MESSAGE FROM THE CHAIRMAN AND PROGRAM DIRECTOR, DEPARTMENT OF PEDIATRICS This is an exciting time in the field of Pediatrics. Over the past ten years, we have seen major advances in pediatric tertiary care, as well as a renewed focus on primary care and community outreach. The mission of the Department of Pediatrics at St. Barnabas Hospital is to provide high-quality and compassionate care to our patients while offering community resources dedicated to children’s health. The graduate training program of the Department of Pediatrics offers a wellbalanced experience in primary care and subspecialty pediatrics. As a result of the training program’s focus on the entire spectrum of pediatric practice, our graduates have chosen careers in both general and subspecialty pediatrics. Our graduates are practitioners across the country as well as participants in fellowship programs at major academic centers. This brochure describes the Department of Pediatrics as well as the Pediatric Residency Training Program. I would like to personally thank you for considering the Department of Pediatrics at St. Barnabas Hospital for your post-graduate training. David H. Rubin, MD, FAAP Chairman and Program Director, Department of Pediatrics St. Barnabas Hospital Professor of Clinical Pediatrics Albert Einstein College of Medicine July 2009 ST. BARNABAS HOSPITAL St. Barnabas Hospital is a not-for-profit, nonsectarian, acute care community hospital located in the heart of the central Bronx. St. Barnabas, the 15th largest hospital in New York State, is adjacent to Fordham University, the Bronx Zoo, New York Botanical Gardens and the Arthur Avenue shopping district. The expanding St. Barnabas healthcare delivery system provides inpatient, outpatient and emergency medical and dental services. The hospital’s primary care facilities are conveniently located throughout the Bronx. History St. Barnabas Hospital was established on April 6, 1866 as The Home for the Incurables. At the time, it was America's first chronic disease hospital, and only the world's second (the first such hospital opened three years earlier in England). The hospital was founded by Reverend Rodman, the rector of the Grace Episcopal Church. He called together a group of public-spirited citizens to explore how to provide a haven for the so-called incurables, who could not be cared for in existing hospitals. His goal was to bring hope and medical care to a group that had neither. Dr. P. C. Pease, the Home for Incurables' first physician, noted that, "...where the faintest hope exists, no efforts are spared nor are any new remedies left untried." The Home received its first patients in 1867 in a small, frame building. Thirty-three patients were admitted the first year. St. Barnabas Hospital has since grown to become a major healthcare provider in New York State. The following list describes some features of the institution and the Department of Pediatrics: Impressive 10-acre landscaped campus with 450 hospital beds Affiliated with the Albert Einstein College of Medicine New York State-designated Level 1Regional Trauma Center New York State-designated AIDS Center Training programs for 250 physicians in 9 different specialties Pediatric Inpatient Unit and Pediatric Special Care Unit Pediatric Emergency Department Newborn Nursery and Neonatal Intensive Care Unit (Level 3) Child Protection Program/Child Advocacy Center Early Intervention Program Adolescent Medicine and Teenage Pregnancy Prevention Program 6 Pediatric Ambulatory Care sites, including a new $13.6 million 7-story ambulatory care building. Pediatric medical library with internet access Major location for pediatric clerkships for students from Albert Einstein College of Medicine as well as the New York College of Osteopathic Medicine THE DEPARTMENT OF PEDIATRICS Since its inception in January 1999, the Department of Pediatrics has grown from a faculty of 11 pediatricians to over 50 experienced pediatric primary care and pediatric subspecialty attending physicians. Over the past five years, the Department has experienced an impressive annual growth rate in outpatient, inpatient and pediatric emergency services. The goal of the Department has been to address the full spectrum of pediatric problems from primary care to complicated diagnostic dilemmas. The Department is comprised of the following divisions: Inpatient Pediatrics, Pediatric Emergency Medicine, Neonatology and Ambulatory Care. Division of Inpatient Pediatrics/Pediatric Special Care Unit The Pediatric Inpatient Unit at St. Barnabas Hospital is a sixteen-bed unit staffed by our group of attending pediatric hospitalists and general pediatricians. The unit provides care to children up to eighteen years of age. Interdisciplinary rounds are held daily on the unit offering our patients and their families needed social as well as medical support. Within the unit, the Child Life Room offers patients a safe environment for play. The Pediatric Special Care Unit (PSCU) is a 4 bed advanced care unit for those children who require an increased level of support not offered on the inpatient pediatric unit. Teaching Rounds are held daily on all patients admitted to the PSCU and the Pediatric Inpatient Unit. The Pediatric house staff is responsible for the care of all patients admitted to the Inpatient Unit and the PSCU. Division of Pediatric Emergency Medicine The Division of Pediatric Emergency Medicine at St. Barnabas Hospital functions in a physically separate specialized facility dedicated to the emergency care of children. The new physical expansion of the Pediatric Emergency Department has created a large patient and staff friendly environment in which patient care is optimized. For each of the past 5 years, there has been a substantial growth in outpatient volume. During 2008, there were approximately 24,000 pediatric patient visits. The case mix of patients seen in the Pediatric Emergency Department is impressive and ranges from simple to extremely complex medical, surgical, and trauma-related problems. St. Barnabas Hospital is a New York State designated Level 1 Regional Trauma Center, which further enhances the pediatric emergency experience. Division of Neonatology The Division of Neonatology includes the Well Baby Nursery (WBN) and a Level III Neonatal Intensive Care Unit (NICU). Four full-time neonatologists staff the department, with 24 hour attending coverage. Our impressive group of Attending Neonatologists conducts teaching rounds daily. Due to a greater than 15% increase in annual deliveries, there are plans to expand the division. This will include the NICU and WBN and the development of a high-risk follow-up clinic. The Division of Neonatology is a member of the Bronx Perinatal Consortium, allowing for seamless collaboration on clinical cases and research projects. Division of Ambulatory Pediatrics The Department of Pediatrics offers children comprehensive pediatric primary care at six locations throughout the Bronx. The Pediatric Ambulatory Division continues to grow at an impressive pace. There were approximately 56,000 patients seen during the past year. The Ambulatory Division also has several specialized primary care programs serving the Bronx Community: The Adolescent Medicine Program, led by pediatricians trained in adolescent medicine, serves the community through a teen pregnancy prevention program and provides general adolescent care at the Teen Health Center. The Child Advocacy Center provides support services for children and families exposed to high-risk environments. The Center also facilitates diagnostic evaluations and treatment for children who are suspected of being victims of child neglect or abuse. Evaluations are conducted in a child-friendly setting designed to minimize trauma and maximize safety for the entire family. Reach Out and Read, an innovative national program aimed at promoting early childhood literacy, is a major initiative of the Division. The Developmental and Behavioral Program applies progressive techniques in the management of a variety of developmental disorders. The Early Intervention Program provides advanced diagnostic and therapeutic care to young children with developmental delay. The New York State-designated AIDS Center features comprehensive medical care and case management for HIV infected women and newborns. The Community Outreach Program includes participation in local health fairs, school educational seminars, community-based organizations, and participation in local and regional TV and radio informational sessions. Research The Department of Pediatrics is committed to becoming a premier institution for clinical research dedicated to child health. As a part of the Clinical Trials Network of the New York-Presbyterian Hospital, we are currently participating in clinical trials with personnel experienced in clinical research. Our areas of particular interest include pediatric respiratory disease, pediatric infectious diseases, and clinical epidemiology. In addition to our participation within the network, we have also initiated several clinical research projects related to child safety, pediatric asthma, adolescent psychiatry, pediatric dentistry, and developmental and behavioral pediatrics. The Pediatric Residency Research Program offers monthly Research Seminars (focused on principles of epidemiology and methodology), a monthly Journal Club, and faculty mentoring of resident initiated research projects. The success of the Pediatric Residency Research Program is clearly reflected in the number of presentations by our residents at regional and national pediatric scientific meetings as well as by the enthusiasm of fellowship directors who appreciate the level of clinical research experience our residents bring to their fellowships. This fact has translated into recruitment and acceptance of our residents into top programs for advanced fellowship training. A representative sample of research projects is noted below: The prevalence of ADHD in 6-12 year olds in an inner city primary care setting Are physicians following the AAP Guidelines regarding febrile seizures? Incidence, risk factors, and outcome of brachial plexus injuries Randomized clinical trial of educational anti-smoking program among pregnant teens Criteria for radiological evaluation of pelvic fractures in children Gastroesophageal reflux in obese children with asthma Administration of Tdap vaccine by obstetrical providers to post-partum adolescent mothers aged 11-18 years Teaching All faculty of the Department of Pediatrics maintain academic appointments at the Albert Einstein College of Medicine and have completed postgraduate training at leading pediatric residencies throughout the country. The Department of Pediatrics also serves as a site for the pediatric clerkship rotation for medical students from the Albert Einstein College of Medicine. Since its inception at our hospital, the rotation has consistently received the highest ratings on medical student evaluations, and our residents have received outstanding teaching awards from the Einstein students. We also serve as a pediatric clerkship site for students from Ross University School of Medicine, New York College of Osteopathic Medicine (NYCOM), Philadelphia College of Osteopathic Medicine (PCOM), St. Matthew’s University, Kansas City University of Medicine & Biosciences, the Columbia University Nurse Practitioner program, and the Physician Assistant Studies Program of the New York Institute of Technology. Medical student education is considered a high priority within the Department. A selection of Departmental conferences are listed below: Weekly Pediatric Grand Rounds Morning Report Monthly Morbidity and Mortality Conference Pediatric Research Seminar Pediatric Journal Club Pediatric Chairman’s Rounds Ambulatory (Primary Care) Pediatric Conferences Pediatric Emergency Medicine Conferences Neonatal Conferences Core Curriculum Conferences conducted by Pediatric Subspecialists Daily Inpatient Rounds Radiology Rounds Board Review Conferences THE PEDIATRIC RESIDENCY PROGRAM: THE CURRICULUM The Pediatric Residency Training Program at St. Barnabas Hospital is an ACGME approved Residency Program (#3203521416) that provides medical school graduates with the essentials of the entire Pediatric educational curriculum - ranging from Pediatric Primary Care to Subspecialty and Intensive Care training, including the tools to become leaders in the field of Pediatrics. The training experience emphasizes the management of general and subspecialty problems in both primary care and hospital settings. Rotations at St. Barnabas Hospital, the Children’s Hospital at Montefiore Medical Center, the Morgan Stanley Children’s Hospital of New York as well as Memorial Sloan Kettering Cancer Center and the Hospital for Special Surgery provide both the intensity and diversity needed for a well-rounded competency based pediatric education. Our residency offers in-depth clinical experiences, progressively increasing individual responsibility, and opportunities for elective study and research. All rotations are organized in 4-week blocks. There are 13 blocks per year including four weeks vacation. St. Barnabas Hospital Pediatric Residency Graduates – Where are they now? Our graduates are currently participating or have recently graduated from the following activities: ambulatory pediatric practice (primary care pediatrics), neonatal fellowship programs (Dartmouth, University of Rochester, Children’s Hospital of Buffalo, Brown University/Hasbro Children’s Hospital, Children’s Hospital at Montefiore Medical Center), pediatric endocrinology fellowship programs (Johns Hopkins School of Medicine, University of Pittsburgh Children’s Hospital), pediatric critical care (Johns Hopkins School of Medicine, Schneider Children’s Hospital/LIJ Hospital), pediatric hematology/oncology (Yale University School of Medicine), pediatric emergency medicine (Miami Children’s Hospital) and medical genetics fellowship (Children’s Hospital of Pittsburgh). PL-1 Internship: The Basics The PL-1 year is designed to provide the intern with experience and education pertaining to all aspects of the care of the hospitalized and ambulatory pediatric patient. It is essential that interns assume the responsibility for patient care decisions with the supervision of senior residents and attending physicians. Through inpatient rotations at St. Barnabas Hospital and the Hospital for Special Surgery, interns learn the diagnosis and management of common pediatric problems. They also study the management of sick newborns at the St. Barnabas NICU. The Well Baby Nursery rotation provides the framework for the year’s focus on general pediatric care. Interns also actively participate in the Pediatric Ambulatory Group Practice, where they follow their own patients throughout their three years of training. All PL-1 residents are assigned to one clinical location (St. Barnabas Hospital Pediatric Primary Care Clinic, Pediatric Primary Care Clinic at Grand Concourse, Pediatric Primary care Clinic at Union Community Health Center) where they serve as a resident primary care continuity provider between 1 and 4 half days per week (depending on the rotation). The intern is identified as a patient’s pediatrician and will follow that patient through all scheduled and, when possible, non-scheduled appointments throughout their three year residency. Block rotations in the Outpatient Pediatrics and Pediatric Emergency Department give interns a feel for the important link between the ambulatory and inpatient settings. Rotations in Allergy/Immunology and Cardiology provide the necessary knowledge base for the resident to gain confidence in managing problems in these areas. Finally, it is during the PL-1 year that the design and implementation of the resident’s research project begins to take shape with the assistance of faculty mentors and core research conferences. PL-2 Junior Resident: Transition to Leadership The second year allows the resident to take on greater supervisory and decision-making roles during two block rotations on the Inpatient service and two block rotations in the Pediatric Emergency Department. Residents also spend one block rotation on the Pediatric Oncology Service at Memorial Sloan Kettering Cancer Center. Management of acutely ill children is the primary focus of the rotation at the Children’s Hospital at Montefiore Pediatric Intensive Care Unit. Ambulatory-based rotations in Adolescent Medicine, Child Development and Neurology provide residents with the depth of knowledge they need to become well-rounded pediatricians. Residents may spend one block rotation as elective time in any clinical or academic pursuit, in consultation with the program director. PL-3 Senior Resident: Independence and Teaching Third year residents function as leaders among the housestaff and medical students at St. Barnabas Hospital. The rotations in Outpatient Pediatrics and Community Medicine enable senior residents to become familiar with a variety of settings outside of the hospital. There are also 2 block rotations of elective time that the resident can use to supplement his/her core educational experience. It is during the third year of training that residents must complete their research projects initiated during the PL-1 year and present their findings during the final Grand Rounds of the academic year. Ambulatory Group Practice: The Continuity of Care Based on a resident’s training period of 10 one-half day sessions per week, all house officers spend between 1 - 4 sessions per week in Continuity Clinic (depending on specific year of training and rotation). The house officer will longitudinally follow a cohort of patients through all aspects of well and sick pediatric care. All residents are assigned to one of three locations for their pediatric primary care continuity clinic: the St. Barnabas Hospital Pediatric Primary Care Clinic, the Pediatric Primary Care Clinic at Grand Concourse or the Pediatric Primary Care Clinic at Union Community Health Center. All three locations are staffed by experienced full-time pediatric primary care faculty who care for their own panel of patients in addition to serving as preceptors for residents. Residents will also rotate through these same assigned locations while on the Outpatient pediatric rotations. Each site gives the residents the experience of practicing in a supervised pediatric primary care practice – very similar to one they may find themselves working in after graduation. The practices include an appointment system that accommodates scheduled appointments and walk-in visits, as well as comprehensive on-site and telephone coverage. Residents monitor their patient’s consultative visits outside of the clinic and any hospitalizations and/or emergency room visits. Residency Rotations Benefits and Salary YEAR 1 3 Rotations General Pediatric Inpatient Service 1 Rotation Hospital for Special Surgery-Pediatric Orthopedic and Rheumatology Inpatient and Outpatient Service 3 Rotations Pediatric Emergency Department 1 Rotation Neonatal Intensive Care 1 Rotation Well Baby Nursery 1 Rotation Cardiology Selective 1 Rotation Outpatient Service 1 Rotation Allergy/Immunology 4 weeks Vacation The following benefits are available to all residents: YEAR 2 2 Rotations General Pediatric Inpatient Service 1 Rotation Memorial Sloan Kettering Cancer Center/Pediatric Oncology Service 2 Rotations Pediatric Emergency Department 1 Rotation Neonatal Intensive Care 1 Rotation Children’s Hospital at Montefiore Pediatric Intensive Care Unit 1 Rotation Developmental/Behavioral/Neurology 1 Rotation Infectious Disease Selective 1 Rotation Outpatient Service 1 Rotation Adolescent Medicine 1 Rotation Elective 4 Weeks Vacation YEAR 3 3 Rotations 2 Rotations 1 Rotation 1 Rotation 2 Rotation 1 Rotation 2 Rotations 4 Weeks General Pediatric Inpatient Service Pediatric Emergency Department Neonatal Intensive Care Developmental/Behavioral/Neurology Outpatient Service Children’s Hospital of NY- Pediatric Intensive Care Unit Elective Vacation Professional liability coverage for all activities that are approved components of the resident program Health Insurance Dental insurance Prescription drug plan Disability insurance Uniforms Vacation: 4 weeks The anticipated salaries for 2009-2010 are: PL-1 $46,558 PL-2 $49,397 PL-3 $52,805 New York City: Capital of the World There is no place like the Big Apple! St. Barnabas Hospital is just a 20-minute drive away from midtown New York City. There are endless possibilities for cultural and social activities in the city that never sleeps, such as Broadway theaters, the South Street Seaport, Madison Square Garden, Yankee and Shea Stadiums, Lincoln Center, the Metropolitan Museum of Art, the Statue of Liberty, the Empire State Building, Central Park, Greenwich Village and Times Square, to name only a few. In short, it is a great place to live and work! APPLICATION REQUIREMENTS PL-1 Applicants All interested candidates for PL-1 positions (categorical pediatric internship) for July 2010 should apply through the Electronic Residency Application Service (ERAS). We only accept ERAS applications for these positions and do not accept any applications by mail for these positions. PL-2 and/or PL-3 Applicants There may be a limited number of PL-2 and/or PL-3 positions open to superior candidates. For those interested in these positions, please submit: Completed ERAS Application Form USMLE scores (front and back of report) ECFMG Certificate (if applicable) Three letters of recommendation Dean’s Letter Medical school transcript (including diploma if available) and A recent photograph to the following address: Zaida Batista Program Coordinator Pediatric Residency Program Department of Pediatrics St. Barnabas Hospital 4422 Third Avenue, Mills Building 4th Floor Bronx, NY 10457 For further information please call 718-960-6635; for information regarding St. Barnabas Hospital and the Department of Pediatrics, please consult our WEB site at: www.stbarnabashospital.org DEPARTMENT OF PEDIATRICS FACULTY LISTING 2009-2010 (Residency and Fellowship institutions are included) Pediatric Residency Program David H. Rubin, MD, Chairman, Department of Pediatrics and Program Director David Fagan, MD, Associate Program Director Jenna Scholnick, MD, Associate Program Director Jeffrey Chen, MD, Chief Resident Zaida Batista, Program Coordinator Ambulatory Staff David Perlstein, MD, Director, Ambulatory Pediatrics: New York Hospital/Cornell University F. Marlon Ali, MD: New York University Medical Center/Bellevue Hospital Janine Clark, MD: New York University Medical Center/Bellevue Hospital Omar Chowdhury, MD: Interfaith Medical Center Maria Diaz, MD: St. Barnabas Hospital, Bronx, NY David Fagan, MD: Children's Hospital of New York/Columbia University Karen Greer, MD: Children's Hospital of Philadelphia/University of Pennsylvania Julie Hurtado, MD: St. Barnabas Hospital, Bronx, NY Elizabeth Kwon, MD, MPH: New York Presbyterian Hospital/Cornell University, Harvard University School of Public Health Jilian Parekh, MD, Children’s Hospital at Montefiore Medical Center Rosemary Pezzullo, MD: Massachusetts General Hospital/Harvard University Paulo Pina, MD: New York University Medical Center/Bellevue Hospital Melissa Renolds, MD: Vanderbilt University Medical Center Michelle Ratau, MD, MPH, Children’s Hospital at Montefiore Children's Hospital of New York/Columbia University Luz Reyes, MD: St. Luke’s/Roosevelt Hospital Karen Sawitz, MD: Children's Hospital of New York/Columbia University Jenna Scholnick, MD: Children’s Hospital at Montefiore Medical Center Inpatient Pediatrics Hai Jung Helen Rhim, MD, MPH: Director, Inpatient Pediatrics- Children’s National Medical Center, Washington, DC, Columbia University Avni Bhalakia, MD: Hasbro Children’s Hospital/Brown University School of Medicine Neonatology Lazaro Lezcano, MD, Director, Neonatology: Interfaith Hospital, Mt. Sinai Medical Center Ronald Arevalo, MD: Overlook Hospital, New York Presbyterian Hospital/Cornell University Marie Lourdes Bautista, MD: Flushing Hospital, North Shore Hospital/New York University Feliciano Emralino, MD: Elmhurst Hospital, Schneider Children's Hospital/Long Island Jewish Medical Center Pediatric Emergency Medicine David Listman, MD, Director, Pediatric Emergency Medicine; Yale-New Haven Children’s Hospital (Residency and Fellowship) Ada Aponte, MD: Jacobi Medical Center, Bronx, New York Heather Becker, MD: New York University Medical Center/ Bellevue Hospital Ying Chuu, MD: Children’s Hospital at Montefiore Medical Center Drora Hirsch, MD: University of Medicine & Dentistry of NJ, Newark, NJ Naomi Hughes, MD: University of Maryland Medical Center John Kuryan, MD: Children’s Hospital at Montefiore Medical Center Samantha Lowe, MD: /New York University Medical Center/ Bellevue Hospital David H. Rubin, MD: University of California, San Francisco, Yale University Subspecialty Staff Paola Carugno, MD: Behavior/Development: Albert Einstein College of Medicine, Kennedy Center Candace Erickson, MD, MPH, Behavior/Development: St. Christopher’s Hospital, University of Maryland Sharon Beier, MD, Adolescent Medicine: Montefiore Medical Center, University of Maryland Medical Center Genna Klein, MD: Pediatric Endocrinology: Mt Sinai School of Medicine (NY) Dina Kornblau, MD, Pediatric Neurology: Children’s Hospital of New York/Columbia University Tsoline Kojaoghlanian, MD, Pediatric Infectious Disease; Children’s Hospital at Montefiore Leslie Lam, MD: Pediatric Endocrinology: New York University Medical Center/Bellevue Hospital Paul Levy, MD: Genetics: Montefiore Medical Center, Tulane University Medical Center Deepa Manwani, MD: Pediatric Hematology/Oncology: Mt Sinai School of Medicine (NY) Heather Lemon-Mule, MD, Pediatric Allergy/Immunology: Mt Sinai School of Medicine (NY) Ali Mencin, MD: Pediatric Gastroenterology: Children's Hospital of New York/Columbia University Karen Moody, MD: Pediatrics Hematology/Oncology: New York University Medical Center/Bellevue Hospital, Cornell University Kimberly Reidy, MD: Pediatric Nephrology: Children’s Hospital at Montefiore Myles Schiller, MD, Pediatric Cardiology: New York Hospital/Cornell University (Residency and Fellowship) Robert Woroniecki, MD: Pediatric Nephrology: University Hospital, Stony Brook and Montefiore Medical Center Directions to St. Barnabas Hospital Department of Pediatrics Offices/Mills 4: Department Office: 718-960-9331 Residency Coordinator: 718-960-6635 From Queens/Long Island: Cross Throgs Neck Bridge or Whitestone Bridge. Take Cross Bronx Expressway (westbound) to Third Avenue. Turn right on Third Avenue (north) and continue just past 180th street to Quarry Road. Take a right turn onto Quarry Road and continue to the Parking Lot on your left. Ask for directions to the Mills Building. We are on the 4th floor. From Westchester County: 1. Take Hutchinson River Parkway or New England Thruway to Pelham Parkway (westbound). Pelham Parkway becomes Fordham Road at Bronx River Parkway. Take Fordham Road to Arthur Avenue. Turn left and continue to 184 th Street. Turn right on 184th Street and continue to the first light. At the first light, turn left onto Third Avenue. Continue to Quarry Road and turn left. The Parking Lot will be on your left. Ask for directions to the Mills Building. We are on the 4 th floor 2. Take Bronx River Parkway to Fordham Road exit. Take Fordham Road to Arthur Avenue. Turn left and continue to 184th Street. Turn right on 184th Street and continue to the first light. At the first light, turn left onto Third Avenue. Continue to Quarry Road and turn left. The Parking Lot will be on your left. Ask for directions to the Mills Building. We are on the 4th floor From Manhattan: Take West Side Highway to Cross Bronx Expressway (eastbound) to Webster Avenue exit. Turn left onto Webster Avenue (north) and continue to 183rd Street. Turn right onto 183rd Street and continue to Third Avenue. Turn right onto 3rd Avenue and continue to Quarry Road and turn left. The Parking Lot will be on your left. Ask for directions to the Mills Building. We are on the 4 th floor. From New Jersey: Cross the George Washington Bridge onto the Cross Bronx Expressway (eastbound) and continue to Webster Avenue exit. Turn left onto Webster Avenue (North) to 183rd Street. Turn right onto 183rd Street and continue to Third Avenue. Turn right onto 3rd Avenue and continue to Quarry Road and turn left. The Parking Lot will be on your left. Ask for directions to the Mills Building. We are on the 4 th floor. Public Transportation: Metro North Railroad to Fordham Road Station. Transfer to Bus # Bx 55 South to 183rd Street. Enter the hospital grounds at 182nd Street and Third Avenue Gate. Proceed to Mills Building, 4th floor. IRT Subway, either #5 Lexington Avenue Express (Dyre Avenue) or #2 Seventh Avenue Express (241 st Street White Plains Road) to 149th Street and Third Avenue, transfer to Bus # Bx 55 (North) to 183rd Street. Enter the hospital grounds at 182nd Street and Third Avenue Gate. Proceed to Mills Building, 4th floor.