Tags Posts tagged with "Radiology"

Radiology

by -
0 1635
John T. Mather Memorial Hospital in Port Jefferson. File photo

By Kevin Redding

Under the sponsorship of Stony Brook University Hospital, John T. Mather Memorial Hospital in Port Jefferson has recently launched two new medical residency programs: one focused in psychiatry and the other in diagnostic radiology.

These programs, which officially joined existing residency programs, internal medicine and transitional year, on July 1, will serve to solidify Mather as an ever-expanding hub of academic training for its medical school graduates, and offer high-quality health care to its Suffolk County patients.

Both are four-year programs, offered to five residents per year in psychiatry and three per year in diagnostic radiology, that will give residents hands-on access to technology, clinics and patients relating to the specific field.

Those in the psychiatry program will benefit from Mather’s two inpatient psychiatry units for adults and adolescents and various clinics, including one for eating disorders and chemical dependency. According to Dr. Noam Fast, the program’s director, the residents will undergo an unusually didactic schedule, rotating between classroom lectures from the clinical faculty and working with patients directly — which will allow them to hone their craft.

“We’re training the next generation… and hopefully they decide to stay in our local community and actually treat our community members.” — Jared Dunkin

“Mather actually had a lot of psychiatry services and that is what you need to be able to train residents the right way,” Fast said. “You need all of these services, and when you have all these opportunities, it becomes the basis to teach. The patients benefit, the staff benefits and the hospital and community at large do, as well.”

Radiology residents will learn to understand and operate the inordinate amount of technology the field consists of. The residents must know how to read a wide spectrum of imaging, including X-ray, radiographs, MRI scans, CT scans, ultrasound and mammography.

Dr. Jared Dunkin, director of the radiology program, said that even though it will be a steep learning curve — using the computers and dictation systems — it’s something that students will be acclimated to in just a few months. Residents will also be learning the tools of the trade that can potentially prevent life-ending ailments within the body.

“For us, imaging is giving insight into what is going on in the body without having to cut them open,” Dunkin said. “It gives us a window into the organs just to come up with a diagnosis. There’s a lot of screening programs through radiology. They’re developing chest-screening programs, for instance, to identify people at risk for lung cancer. We try to identify these cancers early, so that way the doctors can treat them earlier.”

In order to find their residents, Fast and Dunkin used what’s called a “match,” an elaborate computer program used as an application process in medical circles. Medical students in their fourth year send in their resumes, transcripts, school test scores and recommendation letters. Fast and Dunkin then sift through hundreds of potential residents and narrow the candidates down to a select few for interviewing and ranking.

Mather's two new residency programs focus on psychiatry and chemical dependency. File photo
Mather’s two new residency programs focus on psychiatry and chemical dependency. File photo

Then, on “match day,” the computer takes the list and pairs the students with a certain program. Usually, Fast and Dunkin have months to do this, but due to a late accreditation, they only had a little more than a week this time around. Even with limited time, the directors said they’re happy with the final selections.

The goal was to find those who are bright, dedicated, interested in learning and could potentially have a long-lasting career within Suffolk County.

“The residency programs are a lifeline for the community,” Fast said. “You have a chance to train residents in your own program, and then the expectation is that a proportion of the residents would be interested in this community, and we do hope that we can attract some of these doctors and recruit them, as well.” Dr. Joan Faro, chief medical officer at Mather, said last year that the partnership between Stony Brook and Mather, in forming a new graduate medical education program, would only strengthen the level of care the community hospital provides by reinforcing the facility’s standards. The new programs should take those standards to new heights.

Dunkin has an eye on the future of the hospital when speaking about the new programs.

“We’re training the next generation,” he said. “A lot of residency programs look to their former residents to fill the ranks when needed. So we’re training the next generation, and hopefully they decide to stay in our local community and actually treat our community members.”

Lee Michel on a Blackhawk helicopter during a training exercise in 2011. Photo by Roger Stoutenburgh

He has been to the Super Bowl, the Boston Marathon, a presidential inauguration, the Baltimore Grand Prix, the Rockefeller Tree Lighting and the ball drop in Times Square on New Year’s Eve. Lee Michel is neither a politician nor an athlete: He is part of a national, first-response team, called the Radiological Assistant Program.

The program is a unit of the Department of Energy, which assists local, state and federal agencies to characterize the environment, assess the impact to the local population and support decision makers on steps to minimize the hazards of a radiological incident.

Michel is the training and outreach coordinator in Region 1 of the program. He works with partner agencies around the country to deal with everything from the discovery of radiological material that someone might have accidentally brought home from a work site to an intentional detonation of a dirty bomb.

His job is a “full soup-to-nuts response to radiological material that shouldn’t be wherever it is,” Michel said.

He trains people at facilities around the country to understand “how to detect [radiation], how to contain it, how to identify it and how to mitigate it,” Michel said.

Kathleen McIntyre, the contractor operations manager for RAP Region 1, said her group is the first on-scene emergency response team representing the Department of Energy. One of nine programs around the country, the BNL team is responsible for a region that stretches from Maine to Maryland and to the Pennsylvania-Ohio border.

In addition to sports events and conventions, the team also assists with other high-profile events. In late September, the BNL RAP team will work with other agencies during Pope Francis’s visit to the United States.

In his job, Michel often travels to ensure he’s appropriately trained so he can teach other first-responder agencies. In the last several months, he’s been to Chicago, Albuquerque, Las Vegas, Boston, Connecticut and New Jersey.

These trips are necessary to create effective collaborations with local partners, said McIntyre. “Part of the thing that [Michel] does and does well is coordinate with our first-responder partners,” McIntyre said. The training and outreach ensure “if we are ever in a situation where we need to work together, this isn’t the first time we’ve met each other.”

At left, Lee Michel’s uncle, Morton Rosen, was a photographer at BNL for more than 35 years. At right, his grandfather, Isadore Rosen, was stationed at Camp Upton during WWI. Photo left from BNL Archives; right from Lee Michel
At left, Lee Michel’s uncle, Morton Rosen, was a photographer at BNL for more than 35 years. At right, his grandfather, Isadore Rosen, was stationed at Camp Upton during WWI. Photo left from BNL Archives; right from Lee Michel

While the mission hasn’t changed for the five years Michel has been in his role, the mechanisms have evolved.

“The equipment we’re using is much more sophisticated than what we had,” Michel said. “The software that runs the system or is used in conjunction with the system is much more advanced.”

Indeed, McIntyre said Michel regularly has to remain updated on the latest software and equipment, in the same way an owner of a laptop has to remain current on electronic updates.

Michel “has to be conversant with all these” systems, she said. “He has to hit the ground running. We don’t own every piece of radiological equipment out there. He needs to understand whatever he’s going to teach.”

McIntyre gives Michel “great kudos” for “rolling up his sleeves” as he tries to stay abreast of the changing technology.

In addition to training, Michel does exercises and drills with response teams, keeping the groups prepared to react to a wide range of potential radiological problems or events.

While the Radiological Assistance Program only has three full-time employees at BNL, the facility includes 26 volunteers.

Michel has been dealing with radiation for over 30 years, starting with eight years in the navy from 1981 to 1989 when he was a nuclear power operator.

Born and raised on Long Island, Michel is the third generation in his family to work at the Upton facility. His grandfather, Isadore Rosen, was stationed at Camp Upton during World War I. His uncle, Morton Rosen, took pictures for BNL for over 35 years. Michel, who lives in Holtsville, has two daughters, 26-year old Heather and 22-year old Michelle.

As for a fourth generation at BNL, Michel holds out some hope. “I would love to have one of them work here,” he said. He’s even entertained the idea of his seven-month old granddaughter Jemma one day contributing to BNL.

While the work involves traveling to high-profile events, it’s sometimes tough to soak in the atmosphere.

The 2009 inauguration involved working 14-hour shifts in single digits, McIntyre said. After their work, they come back for more assignments. These contractors and volunteers “who serve on the RAP teams are dedicated professionals.”