NYMC > Departments > Academic Departments > School of Medicine > Surgery > Residency Programs > Westchester Medical Center > Program Information

Program Information

General

The program accepts 4 categorical and 4 preliminary residents every year through the National Residency Match Program. It is expected that all surgery residents complete their surgical internship at Westchester Medical Center. Research is an optional component of general surgery training. Every attempt is made to send residents, regardless of training level, to any national conference their research data is accepted to.  Residents may be paired with a clinical mentor to provide guidance during the course of the residency. On January 19, 2017, the department received full accreditation from the Residency Review Committee.

Vacation

PGY 1 and 2:  One four week vacation per year.
PGY 3 and 4:  Two two week vacations per year.
PGY 5: Four one week vacations per year.

Salary and Benefits

As a result of solid negotiations between the Committee of Interns and Residents and the Medical Center, resident salaries are amongst the highest in the country. 

PGY 1:  $ 59,000
PGY 2:  $ 65,000
PGY 3:  $ 68,000
PGY 4:  $ 70,000
PGY 5:  $ 72,000
PGY 6:  $ 74,000
PGY 7:  $ 77,000
PGY 8:  $ 79,000
CHIEF:  $ 3,500 DIFFERENTIAL

Benefits are provided through the Committee of Interns and Residents.  Details can be found at their website at www.cirseiu.org.

Conferences

Morbidity and Mortality
All cases are reviewed on a weekly basis with special emphasis on interesting cases of educational value.  Chief residents are responsible for brief presentations on the relevant topics and follow the SBAR format for case presentation.

These conferences are held every Wednesday for the residents at Westchester Medical Center and Thursday for those at St. Vincent's Medical Center.

Basic Science, Clinical Fundamentals
Wednesday mornings is also dedicated to a combined basic science / clinical fundamentals utilizing the SCORE curriculum from 9:30am to 11:00am.  These are followed by resident directed ABSITE review sessions.  Residents and faculty from all hospitals are able to participate in these sessions.  Residents who are rotating at St. Vincent's teleconference into the session and are thereby able to view the presentation as well as hear the speaker.

Surgical Skills Lab
The last Wednesday of every month is dedicated to Surgical Skills training.  Under the leadership of Dr. Anthony Maffei, residents are taken through a structured curriculum over the course of a year to master the skills required in the Fundamental of Laparoscopic Surgery program using lap trainers in an inanimate / dry lab.  Once a year the residents and taken to a nearby facility for a live lab where minimally invasive procedures are performed by teams of residents on anesthetized pigs.  Procedures performed include laparoscopic cholecystectomy, bowel resection and reanastamosis, nephrectomy and splenectomy. 

With the newly acquired Da Vinci® SIHD ™ platform, residents will also be able to learn fundamentals of Robotic Surgery from Dr. Thomas D. Cerabona, Assistant Professor of Surgery at New York Medical College and Director of Bariatric Surgery at Westchester Medical Center.

Rotations

The following is a general guide to the residency.  Specific rotations and schedules are subject to change at the discretion of the Program Director to meet the educational needs of the resident and program at large.

PGY-1
The resident will rotate through a variety of general surgery rotations at both facilities with the expectation of learning the perioperative management of complex surgical patients. Typical rotations include: Trauma, SICU, Surgical Oncology, Minimally Invasive Surgery, Vascular Surgery, General Surgery, Night Float and Transplant Surgery. 

PGY-2
The resident will rotate through a variety of general surgery rotations at both facilities with an addition of Vascular Surgery, SICU and Pediatric Surgery. The resident learns to manage a busy inpatient service with a case mix index and develop the knowledge base to perform appropriate preoperative evaluation of presenting symptoms and postoperative follow up. The junior resident is actively involved in working up complex consultations and gains significant exposure to critical care, ICU procedures, vascular access.

PGY-3
The resident spends three months at St. Vincent's Medical Center as a Senior Resident learning to run a service along side the Chief Resident. During this rotation the resident is primarily in the operating room gaining significant exposure to open and endoscopic surgical techniques as surgeon junior for cholecystectomies, thyroidectomies, colectomies, hernia repairs and breast cases.  During the three month period, the resident takes call as an in-house senior resident.

At Westchester Medical Center, the resident spends two months out of the year as the consult resident overnight.  This is a night float based rotation and is only one month at a time.  There is usually a junior resident alongside with the PGY-3 in addition to the in-house PGY-4/5 and in-house trauma attending. The remaining time is split up between Trauma and General Surgery.

PGY-4
The resident spends three months at St. Vincent's Medical Center as an Acting Chief Resident learning to run a service along side the Chief Resident. During this rotation the resident is primarily in the operating room gaining significant exposure to open and endoscopic surgical techniques as surgeon junior for colorectal, surgical oncology, head and neck and advanced minimally invasive procedures.  During the three month period, the resident takes call as an in-house chief resident.

Three months are dedicated to rotating on the Pediatric Surgery Service which is performs some of the most advanced minimally invasive procedures in pediatrics in the New York area. The pediatric surgery rotator will gain high volume experience in all areas of pediatric surgery from simple appendectomies to esophageal atresia, congenital diaphragmatic hernia, anorectal malformations etc.

One month is dedicated to the night float ER rotation.

One month dedicated to Endoscopy with the gastroenterology department at St. Vincent's Medical Center.  This rotation affords residents to acquire the dexterity and technical skills necessary to perform upper and lower endoscopy in a high volume, quick turnover setting.  With multiple gastroenterologist as well as colorectal surgeons, residents have the opportunity to learn from several expert endoscopic physicians.  They continue to build on their endoscopic abilities at Westchester Medical Center as well by perform several PEGs and EGDs on the trauma / critical service throughout their training.

The remaining three months are divided between Trauma / Acute Care Surgery and / or Vascular.

PGY-5:
Nine months are spent at Westchester Medical Center as Chief Resident. The Chief Resident is expected to coordinate educational conferences, teach junior residents in addition to gaining significant exposure as the surgeon to complex open, laparoscopic cases. Three months are spent at St. Vincent's Medical Center.

In a new collaborative effort with the Otolaryngology department, the General Surgery Chief Residents now participate as Surgeon Chiefs in the elective head and neck cases at the Westchester Medical Center.

Chief residents are encouraged to attend the American College of Surgeons Clinical Congress and a Board Review Course.

Objectives for all rotations are conceptually organized within the framework of the six ACGME core competencies.  Our curriculum includes rotation-and PGY-specific goals and objectives. Below is the Block Schedule diagram for the categorical track in our program.

PGY Level Rotation Length Location
PGY 1 General Surgery / Surgical Oncology / MIS / Hepatobiliary Surgery 2 Months WMC
Trauma/ER/Burn 2 Months WMC
General Surgery 3 Months SVMC
Vascular Surgery 1 Months WMC
Night Float 1 Month WMC
Surgical Critical Care 2 Months WMC
Vacation 1 Month  
PGY 2 Pediatric Surgery 2 Months WMC
General Surgery 3 Months SVMC
Surgical Consults 1 Month WMC
ICU Nights 1 Months WMC
Vascular Surgery 1 Month WMC
General Surgery / Surgical Oncology / MIS / Hepatobiliary 1 Month WMC
Surgical Critical Care 2 Months WMC
Vacation 1 Month  
PGY 3 General Surgery 3 Months SVMC
Elective Surgery 1 Months WMC
Vascular Surgery 1 Months WMC
Trauma/ACS/ER/Burn 3 Months WMC
Trauma/ACS Nights 2 Months WMC
Transplant/Hepatobiliary Surgery 1 Month WMC
Vacation 1 Month  
PGY 4 Pediatric Surgery 3 Months WMC
General Surgery 3 Months SVMC
Trauma/ACS/ER/Burn 3 Months WMC
Endoscopy 1 Month SVMC
Trauma/ACS Nights 1 Month WMC
Vacation 1 Month  
PGY 5 General Surgery 2 Months WMC
Vascular Surgery 3 Months WMC
General Surgery 3 Months SVMC
Thoracic Surgery 3 Months WMC
Vacation 1 Month  

What is Surgery?

Surgery is the branch of medicine that deals with the diagnosis and treatment of injury, deformity, and disease by manual and instrumental means. Surgery also can be defined as a surgical operation or procedure, especially one involving the removal or replacement of a diseased organ or tissue