The Mount Sinai Hospital
The Mount Sinai Hospital, a 1,100-bed teaching hospital, shares a four-block campus with Icahn School of Medicine on the Upper East Side of Manhattan. Adjacent to Central Park, the campus extends from 98th Street to 102nd Street and eastward from Fifth Avenue to Park Avenue. This area, known as Carnegie Hill, is a residential neighborhood and designated historic district. The campus is bordered to the north by East Harlem, a predominantly low-income community, and to south by Yorkville, one of the nation’s most affluent communities. The neighborhood provides a broad mix of cultural, socioeconomic and ethnic diversity that makes the educational and health service opportunities at Mount Sinai unique.
Mount Sinai Hospital is a tertiary referral center not only for patients in the tri-state area of New York, New Jersey and Connecticut, but literally for patients from around the world. Over 1,000 attending physicians on staff attract a wide range of clinical pathology in the cardiovascular field and in all areas of health care, and bringing a patient population of diverse socioeconomic and medical circumstances.
Established by Dr. Valentin Fuster, the Zena and Michael A. Wiener Cardiovascular Institute (CVI), integrates virtually all facets of clinical and research activities in cardiovascular diseases. It provides an academic framework for the collaboration of cardiologists, vascular surgeons, radiologists, pediatric cardiologists, cardiothoracic surgeons, endocrinologists, other medical subspecialists, basic scientists in vascular biology and other areas, clinical trialists, and health care policy experts. Within Mount Sinai Heart, the hospital embraces patients with cardiac and vascular disease. Extensive ambulatory cardiovascular care facilities are centered in the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, emphasizing multifaceted modalities for reduction of cardiovascular disease risk, advanced imaging modalities for noninvasive detection of early and late manifestations of disease, and comprehensive diagnostic and management services.
Fellows can participate in the rounds and patient care activities of the Division of Pediatric Cardiology, under the supervision of Dr. Ira A. Parness. A close working relationship with the Department of Cardiothoracic Surgery, headed by Dr. David H. Adams, provides fellows with comprehensive exposure to the surgical management of coronary artery disease, valvular heart disease, congenital heart disease, arrhythmias, cardiac transplantation and mechanical support of the failing heart. Investigation in valvular disease, robotic surgery and minimally invasive procedures has lead to the development of a new mitral ring and other innovations, and the department is recognized worldwide for achievements in surgery of complex aortic disease. In the Department of Surgery, endovascular stenting has been a major clinical and research interest (often jointly with Cardiology, Cardiothoracic Surgery and Radiology). Clinical and research cardiac MRI and high-resolution CT imaging are supported by collaborative efforts of radiologists, physicists, cardiologists and specialists in vascular medicine.
In addition to working with the full-time faculty, fellows gain clinical experience through interaction with an extensive staff of community-based cardiologists. The voluntary staff includes many outstanding cardiologists in active clinical practice who are eager to share decades of experience with fellows. For example, Dr. José Meller, widely recognized as one of the nation’s leading cardiology practitioners, holds weekly conferences to discuss management of difficult or unusual cases.
On a broader level, Mount Sinai Hospital includes over half a dozen intensive care units (coronary care unit, cardiothoracic surgery ICU, cardiac surgical progressive care unit, pediatric cardiology ICU, medical ICU, surgical ICU, neurological ICU and neonatal ICU) as well as extensive pre- and post-anesthesia care areas. There is an active urban emergency room and cardiac operating suites. The data generated by all the cardiac laboratories is contained in a single, integrated cardiology computer network, a major resource for clinical research. Reports produced by the laboratories are uploaded, via the cardiology network, to Mount Sinai’s order entry and reporting system (TDS) and on-line enterprise data repository (EDR), facilitating patient care throughout the hospital, while ambulatory care records are maintained in an electronic format (EPIC). The hospital, renowned as one of the world’s leading centers for postgraduate medical education, offers full training programs in cardiothoracic and vascular surgery, pediatric cardiology, cardiac transplantation, interventional cardiology, cardiac electrophysiology and vascular medicine as well as in all the major disciplines of medicine, surgery, psychiatry, radiology, and medical sciences.