Division of Obstetrics & Gynecology Hospitalists
The Division of Obstetrics and Gynecology Hospitalists at NYU Long Island School of Medicine was first established in 2011 as part of Winthrop Hospital, now NYU Langone Hospital—Long Island.
The division is led by Joseph Cioffi, MD, who is one of the most experienced and seasoned obstetrics and gynecology hospitalists in the United States. The benefits of our service are enormous with respect to patient safety. Our division faculty members act as hospital safety officers at NYU Langone Hospital—Long Island 24 hours a day, 7 days a week. In addition, they provide education and teaching to our obstetrics and gynecology residents, fellows, and medical students.
Obstetrics and Gynecology Hospitalist Education
Our division was the first in the country to develop and offer a one-year Obstetrics and Gynecology Hospitalist Fellowship. The goal of the fellowship is to provide fellows with the experience, knowledge, and skills necessary to excel as obstetrics and gynecology hospitalists.
Our division faculty members also train obstetrics and gynecology residents, and provide opportunities for trainees to become involved in our research and quality improvement projects.
Obstetrics and Gynecology Hospitalist Research
The division’s main research initiatives involve quality improvement projects and developing tools to improve perinatal and other obstetrics and gynecology patient care core measures as defined by national organizations such as the National Quality Forum, Medicaid, and Medicare.
Our quality improvement projects have focused on core measures including the following:
- elective deliveries later than 39 weeks
- Cesarean deliveries in nulliparous with a term singleton fetus in vertex position
- antenatal steroids in preterm births at 24 to 32 weeks
- healthcare-associated infections in hospitalized obstetrics and gynecology patients
- exclusive breastfeeding during hospitalization
- antibiotic prophylaxis within one hour before incision for obstetric and gynecologic surgeries
- appropriate deep vein thrombosis prophylaxis
- intrapartum antibiotics for group B streptococcus
- readmissions of obstetrics and gynecology patients
Obstetrics and Gynecology Hospitalist Clinical Services
Our hospitalists are skilled in a wide range of clinical services. We manage emergencies and are available to also manage labor, not just attend deliveries. We monitor every patient’s labor progress, complications, need for anesthesia, and need for amniotomy. We work jointly with a patient’s private physician whenever possible.
Our hospitalists decide on and implement all labor interventions, such as Pitocin or amnioinfusion; review all fetal monitor strips on a regular basis, especially when any abnormality or concern is noted by the nurse and any time a nonsurgical intervention is required; and make decisions regarding the need for internal monitoring. We are also present for emergent deliveries or deliveries for which the primary physician is unable to attend.
When needed, our hospitalists assist on operative deliveries, delivery of twins, and other procedures that need a second hand; evaluate and manage postpartum complications; and check on hospitalized antepartum patients. We are also on call for the general obstetrics and gynecology emergencies in the Emergency Department at NYU Langone Hospital—Long Island.
For cases such as ectopic pregnancies or incomplete abortion curettage, our hospitalists perform emergent gynecologic surgery. In collaboration with NYU Long Island School of Medicine’s Division of Pediatric Surgery, we also provide emergency department consultations and emergency surgical procedures for pediatric and adolescent gynecologic patients.
Our team also takes responsibility for unassigned inpatient gynecologic patients or referred gynecologic patients from private physicians.
Obstetrics and Gynecology Hospitalist Faculty
Please email Dr. Cioffi, division chief, at firstname.lastname@example.org with any inquiries.