Residency in General Surgery at Lenox Hill Hospital
The general surgery residency program is a five-year program accredited by the ACGME, and consists of three categorical residents per year for a total of 15 categorical residents. In addition, there are six preliminary residents who go on to complete a variety of programs such as urology, radiology, and anesthesiology. A vascular integrated residency, with one resident per year fills out the house staff complement.
The core faculty of the Department of Surgery at Lenox Hill Hospital is composed of 20 surgeons. Their areas of expertise encompass various areas of specialization, including:
- Acute care surgery
- Minimally invasive surgery
- Vascular and endovascular surgery
- Advanced laparoscopic surgery
- Colon and rectal surgery
- Hepatobiliary surgery
- Bariatric surgery
- Surgical critical care
- Breast surgery
- Reconstructive surgery
In addition, about 30 voluntary surgeons operate at Lenox Hill on a regular basis, providing further volume to the resident's surgical experience.
All residents serve on the four inpatient services, covering general and vascular surgery. Third and fourth year residents spend one month at Maryland Shock Trauma, third years spend one month at NYU for transplant surgery, and second year residents spend one month at Cohen Children's for pediatric surgery. Second year residents rotate through the ICU, and interns usually have some time on other services, such as the SICU, Urology, and Orthopedic surgery.
In order to comply with national work hour requirements, the Lenox Hill Hospital Surgery residents are on a night float system at the PGY-1 and-2 levels. PGY -1 residents cover the hospital at night, and a PGY-2 is primarily charged with the care of the ICU and new consultations. A chief resident (PGY-4 or 5) takes call in-house, and is off duty the following day. PGY-2 and 3 residents cover consults and the ICU on weekends.
There are several academic conferences for which attendance by residents is mandatory. These include weekly Morbidity and Mortality conference, General Surgery conference, and Vascular Surgery conference. Additionally, monthly grand rounds expose residents to speakers from outside institutions. Several core curriculum topics are covered in separate didactic lecture series. In the SICU, teaching conferences centered around critical care topics occur on a weekly basis.
A laboratory to develop and hone laparoscopic skills has been set up, and a curriculum following the Fundamentals in Laparoscopic Surgery course, endorsed by the American Board of Surgery, is available. Although self directed use/study and practice is essential, hands of group sessions and one on one training is available. Additional time is spent several times per year with dedicated faculty at tissue labs when available.
A journal club is held monthly. The topics encompass vascular and general surgery, the latter derived from the Evidence-Based Reviews in Surgery program in the American College of Surgeons. The content of the articles, as well as the approach toward those articles are discussed in detail by residents and faculty.