Residency in General Surgery at Staten Island University Hospital

Residency in General Surgery at Staten Island University Hospital

Overview

Staten Island University Hospital offer excellent clinical and academic opportunities to provide quality clinical care in a nurturing educational environment. The members of the Department of Surgery have succeed in producing Centers of Surgical Excellence and expertise in many areas including laparoendoscopic surgery, surgical oncology, trauma, burn and surgical critical care, bariatric surgery, minimally invasive cardiac and general thoracic surgery, and surgical research. The surgical training program was expanded to include a fully-accredited vascular fellowship program. 

The completion of the Heart Tower in 2000 created a major on-campus center (center on campus) for the management of cardiac and vascular disease allowing for recent advances including minimally invasive procedures to be applied to our expanding patient base. The completion of the new Elizabeth A. Connelly Emergency and Trauma Center with the expansion of the number of emergency beds and trauma facilities makes this yet another addition to the level of patient care within state of the art facilities. 

The construction of the Regina McGinn Educational and Conference Center is scheduled for completion in 2010 and will further project the Staten Island University Hospital to the forefront of venues for in-house training of residents and for holding local, regional, and national meetings in an environment conducive to learning. The Center will house a multipurpose simulation laboratory in addition to the usual conference rooms and class rooms.

Because of the changes in health care, there continues to be the need for competent, compassionate surgical care with ever increasing technical support. The population of Staten Island looks to the Staten Island University Hospital as the premier facility for the nearly one half million residents of the island. Evidence of this demand is the continued increase in surgical services provided at Staten Island University Hospital over the past few years. The increase in surgical cases has translated to over 18,000 cases done here annually. The Department of Surgery will continue its momentum in meeting the challenge to provide outstanding primary and tertiary surgical care in a cost efficient manner while maintaining advanced educational, academic and research programs.

The surgical department provides care in 24 operating room suites, including suites in the Heart Tower and the on-site Center for Ambulatory Surgery. 

Staten Island University Hospital provides an extensive array of surgical care services: 

  • Level 1 trauma center, 1500 major trauma cases and 90,000 emergency room visit annually
  • Laparoendoscopic Surgery including a postgraduate fellowship, Davinci Robot on site
  • Surgical Oncology
  • Bariatric Surgery
  • Plastic, Reconstructive and Hand Surgery
  • Microsugery
  • Pediatric Surgery 
  • General Surgery 
  • Burn 
  • Vascular Surgery, Including postgraduate fellowship 
  • Minimally Invasive procedures 
  • Endovascular surgery
  •  General Thoracic Surgery

Advanced technology is utilized in all areas including laparoscopic surgery, microsurgery, endovascular surgery, laser surgery, imaged guided surgery and other minimally invasive surgical procedures.

Program information

Staten Island University Hospital is a major affiliate of the State University of New York, Downstate and takes great pride in its medical and surgical residency training programs. There are 233 residents at Staten Island University Hospital training in primary care, medicine, surgery, pediatrics, obstetrics and gynecology, radiology, emergency medicine, rehabilitation medicine, podiatry, anesthesia, orthopedic surgery and urology. Staten Island University Hospital also supports a General Practice Residency program in dentistry and oral surgery. There are fellowship programs in vascular, minimally invasive surgery, geriatrics, cardiology, oncology and gastroenterology.

The goal of the residency training program in surgery is the provision of diverse clinical experience in the field of surgery, which includes the preoperative, intraoperative and postoperative management of the surgical patient which will result in the production of competent surgeons capable of independent practice upon graduation from the program.. To achieve this goal we have restructured the educational program and have enhanced the faculty with full time surgical educators in addition to the usual clinical faculty. The educational program has protected academic time each week assuring the residents the opportunity to build upon a strong foundation of surgical/medical knowledge. The clinical responsibilities of the surgical house officer increase in depth and complexity as the level of the training progresses. The educational progress, scholarly activity, and clinical activity of each resident are carefully supervised by an experienced attending staff and guided by the program director. The surgical residency has had full accreditation by the Surgical Residency Review Committee and we strive to meet and exceed all of the standards set by the RRC.

The Surgical Program has trained graduates of medical sschools from across the United States.. Recent students who have applied and been accepted to the Staten Island University Hospital Surgery Program are graduates from leading medical schools including: SUNY–Downstate, NYU, Albany Medical School, Cornell University, UMDNJ, Albert Einstein, Mount Siani, SUNY-Stonybrook, SUNY-Syracuse, Pennsylvania State University, Tulane, Tufts, Creighton, Chicago Medical School, and the University of Florida. Over two-thirds of the graduates of the surgical training program have sought and obtained post-graduate specialty fellowships at programs in diverse institutions such as the Yale New Haven Medical Center, the Beth Israel Hospital in New York City, the University of Florida in Gainesville, the University of Illinois in Chicago to name just a few..

The Department of Surgery at Staten Island University Hospital evaluates the training program in the following areas:

  • Six Core Competencies
  • The variety and complexity of clinical material
  • Evidence of the acquisition of cognitive knowledge
  • Maintenance of an environment that stresses individual responsibility and the development of characteristics, which promote success during and after the surgical residency.
  • Surgical Skills acquisition

Each of our three chief residents heads the three major teams which cover the full-time and part-time faculty surgical services and the trauma service, with additional smaller teams lead by senior residents covering the intensive care unit and vascular surgical patients. The responsibility of each resident on the service is outlined prior to each rotation and varies according to the level of training and the nature of the surgical problems managed on the particular service. The surgical chief resident on each service monitors the daily activity of each resident.

Selection and recruitment

Experience in all the major components of general surgery are provided on site. For the transplantation component, our residents rotate to the Transplantation Service at the New York University Medical Center in Manhattan.

Residents are selected through the National Resident Matching Program with emphasis placed on both academic credentials, ability to work in a team, and personal interviews. All appointments are for a five-year period with advancement based on satisfactory completion of the prior year. In selected cases residents may elect for an additional year of research or fellowship, done either at Staten Island University Hospital or elsewhere, before completion of the five-year program. 95% of our graduates have achieved certification by the American Board of Surgery.

In addition to the categorical residency positions we offer 3 positions for preliminary residents at the PGY1 level and 2 positions at the PGY2 level. These may be filled by either designated or non-designated preliminary residents, and are also selected through the National Resident Matching Program, using the same criteria as we use for the categorical positions. The clinical and operative experience is wide and extensive at all levels. Rotating team assignments at regular intervals assure an even surgical experience for all surgical residents. Residents cover the operating room, emergency department, outpatient clinics, surgical intensive care unit/recovery room, inpatient areas and trauma/burn services. During the five-year categorical general surgery program each surgical resident will perform over 1,000 cases under the general and direct supervision of the faculty. Our record of meeting and exceeding the defined category case requirements of the ACGME/RRC is excellent.

In accordance with the ACGME guidelines each resident maintains a case log and a duty-hours log, which is tabulated and analyzed monthly and reported annually. 

Advanced technology is utilized in all areas including laparoscopic surgery, microsurgery, endovascular surgery, laser surgery, imaged guided surgery and other minimally invasive surgical procedures.

Application process

Experience in all the major components of general surgery are provided on site. For experience in Transplantation, our residents rotate to the Transplantation Service at the New York University Medical Center in Manhattan.

Residents are selected through the National Resident Matching Program with emphasis placed on both academic credentials, ability to work in a team, and personal interviews. All appointments are for a five year period with advancement based on satisfactory completion of the prior year. In selected cases residents may elect for an additional year of research or fellowship, done either at Staten Island University Hospital or elsewhere, before completion of the five year program. 95% of our graduates have achieved certification by the American Board of Surgery.

In addition to the categorical residency positions we offer 3 positions for preliminary residents at the PGY1 level and 2 positions at the PGY2 level. These may be filled by either designated or non-designated preliminary residents, and are also selected through the National Resident Matching Program, using the same criteria as we use for the categorical positions. The clinical and operative experience is wide and extensive at all levels. Rotating team assignments at regular intervals assure an even surgical experience for all surgical residents. Residents cover the operating room, emergency department, outpatient clinics, surgical intensive care unit/recovery room, inpatient areas and trauma/burn services. During the five-year categorical general surgery program each surgical resident will perform over 1,000 cases under the general and direct supervision of the faculty. Our record of meeting and exceeding the defined category case requirements of the ACGME/RRC is excellent.

In accordance with the ACGME guidelines each resident maintains a case log and a duty-hours log, which is tabulated and analyzed monthly and reported annually. 

Research

The hallmark of the surgical training program is individual instruction by the attending surgeons augmented by regular resident education sessions in the form of seminars and didactic sessions in the protected time. Other educational activities include departmental sessions, teaching rounds and self-education. Resident’s responsibilities include teaching within the training program, teaching of medical students, physician assistants and physician assistant students. Our new surgical skills laboratory along with a skilled on site evaluator gives us the capability of having each surgical resident certified in the new requirement of the Fundamentals of Laparoscopic Surgery developed by the ACS/SAGES.

Surgical research is not mandatory, however it is strongly encouraged and the majority of the surgical residents are becoming involved in research projects and are encouraged to submit posters or podium presentations for regional and national meetings and also to submit work for publication in peer reviewed journals. Recent additions to the staff including a Director of Graduate Education and Research in the Department of Surgery whose mission is to facilitate simulation laboratory training and research for the residents and faculty.

The academic progress of the residents is assessed by the American Board of Surgery In-service Training Examination (ABSITE). Additionally, evaluations throughout the year with feedback are performed to detect any areas of deficiency in surgical skill or knowledge so that timely remediation can be done. We have initiated the Resident Portfolio as the first step in the surgeons’ development of the documentation of “maintenance of competency” as is now becoming a requirement for practicing surgeons by the American Board of Surgery.

Department funds are available for residents to attend one annual away conference as well as, in their chief year, the New York General Surgery Board Review Course, of which our Program Director is a course director.

On a social note, our residents attend the informal dinners with our grand rounds speakers, a journal club which meets at local restaurants in the evening, as well as sponsored parties for sports, seasonal holidays, and graduation ceremonies. We are concerned about the well-being of our residents as demonstrated by scheduling the workweek at less than the “allowed” 80 hours and by responsiveness to residents’ concerns both personal and professional while assuring the ready availability of the hospital’s Employee’s Assistance Program. Informal mentoring is encouraged and we look upon our residents as part of a departmental and hospital family. We stay in touch with our graduates and aid in their achieving fellowships or jobs upon graduation. We will be flexible regarding the six year program for residents who desire to spread the five year program over six years.

Our faculty

Antonio I. Picon, MD

  • Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Scott Philip Bloom, MD

Charles T. Fasanya, MD

  • Director of Service - Director of Surgical Critical Care of Surgery - Surgical Critical Care, Staten Island University Hospital
  • Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Jonathan Scott Deitch, MD

  • Director of Service - Director of Vascular Surgery of Surgery - Vascular Surgery, Staten Island University Hospital
  • Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Cynara Lynne Coomer, MD

  • Director of Service - Director of Breast Surgery of Surgery - Breast Surgery, Staten Island University Hospital
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Karen E. Gibbs, MD

  • Director of Service - Director of Bariatric Surgery of Surgery - Bariatric Surgery, Staten Island University Hospital
  • Director of Service - Director of Laparoscopic Surgery of Surgery - Bariatric Surgery, Staten Island University Hospital
  • Program Director - Program Director, General Surgery of Surgery - Bariatric Surgery, Staten Island University Hospital
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Mitchell Robert Price, MD

  • Director of Service - Director of Pediatric Surgery of Surgery - Pediatric Surgery, Staten Island University Hospital
  • Associate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Nachum M. Katlowitz, MD

  • Director of Service - Director of Male Infertility of Surgery - Urology, Staten Island University Hospital
  • Director of Service - Director of Urology of Surgery - Urology, Staten Island University Hospital
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Nicholas T. Karanikolas, MD

Edwin M. Chang, MD

  • Director of Service - Director of Neurosurgery of Surgery - Neurosurgery, Staten Island University Hospital
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Vincent Jerome Giovinazzo, MD

  • Director of Service - Director of Ophthalmology of Surgery - Ophthalmology, Staten Island University Hospital
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David C. Hoffman, DDS

  • Director of Service - Director, Oral & Maxillofacial Surgery of Dentistry - Oral and Maxillofacial Surgery, Staten Island University Hospital
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John P. Reilly, MD

  • Director of Service - Acting Director of Orthopaedic Surgery of Surgery - Orthopaedic Surgery, Staten Island University Hospital
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David Henry Hiltzik, MD

  • Director of Service - Director of Otolaryngology of Surgery - Otolaryngology, Staten Island University Hospital
  • Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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(718) 226-1873
Get in touch with us!

Applicants invited for interview will be notified by email. For additional information on how to apply contact Kristen DeRespinis.

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