Department of Anesthesiology
There are more than 70 staff members on the full time faculty at these hospitals that contribute significant effort to undergraduate and graduate medical education. Approximately 90% of the faculty are certified by the American Board of Anesthesiology. Additionally, several faculty members completed fellowships in pediatric anesthesia as well as in cardiothoracic anesthesia and critical care. A handful of faculty are double- or triple-boarded.
The Department of Anesthesia of New York Medical College serves in hospitals that meet the needs of a diverse ethnic and socioeconomic community. In addition, the Medical College is a member of the Touro College and University System and is an equal opportunity employer.
Clinical Base Year
Clinical Anesthesia (CA1-2)
The first year of clinical anesthesia (CA-1) is designed to teach new residents the basics of uncomplicated anesthetic management, to encourage and stimulate reading, and to provide a formal didactic program. At the end of twelve months, the resident is expected to be able to participate in the full clinical and academic life of the department and assume a major role in the care of more seriously ill patients or those requiring more complicated anesthetic management. By the completion of the CA-1 year, the resident should no longer require continuous one-on-one supervision for uncomplicated cases.
In the second year (CA-2), emphasis is placed on the subspecialties of anesthesia and the resident has more responsibility for the conduct of anesthesia. The resident's experience includes major cardiovascular, thoracic and neurosurgical anesthesia, diagnostic and therapeutic nerve blocks, geriatric anesthesia, intensive and respiratory care of surgical and medical patients, radical cancer surgery, obstetrical anesthesia, pediatric anesthesia, and anesthesia for emergency surgery, as well as outpatient surgery. By the end of the CA-2 year, it is expected that the resident can safely anesthetize most patients without continuous supervision.
The second major component of the Clinical Anesthesia Continuum is academic. New residents receive a core introductory lecture series upon entering the program. Advanced cardiac life support (ACLS) certification is required and Conferences are held five days a week. These sessions include basic science topics and case reviews. In addition, every Monday, there is a formal academic session during which staff physicians in anesthesia and from other departments focus on selected topics. Guest speakers present, both from other departments within the New York Medical College family and from other institutions.
The resident is expected to participate in presenting conferences; preparation involving research into current literature, as well as textbook sources, is expected. Resident presentations should reflect familiarity with the topics. Evidence-based medicine is emphasized. By the end of the training period, it is expected that the resident will have established a reading schedule enabling him or her to review previously learned material and to continuously expand his or her knowledge daily. Graduates are expected to be committed to lifelong learning.
The third component of the Clinical Anesthesia Continuum involves acquiring competence managing patients in the post anesthetic care unit and intensive care units. It includes the diagnosis and treatment of respiratory emergencies, respiratory support techniques, interpretation of cardiovascular monitoring parameters, and resuscitation, as well as the treatment of patients with metabolic disease, cardiac or renal failure, and those in coma.
All residents must pass the third part of the National Board Exam or USMLE Step 3 by the end of 6 months of CA-1 year training. Continuance in the program is based in part on the resident's performance at conferences, staff evaluations, and performance on the In-Training examination given to all anesthesia residents annually. It is mandatory that this national exam be taken each year as it allows the resident to judge his or her performance individually and against the peer group nationally. It also allows the Program Chairman to reorient didactic and clinical teaching toward those areas where departmental deficiencies have been identified.
Specialized Year (CA-3)
At the completion of the CA-3 year, the resident should be skilled in all areas of anesthesia, including adult and pediatric cardiac anesthesia, high risk obstetrics, and neonatal surgery. In summary, the candidate must be both clinically sage and able to function independently as a valued consultant.
A focused intramural clinical research program is supported within the Department. Members of the department annually present papers at national and international meetings, as well as publish papers in peer-reviewed journals. A Department research committee meets regularly under the direction of Mario Inchiosa, Ph.D. This committee reviews research proposals of both staff and residents and promotes active participation of all staff and residents in research. CA-3 residents are encouraged to develop research projects and to publish or present their findings in national forums. It is expected that all residents graduating from the program will complete at least one study, and/or publish one paper.
To specifically aid the resident and junior staff in developing research, the Department employs a senior pharmacologist whose responsibility is to help in designing and executing research protocols. Dr. Inchiosa is an extremely valuable research resource who is conducting important investigations in a range of areas, including reflex sympathetic dystrophy syndromes and coagulation abnormalities in patients undergoing cardiopulmonary bypass.
To be considered complete, an application must have the ERAS Common Application Form, medical school transcript, official USMLE transcript, Dean's letter, Step I and II Exam scores (with an average score of at least 220 [most successful applicants score considerably above this]), letter of recommendation from Program Director of any previous medical or surgical residency training (if applicable), and at least two letters of recommendation.
Please be advised that the program verifies the ECFMG test-taking attempts of all foreign medical graduates being considered for employment as residents in the hospital's postgraduate training programs. This is done by written communication with the Educational Commission for Foreign Medical Graduates, located in Philadelphia, PA.
An interview is required. All attempts will be made to schedule the interview on a date that is convenient for the candidate. With rare exception, all candidates will be interviewed by the Resident Admissions Committee, which is comprised of Attending Staff from all institutions and Chief Residents.
The National Resident Matching Program will be used for PGY 2 CA-1 positions that start in July of each year. In addition there occasionally are a few positions outside of the MATCH, with start dates in January and other times of the year.
Frequently Asked Questions
Who will interview me and what is involved?
How much night call is expected?
Is housing available?
What fringe benefits are provided?
How much vacation time is allowed?
Are there positions that begin other than in July?
Do you accept people who have already trained in other specialties?
What are the rotations?
What conferences are held?
Journal Club, Teaching Sessions (Tuesday-Friday), Weekly Grand Rounds (Monday), Monthly Morbidity & Mortality, and Oral Board Reviews (Thursday).