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Education & Training

Children’s Hospital at Montefiore (CHAM) continues to advance the rapidly growing field of adolescent medicine. Our fellowship program, led by Director Hina J. Talib, MD, was among the first adolescent medicine programs to be accredited by the Accreditation Council for Graduate Medical Education (ACGME) in 1994 when adolescent medicine became a recognized, board-certified subspecialty.

The three-year fellowship program is designed to provide training through a variety of clinical experiences, formal educational activities and structured research opportunities. The nine faculty members of the Division are committed to personal, supportive mentoring of each fellow in both clinical and scholarly pursuits.

The fellowship program is suited to those pursuing a career in academic medicine or in clinical practice; the successful candidate will qualify for subspecialty board certification in adolescent medicine.

Our fellows consistently score highly on the board examination and secure positions in academic adolescent medicine, college health and adolescent private practices after graduation. Fellows are required to have at least three years of house officer training in pediatrics, internal medicine or family medicine.

What Our Fellowship Offers

At CHAM and in other community sites, adolescent medicine fellows have the opportunity to utilize multiple resources for clinical learning, including:

  • A dedicated adolescent inpatient unit and consult service
  • Six weekly adolescent medicine subspecialty practice sessions
  • A long-acting reversible contraceptives (LARC) clinic for adolescents
  • An eating disorder outpatient and inpatient interdisciplinary team program
  • A transgender patient care program
  • Participation in reproductive healthcare for patients in the bariatric surgery program
  • Foster healthcare in community health centers as well as residential facilities
  • The largest school-based health program in the country
  • A college-based student health service
  • Health services for adolescents in foster care
  • The nation’s first adolescent HIV/AIDS program
  • A comprehensive adolescent weight management program
  • A teen pregnancy program
  • Sports medicine
  • Adolescent psychiatry

Subspecialty support for the Division is provided by the Department of Pediatrics in the areas of cardiology, dermatology, developmental and behavioral pediatrics, endocrinology, gastroenterology, genetics, gynecology, hematology, immunology, infectious disease, oncology, nephrology, neurology, pulmonary diseases and rheumatology. Consultation in all the surgical subspecialties is available. The Department of Psychiatry and Behavioral Sciences provides thorough support, consultation and education through CHAM’s Division of Psychiatry (Child & Adolescent).

Clinical Settings

The Michael I. Cohen, MD, Adolescent Inpatient Floor

This 28-bed unit provides care for adolescents and young adults with diverse acute and chronic medical, surgical, gynecological and psychosocial problems. There are approximately 1,600 admissions per year. Each fellow, with faculty mentoring and supervision, spends four to six weeks each year as the attending physician on the inpatient service, providing a rich teaching experience for our pediatric residents and medical student sub-interns. Fellows also provide consultation services throughout CHAM.

The Adolescent Medicine Subspecialty Practice

The Adolescent Medicine Subspecialty Practice at Children’s Hospital at Montefiore (CHAM), averaging 3,000 visits per year, provides primary care and consultation services for self- or physician-referred adolescents and young adults aged 13 through 21 years, in addition to patients discharged from the adolescent medicine inpatient service.

In-depth experience in adolescent gynecology is stressed, with emphasis on reproductive endocrinology, contraception, including IUDs and implants, menstrual disorders and congenital reproductive tract anomalies. We are a referral center for the evaluation and medical management of eating disorders in adolescents. In addition, we provide comprehensive health services and consultations for adolescents with chronic illnesses, enabling our fellows to participate in the care for teenagers with asthma, sickle cell anemia, cancer, renal disease, organ transplants, rheumatologic diseases, diabetes mellitus and more.

The Adolescent AIDS Program provides counseling and medical care for young people with HIV or AIDS, while providing testing and counseling services for those at risk; the program also participates in AIDS clinical trials.

In our Division’s Transgender Care Program, we provide medical care for transgender and gender non-conforming youth, including consultation and supportive care for gender non-conforming young children, pubertal suppression for gender-dysphoric early teens and transitional hormonal care for older teens, in collaboration with mental health professionals.

The Eating Disorder Program at CHAM is a collaborative effort by Adolescent Medicine and Psychiatry (Child & Adolescent). The goal is to provide specialized eating disorder treatment to patients who would be otherwise unable to access it. Fellows learn the medical management of eating disorders by caring for patients in our outpatient clinic and on the inpatient service, as well as by participating in multidisciplinary rounds to discuss challenging patient cases.

School Settings & More

Fellows also gain experience managing adolescents in settings outside the traditional academic medical center.

  • Adolescent Medicine at Children’s Hospital at Montefiore has contracts with three social service agencies to provide health services to their clients at Pleasantville/Edenwald and Graham Windham residential schools for adolescents with behavioral, emotional and psychosocial challenges. We also serve the Children’s Aid Society’s Bronx Family Center, where fellows can elect to have further foster care health clinical experiences by providing family planning services to adolescents in foster care and act as consultants for nurse practitioners. We average more than 2,000 visits per year at these three sites.
  • The fellows’ curriculum also includes experience working in the school-based health center at DeWitt Clinton High School in the Bronx.
  • The Bronx Nutrition and Fitness Initiative for Teens (B’N Fit) is a comprehensive, multidisciplinary weight management program for obese adolescents that operates in the school-based health setting. B'N Fit clinicians provide in-depth medical, nutritional and psychosocial evaluations in addition to ongoing medical care for complications arising from obesity.
  • Experience in college health is available to fellows at the student health service at Purchase College, State University of New York in Westchester County.
  • A sports medicine rotation, taught by pediatric/adolescent orthopedists, is also part of the clinical curriculum.
  • Fellows learn about substance abuse in an outpatient community clinic setting.
  • Fellows may wish to spend time working in the Teen Pregnancy Program at Montefiore Medical Center, where care is provided for adolescent mothers and their newborns.
  • Fellows also may elect to work with homeless and runaway youth at Streetworks, a drop-in center in Manhattan.

A wide variety of other clinical electives are available, including an adolescent medicine private practice, adolescent psychiatry, care of transgender youth, rehabilitation medicine, endocrinology, dermatology, diabetes and rheumatology.

Albert Einstein College of Medicine

Albert Einstein College of Medicine consistently ranks among the nation's leaders in research support from the National Institutes of Health (NIH). Einstein and Montefiore Medical Center have been awarded a Clinical and Translational Science Award (CTSA) by the NIH that supports the Institute for Clinical and Translational Research (ICTR), one of only 39 such centers in the nation.

Faculty members of the Division of Adolescent Medicine enjoy strong connections to the ICTR and utilize these to link our fellows to mentors who can help with study design and statistical analysis, if needed, for the fellow’s scholarly project. The Department of Pediatrics provides a required course in research design and career development for all subspecialty fellows, and the Division of Adolescent Medicine provides a weekly informal seminar designed to support our fellows in their scholarly work.

Fellows may pursue investigative interests in clinical, translational, epidemiological and healthcare delivery areas. Our adolescent medicine fellows regularly present their research at annual meetings of the Society for Adolescent Medicine, Pediatric Academic Societies and the North American Society for Pediatric and Adolescent Gynecology.

Applying for Our Fellowship

Applicants should complete the ERAS common application for adolescent medicine fellowships and submit three letters of reference, including one from the applicant's department chairman or director of training. A scheduled visit and interview are required for all applicants except where this presents a severe hardship.

CONTACT US TO LEARN MORE

Hina Talib, MD
Director, Adolescent Medicine Fellowship Training
3415 Bainbridge Avenue
Bronx, NY 10467
htalib@montefiore.org

Oddett Foreman
Fellowship Program Coordinator
oforeman@montefiore.org
Phone: 718-920-6781

Fellows' Research Projects

Fellows’ Research Projects: Selected Publications
Calderoni ME, Alderman EM, Silver EJ, Bauman LJ. The Mental Health Impact of 9/11 on Inner-City High School Students 20 Miles North of Ground Zero. J Adoles Health 2006; 39:57-65

Iglesias EA, Markowitz ME, Coupey SM. Hormonal Contraception and Blood Lead Levels in Inner-City Adolescent Girls. J Pediatr Adolesc Gynecol 2008; 21:269-273

Rieder J, Santoro N, Cohen HW, Marantz P, Coupey SM. Body Shape and Size and Insulin Resistance as Early Clinical Predictors of Hyperandrogenic Anovulation in Ethnic Minority Adolescent Girls. J Adolesc Health 2008; 43:115-124

Kaul P, Stevens-Simon C, Saproo A, Coupey SM. Trends in Illness Severity and Length of Stay in Inner-City Adolescents Hospitalized for Pelvic Inflammatory Disease. J Pediatr Adolesc Gynecol  2008; 21:289-293

Levine S, Coupey SM. Nonmedical Use of Prescription Medications: An Emerging Risk Behavior among Rural Adolescents. J Adolesc Health 2009;44:407-409

Khan UI, Rieder J, Cohen HW, Coupey SM, Wildman RP. Effect of Modest Changes in BMI on Cardiovascular Disease Risk Markers in Severely Obese, Minority Adolescents. Obes Res Clin Pract 2010; 4:e231-e237

Hollman D, Coupey SM, Fox AS, Herold BC. Screening for Trichomonas Vaginalis in High-Risk Adolescent Females with a New Transcription-Mediated Nucleic Acid Amplification Test (NAAT): Associations with Ethnicity, Symptoms, and Prior and Current STIs. J Pediatr Adolesc Gynecol 2010; 23:312-316

Talib HJ, Silver EJ, Coupey SM, Bauman LJ. The Influence of Individual, Partner, and Relationship Factors on HIV Testing in Adolescents.  AIDS Patient Care and STDS 2013; 27(11):637-645 

Maslanskaya S, Coupey SM, Chabra, R, Khan U. Predictors of Early Discontinuation of Effective Contraception by Teens at High Risk of Pregnancy. J Pediatr Adolesc Gynecol 2016; 29(3):269-275

Coble CA, Silver EJ, Chhabra R. Description of Sexual Orientation and Sexual Behaviors among High School Girls in New York City.J Pediatr Adolesc Gynecol 2017 Aug;30(4):460-465.

Fridy RLMaslyanskaya S Lim S, Coupey SM Pediatricians' Knowledge and Practices Related to Long-Acting Reversible Contraceptives for Adolescent Girls. J Pediatr Adolesc Gynecol. 2018 Feb 1 doi: 10.1016/j.jpag.2018.01.004. [Epub ahead of print]

Northridge JL, Silver EJ, Talib HJ, Coupey SM. Reproductive Coercion in High-School-Aged Girls: Associations with Reproductive Health Risk and Intimate Partner Violence, J Pediatr Adolesc Gynecol 2017; 30(6): 603-608 doi: 10.1016/j.jpag.2017.06.007  PMID: 28668360