The Division of Kidney Diseases and Hypertension of the North Shore Long Island Jewish Health System is led by Division Chief Pravin C. Singhal, MD. The 14 full-time faculty are involved in varied activities, such as clinical care, teaching and research. However, the Division of Kidney Diseases and Hypertension is well recognized for its research activities. The faculty has published 10 to 15 original articles in prestigious peer-reviewed journals for each of the last 10 years. Similarly, the faculty has been presenting 10 to 15 papers at the Annual Meeting of the American Society of Nephrology for the last 10 years.
The Division's research activities have been supported by grants from the National Institutes of Health for the last 17 years. In addition, faculty members have grants from the American Heart Association and the National Kidney Foundation. Dr. Pravin Singhal, Dr. Joseph Mattana and Dr. Madhu Bhaskaran are actively involved in basic research. Dr. Poornima Upadhya, a trained geneticist, is actively funded by the National Institutes of Health. She is investigating the mechanisms involved in the development of polycystic kidney disease. Mohammad Husain, PhD, has recently joined our division. He has developed Nef transgenicmice. He plans to evaluate the progression of renal lesions in these. Nef, an HIV protein has been incriminated for the development and progression of podocyte lesions in mice with HIV-associate nephropathy. Thus, our fellows have a choice of working on a variety of research projects including glomerular pathology, renal physiology, molecular and cellular biology, matrixoxidation and remodeling and kidney genetics.
Moreover, Dr. John D. Wagner, Dr. Akhthar Ashfaq, Dr. Michel Gitman, and Dr. Hitesh Shah are actively involved in clinical research including modulation of dialytic therapies, the role of oxidative stress in dialysis-induced immune suppression, metabolic bone disease and evaluation of the toxicity of iron therapy. Dr. Madhu Bhaskaran and Dr. Mary Mallappallil are participating in clinical research in the field of renal transplantation, whereas Dr. Sheron Latcha is actively involved in clinical research pertaining to peritoneal dialysis. The nephrology residents and internal medicine residents actively participate both in basic and clinical research. Residents working in our division frequently enter research competitions (local and national) and have won prizes. The Division virtually serves as the engine for academic activities in the Department of Medicine. Besides internal medicine residents, residents from the Divisions of Hematology, Oncology and Gastroenterology often take their research elective in the Division of Kidney Diseases and Hypertension.
Our faculty is young and extremely suited for training young enthusiastic internists. The strength of our program is increasing every year. We attract approximately 300 applications for four slots. We are often fortunate to get the best graduates out of this pool.
Another outstanding feature of our program is the diversity and depth of clinical experience in our program. We have a unique location, which exposes us to a mixed patient population with different ethnic and socioeconomic backgrounds. Long Island Jewish Medical Center is located in an area that overlaps New York City and Western Long Island; whereas North Shore University Hospital is located in affluent North Shore of Long Island. Both NSUH and LIJMC provide tertiary care in a multitude of disciplines including cardiovascular, vascular and neurosurgery, high-risk pregnancies, metabolic support, critical care medicine and surgery, endourology and interventional radiology. The hospitals serve as the backup for an out-patient dialysis population of over 600 patients. Depending on the clinical circumstances, in-patients may receive hemodialysis in either the six-station hemodialysis unit or at the bedside. Peritoneal dialysis is performed on the in-patient medical and surgical wards, as well as in the critical care units. Continuous hemofiltration therapies are available in the intensive care units (consisting of a heartsurgical unit, medical-surgical ICU and cardiac care unit).
Enhancing our teaching of the management of fluid and electrolyte disturbances and nutrition is the Division's role in supervising all total parenteral nutrition administered in the hospital. The on-call resident collaborates with the attending physician in the evaluation of all new candidates for this therapy and the follow-up of existing patients.
Faculty members of both the campuses actively participate in the teaching program. It gives our fellows exposure to a large and varied teaching faculty, with wide ranging interests and expertise. In addition, the large conference attendance facilitates hosting visits by outside lecturers of high stature. We anticipate greater cross campus collaboration in coming years.
Our health system comprises 18 hospitals, thus we have access to the large pre-ESRD population. We are in a unique position to carry out clinical research on such a large population.Back to Top