Lincoln Medical and Mental Heath Center
1C2 (Pediatric Ambulatory Clinic)
Clinic Information
Clinic Phone
Clinic Fax
Appointments
24- hour Telephone triage
Poison Control
5619
4987
4900
718-579-KIDS(5437)
212-POISONS (764-7667)
Clinic Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Chief, Pediatric Amb. Clinic
Assistant Head Nurse
Coordinating Mgr.
Director, Ambulatory Care
Chairman, Pediatrics
8:30 a.m. - 5:00 p.m.
8:30 a.m. - 5:00 p.m.
8:30 a.m. - 8:00 p.m.
8:30 a.m. - 5:00 p.m.
8:30 a.m. - 5:00 p.m.
Katherine Szema, MD
Cecilia Negron, RN
Cheryl Abraham
Akinola Fisher MD
Shefali Khanna, MD
Beeper #28582
Beeper #27695
Beeper #28582
Pediatricians
Beeper#
Shafi Choudhury, MD
Monique Collier, MD
Ponchai Kemawikasit, MD
Aliya Khan, MD
Magda Mendez, MD
Abdolrasool Nasab, MD
Randolph Nunez
Antonio Pierre, MD
Sridevi Pinnamaneni, MD
Gerard Prosper MD,
Subha Rangsiyakul, MD
Shanti Yogananda, MD
#27756
#27102
#27755
#27175
#34064
#27180
#27874
#27366
#27171
#27712
#27160
#27159
x6290
x3536
x5527
x5640
x4972
RNs
LPNs
PCAs
PCAs
Corazon Pasamba
Cynthia Madayag
Emmerlisia Taylor
Estrellita Marcial
Joey Sinanan
Kang Chung
M.L. Bacatan
Magalli Rivera
Alina Suarez
Ayodele Oni
Henry DePalma
Karen Aponte
Mabel Boakye
Maxine Sosa
Cheryl Burke
Clarissa Samuels
Doris King
Lydia Vargas
Martha Diaz
Olive Jordan
Rebecca Aquaye
Sanjita Sharma
Esther Soriano
Tricia Joyner
Vicki Lopez
Virginia Almodovar
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Clerks
Alesa McFadden
Carmen Dumani
Carol Perrotte
Jessica Sanchez
Rosa Guadalupe
Subspecialty Clinics
We have 15 subspecialty clinics and 22 subspecialist physicians.
Suspecialty Clinic
Physician
Beeper
Adolescent
Allergy/Asthma
Monique Collier
Smita Kumar, MD
Katherine Szema, MD
Cardiology
Sarita Kalentre
Jayendra Sharma, MD
Diabetes
Swati Dave-Sharma, MD
Endocrine
Swati Dave-Sharma, MD
Gastroenterology
Diana Volpert, MD
Genetics
Ernest Lieber, MD
Hematology/Oncology Maria Sulis, MD
Immunology
Katia Sitnitkskaya, MD
Neonatology
Marilyn Guerrero, MD
Sunanda Kandi, MD
Rasila Lala, MD
Anasuya Nagaraj, MD
Zehra Panjavani, MD
Neurology
Sergei Prokhorov, MD
Pulmonology/Chest
Dora Alvarez, MD
Renal
Consolacion Pimentel, MD
Gerard Prosper, MD
Surgery
(refer to Harlem Hospital)
Tuberculosis
Katia Sitnitskaya, MD
Urology
Lori Dyer, MD
Jeremy Wiygul, MD
27102
917-219-4481
28582
917-399-2446
917-233-0019
27758
27758
917-899-2100
27221
917-899-0178
27769
27671
27281
27266
27614
27261
27751
27988
27260
27712
27769
914-264-0161
914-491-7320
Health Educators/Consultants
Patients may be scheduled for further education/evaluation/assistance by the following providers:
Client Navigator:
George Neira
#27192
Dietician
Ilana Heching
#27521
Asthma Health Educator: Hester Dowdy-Sow
Ext. 5397
Room 595
Ext. 6139
Room 609
Obesity Health Educator: Carisol Maniego
#28797
Ext. 4194
Room 595
HIV counselors:
Martha Morales
Michelle Gonzalez
#28589
#27426
Ext. 5926
Ext. 4979
Room 594
Lactation Consultant:
Elana Taubman
#28559
Smoking Cessation:
Cindy Germosen
Ext. 4934
Room 10C-78
Social Workers:
Kara Goldschmidt
Kenya Sanders
#27506
#27494
Diabetic Educator
Miriam Lugo, RN
Tsae Su, RN
#27119
#34080
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Ext. 5519, 6278 Room 597
Ext. 5519, 6278 Room 597
Resident Group Practice (GP) Clinic
As per the Program Requirements for Residency Education in Pediatrics, the Continuity Clinic
Experience provides residents an “opportunity to develop an understanding of and appreciation
for the longitudinal nature of general pediatric care, including:
aspects of physical and emotional growth and development;
health promotion and disease prevention;
management of acute, chronic, and end-of-life medical conditions, family and
environmental impacts;
coordination of patient-centered care both within practice and with multidisciplinary
providers;
and practice management.
Residents will be exposed to a variety of patients, including well patients, sick patients, and those
will complex and chronic medical problems. Ideally, residents should provide continuity of care
for their patients and continue to follow them when they are hospitalized or seen for acute
illnesses. Residents should facilitate school-related evaluations and specialty referrals (including
social work) and report any cases to ACS if necessary due to medical, physical or emotional
neglect/abuse. The curriculum will emphasize the generalist approach, including anticipatory
guidance, developmental and behavioral issues, immunizations practices and heath promotion,
and residents must learn to serve as the coordinator of comprehensive primary care for children
with complex and multiple heath-problems.
Residents must attend continuity clinic for one half–day session per week for a minimum of 36
clinic weeks per year. PGY-1 and PGY-2 residents have continuity clinic one afternoon per week
while PGY-3 residents have two sessions (one morning, one afternoon) per week. According to
RRC guidelines, each PGY-1, PGY-2, and PGY-3 resident must see a minimum of 3, 4, and 5
patients, respectively.
GP Color Teams
Each resident is assigned to one of the following color teams (11-12 pediatric residents).
Each team may have 1-2 LPN/RNs, 1-2 PCAs (patient care assistant), and one financial clerical
associate. You will be precepted by one of the following physicians during your GP clinic.
BLUE
RED
GREEN
Nasab
Prosper
Yogananda
Choudhury
Khan
P. Kemawikasit
Nunez
Pierre
Pinnamaneni
Rangsiyakul
The following covering physicians will precept in the Pediatric Clinic on the following days:
Tuesday PM, Wednesday AM
Wednesday PM, Friday AM
Thursday PM
Constance Pimentel, MD (Nephrology)
Magda Mendez, MD (Residency Program Director)
Katherine Szema, MD (Allergy)
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Resident Weekly Topics
A series of weekly topics will be discussed for 5-10 minutes with your preceptor. The schedule is
posted on the bulletin board outside Room 568. Pertinent journal articles will be emailed to you
prior to the session.
Walk-In Patients
Walk-in patients are primarily placed on attendings’ schedules. Each PGY-2 and PGY-3 has 1
appt slot for walk-in patients designated as the PCS slot.
Patient Flow
1. Patient registration begins at the front desk where the financial clerk check in patients.
The clerk reviews patient information (insurance, phone number, consent forms) and
places the Patient Flow Sheet in the appropriate color team bin for the PCA.
2. The PCA brings the patient and Patient Flow Sheet to the examination room where
vitals are performed (height, weight, BP, Pulse, RR head circumference, temperature).
Hearing and vision and done for patients ages 3 and above on an annual basis.
3. The EDAR (Electronic Daily Activity Report) can be accessed with your Groupwise
password and ID to review your patient list for your clinic. Patients will be highlighted
in red when they have checked in to be seen. Walk-in patients will be added to the
EDAR as they are registered.
4. The Patient Flow sheet is given to the doctor. Subsequent patient flow sheets are placed
outside the room in the plastic bin. The next patient will be in the front of the bin.
5. The doctor circles any necessary immunizations or screening tests
(hearing/vision/urinalysis) that the patient requires on the Patient Flow Sheet. The doctor
gives the Patient Flow Sheet to the nurse who will prepare the vaccines and also informs
the PCA regarding any additional screening tests that are required.
6. Please make sure your patients are undressed in a gown when you examine them.
7. The doctor performs the examination and informs the PCA regarding necessary
appointments:
#1 = New
#2 = Revisit
#3 = First Newborn visit
#4 = Dietician
#5 = Lactation consultant
#222 = PCS
#911 = ER or inpatient follow up
#888 = Reminder template card (Please see Item #9 below)
8. Internal Lincoln referrals are done online. Choose order entry, #45 Referrals, and follow
the prompts. Print out the referral sheet and give it to the PCA to schedule any
appointments.
9. If patients require an appointment > 6 months, please check off “Reminder Template” on
the Patient Flow Sheet, and enter the month that you would like to see the patient. A
postcard will be mailed to the patient to remind them to call the clinic 1 month before the
requested visit.
10. Complete all your notes by the end of your clinic session and meet with your preceptor to
review your EDAR sheet, DNKAs, and notes. Enter all your patients into your ACGME
patient log.
Clinic Schedule and Room Assignments
Daily schedules and room assignments are posted on the sticky bulletin boards outside
the Staff Lounge, nurses stations (Rooms 587 & 555), and across from Room 562.
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Cycle Time Week
For 2-3 days of each month, cycle times (length of time for the patient’s whole visit from
check-in to check-out) are calculated. Each person encountering the patient will
document their name in addition to the time in and time out on the Patient Cycle Time
Sheet when they have seen the patient. This gives us an overall picture of the patient visit
to keep the cycle time of the patients within 60 minutes.
Reminder cards (#888)
If you do not need to see your patient for more than 4-6 months, please have the PCA
enter your patient on the Unity computer system for a reminder card (Resource Code
888). Patients will be mailed a postcard 1 month before the anticipated month of the visit
to call to schedule an appointment.
DNKAs (Did Not Keep Appointments) Follow up call or Letter
You must order a DNKA follow up call or letter for each patient that failed to keep their
scheduled appointment. It is important that you review your EDAR list to order the
DNKA notes and to determine whether the patient should be called for an urgent or
sooner appointment (abnormal lab, vaccines, infants < 1 year) or if they can be scheduled
for the next available appointment. Based on your instructions on DNKA order, the clerk
will either recall the patient sooner or send a letter to the patient to call for a return
appointment to the clinic.
AGCME Documentation
All residents must document their patients in the ACGME computer log with pertinent
information, including age, diagnosis and encounter date.
Medical Students
Education is important for all physicians. As part of your training, you may be supervising
medical students from St. George’s University School of Medicine or Weill Cornell Medical
College. They will each be assigned to a color team or subspecialty clinic and are responsible for
seeing patients on their own and presenting their patients to you and/or the attending physician.
They will either write on pre-printed forms or type their notes onto a word document. Each
attending physician is responsible for evaluating one write-up per session for each medical
student. These evaluations must be turned in to Dr. Sitnitskaya (Coordinator of medical students)
upon completion.
Absences/Tardiness from Clinic
Resident absences (changing call assignments, vacations, job interviews) from clinic must be
submitted in writing to the Residency Program Director (Dr. Mendez) with a copy to Dr. Szema.
The chief residents may not approve any absences from clinic. You will be excused from clinic
only when requests are approved by Dr. Mendez and NOT by the chief residents.
Part of being a good physician is professionalism. Therefore, tardiness is unacceptable. Residents
who are 15 minutes late will receive a tardy slip beginning in August 2007. After the 3rd tardy slip
in clinic, a written censure will be placed on the resident’s evaluation and submitted to their
personal file.
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Heads Up! Reading Program
We are involved with the national non-profit organizations, Reach Out and Read, and Reading is
Fundamental to promote early literacy for our patients by giving new books to children ages 2
weeks to 5 years of age, and advising parents about the importance of reading aloud to their to
children. At each well child check up or health maintenance visit, a child should receive an age
appropriate book. Bonus books are given for older children depending on our book supply.
Books are located in the grey cabinets near Room 568 as well as in the middle corridor file room.
Guidelines are written regarding which age-appropriate book to give to your patients. For other
visits, we have bookmarks and a few extra books available for distribution. The reading room,
located near the waiting room, also has extra books for older patients for distribution. The Heads
Up! coordinator from the Children Development Center at Weill Cornell Medical College comes
to Lincoln on Tuesdays and Thursdays to restock our books.
Attending Precepting Room 568
Pediatric reference books are found in the cabinets in Room 568. Patient brochures including
TIPP safety sheets, VIS (vaccine information statements), MAF (Medication Administration
Forms), and other patient information are filed here. In addition, handouts for the resident weekly
topics are located in the bottom file cabinet and filed by week of discussion.
Mailboxes/Notices
Mailboxes for residents and general pediatricians are also located outside Room 568. Please
check your mailbox every time you are in clinic. You may have messages or school forms from
your patients located in the mailboxes. The Resident Weekly Topics and any notices are posted
outside Room 568. The daily OPD schedules are posted in each corridor on the sticky bulletin
boards outside the Staff Lounge, and nurses stations (Room 587, Room 555), and across from
Room 562.
School/WIC/Camp/Job Forms
All patient forms will be placed in your clinic mailbox for your completion and signature. Once
completed, please give the form to Rosa Guadalupe or your clerk so they can file the form in the
patient form bin for patient pick-up.
OPD Rotation
Residents will be assigned to 4 week OPD block rotations during their training and will be
assigned to general pediatrics or one of the subspecialty clinics.
Procedure Resident
All OPD residents will be assigned on certain days as the procedure resident during the OPD
rotation. You may be paged for insertion of IV catheters, foley catheters for VCUGs, or to
accompany patients who are sedated for various procedures or studies (i.e. CT scan, MRI). Your
backup for procedures will be the chief residents on service (Beeper#27401). An attending
pediatrician will be supervising you as your preceptor.
Case Presentations/Lectures
Dr. Nunez will arrange case presentations approximately 1-2 Thursday mornings (9:00-9:45 a.m.)
per rotation to discuss various topics with the OPD residents and attendings.
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