WOM N WOM N - Mount Sinai Hospital
WOM N WOM N - Mount Sinai Hospital
WOM N WOM N - Mount Sinai Hospital
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interview with<br />
JAMAL RAHAMAN, MD<br />
The Division is a major training center for Fellows in<br />
the field of gynecologic oncology and Dr. Rahaman has<br />
been Director of the Gynecologic Oncology Fellowship<br />
Program since 2006.<br />
“In New York, with eleven gynecologic oncologists,<br />
we have the biggest complement of faculty and the largest<br />
volume of patients treated for benign and gynecologic<br />
cancer surgeries,” he explained.<br />
When Dr. Rahaman gave me a demonstration of<br />
the dynamic and interactive electronic platform he<br />
developed for the Division, it became clear that he is<br />
the Division’s “techie” extraordinaire. He explained how<br />
the platform allows anyone in the Division to prescribe<br />
or track a patient’s treatment, onsite or offsite, allowing<br />
for efficiency and continuity of care. Appointments and<br />
schedules can be accessed as well.<br />
“This past year, there has been an increase from<br />
900 cycles of chemotherapy to 1,300-1,500 cycles, an<br />
increase in volume as well as access to clinical trials,”<br />
he said. A system such as this is designed to make it<br />
all run smoothly. Dr. Rahaman is the Director of the<br />
Chemotherapy Infusion Service.<br />
All Attending Physicians are co-investigators of<br />
trials, so any doctor can enroll patients. Supervisory<br />
responsibility for each trial is divided among the<br />
Attendings. Since 2006, when the Division joined the<br />
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Dr. Jamal Rahaman, who is an Associate Professor, <strong>Mount</strong><br />
<strong>Sinai</strong> School of Medicine, and an Attending Physician in the<br />
Department of Obstetrics, Gynecology, and Reproductive<br />
Science since 1998, has been instrumental in helping to expand the<br />
Division of Gynecologic Oncology. In his own words, “The Division has<br />
moved from its reputation for top-notch surgeons to a comprehensive<br />
Division that is also a major research center with investigator-initiated<br />
clinical trials [those initiated at <strong>Mount</strong> <strong>Sinai</strong>], national trials through<br />
the Gynecologic Oncology Group [the collaborative national research<br />
organization], and basic science and translational research [scientific<br />
research with possible clinical applications].”<br />
GOG, 15 national clinical trials have opened up at<br />
<strong>Mount</strong> <strong>Sinai</strong>. There are clinical trials for ovarian,<br />
endometrial, and cervical cancers. Studies comparing<br />
different chemotherapy agents in various stages of<br />
disease are being conducted in endometrial and ovarian<br />
cancer. There is a study of pre-operative imaging for<br />
cervical cancer. There is a prospective (before disease)<br />
study of women at increased genetic risk for ovarian<br />
cancer, and another study of the effect of zoledronic acid<br />
to build up bone mineral density for the lumbar spine<br />
in women who have elected risk-reducing surgery to<br />
remove both ovaries. In addition, a tissue biorepository<br />
has been developed to freeze and store human<br />
gynecologic tissue to use in studying causes, diagnosis,<br />
prevention, and treatment of cancer—some to go into<br />
a national bank and some into our own. Dr. Rahaman<br />
is very excited to be the principal investigator of two<br />
GOG trials currently open, which allow women with<br />
ovarian cancer free access to Avastin (Bevacizumab)<br />
in combination with standard chemotherapy for firstline<br />
(GOG 218) and second-line therapy (GOG 213).<br />
<strong>Mount</strong> <strong>Sinai</strong> participated in international clinical<br />
trials that led to development of the HPV vaccine<br />
Gardasil by Merck, which was approved two years ago.<br />
At this time, <strong>Mount</strong> <strong>Sinai</strong> has two investigational studies<br />
about vaccines. Dr. Rahaman, who is co-investigator<br />
of these trials with Dr. Rhoda Sperling—Professor<br />
and Vice Chair of Research for the Department of<br />
Obstetrics, Gynecology, and Reproductive Science, and<br />
Professor of Medicine, Infectious Diseases—explained:<br />
“We are working with both Merck and Glaxo-Smith<br />
Kline. Glaxo-Smith Kline has another vaccine that’s not<br />
approved in the US yet, but will be, hopefully, within the<br />
next two years. Merck is now looking at a new vaccine<br />
with nine strains versus the current four strains. That<br />
trial is open right now.”<br />
There is a tremendous breadth of clinical trials<br />
taking place now, because of the Division’s membership<br />
in the Gynecologic Oncology Group, established<br />
by the efforts of Drs. Dottino and Segna in 2006.<br />
The Division holds a monthly translational research<br />
meeting with scientists and doctors from different<br />
departments, including Breast and<br />
Oncological Sciences, to brainstorm<br />
new projects. The Fellows work in<br />
different labs within Oncological<br />
Sciences. Dr. Rahaman expects that<br />
this exciting research will translate<br />
into cutting-edge trials offered<br />
only here at <strong>Mount</strong> <strong>Sinai</strong>, resulting<br />
in the development of improved<br />
treatments and potential cures.<br />
Many may not know that<br />
Dr. Rahaman had completed a<br />
fellowship in Cardiothoracic and Vascular Surgery at<br />
the Texas Heart Institute in Houston, Texas, with Dr.<br />
Denton Cooley as his mentor, before completing his<br />
Obstetrics and Gynecology Residency and Gynecologic<br />
Oncology Fellowship at <strong>Mount</strong> <strong>Sinai</strong>. Following his<br />
training, Dr. Rahaman left <strong>Mount</strong> <strong>Sinai</strong> to be an<br />
Attending Physician at Williamson ARH <strong>Hospital</strong><br />
in South Williamston, Kentucky, where he became<br />
Chairman of the Department of Obstetrics and<br />
Gynecology. Three years after leaving <strong>Mount</strong> <strong>Sinai</strong>,<br />
he returned to become Director of the Gynecologic<br />
Oncology Service at <strong>Mount</strong> <strong>Sinai</strong> affiliate Elmhurst<br />
There is a tremendous<br />
breadth of clinical trials<br />
taking place now, because<br />
of the Division’s membership<br />
in the Gynecologic Oncology<br />
Group, established by the<br />
efforts of Drs. Dottino and<br />
Segna in 2006.<br />
Medical Center, where he reorganized and developed<br />
an expanded comprehensive department. In 2005, the<br />
service was transferred to one of the Junior Faculty who<br />
was trained in the Division’s fellowship program.<br />
In his many years of service at <strong>Mount</strong> <strong>Sinai</strong>, Dr.<br />
Rahaman has filled leadership, training, and research<br />
roles. However, he has always engaged in a vast amount<br />
of direct clinical work, making him one of the most<br />
experienced gynecologic oncology surgeons in the<br />
country. Dr. Rahaman has also been a member of many<br />
administrative committees within the hospital and<br />
medical school.<br />
He has written numerous publications in national<br />
and international journals, several book chapters in<br />
the field of gynecologic oncology with Dr. Carmel<br />
Cohen, and most recently, a chapter with Dr. William<br />
Bradley, “Pediatric Gynecologic<br />
Cancers,” in Pediatric, Adolescent<br />
and Young Adult Gynecology.<br />
His lectures and oral conference<br />
presentations include many on the<br />
use of laparoscopy. Recently, he<br />
has been credentialed to teach and<br />
perform da Vinci Robotic Surgery<br />
for gynecologic cancers.<br />
In the last six to eight months,<br />
the Division has started to do more<br />
robotic surgery. All surgeons in the<br />
Division are now trained to perform it. Laparoscopic<br />
robotic surgeries are done with endometrial, cervical,<br />
and selected cases of ovarian cancers.<br />
Dr. Rahaman received awards in college, the<br />
University of Cambridge, and medical school,<br />
University of the West Indies, as well as teaching and<br />
peer recognition awards throughout his career.<br />
With all that Dr. Rahaman does, I hope he has<br />
enough time to enjoy his beautiful family: his wife,<br />
Kathleen—a pharmacist—and two children, a daughter<br />
age 11, and a son, age 8. They live in Bergen County<br />
with their two Bichon Frises. —VIVIAN PORT<br />
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