Residency/Fellowship


St. Luke's-Roosevelt Ophthalmology Residency Program

Introduction
Resident Responsibilities
Program Features
Applying to the Program


INTRODUCTION

Mount Sinai St. Luke's Roosevelt is a voluntary teaching hospital administering to the total medical needs of the west side of Manhattan. The Hospital has a primary health care responsibility for an area with a population of over a half million people. Many area residents seek ophthalmic care directly from the Hospital Center. Within the Hospital Center the Ophthalmology Department provides full inpatient and outpatient services. The Hospital Center has an academic affiliation with Columbia University College of Physicians and Surgeons. This agreement provides for cooperative educational opportunities.

The primary objective of our residency training program is to provide a broad-based clinical instruction in the detection and treatment of eye disorders. The Department strives to instill in each resident it trains a sense of compassion and integrity in his or her approach to patient care. The entire process of diagnosis and treatment occurs under the close supervision of the faculty. Our program's clinical emphasis is supplemented by an ability to participate in research projects. A research project is required of each resident during his or her training. The research facilities of Mount Sinai St. Luke's Roosevelt and the Harkness Eye Institute at Columbia University's College of Physicians and Surgeons, as well as the facilities of New York Eye & Ear Infirmary are available to the residents for research opportunities.

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RESIDENT RESPONSIBILITIES

FIRST YEAR OPHTHALMOLOGY RESIDENT. The first year residents spend most of their time in the ophthalmology clinic at the St. Luke's site. There, they see both general patients and also begin to assist the upper-class residents in the specialty clinics of the Department. During the month of January, they attend a basic science course at the Harkness Eye Institute of Columbia College of Physicians and Surgeons.

First year residents take on-call responsibility alternating with the second year residents. First year residents are always on call with a senior resident and a supervising faculty member from the Department.

First year residents perform some minor surgical procedures, such as chalazia. Any cases that go to the operating room must be supervised by a faculty member.

SECOND YEAR OPHTHALMOLOGY RESIDENT. The second year residents devote part of their year to mastering the principles and practice of pediatric ophthalmology. Six months are spent participating in multiple clinic sessions each week with pediatric patients. The second year residents perform all inpatient pediatric consultations and premature-baby exams in the neonatal intensive care unit. Second year residents also assist the senior residents in the monthly Developmental Disabilities Clinic, where children with varied developmental problems are presented and discussed from an ophthalmic point of view.
The second year residents assist attendings with some of their private surgical cases, assist the senior residents in the management of the specialty clinics, and work in the general eye clinic. The second year residents also alternate on-call responsibilities with the first year residents.

The second year residents perform surgical procedures such as strabismus surgery, enucleations and eviscerations, ptergia, and pan-retinal laser photocoagulations. All operations are performed with the supervision of a faculty member.

THIRD YEAR OPHTHALMOLOGY RESIDENT. The senior residents have the responsibility of managing all difficult medical and surgical cases (with appropriate faculty supervision). All intraocular surgery is performed by the third year residents. These residents also perform orbital and oculoplastic surgery, scleral buckles and vitrectomies, and difficult laser procedures. The senior residents staff and supervise the general clinics, and are responsible for the proper functioning of all the specialty clinics. A third year resident is always on call to supervise and assist the junior resident on call.

All residents are often required to present on a particular topic during the specialty clinics. The residents are also responsible for organizing some of the Department's Grand Rounds sessions, where they take turns presenting cases of interest. These presentations give the residents valuable experience in speaking before faculty members and fellow residents.
As each resident progresses through the program, he or she is given incremental increases in responsibility, yet always under the supervision of the faculty members. The Department feels that such a process allows for a stable transition towards maturity and appropriate self-confidence at the time of graduation.

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PROGRAM FEATURES

The Ophthalmology Program has many strengths. We have a very strong teaching faculty. Most of our faculty members are fellowship trained at prestigious institutes: all are board certified. They are dedicated to residency training.

The residents spend their full three years in each of the specialty clinics. Thus there are no long stretches of time where individuals are absent from patients of a particular discipline. Also, general clinic patients are often scheduled to return to the particular resident who provided the initial care. Both of these aspects of the program readily allow for a continuity of care which enhances the educational experience of each resident.

Both general and specialty clinics are well supervised. Attendings are always present for case presentations.

All surgery is done with the supervision of select faculty members. The Department feels that being a supervising faculty member is a privilege. Therefore only those faculty members who are best qualified to teach the residents surgery are asked to participate in this aspect of the program.

Both the equipment and the facilities of the Department are complete. At every clinic session there is at least 1 examination lane per resident with all the necessary equipment required for state-of-the-art care. Both the St. Luke's and the Roosevelt sites house operating rooms fully equipped for ophthalmic surgery. We have the support of the Hospital Center in maintaining our instruments and our physical plant.

The Hospital Center maintains a medical library with a large collection of current ophthalmic text books and journals. Through an active inter-library loan program, residents and faculty have ready access to an extensive selection of additional journals and texts.
The Department is fortunate to be located in a large, 1000+ bed medical center located in the heart of an urban environment. Such a setting allows for an extensive array of medical and surgical eye problems.

Many formal teaching programs and conferences are available to our residents both at the Hospital Center and in the New York City area. Most of these are either free of charge, or the Department will often pay for those residents who attend.

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APPLYING TO THE PROGRAM

Please apply to our program through the Central Application Service (http://www.sfmatch.org).

We interview for two residency positions in mid November and early December. Please have applications complete by early November.

If you have any further questions, please contact the Ophthalmology Department at 212-523-2562.

Mailing address-
Department of Ophthalmology
Mount Sinai St. Luke's Roosevelt
1111 Amsterdam Avenue
New York, NY 10025

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