Luke's Roosevelt Hospital Center
Department of Surgery Residency Program
The Training Program
Responsibilities and Rotations
Surgery Residency Training Program
Throughout its rich surgical history, the St. Luke's-Roosevelt Hospital
Center Department of Surgery has placed a strong emphasis on responding
with compassion and sensitivity to the unique needs of the communities it
serves, including areas whose inhabitants have multiple social and economic
The surgery residents train with some of the top faculty in the country.
They have vast experience and expertise in a wide range of subspecialties,
including breast surgery, cardiothoracic surgery, colorectal surgery, laprascopic
surgery, neurosurgery, orthopedic surgery, pediatric surgery, palstic and
reconstructive surgery, transplant surgery, trauma surgery and vascular
surgery. Didactic teaching is extensive, with conferences and grand rounds
in general surgery as well as the major subspecialties. Committed to excellence
in patient care, the Department of Surgery also is dedicated to the pursuit
of surgical research.
Prior to the merger
of the St. Luke's and Roosevelt Hospitals in 1979, both institutions had
rich historical pasts and had residency programs which graduated surgeons
who have made major contributions in surgery in the US.
The Syms Operating Pavilion opened in 1882 at Roosevelt Hospital and was
known as the finest facility of its kind in New York and the best appointed
operating building in this country. Charles McBurney, MD, best known for
conceiving the muscle-splitting incision of appendectomy, was the surgeon
responsible for the Pavilion. William Halstead, known as the father of
modern American surgery, spent four years at Roosevelt prior to moving
to Baltimore to become the first chief of surgery at Johns Hopkins. A
major figure in establishing the field of thoracic surgery, Max Chamberlain,
MD, was the chief of Thoracic Surgery for 13 years. Two chiefs of Surgery,
Henry Cave, MD and Howard Patterson, MD, were presidents of the American
College of Surgeons.
At St. Luke's Hospital, the first successful pneumonectomy for lung cancer
was performed in 1935 by Henry Lyle, MD and Alexander Ada, MD. Hugh Fitzpatrick,
MD, performed the first open heart operation in New York in 1955. George
Green, MD, began pioneering work that established the internal mammary
artery as the preferred graft of revascularization of the coronary arteries
J. Todd, MD, FACS
A. Marks, MD, FACS
J. McGinty, MD
Eric Moore, MD
M. David Tilson, MD, FACS
Director, St. Luke's
Nuñez, MD, FACS
Estabrook, MD, FACS
James McGinty, Jr., MD, FACS
||James McGinty, Jr., MD, FACS
D. Sultan, MD, FACS
Holgersen, MD, FACS
Belsley , MD
I. Benvenisty, MD, FACS
Surgery/Surgical Critical Care
Raymond Wedderburn, MD
of St. Luke's-Roosevelt train in completely modern facilities with state-of-the-art
operating suites. The ORs are equipped for a variety of new technologies,
including the most advanced anesthesia and monitoring equipment currently
available. At St. Luke's, there are 12 operating rooms and 2 cystoscopy
suites and at Roosevelt there are 15 operating rooms and 2 cystoscopy
suites. Adjacent to the ORs at both divisions are recovery rooms, large
ambulatory surgery suites and holding areas.
The Department of
Surgery has nurse practitioners who work closely with the residents on
each of the busiest surgical teams. Their roles include making the rounds,
discharge planning and clinic coverage. They are a vital part of each
team, providing an increased awareness and understanding of issues related
to length-of-stay reduction and improved continuity of care of the patients.
Accredited by the Accreditation Council on Graduate Medical Education,
the surgical residency offers both categorical and preliminary training
programs. The five-year categorical program leads to residents being eligible
for examination by the American Board of Surgery. Five residents are matched
in the categorical track each year. The current compliment of residents
includes 35 residents, two research fellows, and one colorectal fellow.
There are five surgical teams, three at St. Luke's and two at Roosevelt,
that provide the basic foundation in clinical training. During the first
two years, residents rotate through specialty services as outlined below.
All rotations are based at St. Luke's-Roosevelt except for a one-month
rotation in Burns at the Jacobi Medical Center during the PGY-1 year.
PGY-1 residents are responsible for documenting the initial
history and physical examination, and for the basic pre- and post-operative
care of patients under the supervision of senior residents and attending
staff. The PGY-1 acquires psychomotor and technical proficiency commensurate
with his or her skills, while performing procedures at the bedside and
in the Emergency Department under the direct supervision of attending
staff. Rotations include the general surgery teams, Orthopedics, ICU,
vascular, Gynecology, Urology, Anesthesia, and Emergency Department.
PGY-2 level, resident responsibilities are increased to provide for growth
in obtaining and interpreting pertinent data and making important decisions
regarding patient care. Technical experience in the operating room continues
to accelerate under the supervision of the attending staff. Rotations
include tours on the general surgery teams, cardiac surgery, vascular
surgery, the surgical critical care unit at the Roosevelt site, and an
PGY-3 resident becomes the middle-level resident of the surgical team.
The year includes rotations on the surgical critical care unit at the
St. Luke's division, Pediatric Surgery, and various general surgical services.
Emphasis remains on the continued development of surgical skill and greater
responsibility for surgical judgment and decisions necessary for patient
management, both pre- and post-operatively.
PGY-4 residents become senior assistant residents on the surgical teams
and begin to acquire the organizational and interpersonal skills to be
the senior member of a clinical service. At this level, residents assume
greater responsibility for teaching.
The chief resident year carries major operative experience and teaching
responsibilities as the team leader in general, thoracic and vascular
surgery. The PGY-5 resident has senior management responsibility for patients
in consultation with the attending staff. During this time, the resident
also is exposed to the most technically challenging surgical cases. On
completing this year, residents will be experienced clinical surgeons,
who have developed good judgment and compassion for their patients. They
will have learned to read the literature critically, express concepts
clearly in conferences, and will be prepared for a lifetime career in
surgery. Chief residents will be ready to undertake additional fellowship
training if desired and, with the background of an optional one or two
years in research, will have had abundant opportunity to prepare for academic
careers with expertise in aspects of laboratory research.
addition to comprehensive clinical training, the surgical resident program
offers a solid core curriculum and a full range of formal and informal
training programs. Residents actively participate in teaching conferences
at both divisions.
- Grand Rounds
- Chief Resident
- Specialty Conferences
in Oncology, Surgical Oncology, Breast, Colorectal, Neurosurgery, Transplant,
Thoracic Surgery, Vascular Surgery and Trauma
- Journal Club
- Mortality and Morbidity
- Orthopedic Grand
- Teaching Rounds
- Textbook Chapter
- SESAP Review
Participation in ongoing
research programs is required during the residency years. In addition
to this ongoing experience, residents can gain a more intense research
experience through a full-time, one-year fellowship scheduled between
the third and fourth years of training. This may be arranged at a variety
of laboratories in the New York City area.
are located at both divisions. The libraries, which are open seven days
a week, provide access to an extensive collection of medical journals
and texts. Residents also can take advantage of all of the facilities
of Columbia University, including the Health Sciences Center Library.
This library has one of the world's most extensive collections of medical
and research documents.
During the five-year
training program, residents will perform between 500 and 800 cases under
the supervision of the attending staff. Approximately 175 cases will be
done during the chief year. As required by the RRC for Surgery, each resident
keeps a record of all cases in which he or she participates and enters
them in the ACGME procedure log.
All PGY-1 positions
are filled through the National Resident Match Program with the electronic
residency applications service (ERAS). All applications are reviewed through
Further Information Contact:
Department of Surgery
St. Luke's-Roosevelt Hospital Center
1000 10th Avenue, Suite 2B
New York, NY 10019
Phone: (212) 523-7780
Fax: (212) 523-6495