SUNY Downstate Medical Center

Established 1860
President John C. LaRosa, MD, FACP
Students 1,694 [1]
Other students 1,040 residents[1]
Location Brooklyn, New York
Website http://www.downstate.edu

SUNY Downstate Medical Center, located in central Brooklyn, New York, is the only academic medical center for health education, research, and patient care serving Brooklyn’s 2.5 million residents. As of Fall 2011, it had a total student body of 1,694 and approximately 8,000 faculty and staff.

Downstate Medical Center comprises a College of Medicine, Colleges of Nursing and Health Related Professions, a School of Graduate Studies, a School of Public Health, and University Hospital of Brooklyn, as well as a Student Center and student and nursing residences. It also includes a major research complex and biotechnology facilities.

SUNY Downstate ranks ninth nationally in the number of alumni who are on the faculty of American medical schools. More physicians practicing in New York City graduated from Downstate than from any other medical school. With 1,040 residents (young physicians in training), Downstate's residency program is the 16th largest in the country.

The College of Nursing offers graduate programs in all major tracks. The College of Health Related Professions has the oldest midwifery program in the nation. The School of Graduate Studies provides basic science education and research training. The School of Public Health offers programs focused on the health of urban and immigrant populations.

Contents

History

In 2010 SUNY Downstate celebrated its sesquicentennial, commemorating the year that the Long Island College Hospital (as it was then known) first opened its doors to students. Yet Downstate traces its roots back even further (to 1856) when a small group of physicians set up a free dispensary in Brooklyn to care for poor immigrants.

Known as the German General Dispensary, its original aim was to care for indigent Germans living in Brooklyn, but changing demographics soon required it to broaden its outreach. In 1857 it was reorganized as a charitable institution and renamed The St. John’s Hospital—the first of many name changes.

Officially chartered by the state in 1858 as the Long Island College Hospital of the City of Brooklyn, it was authorized to operate a hospital and confer medical degrees on candidates who attended two lecture courses and completed a three-year preceptorship under a practicing physician. The notion that care at the hospital bedside should be included as an essential part of medical training was revolutionary for its time, but other medical schools soon adopted the approach and it came to be regarded as essential pedagogy.

In 1860 the school officially opened its doors to 57 (male) students. It was one of only 11 medical schools to admit African American students. The first faculty included many distinguished physicians, such as Dr. Austin Flint, Sr., remembered for his role in introducing the stethoscope into standard medical practice in this country. Dr. Flint delivered the commencement address on July 24, 1860, when the school graduated its first new doctors.

In the following decades The Long Island College Hospital greatly expanded both its facilities and medical school curriculum. By the time of the First World War, admission was opened to women and postgraduate training had been introduced. In 1930 the college and hospital were separated from one another so that each would be under its own governing board. The following year, the school was rechartered as the Long Island College of Medicine; the hospital retained its name and continues to operate to this day. Affiliations with other Brooklyn hospitals, including Kings County Hospital, made it possible for the college to conduct much of its clinical teaching at locations throughout the borough.

In 1945, the college purchased a large tract of land that would become the site of the future Downstate Medical Center. The “Downstate” era began on April 5, 1950, with the signing of a merger contract between the State University of New York (SUNY) and the Long Island College of Medicine. The medical center came to be known as Downstate to distinguish it from the SUNY medical center in Syracuse, New York, which is known as “Upstate.” Several years later the current campus was built in the East Flatbush section of Brooklyn.

In 1954 President Dwight D. Eisenhower laid the cornerstone for the Basic Sciences Building. In the following years, the complex grew rapidly, with the addition of a student center and residence halls, as well as a nurses' residence. In 1966 Governor Nelson Rockefeller officiated at the dedication of University Hospital of Brooklyn (UHB), Downstate’s own teaching hospital. The School of Graduate Studies, the College of Health Related Professions, and the College of Nursing were established that same year. In 1987 Governor Mario Cuomo and Mayor Edward Koch helped break ground for the new Health Science Education Building, where most student classes now take place.

Since the arrival of John C. LaRosa, MD, in 2000 as SUNY Downstate’s new president, the medical center has entered a period of renewed growth and expansion. In addition to the completion of a multimillion capital improvement program for the hospital, and the addition of new clinical and research facilities, the campus has expanded to include a Biotechnology Park and Advanced Biotechnology Incubator, and School of Public Health.

Designed for start-up and early-stage biotech companies, it includes a commercial synthetic chemistry facility. Plans are underway to develop biotech research and manufacturing at the Brooklyn Army Terminal. These initiatives are part of a strategic plan to position SUNY Downstate as the center for biomedical discovery and development in Brooklyn.

Additionally, in 2011, Downstate acquired Long Island College Hospital, bringing the two institutions back together. This added over 500 additional beds to the University Hospital of Brooklyn. It also brings the number of campuses of the University Hospital of Brooklyn to three, when including the UHB ambulatory health center at Bay Ridge.

Academic profile

SUNY Downstate offers students a broad professional education that prepares them for practice or careers in any location and community. The vast majority of students are drawn from the New York City metropolitan area. Many have immigrant backgrounds and are members of racial and cultural groups who are underrepresented in the health professions. The differences in background and outlook enchance the quality of the educational experience of all students.

College of Medicine

In addition to granting the MD degree, the College sponsors a combined MD/PhD degree with the School of Graduate Studies.

School of Graduate Studies

PhD Programs:

School of Public Health

MPH and DrPH Programs

Combined Programs:

College of Health Related Professions

BS Programs:

MS Programs:

Combined Programs:

Advanced Certificate Programs:

College of Nursing

BS Programs

MS Programs:

Advanced Certificate Programs:

Patient care

Opened in 1966, University Hospital of Brooklyn (UHB) is an eight-story, 376-bed facility with 8 intensive care and step-down units, 12 operating rooms, an adult and pediatric ER, diagnostic and ambulatory surgery facility, and 75 outpatient clinics. It operates 3 community-based health centers in the Brooklyn neighborhoods of East New York, Bedford-Stuyvesant, and Midwood; an ambulatory care center in Bay Ridge; plus a nearby Dialysis Center. The addition of Long Island College Hospital brings the total to nearly 900-beds and the ability to offer comprehensive advanced medical care throughout Brooklyn.

Specialized services

Technological advances

Research

Research is one of SUNY Downstate’s primary missions. In 2000, funding for sponsored research, including 506 basic science investigations and 44 programs funded by the National Institutes of Health (NIH), totaled close to $50 million. Developments include:

Development of MRI

First in country to develop MRI machine capable of producing whole body images, and first to propose fundamental science underlying MRI technology. Built on the Downstate campus by Dr. Raymond Damadian, who was awarded the National Medal of Technology in 1988.

Nitric oxide molecule and its role in the body

Discovery of nitric oxide molecule and its relaxation effect on blood vessels has been the basis for heart medications and drugs to combat erectile dysfunction. Professor Emeritus Robert F. Furchgott was awarded the Nobel Prize for this work in 1998.

First open heart surgery in New York

Dr. Clarence Dennis, chair of the Department of Surgery from 1951 to 1971, built his own heart/lung machine from scratch in his Brooklyn laboratory. He missed performing the first successful open heart surgery in the country by a matter of days, but did perform the second successful procedure– and the first in New York State—using his heart/lung machine, which is now part of the Smithsonian collection.

Rheumatoid factor discovery

Rheumatoid factor was discovered by Erik Waaler

Recent milestones

Neuroscience

With over 40 scientists studying the hippocampus, Downstate is one of the largest facilities in the country for the study of neuroscience. Research by Todd Sacktor and Andre Fenton on the core molecular mechanism for memory storage was highlighted by Science magazine as one of the top 10 science breakthroughs of the year in 2006.

Genetics of alcoholism

The late Dr. Henri Begleiter was the first to define the role that genetics plays in the development of alcoholism. His research has helped redefine medical science’s view of alcoholism. The nine-site Collaborative Study on the Genetics of Alcoholism, which he spearheaded, is the world’s largest study of the genetics of alcoholism.

HIV treatment and research

In 1985, SUNY Downstate launched the first federally funded study of HIV transmission from mother to baby. Later, Dr. Howard Minkoff, led the first federally funded study of the manifestations of AIDS in women. With funding from the NIH’s Fogarty International Center, Dr. Jack DeHovitz established the Central/East European HIV Education Center. To date, it has trained more than 5,300 health care workers in Central and Eastern Europe, and in Africa.

Research centers and major laboratories

Regional economic impact

SUNY Downstate Medical Center is the fifth largest employer in Brooklyn. Eighty-five percent of its employees are New York City residents; 62 percent live in Brooklyn. The center's total direct, indirect, and induced economic impact on New York State is in excess of $627 million. For every $1 the state invests, SUNY Downstate returns more than $12 to the economy. The addition to lifetime earning power for each nursing and allied health graduate ranges from $288,000 to $925,000. SUNY Downstate Medical Center attracted $33.7 million in external research funding in 1998/99, including $24 million from federal sources. Clarkson Avenue separates its campus from Kings County Hospital Center.

Milestones in research

References in popular culture

Notes

External links