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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 />

2 | THE NEWSLETTER |<br />

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 />

| THE NEWSLETTER | 3

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