The Arthur H. Aufses, Jr. MD Archives is pleased to share that we recently received a 2023 Digitization Project Grant from the Metropolitan New York Library Council (METRO) to digitize a selection of material from the Mount Sinai Beth Israel collection. METRO’s Digitization Project Grant is designed to support digitization projects for METRO members to enhance the quality and accessibility of library and information resources in the metropolitan New York region. The selection for this grant will be the largest body of digitized materials related to Mount Sinai Beth Israel (MSBI) to date.
Packing is underway! Materials will be digitized by a vendor before being returned to the Archives for cataloging.
Selected material spans from across the history of MSBI. Beginning as a form of Jewish mutual aid to care for marginalized workers and their families living in tenements, the hospital grew to treat and research many of the most pressing issues of the time and the history of the hospital is deeply intertwined with that of the neighborhood. Over its 133-year history, this has included caring for the sick during the Influenza Epidemic of 1918; the development of the Methadone Maintenance Treatment Program in the 1960s, one of the first ever methadone clinics; being an early responder in treating and caring for patients during the AIDS crisis in the 1980s; and responding to the present COVID-19 pandemic. The Beth Israel records broadly document the history of the hospital, and the digitization of this material will allow Beth Israel to be more easily included in historical research related to the broader scope of healthcare in metropolitan New York. At the grant period’s end, more than 7,000 pages of material will be newly available through our catalog.
A big thank you to METRO for their support! You can learn more about past grant recipients and their projects here.
Authored by Stefana Breitwieser, Digital Archivist
As we look forward to a new year, I wanted to reflect on Mount Sinai’s remarkable historical milestones, honor our collective past, and celebrate those who make the Icahn School of Medicine and the Mount Sinai Health System what we are so proud of today.
2023 is a banner year as we mark the tenth anniversary of the Mount Sinai Health System’s creation. Among many pivotal moments described below, some highlights include trailblazing women, the evolution of psychological and substance use treatments, several otolaryngology milestones, and ways we have supported each other and our communities.
These milestones only highlight a selection of round number anniversaries.
We have so much to recognize in 2023, and the Arthur H. Aufses, Jr., MD Archives staff will be hard at work providing information and materials to support these celebrations!
1823 – 200 years ago
New York Eye and Ear Infirmary’s Dr. Rodgers travelled to Curaçao at the request of the island’s Rear Admiral Governor, to perform surgery in what might be called ophthalmology’s first international goodwill mission.
1863 – 160 years ago
During the New York City Draft Riots of 1863, one of the “bloodiest race riots in American history,” rioters besieged St. Luke’s Hospital for 48 hours, threatening to set the building on fire as it had received three injured policemen. Founder Reverend William Muhlenberg met an injured rioter brought to the front doors and was able to calm the protestors, who began to disperse.
In the geographic center of the Draft Riots, Jews’ Hospital in New York (later The Mount Sinai Hospital) was “the asylum for their dead and injured. An eventual result for the Hospital was its adoption of the nonsectarianism [sic] which has been its policy ever since.” In caring for riot victims, Jews’ Hospital staff witnessed the particular terror and brutal violence inflicted upon Black people. (see post for further information)
James Henry Roosevelt died, leaving his estate for “the reception and relief of sick and diseased persons, and its permanent endowment…” which then created Roosevelt Hospital.
1873 – 150 years ago
New York Eye and Ear Infirmary’s Throat Department was established, forerunner of the Head and Neck Service.
1898 – 125 years ago
During the Spanish-American War, the hospitals treated troops ill with typhoid and other epidemic diseases. Roosevelt Hospital’s Ward V was turned over to the U.S. Department of War. St. Luke’s Hospital set aside 30 beds. The Mount Sinai Hospital cared for 44.
An Act of the State Legislature of 1897 established a law to give The Mount Sinai Hospital 40 cents per day for each charity patient. Costs were then $1.33 per day, about $33 today.
1913 – 110 years ago
Sophie Rabinoff, MD, became the first female intern on the house staff at Beth Israel Hospital after “triumphing over thirty men in a competitive examination.” Initially told by the hospital that women are not eligible for appointment, the hospital later agreed to allow her to sit for the examination, at which she came in first place.
1923 – 100years ago
The Mount Sinai Hospital’s Medical Board recommended, and Board approved that “patients suffering from mental disturbance … as well as those suffering from the minor psychoses and from functional nervous trouble, may be admitted to the Neurological Service.”
Mount Sinai Hospital statistics for 1923: 12,104 patients treated; average census 505; length of stay 15.7 days; days of care 183,863; average daily cost of ward patient $5.64; 8,261 ER visits.
Leila C. Knox, MD, became the first female Attending Physician of any level at St. Luke’s Hospital. Hired in 1913 as an assistant and bacteriologist, she retired in 1948 as Pathologist, Director of Laboratories and Associate Attending Physician, and was recognized for her work as a tissue diagnostician.
1938 – 85 years ago
Mount Sinai Hospital’s Robert T. Frank, MD published an article The Formation of an Artificial Vagina Without Operation in the American Journal of Obstetrics and Gynecologyon his non-surgical vaginoplasty technique to create or enlarge a vagina. He had been working on the subject for many years and had published in 1927 an article advocating for non-surgical methods with Dr. S.H. Geist.
1948 – 75 years ago
Beth Israel’s Obstetrics and Gynecology Departments are merged into a single department; Dr. Henry C. Falk was Director.
The residency program in Urology at Beth Israel was approved by the American Medical Association and the American Board of Urology.
The Mount Sinai Hospital welcomed its first residents in Psychiatry.
The Mount Sinai Hospital’s Special Medical Clinic, an outpatient diagnostic center, was established for lower income patients, paid half of consultation service fees.
1953 – 70 years ago
Woman’s Hospital officially merged with St. Luke’s becoming Woman’s Hospital Division of St. Luke’s Hospital. Established in 1855, Woman’s Hospital was the result of a meeting of thirty-five influential New York City women gathered by Dr. J. Marion Sims who conveyed New York’s need for a hospital to treat gynecological diseases.
1958 – 65 years ago
Doris L. Wethers, MD, began working at St. Luke’s Hospital. The first Black Attending Physician, she was Director of Pediatrics from 1974 until 1979, when she became the principal investigator on a major research project studying sickle cell anemia. She also served as chairwoman of an NIH panel that recommended routine testing for newborns regardless of race or ethnicity.
1973 – 50 years ago
St. Luke’s-Roosevelt’s Smithers Alcoholism Center and Rehabilitation Unit opened (now the Addiction Institute of New York). Funded by R. Brinkley Smithers, who pledged a $10-million gift for the treatment and rehabilitation of alcoholics in 1971, it was the largest single grant ever made by an individual or agency, including the Federal Government, to address alcoholism.
United States Senator Walter Mondale held hearings on child abuse at Roosevelt Hospital; the following year, Mondale initiated the Child Abuse Prevention and Treatment Act.
Mount Sinai’s Department of Community Medicine received a grant to develop a primary care health services system for the children of East Harlem. The program later served as a model for other urban settings.
Phillips Beth Israel School of Nursing admitted its first male student.
Mount Sinai School of Medicine held its first classes in the Annenberg Building; the rest of the building opened slowly floor by floor after this.
1988 – 35 years ago
Beth Israel Medical Center establishes a 12-bed inpatient unit for AIDS care.
An AIDS unit at the Roosevelt Division site opened, providing 25 beds and augmented the St. Luke’s site AIDS unit which had 24 beds.
1993 – 30 years ago
A Letter of Agreement was signed formalizing the affiliation of Astoria General Hospital (predecessor of Mount Sinai Queens) and The Mount Sinai Medical Center.
Beth Israel created the Alfred and Gail Engelberg Department of Family Medicine and a residency program, the first in a Manhattan hospital, in conjunction with the Institute for Family Health (IFH), led by co-founder Dr. Neil Calman. IFH later affiliated with Mount Sinai and created the Department of Family Medicine and Community Health at the Icahn School of Medicine.
For the first time, the Mount Sinai School of Medicine graduated more women than men, also a first in New York State.
Women faculty members of Mount Sinai School of Medicine formed the Women Faculty group to address issues of concern to the including pay equity, discrimination, participation by women in internal decision-making bodies, limitations on career advancement, parenting and schedule flexibility issues, and the underlying sexism that informs these issues.
Beatrice and Samuel A. Seaver Center for Research and Treatment of Autism created in The Mount Sinai Hospital’s Department of Psychiatry.
1998 – 25 years ago
Center for Multi-Cultural and Community Affairs (CMCA) was established to increase underrepresented minority groups in medicine, adding to the diversity of the School and the Hospital, and to Mount Sinai’s effectiveness in serving the ethnically and racially diverse communities of East Harlem, Harlem, the Bronx, Queens, and the rest of New York City. Positioned as the interface for educational pipeline programs such as CEYE and SETH, Minority Affairs, institution-wide diversity initiatives, academic supports for medical students, and other initiatives within the School of Medicine, it was founded under the leadership of Gary Butts, MD in the Department of Medical Education.
His Holiness the Dalai Lama visited Beth Israel and participated in a conference at the Hyman-Newman Institute for Neurology and Neurosurgery called “Researching the Health Actions of Advanced Meditation: A Landmark East/West Medical Conference.” The conference was co-convened by Tibet House and Beth Israel Medical Center with the participation of Columbia University.
The James P. Mara Center for Lung Diseases was dedicated at Roosevelt Hospital. Gerard M. Turino, MD is the founding director; funded by $2 million donation from The Carson Family Charitable Trust.
Mount Sinai School of Medicine students organized the first memorial service for cadavers used in gross anatomy class.
Announcement of establishment of the Mount Sinai-NYU Medical Center and Health System.
Continuum Health Partners, Inc. was selected as new name for Beth Israel and St. Luke’s-Roosevelt parent company.
2003 – 20 years ago
Dr. Kenneth Davis, Chairman of Psychiatry, officially becomes Dean of the Mount Sinai School of Medicine, and the Board subsequently approved Davis as President.
Master’s program in Community Medicine changed from that of a Master of Science degree to a Master of Public Health (MPH) degree.
2008 – 15 years ago
The Brain Institute was created (now Friedman Brain Institute). Eric Nestler, MD, PhD became the first Director when he joined Mount Sinai to become the Chairman of the Fishberg Department of Neuroscience.
The Ear Institute at NYEE opened, which centralized the ear specialty services of New York Eye and Ear Infirmary, Beth Israel Medical Center, and the Children’s Hearing Institute.
2013 – 10 years ago
On September 30th, the approval and official creation of the Mount Sinai Health System was announced, and the Board was considered formed. Press release stated: “The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education.”
Icahn School of Medicine announced the formation of a new group, Women in Science and Medicine.
2018 – 5 years ago
Boards of Trustees of South Nassau Communities Hospital and the Mount Sinai Health System formally approved an affiliation agreement.
Mount Sinai Heart opened a new ambulatory practice at Mount Sinai St. Luke’s. The Center for Clinical Cardiovascular Care at Mount Sinai Heart offered a suite of specialty services for comprehensive and integrated cardiovascular patient care, including Cardiology, Cardiac Surgery, and Vascular Surgery, in one location.
Additionally, the following departments, institutes, committees, centers, collaborations, and other initiatives have reached a landmark year:
30 years
Department of Emergency Medicine in the Mount Sinai School of Medicine (Academic Department)
25 years
Center for Multicultural and Community Affairs
Minimally Invasive Surgery Center (MISC)
Wound Care Center
Diabetes Center
20 years
Jo Carole and Ronald S. Lauder Center for Maternity Care
15 years
Brain Institute (now the Friedman Brain Institute)
Experimental Therapeutics Institute (now the Drug Discovery Institute)
Translational and Molecular Imaging Institute (now the BioMedical Engineering and Imaging Institute)
Diabetes, Obesity, and Metabolism Institute
Minority Health Research Committee
Statistical Advisory Service
Office of Clinical Research
Office for Women’s Careers
Patient-Oriented Research Training and Leadership (PORTAL) program
Ten years
OCD, Tic Disorders, and Tourette’s Disorder Team
Mount Sinai Health Network
East Harlem Health Outreach Project (EHHOP) Advisory Board
Center for Advanced Circuit Therapeutics (now the Nash Family Center)
Affiliation with Rensselaer Polytechnic Institute
Authored by J.E. Molly Seegers with research contributions for Mount Sinai Morningside and Mount Sinai West by Michala Biondi and for Mount Sinai Beth Israel by Stefana Breitwieser
This week (December 4-10, 2022) is National Handwashing Awareness Week. As we all know, hand hygiene is a critical component of clinical care and patient safety. In this post we’ll be looking at handwashing campaigns at Mount Sinai Beth Israel over the years. (Click on the images for a larger view, or see the links below to view the item in our catalog.)
Nurse disinfecting hands in milk formula preparation room, September 1952
Handwashing campaign in October 1981 of the Beth Israel Pacemaker (employee newsletter)
Article from the February 1982 issue of the Beth Israel Pacemaker about BIMC’s handwashing campaign
Infection control team demonstrating hand hygiene in the November 1994 issue of Eye on BI (employee newsletter)
For more information about former Beth Israel locations, see the Building Beth Israel series. An interactive map of Beth Israel historical locations is available here.
The start date of an institution seems like a clear-cut fact, but often the records that would ideally shine a light on this milestone are actually a bit murky. The founding of the Phillips School of Nursing at Mount Sinai Beth Israel (PSON) is a great example of this historical ambiguity.
During a recent reference request, I had the opportunity to research the establishment of PSON more fully. I spent hours poring over the Beth Israel Board of Directors minutes tracking down this information. Reading through this material was extremely time consuming – the minutes are handwritten in large, loopy cursive, and most entries didn’t even have a passing mention of the school. (When one meeting had discussion about the Hospital purchasing a typewriter, I felt like it wasn’t a moment too soon!)
The earliest mention of nursing at Beth Israel Hospital is in the Board of Directors minutes of April 25, 1891, when a nurse applied for a position at the Hospital as it prepared to move to its new space at 196 East Broadway, and was hired to begin working on May 15 of that year at a salary of $23 per month (about $730 today). These early years at Beth Israel (established 1890) were marked by financial precarity, and it was noted in July 1891 that the Hospital must “limit itself to accepting ten patients for the foreseeable future, these to be serviced by 2 nurses only, one doctor, one cook, and if the Hospital would also reduce other expenditures…the institution would survive.”
In the years following, an added concern was hiring nurses who were trained. As was a common model for the time, Beth Israel Hospital opened its Training School for Nurses to supply the hospital with a fixed number of student nurses, who provided most of the nursing service to inpatients and were supervised by a smaller number of trained, professional nurses. We know that the school first opened at the Jefferson and Cherry Streets location with a two-year curriculum – but when exactly?
The minutes reveal only a rough outline of the founding of the school. The first mention of it was on October 11, 1898, when the idea was referred to the Medical Board in conjunction with the Board of Directors, Training School Committee. The committee consisted of two members, “Hurwitz and Fleck[?].” Two months later, the committee wrote a proposal for the school, and on March 7, 1899, it was officially established.
The school wasn’t mentioned again in the minutes for three full years, and renewed interest coincided with the hospital’s preparation to move to the Jefferson and Cherry Streets location. On March 4, 1902, the committee “was instructed to proceed at once with the necessary arrangements for nursing in the new hospital” in addition to “other work” as assigned. On May 6, 1902, the committee reported that “requests for the recommendation of a Supt. Of Nurses have been sent out and that the German Hospital recommended a Mrs. Chapman[?].” (German Hospital was renamed to Lenox Hill Hospital in 1918.) This superintendent of nurses would have supervised the student nurses during their training.
Example of minutes, including the mention of the typewriter purchase (right)
Finally, the minutes from late 1902 imply that the student nurses had begun their work. On October 7, November 11, and December 9, 1902, the minutes state that the nurses’ quarters were “insufficient”, and it was moved to find a better place to rent for them. The November minutes also reflect some logistical challenges around finding the right number of nurses per ward. There’s no definitive school start date mentioned.
The unprocessed Phillips School of Nursing records also have materials related to the hundredth anniversary of the school taking place in 2004. Did these celebrants have access to historical documentation that is not present in the Archives? It is difficult to say. The celebration, called “A Century of Caring,” honored the ten graduates of the first class in 1904: Rose Bergen, Elizabeth Berman, Fannie Finn, Rose Goldman, Rose Hyman, Julia Meyers, Lena Rabinowitz, Sophie Reichin, Elizabeth Stein, and Minnie Vogel.
By carefully reading the Board of Directors minutes, searching through PSON’s own records, and seeing the institution’s own conception of its anniversary year – all this taken together – we’ve concluded that the Beth Israel Hospital Training School for Nurses was established in 1899, with the first class beginning in 1902 and graduating in 1904. We feel that we can more reliably count on these dates than in the past, and hope that this account supplies helpful context to the archival labor that goes into these historical understandings.
The Aufses Archives staff has installed our latest exhibit in the lobby of the Annenberg Building. This season’s exhibit, Pediatric Developments, showcases the evolution of children’s medical care over the last two centuries in the histories of our Health System’s hospitals. This blog post focuses only on the Mount Sinai Hospital histories presented in the exhibit.
Appointment card, 1917
While the prevailing narrative is that the field of pediatrics slowly grew into a medical specialty in the early 20th century, the care provided at our hospitals was ahead of the curve with early establishment of wards and services tailored specifically to children. Our doctors and health care workers sought to treat not only the serious and often fatal childhood ailments (many now preventable through routine vaccination), but worked to improve living conditions, nutrition, education, psychology, and convalescence while contributing to the development of Pediatrics as a specialty.
150 years ago, Mount Sinai Hospital established an “Outdoor Dispensary” for patients who did not need to be admitted overnight. This was due to the advocacy of Dr. Abraham Jacobi, the progenitor of Pediatrics, who was a foundational force from his appointment in 1860 to the Jews’ Hospital as Attending Physician, until his death in 1919. Children had always been admitted to the Hospital, but they were placed on adult wards.
In 1875, a Children’s Department in the Mount Sinai Hospital Dispensary was organized with Dr. Mary Putnam Jacobi serving as head of the service. Together, the Drs. Jacobi had published Infant Diet in 1874 and married several months later. Because the facilities for children in the Dispensary were not sufficient to care for the great number referred to the Hospital, an inpatient Pediatric ward was opened in 1879 with Dr. Abraham Jacobi as Chief. Remarkably this was the first inpatient pediatric department in New York City.
Excerpt from 1877 Annual Report
135 years ago in 1887, Dr. Sara Welt was the first woman to be appointed an Adjunct Pediatrician. She spent her whole career at Mount Sinai Hospital and remained closely affiliated until her death in 1943, at which time she bequeathed nearly $1 million to support the Pediatric Clinic and establish the Sara Welt Fellowship in Research Medicine, a loan fund for young physicians who needed financial assistance.
Mount Sinai Hospital Annual Report, 1895
Dr. Ira Wile, who joined the Mount Sinai Hospital Pediatric staff in 1904, developed an early interest in child psychiatry, behavioral and social problems of children, and child education. In 1919, he opened the first child guidance clinic in the United States. Named the Children’s Health Class, it became the first vehicle through which preventive medicine was integrated on an equal footing with the rest of the pediatric activities of the Hospital. He stated, prophetically, that “the attention of the clinic is directed chiefly to the periodic examination of children between infancy and school age. This is a period during which the health of poorer children is commonly neglected, and when physical and psychological mismanagement may readily implant the seeds of disease against which the Department of Health and other agencies subsequently struggle in vain.”
Children in Einstein Falk Pavilion, circa 1923
In 1889, Dr. Henry Koplik founded the first station for the distribution of sterilized milk in New York City at the Good Samaritan Dispensary in lower Manhattan. In 1896, Koplik described the diagnostic spots of measles in the buccal mucous membranes, which to this day bear the name “Koplik spots.” He was one of the first pediatricians to take an interest in bacteriology and conducted fundamental studies on diphtheria and pertussis organisms. In 1902, he assumed the coveted role of Attending Pediatrician at Mount Sinai Hospital. For the next 25 years, he served on the Medical Board, taught at the School of Nursing, and was a consulting expert on Pediatrics.
Diet Manual, 1939
In 1923, Mount Sinai Hospital invited Dr. Béla Schick, a pediatrician of renown in Europe, to come to Mount Sinai and serve as Pediatrician to the Hospital. In collaboration with Dr. Clemens von Pirquet, Schick had already conducted his groundbreaking work on antigen/antibody reactions, which laid the foundation for immunity and hypersensitivity. They introduced the term “allergy.” Schick also had done his pioneering studies on diphtheria, developing a skin test with toxin from diphtheria organisms. The “Schick Test” was the first of many skin tests used to determine whether a child was immune or susceptible. In his later years Dr. Schick also focused on infant and child nutrition, as evidenced by this Diet Manual from 1939.
Dr. Jean Pakter, pictured, spent five years at Mount Sinai Hospital, finishing her residency in 1939. An advocate for maternal and child health, she devoted her life to serving not only the City of New York, as Director of the Department of Health’s Bureau of Maternity Services and Family Planning from 1960 to 1982, but the nation as well. Her discipline for gathering and sharing statistics led to many noteworthy studies on prematurity, maternal and fetal mortality, abortion, sudden infant death syndrome, and promotion of breast feeding. Her Mount Sinai training of using scientific study and clinical expertise as a means of enacting social change led deservedly to numerous honors, awards, and citations, most notably in the Roe v. Wade decision.
Polio, measles, mumps, rubella, diphtheria, tetanus, pertussis… many of the serious and often fatal childhood ailments that were common in the nascent years of the field of Pediatrics are today prophylactically addressed through routine childhood vaccinations. One of the most notable vaccines was for polio, released in 1955. Developed by Dr. Jonas Salk, who interned at Mount Sinai Hospital from 1940-1942, the evaluation of the vaccine was conducted by pioneering Black scientists, Russell W. Brown and James H.M. Henderson at Tuskegee Institute, by creating the first HeLa cell factory.
This casebook entry from 1910 shows a child being treated for poliomyelitis, bronchopneumonia, and scoliosis. While this child was discharged with their conditions improved, the case book is filled with patients seen by Dr. Henry Koplik and Dr. Burrill Crohn (listed as Attending and House Staff above) who succumbed to illnesses that are preventable today.
Mount Sinai Hospital Ward Y, Pediatric staff with children, 1906
We welcome you to visit the exhibit in person to read about the histories of Mount Sinai Morningside, Mount Sinai West, and Mount Sinai Beth Israel.
