative services and wards) and outpatient experience in neurology. Exposure to the Child Neurology, Epilepsy/EEG/Intra-operative Monitoring Sleep, or Stroke services can be arranged during the clerkship. The intent is to provide the student with the background to perform a neurological history and examination, and to evaluate patients with neurological disease in an appropriate and logical manner. The emphasis in this experience is on improving clinical diagnostic skills and the ability to formulate a plan of care. Attention is also directed to learning the techniques and interpretation of evoked potentials, electroencephalography, electromyography, and neuroradiological procedures, including magnetic resonance imaging. Students are expected to participate in all aspects of the clinical activities of the department. Individually crafted advanced electives in neurology are available for students who have completed the clerkship.
The faculty maintains a strong commitment to clinical neurology through operation of the neurology service at Stony Brook University Hospital and at the Northport Veterans Affairs Medical Center. Faculty research programs complement the clinical and academic functions of the department. Research in the department of neurology covers a wide spectrum of activities ranging from proteomics, genetic studies and stem cell research, to clinical trials in the major nervous system disorders to neuroimmunology/MS, neuro-imaging, vascular neurology/stroke, epilepsy, neuro-ophthalmology and developmental neurobiology projects. There are active ongoing research collaborations with Brookhaven National Laboratory, and Cold Spring Harbor Laboratory, as well as onsite research within the department.
- Neurobiology & Behavior
Department of Neurobiology and Behavior
This department offers fundamental courses in neurobiology to students in the health professions as well as to undergraduates and graduates in biology. Its graduate studies are centered on the program in neuroscience.
- Obstetrics, Gynecology & Reproductive Medicine
Department of Obstetrics, Gynecology and Reproductive Medicine
The Department of Obstetrics, Gynecology and Reproductive Medicine is organized into the following divisions, each with its own chief: Gynecology and General Obstetrics, Gynecologic Oncology, Maternal-Fetal Medicine, Reproductive Endocrinology and Infertility, and Midwifery.
The department is responsible for instruction of medical students in each phase of their development. During the second-year curriculum, the department participates in the Introduction to Clinical Medicine course. Students are taught male and female genitourinary physical examinations in a program using prepared “professional patients.” Following the study of exam techniques utilizing audiovisual aids and pelvic models, small groups of students spend one session with a physician instructor and specially trained professional patients who assist the individual student in conducting the exam.
The objective of the program is to provide an experience for students to perform non-traumatic genital exams to minimize the initial technical and psychological difficulties of the exam, and to introduce to them the importance of communication with their patients.
Second-year medical students also have an intensive three-week course in Reproductive System Pathophysiology. Building on and expanding the students’ knowledge of the basic sciences obtained in their first year, this course covers aspects of human reproduction dealing with both the normal and abnormal conditions of the male and female reproduction.
The Clinical Clerkship in Obstetrics and Gynecology is an eight-week core curriculum presentation for students to become intimately involved with the ambulatory and hospital care of female patients with pregnancy and/or diseases of the reproductive tract. Educational objectives are attained through didactic lectures, seminars, rounds, and clinical exposure — the latter essentially by integration into the service as a sub-intern. In addition to gaining experience with examination, diagnosis, and principles of treatment, opportunities are provided for exposure to the preventive medicine aspects of the discipline, including family planning, adolescent guidance, cancer screening, patient education and detection and prenatal health.
For students already career oriented in obstetrics and gynecology, and for those who desire greater depths than permitted by the core curriculum, fourth-year electives are offered in maternal-fetal medicine (high-risk pregnancy), reproductive endocrinology and infertility, gynecologic oncology, and gynecology and general obstetrics with participation in faculty research projects as well as in independent student research projects, utilizing the department’s laboratory facilities in endocrinology, immunology, fetal physiology and virology.
The principal goal of the department is to train physicians who will maintain and improve the highest standards in women’s healthcare.
The department offers an accredited four-year residency, which includes training in all aspects of obstetrics and gynecology. The program provides a structured educational experience that is planned in continuity with undergraduate and continuing medical education. Participants are afforded structured, sequentially developed exposures using a continuity of care model in the ambulatory and inpatient setting. This includes primary medical management and a variety of surgical experiences appropriate to the level of training.
The department offers a three-year training program in Maternal-Fetal Medicine through its two Regional Perinatal Centers on Long Island, Stony Brook University Hospital, and Winthrop University Hospital. This program is designed to include up to three fellows. The program objective is to train specialists in Maternal-Fetal Medicine who, in addition to having expertise in clinic practice, research, and public health, will have the skills needed to excel in the ever-more challenging environment of academic medicine. Specific objectives include training individuals capable of continuing a career in academic medicine with defined areas of interest and foundations in research and education that will prepare each of the trainees to obtain research grant funding or to otherwise be a productive member of the academic community.
Each graduate of the Fellowship in Maternal-Fetal Medicine will have the knowledge and skills to act as a consultant to general obstetricians as well as to participate in regionalization of perinatal services active in improving the delivery of healthcare to designated populations. The educational program of this fellowship is also designed to guarantee a completed, hypothesis based, research thesis by graduation. Each fellow is taught to teach and mentored to mentor with didactic lectures, structured educational experiences, 360 degree evaluations, and involvement as a research mentor to undergraduates and/or residents. Each fellow will be adequately prepared to achieve subspecialty certification by the Division of Maternal-Fetal Medicine of the American Board of Obstetrics and Gynecology and then proceed to develop successful careers in academic medicine.
Department of Ophthalmology
The Department of Ophthalmology is a fully integrated multi-specialty ophthalmic group offering a wide range of ophthalmic services committed to providing the highest quality care for patients with all types of eye diseases and visual problems. The department strives to educate and advise patients about their specific eye problems; to communicate with the referring healthcare providers in order to provide timely, well coordinated care; and to treat patients with efficiency, respect, and compassion.
The department is organized to provide the following clinical services:
• General ophthalmology service
• Neuro-ophthalmology service
• Vitreoretinal service
• Cornea and anterior segment service
• Glaucoma service
• Oculoplastics and reconstructive surgery service
• Pediatric ophthalmology and adult strabismus service
• Optometric service
These services are directed by members of the full-time faculty, all of whom are board certified and fellowship trained.
The faculty plays an active role in the medical student education, contributing to several of the organized teaching blocks. The department offers a two-to-four-week clinical clerkship in ophthalmology.
The department has a three-year, fully accredited residency training program in ophthalmology. This training program has six residents, three of whom rotate at both Stony Brook University Hospital and the Northport Veterans Affairs Medical Center. The faculty also participates in the training of residents from other departments in the School of Medicine, including Maxillofacial Surgery, Neurology, and Emergency Medicine. The department offers a basic series of lectures in ophthalmology. Research participation within the department adds a valuable dimension to its educational programs, demonstrating the faculty’s commitment to scholarly activity and the advancement of ophthalmic knowledge and patient care.
The department has a number of research programs both within the full-time faculty and in collaboration with Neurobiology, Preventive Medicine, and Neurology. The department is a member of the SUNY Eye Institute.
Department of Orthopedics
The Orthopedic Surgery Residency Program provides the resident with a rich educational experience through its home institution and two affiliated hospitals, Veterans Affairs Medical Center and Winthrop University Hospital. A rotation is also provided in Orthopedic Oncology at Memorial Sloan Kettering Cancer Center in New York City.
Rotations are provided in the clinical subspecialties of Hand and Foot Surgery, Microsurgery, Oncology, Pediatric Orthopedics, Spinal Surgery, Sports Medicine, Joint Replacement and Reconstruction, and Upper Extremity Surgery. There is uninterrupted participation in the comprehensive management of patients in all subspecialties, from the initial ambulatory encounter through admission and treatment processes to rehabilitation and follow-up. All residents receive experience in clinical and diagnostic orthopaedics, and comprehensive training in the surgical management of all orthopedic problems.
Strong faculty commitment to teaching and academic development, combined with a full and varied surgical schedule, provides a vast amount of clinical material and support for the resident. This results in an experience that fulfills and exceeds the requirements of the American Board of Orthopedic Surgeons (ABOS).
The orthopaedic faculty oversees the Connective Tissue Course for the medical students and Medical Imaging Course in the Physical Therapy Program. Medical students have an option of participating in an Orthopedic Club, led by one of the orthopedic faculty.
The academic resources of the program, including the Orthopedic Cellular Biology/Structure Lab and Musculoskeletal Lab, provide basic research experience. Instruction in cellular physiology and biochemistry of musculoskeletal tissues (bone/cartilage; muscle/nerve; tendon/ligament) is given by the PhD faculty of the Orthopedic Department. Pathology is taught by the clinical faculty and supplemented by a visiting professor. Anatomy is taught on a regular basis, both in the operating room and the lab. Psychomotor skills are taught in a preliminary physical exam and psychomotor course that is given annually to entry-level (PGY-2) residents. Periodically throughout the year, psychomotor skills are refined through hands-on experience in the micro-lab suturing vessels, tendons and nerves. Laboratory experiences also include training in arthroscopy. A trauma-oriented skill section is also included and offers experience with procedures such as internal fixation for wrist fractures and AO techniques in trauma. Multiple weekly conferences include Peds Conference, Peds X-ray Conference, Trauma Conference, and Hand Conference. There is also participation on a weekly basis with Grand Rounds (which consists of case or pathology presentations one to two occasions per month, formal senior resident presentations once per month, and QA Conference once per month). Resident Conference is held every Wednesday for three hours. Each section includes a lecture by a resident(s), based on PGY level, or an attending and/or lab by all residents and an attending. Sports Conference and Chairman’s Rounds are held every other week.
A completed research project of publishable quality is required of each resident prior to graduation. Time and resources are available to the residents for required and elective research interests. The Research Committee meets every other week.
The department supports a fully accredited residency program in orthopedic surgery and post-residency fellowships in hand surgery.
Department of Pathology
The Department of Pathology is concerned with the pathogenesis of disease, as well as with its manifestations of diagnosis. The department serves as a bridge between the preclinical and clinical sciences for students, clinicians, and non-clinicians at all stages of training. It has responsibility for teaching students in each school of the Health Sciences Center, in the College of Arts and Sciences, and in the Graduate School, and has responsibility for the postgraduate and continuing education of residing physicians, house staff and practitioners. In addition to its teaching responsibilities, the department operates the hospital laboratories. At the graduate level, programs leading to the PhD degree are developed within the department and in cooperation with other departments.
Department of Pediatrics
The Department of Pediatrics defines three broad areas within its mission:
1) Excellence in patient care and patient education in our service to the communities around us.
2) Excellence in medical education within each phase of the training of physicians, allied health professionals and scientists.
3) Excellence in scholarship and research related to childhood health and development, childhood diseases and disorders.
The department's goals align with the three-part mission, including the provision of the highest standards of care for children and families, while providing exemplary training programs, highest quality educational and service leadership, and opportunities for research and scholarship so that the department can continue to improve pediatric medical care both in the surrounding communities and at the national level. Faculty roles in teaching encompass trainee education from the start of undergraduate medical and allied health education through residency and subspecialty fellowship training, combining basic and clinical knowledge with inpatient and ambulatory clinical experiences to facilitate the development of astute, competent, knowledgeable and caring professionals. Ongoing research among the faculty and trainees helps to prepare new investigators with the skills to expand understanding of pediatric diseases, and provide evidence-based and effective interventions for the challenging health problems of the pediatric population.
The department is made up of the following clinical and academic divisions, each with its own designated division chief.
Division of Adolescent Medicine
The division provides primary care for adolescents ages 12 through 21. Part of the mission of the division is to provide services to reduce or prevent high risk behaviors. Adolescent Medicine also provides primary care including a comprehensive psychosocial component in order to screen for high-risk behaviors and educate teens in order to prevent future high risk behaviors. Additional services offered include gynecological care; female and male family planning services; substance abuse screening; sexually transmitted disease screening and treatment including oral HIV testing; screening and treatment for various mental health issues like ADHD, ADD, depression, and anxiety; and medical care for patients with eating disorders including obesity. The division of Adolescent Medicine works closely with the Division of Infectious Disease to provide primary care for Adolescents infected with the HIV virus (either perinatally or behaviorally infected) through a program called URAPP (University Response and Prevention Program). In addition, Adolescent Medicine and the Cody Center for Autism provide comprehensive sexual education and related medical care for teens with developmental delay. Services also include individual counseling and group counseling exploring appropriate and inappropriate sexual behaviors. Adolescent Medicine also provides inpatient consultations to evaluate for specific adolescent needs as well as high-risk behaviors as mentioned above.
Division of Pediatric Cardiology
The division provides diagnosis and treatment of cardiovascular diseases in infants, children, and adolescents; cares for adults with congenital cardiac defects; diagnosis and treatment of cardiovascular disease in the fetus; preventive cardiology services (e.g. Fit Kids for Life program); and the diagnosis and treatment of hyperlipidemia in children. Its faculty offer cardiac catheterization and echocardiography for the diagnosis of heart lesions. In addition the division has expertise in fetal echocardiography.
Division of Pediatric Critical Care Medicine
The Pediatric Intensive Care Unit provides complete care for critically ill children at Stony Brook Children's Hospital. Care is provided for children from birth to age 21, with medical or surgical problems or who have been victims of trauma. The division provides state-of-the-art care, including continuous renal replacement therapy, high frequency oscillatory ventilation, and inhaled nitric oxide therapy. In addition, they provide moderate or deep sedation for children undergoing painful procedures, both inpatients and outpatients. The transport service provides a team to transport children from all of the other hospitals in Suffolk County. The Pediatric Intensive Care faculty also organize and teach Pediatric Advanced Life Support courses to physicians and nurses throughout the institution. The Stony Brook Simulation Center is used to teach the PALS courses and to train our residents. The PICU has a very active Family Advocacy Board that includes family members of former (and sometimes current) PICU patients and PICU leadership, and works to improve the care of the children in the PICU and meet the needs of the parents and family members as well.
Division of Developmental and Behavioral Pediatrics
Diagnosis and treatment are available for a wide range of behavior problems and developmental disturbances of infancy and early childhood. Specialties include assessments of concerns about high-risk and premature infants, disorders of parenting and problems of early childhood (such as sleep disturbances, tantrums, toilet skill training, and self-control). Developmental assessment is provided for children from birth to five years of age. For children with complex medical management needs, joint consultation in the behavioral and developmental aspects of the disease is provided.
The Cody Center for Autism and Developmental Disabilities
The Cody Center for Autism and Developmental Disabilities is recognized by the NY State Legislature as a State University Center for Autism and Developmental Disabilities. The clinical service consists of a multidisciplinary evaluation and treatment program that offers primary, specialty medical (e.g., neurology and genetics), and mental healthcare, plus educational and training programs for families and individuals of all ages who are affected by developmental disabilities. Other division programs provide school-based consultation services, undergraduate and postgraduate educational courses in the field of Autism and Developmental Disabilities, and a multi-site collaborative research program. The broad mission of the Cody Center is to:
• Advance the standard of care for individuals with autism spectrum disorders and other developmental disabilities.
• Provide an educational setting for professionals.
• Contribute significant research outcomes to the body of science surrounding autism and related disorders.
• Practice a multidisciplinary approach to treating people with developmental disabilities.
Division of Pediatric Emergency Medicine
This division was established in March 2010 with the opening of a separate pediatric ED. The division provides emergent care of patients up to age 21 in a child-friendly environment.
Division of Pediatric Endocrinology
The division of Pediatric Endocrinology provides inpatient and outpatient care for patients with diabetes mellitus, thyroid disorders, growth disorders, disorders of calcium and phosphorous, adrenal disorders, hypoglycemia, hypothalamic and pituitary disorders, problems with sexual differentiation and lipid disorders. In 2008-2009 there were 4,000 annual outpatient visits, 70 inpatient admissions, and 200 inpatient consultations. The division hosts a Pediatric Endocrinology Fellowship program that has been ACGME accredited since 1995. It is a three-year program open to graduates who have successfully completed a Pediatric Residency Program. The program aims to train physicians in the art and science of clinical Pediatric Endocrinology. It is based exclusively at Stony Brook University Hospital and its affiliated Medical School. Fellows have weekly continuity clinics under the supervision of the faculty and are required to develop a research project under mentorship of the faculty within the Division of Pediatric Endocrinology or the Medical School at large.
Division of Pediatric Gastroenterology
This division provides outpatient and inpatient consultations for pediatric patients with gastrointestinal, liver and nutritional concerns. The division treats a large number of children with reflux, acute and chronic abdominal pain, gastrointestinal bleeding, Celiac Disease, failure to thrive, chronic constipation, feeding problems, Irritable Bowel Syndrome, Crohn’s Disease, and Ulcerative Colitis. Children with a wide range of liver, diseases, including infectious hepatitis, autoimmune hepatitis, congenital anomalies, and Wilson’s Disease are evaluated and followed through the program. In addition to these disorders, an increasing number of children with fatty liver (an emerging serious liver disease) are also evaluated and followed at Stony Brook. Nutritional consultations are provided for children with severe feeding problems, children dependent on tube feeds, those with Celiac Disease, with excessive weight gain, obesity, hypercholesterolemia, and with severe food allergies. The division also manages nutritional support for patients with Cystic Fibrosis. The division prides itself for providing excellent care and support for families with children requiring tube feedings. Gastrostomy tubes are placed via endoscopy in the endoscopy suite or bedside in the ICU in critically ill children by the division’s physicians. The division performs more than 500 procedures a year including upper endoscopies, colonoscopies, polyp removal, pH probe studies, 48 hour BRAVO pH monitoring, and has 5000 ambulatory visits/year. Capsule endoscopy is now available for small bowel evaluation. All pediatric endoscopies are performed under sedation/anesthesia provided by a pediatric anesthesiologist, therefore markedly enhancing the safety and comfort our children.
Division of Genetics
Medical Genetics offers services to all individuals from infants to adults including prenatal and preimplantation genetic counseling. Services may involve evaluation, diagnosis, counseling, and treatment of a wide variety of genetic conditions including: inborn errors of metabolism, follow up of abnormal newborn screening, cancer genetic counseling, birth defects, chromosomal abnormalities, dysmorphology/syndrome recognition, neurofibromatosis and neurocutaneous disorders, developmental delay and mental retardation, neurodegenerative disorders, genetic evaluation of autism, congenital hearing loss, prenatal and preimplantation genetic diagnosis, and family history concerns. The Inherited Metabolic Disorder Clinic has been designated as a Center of Excellence by the National Society of Inherited Metabolic Disorders. It is one of only eight NYS-DOH designated Metabolic Centers in New York State and the only such center located on Long Island. The division also operates the Inherited Metabolic Disease Family Support Group for Long Island (IM.D.FSGLI) as a community service which brings families together for Educational and Social activities and provides special foods, formulas and other resources including full-day educational symposia and Taste Connections.
Division of General Pediatric Medicine
Comprehensive and confidential healthcare is offered for patients between birth and 21 years. Full service general pediatrics is offered at the following locations: Stony Brook Children's Hospital, University Pediatrics at Tech Park, Stony Brook Primary Care at Patchogue, Stony Brook Primary Care at Islip, Stony Brook Primary Care at East Moriches, Stony Brook Pediatrics at Southold, and Stony Brook Pediatrics at Riverhead.
Division of Pediatric Hematology and Oncology
Staffed by a team of physicians, specialized nurses, and ancillary personnel, this division provides the most advanced diagnostic and treatment modalities for pediatric patients with hematologic and/or oncologic disorders. Care is provided in a multidisciplinary team setting to offer state-of-the-art care to children.
Some of the services offered include:
• Inpatient and outpatient services for chemotherapy and transfusion needs
• Autologous and cord blood stem cell transplantation
• Care of patients with sickle cell disease, thalassemia and other hemoglobinopaties, bleeding disorders, Gaucher’s disease, and other metabolic disorders
Division of Pediatric Hospitalist Medicine
This division was created in 2009 in recognition of the strong value of this service in enhancing quality of care. As has been the experience at many centers, the hospitalist service contributes to patient care and resident education in important ways. Hospitalists develop and adhere to evidence-based clinical care guidelines for the acre of common disorder (e.g. asthma) which results in shortened lengths of stay and better patient outcomes. In addition they provide a high level of resident supervision. Pediatric Hospital Medicine currently has three full-time faculty members with some additional coverage provided by the chief residents and the academic general pediatrics fellows. The clinical responsibilities in the hospital include caring for patients in the newborn nursery, caring for acutely ill children on the general pediatric ward, and circumcisions in the NBN and NICU. The hospitalists also provide care to chronically ill children at several long-term care facilities. In addition to the clinical duties, the hospitalists are actively involved in the education of both pediatric residents and medical students. Their other major focus is to improve the overall quality of care for patients within the hospital by creating and instituting new initiatives such as the asthma action pathway and leading the initiative on patient-family centered care.
Division of Pediatric Infectious Diseases
This division provides clinical consultation for Infectious Disease problems to children hospitalized at Stony Brook and to those in the community on an ambulatory basis. In addition, the division conducts clinical research in two distinct tracks: 1) federally funded clinical HIV/AIDS trials, and 2) industry-sponsored pharmaceutical trials. The division currently receives more HIV/AIDS research funding than any other hospital or organization on Long Island and is both the Designated AIDS Center and the Regional Perinatal Center for Suffolk County. In addition, the division is one of only nine Centers of Excellence in Pediatric Care in the state as designated by the New York State Department of Health, AIDS Institute. The multi-disciplinary division consists of three attending physicians, two Pediatric Infectious Diseases Fellows, a Certified Pediatric Nurse Practitioner, an Obstetric Nurse Practitioner and a Nurse Practitioner of Psychiatry, registered nurses, social workers, a nutritionist and a treatment advocate. The division has been continuously funded by the National Institutes of Child Health and Development (NICHD) as a Pediatric and Obstetric AIDS Clinical Trials Group (PACTG) since 1992, and is the only organization in Nassau or Suffolk County providing access to the latest federally funded HIV/AIDS research. The division is currently conducting 22 pediatric and obstetric medication/treatment protocols as well as a longitudinal quality of life study of perinatally HIV-infected children. The division also receives funding from the Ryan White C.A.R.E. Act Titles I and II to provide HIV-specific pediatric care, supportive, psychological, treatment advocacy and nutritional services, and is the only recipient of Ryan White C.A.RE. Act Title IV funding in Nassau or Suffolk Counties and of funding from the Suffolk Project for AIDS Resource Coordination (SPARC). SPARC is the community-based component of the division whose mission is to improve coordination of HIV/AIDS services and enhance access to services for HIV-infected women, infants and children, including access to HIV/AIDS clinical trials. The SPARC project began as a pilot program with one staff funded at $70,000 in 1995; it has grown to a staff of 15 funded at over $833,000 and has become a model among Health Resources and Services Administration (HRSA) projects across the nation.
Division of Neonatology
Stony Brook University Hospital is a New York State Department of Health designated Regional Perinatal Center (RPC) with a state-designated Level III NICU that offers excellence of care in Neonatal and Perinatal medicine. The division offers 24-7 in-house coverage by a BE/BC Neonatologist who works together with the in-house Maternal and Fetal Medicine faculty to provide around the clock attending coverage of the service. The NICU had 935 admissions last year accounting for 10,235 inpatient days. Division faculty also provide consults to both inpatient and outpatient high-risk OB patients to prospectively plan for the care of sick neonates. Biweekly conferences are held with the Maternal Fetal Medicine faculty and Fellows and Neonatal Faculty and Fellows and various other consultants to discuss the patients in preparation for delivery and post-delivery management. The division also coordinates a high-risk clinic for NICU graduates, offers quarterly outreach conferences with eight RPC-affiliated institutions, and is one of two NICUs in New York State that offer a MOD-supported program to provide family-centered care to NICU families. This assists them with their transition to a NICU stay, which can be very traumatic.
Division of Pediatric Nephrology
This division offers a wide range services including: clinical nephrology consultation, management of chronic kidney disease and hypertension, kidney biopsies, dialysis, and the only renal transplantation service for pediatrics in Suffolk County, Long Island. The division is consulted on a wide variety of renal diseases including: hematuria, protenuria, hydronephrosis (both pre- and post-natal), nephritic and nephritic syndromes, lupus nephritis, renal cystic diseases, urinary tract infections, and congenital abnormalities, to name a few of the more common diseases. The Pediatric Nephrology service provides the only pediatric dialysis service in Suffolk County and the only one east of the Nassau/Queens border. The renal transplant service is an outstanding team that includes Stony Brook transplant physicians. The division is also involved in multi-center clinical trials.
Division of Pediatric Pulmonology/Allergy and Immunology
The division provides multidisciplinary inpatient and outpatient services for infants and children with acute and chronic respiratory problems, including cystic fibrosis, asthma, bronchopulmonary dysplasia (BPD), congenital lung abnormalities, neuromuscular respiratory diseases, chronic respiratory failure/insufficiency and pediatric sleep disorders. The Asthma Care Program provides a single source of comprehensive asthma care for children. Our pediatric pulmonologists work together with nurse practitioners, nurses and respiratory therapists to offer a multidisciplinary approach to treating children and adolescents with asthma. The Cystic Fibrosis Center is accredited for care, teaching and research by the Cystic Fibrosis Foundation and provides integrated, multidisciplinary care for children with cystic fibrosis and their families. The Center also provides educational programs for health professionals and conducts research focused on improved treatments. The Pulmonary Function Laboratory has comprehensive state-of-the-art facilities for performing and interpreting lung function tests including spirometry, full pulmonary function testing, exercise testing and cold-air challenge as well methacholine challenge for asthma diagnosis in children. The Pediatric Bronchoscopy Service provides diagnostic evaluation of inpatients and outpatients and is supported by a well-equipped flexible bronchoscopy unit. Infants, including newborns, and children with airway and respiratory problems who need bronchoscopy undergo the procedure with sedation in collaboration with intensivists in the Neonatal Intensive Care Unit or the Pediatric Special Procedures Unit. The Sleep Disorders Center provides diagnostic services to aid in the evaluation of sleep disorders, including obstructive sleep apnea, respiratory disorders and behavioral problems related to sleep. The Sleep Disorders Center is located in Smithtown. The pediatric pulmonologists provide guidance and ongoing assessment of patients in the pediatric ventilatory unit at Avalon Gardens in Smithtown. The division also includes the Allergy and Immunology services for the department and specializes in asthma, allergic diseases and immunological disorders in all age groups. We specialize in the care of families in need of asthma, allergy and/or immunology consultations, diagnostic evaluations and specialty medical care.
Division of Pediatric Rheumatology
This division offers comprehensive diagnosis and management for rheumatologic disorders including juvenile rheumatoid arthritis and lupus.
The Department of Pediatrics participates actively in the educational programs of Stony Brook University’s School of Medicine, hosts a categorical and combined Pediatrics–Internal Medicine Residency and five fellowship training programs, and contributes to the educational growth of undergraduate (baccalaureate level) students, master’s and doctoral level students, and trainees in the other four Schools of the Health Sciences. Additionally, the department hosts high school students in its research laboratories, visiting students from other U.S. medical schools seeking senior elective experiences in Pediatrics, and international students engaged in the School’s exchange program with two Korean medical schools. The department’s education efforts for third-year students are extensive. The Medical School Clerkship in Pediatrics is a required course that is conducted year-round in eight-week blocks for all third-year students in the School of Medicine. The Clerkship in Pediatrics is closely guided by an Executive Committee which meets formally three times yearly to review all aspects of the course. The clerkship objectives, activities, and evaluation criteria are summarized in the Guidelines to the Clerkship in Pediatrics. The Sub-internship in Pediatrics is a rigorous four-week clinical experience designed to expand clinical responsibility beyond that of the clinical clerk. Elective experiences are available in all fields of pediatrics, either at Stony Brook or at affiliated programs at Nassau University Medical Center or Winthrop-University Hospital.
The ACGME accredited three-year residency program is designed to provide a solid foundation for clinical practice or for further study in the pediatric specialties, including pediatric research. The program emphasizes basic principles of scientific medicine and reasoning, training pediatricians to apply evidence-based medicine to the clinical care of children. While learning to care for the sick child in the inpatient setting, the residents also develop an outpatient primary care continuity practice throughout their three years of training.
- Pharmacological Sciences
Department of Pharmacological Sciences
Pharmacology is an interdisciplinary science that explores the effects of exogenous chemicals and endogenous signals on biological systems. Faculty research interests emphasize the molecular mechanisms of the action of drugs, hormones and toxins. Areas of research include chemical biology and toxicology, neuropharmacology, and a variety of types of signal transduction. Teaching is directed toward an understanding of the basic principles underlying the therapeutic and toxic actions of drugs and chemicals.
The department provides instruction for professional students in the schools of the Health Sciences Center and offers graduate and upper-division courses in pharmacology, toxicology, and therapeutics. A PhD-granting graduate program is offered through the Graduate School and the School of Medicine. An undergraduate pharmacology program is provided through the College of Arts and Sciences.
- Physical Medicine & Rehabilitation
Department of Physical Medicine and Rehabilitation
The Department of Physical Medicine and Rehabilitation provides an educational experience for fourth-year students who are interested in the specialty. Students will gain exposure to the field of rehabilitation medicine in a variety of settings including inpatient, outpatient and electromyography. Students will learn the physiatric approach to patient care and the roles of the various rehabilitation team members. The elective is based at St. Charles Hospital. Students may contact Jennifer Semel-Concepcion, MD, acting chair of the department, at (631) 474-6011.
- Physiology & Biophysics
Department of Physiology and Biophysics
The Department of Physiology and Biophysics offers a program of study leading to a Doctor of Philosophy.
The broad interests of our faculty provide diverse research opportunities ranging from systems physiology, to translational cancer research and single molecule biophysics. Our goal is to instruct students in the use of quantitative methods to study complex physiological problems of relevance to human health and disease.
The Department's principal areas of research specialization are 1) Ion channel and gap junction Biophysics, with emphasis on cardiology and vision; 2) Intracellular and intercellular signaling mechanisms in cancer and neurobiology; 3). Physiology at the cellular, organ, and intact animal levels with emphasis on transgenic models of disease; 4) Fluorescence microscopy with the largest concentrations of microscopy equipment at Stony Brook University.
Our curriculum is based on a foundation in Human Physiology with additional advanced courses in Statistical Methods, Biochemistry and the physical chemistry of Biomembranes. Through elective coursework in Applied Mathematics, Genetics, Neurobiology or Journalism students can tailor their training to their career goals. Students from our program have gone on to careers in academic and industrial research, government service and law.
To obtain the Ph.D in Physiology & Biophysics, students must successfully complete all required coursework. Within the course of laboratory rotations during the first year, students must obtain faculty sponsorship for their doctoral thesis research. By the end of the second year, students must complete their qualifying examination, which entails an oral defense of a research fellowship proposal on the topic of the student’s choosing. At the beginning of the third year, students are required to constitute their doctoral thesis examination committee containing at least one member from outside the Department. Advancement to candidacy is predicated on the successful presentation of the Thesis Proposal by the end of the third year. Once advanced to candidacy, students are expected to pursue a course of rigorous laboratory research. Successful completion of the degree program will entail a first-authored research publication in a peer-reviewed journal. All of these requirements are to be completed within seven years from the date of admission
Cellular Physiology & Biophysics (HBY 530)
Human Physiology (HBY 350)
Student Journal Club (HBY 570)
Lab rotation (HBY 500)
Seminar in Physiology & Biophysics (HBY 690)
Student Journal Club (HBY 570)
Lab rotation (HBY 500)
Seminar in Physiology & Biophysics (HBY 690)
Statistical Analysis (HBY 561)
Model Based Analysis (HBY 562)
Ethics In Research(GRD500)
Graduate Biochemistry(MCB 520)m
Biomembranes (MCB 517)
Lab Research (HBY 591)
Student Journal Club (HBY 570)
Seminar in Physiology & Biophysics (HBY 690)
Teaching Practicum (HBY 695)
Lab Research (HBY 591)
Student Journal Club (HBY 570)
Seminar (HBY 690)
An additional 12 credits of electives are taken at the student’s discretion during the first and second year.
The minimum requirements for admission to The Ph.D program in Physiology & Biophysics are a Bachelor’s Degree with a Major in the Physical or Biological sciences. Successful applicants have a grade point average of 3.25/4.0 or higher for their undergraduate curriculum, with special emphasis on coursework within the major. Admission requires submission of scores from the Graduate Record Exam (GRE). Successful applicants have GRE scores ranked in the upper half in all three areas of examination. No subject test is required. Students for whom English is not their native language, must established English proficiency based on the results of your TOEFL or IELTS examinations. Applicants are required to provide three letters of recommendation that can speak to the student’s academic and research performance. Preference is given to students with previous research experience. Students who do not meet these qualifications are encouraged to seek admission to our Master’s program for additional preparation.
- Psychiatry & Behavioral Science
Department of Psychiatry and Behavioral Science
The Department of Psychiatry and Behavioral Science provides a complete range of instruction from beginning medical education through post-residency fellowships. Members of the department are involved in teaching in psychology, neurobiology, pharmacology and biomedical engineering, as well as psychiatry. Faculty within the department are dedicated to research related to an understanding of psychiatric disorders, ranging from basic neurobiological research to applied clinical studies. Through joint appointments with other departments, many faculty members supervise and support graduate and post-doctoral students in related disciplines.
The department is organized into three clinical divisions. The clinical divisions include Adult Psychiatry, Child Psychiatry, and Medical/Geriatric Psychiatry. Services in these divisions may be provided at Stony Brook University Hospital, at the Northport Veterans Affairs Medical Center, and at Eastern Long Island Hospital. University Hospital services provide 30 adult care beds, adult day hospital facilities, 10 children’s beds, a comprehensive psychiatric emergency program, a consultation-liaison service and outpatient clinics for adults and children. Northport Veterans Affairs Medical Center provides a 50-bed acute inpatient service and a 50-bed chronic care service. Eastern Long Island Hospital provides an 23-bed and adult inpatient service.
Medical Student Education
The department is committed to an interdisciplinary approach to mental health throughout its curricular activities. Within the curriculum of the medical school, the department provides psychiatric curriculum in the first year introduction to human behavior course, the second year neuroscience course, the third-year clerkship in clinical psychiatry (four weeks), and the fourth year clerkship in behavioral medicine (two weeks). A psychiatry sub-internship is available to students in their third and fourth years on an elective basis.
The Department of Psychiatry and Behavioral Science offers a four-year residency program in psychiatry with the first year designed as a categorical postgraduate “mixed” clinical experience. The residency program provides a broad variety of situations, subjects, and settings from which residents and students may select their learning experiences. The program goal is to train a physician who specializes in the treatment and understanding of diseases and abnormalities that manifest themselves in behavioral change. Such a physician should be well grounded in diagnostics, psychopharmacological interventions and behavioral management techniques. The training program pays particular attention to the neurobiological foundations of psychiatry, while at the same time providing training in psychotherapeutics and other skills necessary to the general practice of psychiatry.
The department offers several fellowships including accredited clinical fellowships in child psychiatry and geriatric psychiatry.
Institute for Mental Health Research
Founded in 1982, the IMHR is the research division of the department. With several million dollars of extramural support annually the research and clinical research faculty are engaged in psychiatric research ranging from basic science investigations of circadian rhythms, the molecular biology of Alzheimer’s disease, to cutting-edge research in behavioral medicine and in the epidemiology of mental disorders.
In addition to this umbrella research organization the department is also home to the Alzheimer’s Disease Center of Long Island and the Applied Behavioral Medicine Research Institute.
- Radiation Oncology
Department of Radiation Oncology
The Department of Radiation Oncology is organized to develop and teach the disciplines of radiation physics, radiation biology and therapeutic radiology as applied to the treatment of malignancies and selected benign disorders. Active basic and clinical research programs operate in conjunction with other medical school departments and the Brookhaven National Laboratory.
For medical students already career oriented in radiation oncology and for those who desire greater depth than permitted by the core curriculum, fourth year electives are offered in radiation oncology.
Undergraduate and graduate as well as medical students interested in research collaboration or the clinical oncology of solid tumors, are encouraged to apply for elective rotations.
The mission of the Department of Radiation Oncology is to develop a well-rounded academic program in radiation oncology, to include:
• Expert cost effective radiation therapy services
• Education of medical professionals in the management of oncology patients
• Improvement of patient care through science and technology transfer
• University leadership in oncology
The Radiation Oncology Department fosters and supports three nationally recognized programs that encourage the Stony Brook University community to continue its education in the fields of Medical Dosimetry and Medical Physics.
Medical Dosimetry Program
The Medical Dosimetry Program is a one-year post-baccalaureate program offered as a continuation of the Health Science major and provides students eligibility for the Medical Dosimetry Certification Board exam. Students work along side the Radiation Oncology staff within the department, as well as several satellite facilities as to further their experience. Students work clinically to hone their skills in a professional setting, while continuing academic classes taught by departmental faculty and staff.
The Post-Baccalaureate Medical Dosimetry program offers accepted students a first hand experience in treatment planning, dose calculations, and responsibilities pertinent to that of a board certified Medical Dosimetrist. As the students continue with a regular regimen of classes, the program concurrently prepares students to handle clinical responsibilities that one would encounter on a daily basis as well as obstacles that may appear on an occasional agenda. During the clinical year, students also undergo a series of tasks that render them competent in basic dosimetry techniques.
Medical Physics Residency Program
The Medical Physics Residency Program is a two-year program that provides preparation for the Board Certification by the American Board of Radiology (ABR). Residents are involved in all aspects of the clinic including, but not limited to machine QA, IMRT, HDR and LDR Quality Assurance, instruction of Medical Dosimetry and Biomedical Engineering students, 3D conformal and IMRT planning, Stereotactic Radiotherapy, and administrative responsibilities. Residents are encouraged to partake in projects that are run in the clinic and are provided with continued educational opportunities. Residents are trained to be fully functioning Medical Physicist upon the completion of their program.
Biomedical Engineering Master’s of Science
In conjunction with these programs, the Stony Brook Radiation Oncology Department offers the Biomedical Engineering Master’s of Science candidates a forum of advanced learning. Through hands on experience in the clinic and classes taught by our residents and departmental faculty, the MS candidates are afforded an opportunity to acquire experience in Medical Physics.
Department of Radiology
• Division of Breast Imaging
• Division of Diagnostic Radiology
• Division of Cardiac Imaging
• Division of Cross-sectional Imaging
• Division of Interventional Radiology
• Division of Musculoskeletal
• Division of Neuroradiology
• Division of Nuclear Medicine
• Division of Pediatric Imaging
The department transverses Stony Brook University Hospital and the Veterans Administration Medical Center and our common mission is a commitment to excellence in medical imaging, responsive service, and the responsible use of our resources in clinical care, education and research. Our goal is to help our patients, referring physicians and family members achieve their goals.
The medical students rotate through the Nassau University Medical Center and Winthrop University Hospital. The third-year medical students rotate on the radiology service for two weeks. The course combines daily lectures, which address basic image interpretation and an algorithmic approach for the selection of imaging studies. In addition, the student completes a series of programmed learning seminars and teaching files, which review principles of image interpretation. There is extensive exposure to many of the subspecialty areas with observation of procedures and participation in film review sessions with Radiology faculty. Schedules are distributed at the start of the clerkship.
A fourth-year medical student elective is offered. Rotation is for two or four weeks. The student will be able to exercise choice in time commitment to various subspecialties according to perceived need. The student will attend departmental conferences, participate in daily activities of the department, meet with visiting professors, and attend student rounds for case presentations. Overall supervision is by the course director, with day-to-day contact with attending staff members.
The department offers a four-year residency in diagnostic radiology. The program includes all aspects of radiology, including neuroradiology, musculoskeletal, thoracic, cardiac, interventional, abdominal, and pediatric radiology, as well as nuclear medicine. All modalities are also covered extensively including x-ray, ultrasonography, CT, MRI, PET, nuclear medicine and interventional radiology. The residency provides the resident with a strong foundation to meet his or her goals, whether in clinical practice, academic teaching, or in research. Teaching is the core mission of the department. The clinical rotations, core curriculum, and research project provide each resident with the fundamentals necessary to pursue a clinical and/or academic career. All modalities, including evolving technologies, are included in the program. A one-month research rotation is supplemented by elective research opportunities. The rotations are primarily at Stony Brook University Hospital, with additional rotations at the Northport Veterans Administration Hospital. Also in the third year of the radiology residency, residents take part in the four-week program of the American Institute of Radiologic Pathology program.
The department offers fellowships in musculoskeletal and breast imaging.
Department of Surgery
The Department of Surgery was founded in 1974 together with the creation of the Stony Brook School of Medicine. Expanding on the institutional vision, the department’s mission is to achieve national recognition as a leading research entity; provide exceptional clinical care encompassing “leading edge” therapies and technologies to our patient population; serve as a first-tier educational program for our fellows, residents, students and staff; and play a leading role in our community in the dissemination of high-quality healthcare and education.
The department is organized into nine clinical divisions: general surgery, including trauma and surgical critical care; cardiothoracic surgery; otolaryngology–head and neck surgery; breast surgery; upper gastroenterological and general surgical oncology; pediatric surgery; plastic and reconstructive surgery; colon and rectal surgery; and vascular surgery. In addition, the department includes two nonclinical divisions: education and surgical research.
Medical Student Education
The department provides instruction for medical students throughout their four years of training. Most of the department’s effort is directed at third- and fourth-year students in the form of a general surgery clerkship and surgical selectives/electives, although some didactic teaching is also provided for the first- and second-year students through clinical correlations lectures. The cornerstone of the student education program is the eight-week third-year clerkship (repeated six times per year to encompass the entire third-year class), which is offered at three sites (Stony Brook University Hospital, Winthrop-University Hospital, and the the Northport Veterans Affairs Medical Center).
The third-year surgery clerkship is designed to provide the student with a broad experience in the the evaluation and treatment of patients with surgical disease across all of the general surgical disciplines via his/her assignment to a specific surgical team of residents and attending physicians. These rotations are geared to emphasize direct patient contact, including all phases of evaluation, diagnosis, and treatment. Students are specifically expected to: 1) participate in daily patient care until clinic follow-up, 2) accept personal responsibility as a physician for the care of their patients, acting always under attending and resident supervision, 3) obtain didactic learning through regular attendance of student lectures and department-wide educational activities, and 4) attend surgical skills labs geared to teach basic surgical technique.
The formative and summative evaluation of students include weekly meetings with the clerkship director at which regular feedback to the students is provided, a mid-point quiz, an Objective Structured Clinical Examination (OSCE), and a clinical evaluation by the attending and resident physicians with whom the student has had substantial contact. At the conclusion of the general surgery clerkship, the student also takes a “PBL” formatted oral examination and a standardized National Board examination, graded on a standardized national curve.
There are a number of course offerings in the fourth year, one of which is mandatory (Surgical Selectives), and several which are electives (sub-internships in a number of services, and the surgical anatomy didactic course). The one-month Surgical Selectives course (including a mandatory two-week service in anesthesiology) provides student with additional exposure to optional rotations in the surgical subspecialties. The sub-internship in surgery allows the senior medical student to function as a primary responsible physician working under the close supervision of the surgical team.
The Department of Surgery offers a five-year, ACGME-certfied residency program in general surgery graduating six chief residents per year, with a total of 51 residents. In addition, individual divisions within the department offer an ACGME-accredited residency plus fellowship in vascular surgery, ACGME-accredited residency (fellowship) in colon and rectal surgery, and ACGME-accredited residency (fellowship) in surgical critical care.
All residency/fellowship programs in the department require residents to develop the six competencies, as defined by the ACGME, in the following areas: patient care; medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice. To successfully complete residency/fellowship training, these competencies must be developed to the level expected of a new practitioner.
A new Surgical Skills Center (SSC) is also available to provide residents and medical students with a more expanded educational curriculum. The SSC provides opportunities for trainees to practice in a stress-free environment not only surgical technical skills, but also pre-operative and post-operative patient care scenarios that enhance residents’ educational experience. The SSC utilizes cutting-edge audio/video technologies and software in order to maximize the utility and productivity of the activities it hosts and to provide opportunities for performance review of, effective debriefing with, and meaningful feedback to trainees.
Training modules range from basic open skills (knot tying, suturing, IV access, central line and chest tube insertion) and fundamental laparoscopic skills (camera navigation, controlled cutting, transfer drills, and laparoscopic suturing) to advanced open surgical skills (inguinal hernia anatomy and repair, sutured and stapled intestinal anastomosis, vascular anastomosis, arterial endarterectomy and bypass, open aortic aneurysm repair) and advanced patient care skills (advanced trauma and cardiac life support, various surgical clinical care scenarios). Three high-end haptic virtual reality simulators are also available for training in laparoscopic advanced skills, laparoscopic cholecystectomy, laparoscopic colon resection, angiographic vascular anatomy, and a wide array of basic and advanced endovascular skills (navigation of endovascular catheters, angioplasty, and stenting). A dedicated space for a surgical wet-lab has also been created to allow for practice using animal tissue.
The general surgery residency graduates six chief residents per year, and a total of 51 residents participating in a five-year, ACGME program across three campuses. General surgery residents are provided training predominantly by Department of Surgery full-time and voluntary faculty, but also rotate on the Department of Urology transplant service and receive additional endoscopy experience on the Gastroenterology Service in the Department of Medicine. As detailed below, the residents’ clinical rotations are supplemented by didactic conferences and simulation lab opportunities, as well as by opportunities to rotate out of their training for one to two year experiences in departmental, on campus or off-campus research endeavors.
The department offers a new five-year vascular surgery residency, which is among the few such programs available nationwide. A traditional two-year residency (fellowship) is also offered. Based in the Division of Vascular Surgery, both training programs are designed to prepare physicians for the pursuit of an academic career in vascular surgery equally as well as for private practice in vascular surgery. Residents are chosen out of medical school for the integrated five-year program, which culminates in eligibility for certification in vascular surgery (not for general surgery). For those physicians who are sure that they want vascular surgery as a career, this program provides focused training and reduces the amount of training time from the standard training period by two years. Residents and fellows are taught open and endovascular interventions, medical management of vascular disease, and use of noninvasive techniques. Clinical research is an important part of both training programs in vascular surgery.
Colon and Rectal Surgery
The department offers a one-year colon and rectal surgery residency (fellowship) based in the Section of Colon and Rectal Surgery. The content of the educational experience is directed toward fulfilling the requirements of the American Board of Colon and Rectal Surgery. Fellows gain operative experience through a large volume of diverse surgical procedures, including reconstructive anorectal surgery, surgery for inflammatory bowel disease, emergency colon resections, ambulatory anorectal surgery, and all aspects of office and endoscopic procedures. Upon completion of the training program, fellows are ready to enter into clinical practice, and are eligible for board certification in colon and rectal surgery.
Surgical Critical Care
The surgical critical care residency (fellowship) is a one-year experience (two fellows per year) centered at Stony Brook University Hospital, which is the only regional (Level 1) trauma center in Suffolk County. The fellows are provided clinical experience in surgical critical care, including burn care, and do rotations on the hospital’s specialized intensive care units. Fellows are actively involved in clinical research with members of the Division of General Surgery, Trauma, Surgical Critical Care, and Burns.
The Department of Surgery is committeed to its mission to achieve national recognition as a leading research entity. The department has developed an infrastructure to support both clinical and translational research and to foster research projects by both faculty and trainees. The surgery residency program has incorporated a robust curriculum in research education, including the teaching of literature review, hypothesis generation, study design, biostatistics, ethics in research, data analysis, and research proposal writing. As part of the training requirement, all residents must present or publish a paper in their first three years of training, with a second such project mandated for their fourth or fifth year.
Department of Urology
The Department of Urology at Stony Brook University Hospital provides a wide range of general and tertiary urological care. Subspecialty services include urologic oncology, female urology, laparoscopy, infertility and microsurgery, kidney stone disease and lithotripsy, pediatric urology, reconstructive urology, sexual dysfunction, kidney transplantation and minimally invasive surgery via laparoscopy and robot-assisted surgery using the Da Vinci® S HD™ Surgical System.
The majority of the faculty of the Department of Urology are fellowship trained at elite institutions. They offer a wide array of experience in all aspects of urological procedures. The department has a four-year ACGME accredited residency program and works in conjunction with the School of Medicine in providing education to medical students.
The department participates in the second-year medical student curriculum. In the Introduction to Clinical Medicine course, students are taught the male genitourinary physical examination. Following the study of the exam techniques utilizing audiovisual aids and models, small groups of students spend a session with the instructing physician and professional patients, who assist the student in conducting the physical examinations.
Stony Brook medical students may elect a clerkship during the third-year or a sub-internship during the fourth year. During this rotation, emphasis is placed on the urologic history, physical examinations, and differential diagnosis of urologic problems. The basic pathophysiology of urologic disease is emphasized and the rationale for medical and surgical intervention is reviewed. The sub-internship consists of a four-week rotation, which gives a more in-depth exposure to urology. Students are expected to give a presentation at the end of their rotation. Research-based electives are also available to medical students within the Department of Urology.
All students are taught directly by the attending faculty and urology residents. The residents are responsible for orienting the medical students to the day-to-day activities of the service. This gives the residents a chance to exhibit their teaching, professionalism, communication, and system-based practice skills. Activities include morning rounds, selection of participation in specific surgical cases performed within the department, and participation in the out-patient clinic. The residents are also directly responsible for assisting the medical students with history and physical examinations and other clinical patient care activities. The chief resident participates with the attending staff in evaluating all medical students while on their urology rotation.
The educational philosophy of the Department of Urology is to provide the urology resident with an in-depth understanding of the practice of urology, including, but not limited to, patient care, communication skills, medical knowledge, practice- based learning and improvement, professionalism, and system-based practices. In addition to the six competencies, the department provides a strong understanding of the basic scientific, medical, and surgical principles of urology. The department believes that basic and clinical sciences should be integrated into the residency in order to cultivate a physician/urologic surgeon who is well versed not only in the technical aspects of the specialty, but also in a fundamental understanding of the disease processes which affect the urinary tract and the male genital system. The objectives of the urology resident education at Stony Brook are to:
1. Provide a strong didactic, educational environment focused on the six competencies listed above
2. Provide a supervised surgical education with the appropriate evaluative tools
3. Reinforce the concept of self-motivated education, which will serve the resident well in his/her practice in the community, in research, or in academics
4. Provide a strong understanding of the six competencies and emphasize how they are important to the functioning of the physician in today’s complex healthcare environment
In summary, the overall emphasis of our program is to provide residents with a well rounded educational experience that will prepare them for a productive and satisfying career in urology. Since the career goals of individual residents may differ, it is our goal to provide a broad base of urologic education from which any career path in urology can be achieved.