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LICH Doctors D escribeTheir View of HospitalAs members of the Medical Staffof the Long Island College Hospitalwe think it is of great importancefor the community to realize thefunction which the hospital servesas a teaching hospital in this area.For this reason we are presentingbelow some of the importantrelevant facts indicating why it isessential for the medical care ofpeople in the service area and inother sectors of the metropolitanarea, to obtain a modern,replacement acute generalteaching facility for the LongIsland College Hospital.The single most importantfunction of a hospital is to fulfill theconcept that its patients mustreceive the highest quality ofmedical care possible. This qualityof medical care must takeprecedence over all other aspectsof the hospital%u2019s operation. TheLong Island College Hospital, itsBoard of Regents and its MedicalStaff are dedicated to this concept.Quality of medical care meansgiving every patient who seeksmedical attention the most expertmedical care available. This istrue regardless of the type orseriousness of his illness orcomplications involved. Thismeans that it is essential to puttogether a medical staff andequipment of such sophisticationand expertise as to be able to fulfillthis criterion.This is necessary because thesimplest medical problem may beaccompanied by serious, but undetected, disease which maymanifest itself suddenly andunexpectedly during the course ofthe simple illness or operation. Thesimple illness or operation mayalso be accompanied by lifethreatening complications.The concept of quality of carewas developed at the Long IslandCollege Hospital soon after itopened in 1858. The choice of theword %u201cCollege%u201d was deliberate.The hospital%u2019s plans for a medicalschool were realized in 1860, whenthe first courses were held formedical students who receivedtraining in the hospital.When the medical school becamea part of the State University ofNew York, known as the Downstate Medical School, the LongIsland College Hospital remained aprimary teaching affiliate of theschool. Most members of thehospital medical staff are on thefaculty of the medical school.Medical knowledge today hasexpanded so much and so rapidlythat physicians find it hard enoughto be expert in one specialized fieldof medicine. Good teachers mustbe experts and they know that byteaching they become more expertthemselves. This is the reason thatmore and more physicians arebecoming specialists.The members of the medicalstaff of the Long Island CollegeHospital are all board certified orboard qualified specialists exceptfor a small group of familyphysicians who practice at thehospital%u2019s Prospect HeightsDivision. The by-laws of theMedical Staff require thesequalifications.A teaching hospital also has aresearch program because it isthrough research that expertise indeductive reasoning is achieved.This ability is essential for thepurpose of correctly making adiagnosis of a patient%u2019s condition.It is essential in the evaluation of apatient%u2019s history, in a patient%u2019sphysical examination and inevaluating laboratory findings.The more expert the physician thebetter he will be in providingmedical care for the patient.It is these three functions thatcharacterize a teaching hospital:patient care, the most important;teaching, and research. Thepatient in a teaching hospital canrely on the fact that he will receivethe most expert, the most modernand the safest medical care that isavailable no matter what illness isinvolved.Teaching hospitals today, including the Long Island CollegeHospital, must have at least 10clinical departments:a n e s th e s io lo g y , d e n tis tr y ,medicine (including cardiology,endocrinology and metabolism,gastroenterology, hematology,im m u n o lo g ic a l d i s e a s e snephrology, neurology andpulmonary diseases) obstetricsand gynecology, otolaryngology,ophthalm ology, orthopedics,PHOENIX. Paae NinoLong Island College H ospitalpediatrics, surgery, (thoracic,neurological, vascular and transplant) and urology.They must also have four supportive departments:bioengineering, pathology,radiology and rehabilitationmedicine. Such teaching hospitalsmust have adequate facilities forambulatory care, emergency care,intensive care, coronary care,premature nursery, pediatricintensive care, and specializedlaboratories for cardiaccatheterization, pulmonary function, endoscopy, blood banking,immunologic studies and endocrinological studies.All of these are at the LongIsland College Hospital.In order for a teaching hospitalto receive approval to havephysicians as residents in trainingprograms it must satisfy thecriteria of the examining bodiessuch as the Joint Commission onAccreditation. And for the hospitalto deliver the highest quality ofmedical care there has to be anadequate number of beds for eachmedical specialty.In order to attract physicianswho are experts in their field to themedical staff, it is essential to havea teaching program. This meansthe hospital must have both thefacilities and sufficient patients ineach specialty. The Long IslandContinued on Page 14Would Restore London AmbianceCobble Hill Park, a vest pocket rectangle of concrete and green centered between the Verandah Place Mews where Thomas Wolfe once lived and Congress Street%u2019s row of five-story brownstones, approaches resemblance to a London square. On a mild early spring day, the park comes closest to the English prototype with toddlers frolicking in the sandbox and mothers sitting on nearby benches; chatting, reading, rocking babies in their carriages.At other times however, the place becomes more typical of an American urban dumping ground %u2014 a spot where canines romp and plaster their mess in defiance of the \Nearby residents, responding to the PHOENIX call for complaints and suggestions for the betterment of local oases, have decried what they consider abject misuse. Particularly noting 11 p.m. jaunts when owners release their pets to run and ultimately slop, they suggest that barriers could be established by closing the many park entrances to leave but one opening. Though the dogs seem happy, respondant mothers of young children say the place has become hazardous for kids.Betty McDonald, whose two children are restricted to the concrete because of the dog mess, suggests placement of a %u201c no dogs allowed\a prominent spot, preferably on the gate she hopes to see set up as the sole entrance.The park, built over a decade ago after pressure from the community, which had earlier rejected plans for construction of a supermarket, shouldn r- i i I + i i k o I n r c i n r h ir r h l ir r h + ir%u00bbnr t h o m iic i/ -w* W-. w ..* * , %u2022 \and theater of neighborhood groups Cobble Hiller Jack Lang says. The park ought to combine performances by local artists with presentations sponsored by the city or the state Council of the Arts, which are brought to other spots each summer, he adds.Emphasizing the need for enhancement of the park%u2019s possibilities along with mrrection of abuses,Children (and dogs )romp in Cobble H ill ParkI!IIIIISIIIi1many local residents say that they would like to see the place become a festival spot from time to time as it was during \that occasion the community gathered to sample exotic foods, view arts and crafts created by locals, discuss environmental questions and play in the adjacent streets which were closed to traffic that day.Let Us HearAbout LocalPark Problemsd ip & Mail This Couponto The PHOENIXLocation __ ________________ _ _ _1 Nature of ProblemI _____ffw| Your N a m e ____________________I Your Phone____________________j M oil to PHOENIX, 130 Clinton St. Brooklyn 112Q1 jIIIIII1III1II1IIIIII