Kiran Nagdeo, BDS, MPH

Kiran Nagdeo earned her BDS degree at D.Y. Patil University School of Dentistry in India and has eight years of clinical experience. She recently graduated from the Master of Public Health program, specializing in Global Health (Epidemiology and Biostatistics) from the Icahn School of Medicine at Mount Sinai.

Why did you decide to study at Icahn Mount Sinai?

The main reason I chose Mount Sinai is because it’s one of largest academic medical systems in the New York metro area. That gives you hope that it will open multiple opportunities, which it did. Another big reason was that the location really mattered to me. Mount Sinai is located very close to Central Park, and close to the subway, which made commuting easier.

What attracted you to study Public Health? What about it inspires you?

I was a completely clinically oriented dentist, practicing in India, and I was happy—until COVID-19 hit. It was during the pandemic that I realized the importance of broader level or upscale interventions. I had been working on an individual level—patient-doctor one to one relationship—but if I was equipped back then, I could have helped and contributed on a bigger scale to support many more people. Around this time, I decided to pursue public health.

My love and passion for dentistry and oral health is strong, and I have embraced avenues for my continued interest in this area. I have learned that there isn’t a heavy focus on oral health in the public health sector. There are very few select professionals, who usually tend to have a dental background, who have contributed to dental public health.

My goal going forward is the integration of oral health in public health and to advance maternal and child health. Women are key change agents, and children are the future we are bringing this change about for.

What were some of your achievements as a master’s student?

During my time in the Graduate Program in Public Health, I am proud to have accomplished so much. This includes: Two full text publications with multiple under review and work in progress publications; attending four conferences with about ten presentations; participating in the global health summer research program, which included visiting Rikers Island for shadowing the dental team and the medical complex care services team; participating in a Community-based Participatory Research Program in Queens; honored with winning four awards; and being inducted into the Delta Omega honorary society.

What activities outside the classroom have contributed to your success?

I’ve been the most active with the World Federation of Public Health Associations (WFPHA), and I owe all my success to Hyewon Lee, DMD, MPH, DrPH, the Chair of the Oral Health Workgroup (OHWG). She has elevated me and invested in my growth on a professional as well a personal level. I would not have been as successful or learned as much without her mentorship. I am currently the Vice Chair of the workgroup, directly under Dr. Lee’s leadership. I had my first ever publication with her, and first ever presentation at the largest public health conference, the American Public Health Association.

I’ve also participated in many research activities. I worked as a research assistant in Mount Sinai’s Department of Environmental Medicine and Public Health, which helped in my professional growth and development. I learned the basics of research thanks to my professor Maayan Yitshak-Sade, PhD, and Vishal Midya, PhD. They laid the foundation for my understanding in research.

I’ve been involved in several student organizations within Icahn Mount Sinai. This kind of exposure led me to gain more perspective as a graduate student in a medical school. I’ve held two positions in the student council in my time at Icahn Mount Sinai, most recently being the second year class representative for MPH. Along with that I’ve led five other organizations, while participating in many more. Even as a student, my strongest skill has been collaborations; I’ve collaborated with postdocs, medical students, MD/PhD students, different groups that I’m leading, and other student body structures, while leading the planning of multiple events. I’ve noticed how collaborations help us all bring our resources and friends together to have a much bigger event that is mutually beneficial.

I’ve also written for The Scoop, which is the MPH newsletter, on racism in public health. And written in the Helen journal about my unforgettable experience at the AADMD One Voice conference.I completed a student leadership in global oral health course with the Alliance for Oral Health Across Borders (AOHAB). That led to working closely with the president of AOHAB, Deborah Weisfuse, DMD, MSc, and I now hold a leadership position of Program Director in the organization.

I’m currently a part of the American Institute of Dental Public Health (AIDPH) Dental Public Health Leadership Academy (DHPLA) as a student leader. I also hold leadership positions at APHA, as External Relations Co-Chair in the APHA Student Assembly, Student Fellow in the Maternal and Child Health Sections, and a member of the Scientific Planning Committee in the Oral Health Section. I’ve also had the opportunity to be a teaching assistant for Maya Korin, PhD, MS, and Laura MacIsaac, MD, MPH, for MPH students, and for Georgina Osorio, MD, MPH, and Gallane Abraham, MD, for Clinical Research Students.

What are your plans now that you have completed your degree?

I will be continuing my work as a research assistant in the Microbial Exposomics lab under the leadership of Dr. Midya and Shoshannah Eggers, PhD, in the Department of Environmental Medicine and Climate Science at Icahn Mount Sinai, in collaboration with the Department of Epidemiology at the University of Iowa. I will be continuing my commitments at WFPHA, APHA, and AOHAB. I have been accepted and will be pursuing my PhD of Public Health in Epidemiology at New York University School of Global Public Health.

Fourth-year MD Icahn School of Medicine students receiving their placements on Match Day, Friday, March 15, from left to right: Amina Avril, Claire Ufongene, Candida Damian, Yhan Colón Ibán, and Charlotte Pierce.

Match Day represents a milestone for fourth-year medical students across the country—it’s when they receive their placements for the residency programs they’ve applied to. On Friday, March 15, the Icahn School of Medicine at Mount Sinai’s Class of 2024 congregated at the Guggenheim Pavilion for Match Day, and 133 students matched to 26 different specialties across the nation.

Michael Leitman, MD, Professor of Surgery, and Medical Education, at Icahn Mount Sinai, and Dean for Graduate Medical Education, observes Match Day closely because it reflects the physician pipeline. In several critical areas, he says, most notably the primary care specialties (internal medicine, general pediatrics, family medicine, and geriatrics) and psychiatry, the supply of new doctors entering these specialties is barely sufficient to meet demand.

“These are areas where we are seeing low match rates among students, and we suspect that students are gravitating towards careers in more lucrative specialties in part because they’re concerned about debt,” says Dr. Leitman.

“In the areas that we serve at The Mount Sinai Hospital, which includes East Harlem, we have to think about the loss of family medicine doctors who will not be available to care for this population, which will only further reinforce the health care disparities we are working so hard to correct,” says Dr. Leitman.

“Although historically, students from Icahn Mount Sinai have matched to primary care fields at lower rates than other specialties, this year’s Match represented the highest number of students matching into primary care specialties,” says Tara K Cunningham, EdD, MS, Senior Associate Dean for Student Affairs and Associate Professor of Medical Education, who leads the team responsible for career and residency advising at Icahn Mount Sinai. Last year, Dr. Cunningham says, two students entered pediatrics. “This year, a record-breaking 11 students are going into pediatrics.”

Icahn Mount Sinai’s Class of 2024 has more students placing into primary care and neurology than any other graduating class in school history. The most popular specialties for the class are internal medicine (28), pediatrics (11), anesthesiology (10), obstetrics (8), gynecology (8), neurology (7), ophthalmology (7), and psychiatry (7).

Two MD seniors entering residency programs in specialties with high need share their thoughts on their matches and what they hope to achieve in their respective fields.

U.S. Senator Bill Cassidy, MD, (R-LA), left, and Mount Sinai medical student Sunjay Letchuman

With the annual Medicare open enrollment period approaching, Mount Sinai medical student Sunjay Letchuman (class of 2026) and U.S. Senator Bill Cassidy, MD, (R-LA) have come together to shine a light on a vulnerable population of Americans who are poor, elderly, and sometimes disabled. This group of more than 12 million Americans is so called “dually eligible” because they qualify for insurance through both Medicare and Medicaid.

Having two forms of insurance might seem to be better than one. But data reveal that dually eligible individuals experience worse health outcomes when compared to similar populations, even after controlling for confounding variables. These poor health outcomes result, in part, from the lack of payment coordination between Medicare and Medicaid.

“Medicare pays for most hospital services while Medicaid pays for long-term care services, such as nursing home care,” says Mr. Letchuman. “Without payment coordination between the two insurers, Medicaid does not know that a dually eligible patient is hospitalized unless subsequent long-term care is needed. As such, Medicaid has no financial incentive to prevent the hospitalization in the first place in light of Medicare’s responsibility to pay. This is just one illustration of how poor coordination is not serving these patients, who experience longer hospitalizations and higher costs.”

This summer, Mr. Letchuman, raised in Louisiana, had the unique opportunity to research this policy issue while serving as a Health Fellow for Dr. Cassidy. While working together, Dr. Cassidy suggested they co-author an article to draw attention to the problem. The result: a Viewpoint essay published in JAMA September 15 titled, “A Prescription for Americans Dually Eligible for Medicare and Medicaid.”

“It was a pleasure to co-author this piece with my health fellow, medical colleague, and Shreveport, Louisiana, native Sunjay Letchuman,” says Dr. Cassidy. “Dually eligible patients have poor outcomes, despite society devoting significant resources to pay for their care. Sunjay spent his time as a health fellow learning this issue and, as importantly, using this understanding to help develop solutions. He is a health scholar serving patients, profession, and country by other means. This editorial is a manifestation and furtherance of this service.”

Mount Sinai medical student Sunjay Letchuman with a patient

In their JAMA article, the pair conclude that the federal government should establish guidelines requiring care to be coordinated between Medicare and Medicaid at the state level. Dr. Cassidy is part of a bipartisan group of six senators working to get this done. The issue is of particular relevance to New York as the state is home to a high number of dually eligible Americans, as is the case in the two authors’ home state.

“Addressing the needs of dually eligible Americans is more than just a policy interest of mine; it’s a commitment to serve my home state of Louisiana where more than 250,000 dually eligible Americans live and deserve better coordinated care and improved health outcomes,” says Dr. Letchuman.

This was not Mr. Letchuman’s first deep dive into a health policy issue. Over the summer, he also co-authored an article in the New England Journal of Medicine about whether nonprofit hospitals deserve their tax exemptions—an issue he worked on as a health fellow for the U.S. House Committee on Ways and Means.

“In exchange for not paying taxes, nonprofit hospitals are required to provide substantial community benefit and charity care. Not all nonprofit hospitals fulfill this commitment, and local communities pay the price,” he says.

Mr. Letchuman studied the business of health care as an undergraduate, which has helped prepare him for a career in both medicine and health policy. This made him a perfect candidate for the Icahn School of Medicine at Mount Sinai’s FlexMed program, which encourages college sophomores in any major to apply and provides students with the flexibility to pursue their academic passions during college. Mount Sinai was the first medical school to create an admissions pathway that provides such early assurance.

“The FlexMed program allowed me to pursue my health policy dreams early in college,” he says. “I am confident that Mount Sinai’s education and support, then and now, are shaping me into a more effective physician and policymaker.”