General Surgery

Welcome

It is the goal of NuHealth’s Surgery Department to develop surgeons who will be recognized as leaders and clinical experts in the surgical disciplines. As a result, the surgical residency training program is a priority for the department faculty, who provide a well-organized program of increasing responsibility over a period of five years. The curriculum is planned to prepare trainees for the American Board of Surgery certification examination, and for successful careers in surgery. Our first-attempt board-pass rate is continually in the top 20% for all of New York State. Our curriculum includes outside rotations at our affiliate hospital, South Nassau Communities Hospital, and additional subspecialty training at New York University Medical Center and Long Island Jewish Medical Center.

The program also offers flexibility to enable individuals to pursue interests in subspecialty areas or research. Our residents are regularly engaged in both basic science and clinical research projects with the NUMC and SNCH surgical faculty. Our residents present their research at local and regional meetings each year, and have won awards for both their poster and oral presentations.

The residency program welcomes applicants who are self-directed learners and who are enthusiastic about becoming leaders in clinical and academic surgery. We strive to meet the individual interests of each trainee, while adhering to the requirements set forth by the governing bodies. Whether you wish to become an excellent clinical general surgeon, pursue an academic surgical career, or enter a surgical subspecialty, the training program at NUMC can meet your needs.

We welcome your consideration of our program, and are excited that you have chosen a stimulating career in general surgery.

Sincerely,

Glenn Faust, MD
Chairman

Elizabeth Cirincione, MD
Program Director

Program Description

The five-year Residency Program in General Surgery at NuHealth fulfills the training requirements for certification by the American Board of Surgery. It provides a graded experience, with increasing responsibility both in performance of surgical procedures and in the pre-and postoperative management of surgical patients.

The Department offers three Categorical and nine Preliminary Surgical PGY-1 positions in a comprehensive teaching program designed to prepare the candidate for further training in General Surgery or a related specialty.

There are seven full-time surgeons in the Department, which is headed by a full-time Chairman and a Vice-Chairman. The remainder of the staff includes geographic full-time, part-time, and voluntary attendings, all of whom are board-certified or board-eligible. In addition to General Surgery, the Department includes active specialty services in Trauma Surgery, Surgical Critical Care, Surgical Endoscopy, Otorhinolaryngology, Neurosurgery, Vascular Surgery, Thoracic Surgery, Bariatric Surgery, Colorectal Surgery, Urology, Surgery of the Breast, Pediatric Surgery, Head and Neck Surgery, and Hand and Plastic Surgery. The services are conducted by full-time attendings, certified in their respective specialties. All divisions and specialty sections conduct separate outpatient clinics.

The Resident Teaching Faculty is selected to ensure positive orientation towards the Department’s training goals. Residents work under close supervision with all types of clinical material to permit progressive development of surgical maturity, and are given total, supervised responsibility for the care of patients, commensurate with the individual resident’s skill and experience. Moreover, because Nassau University Medical Center is a Level I Trauma Center in the New York Emergency Medical Services System, residents gain extensive experience in the management of major trauma to round out their training, and fulfill the certification requirements in general and specialty surgery.

Curriculum Overview

FIRST POSTGRADUATE YEAR
During the initial year of the program, residents spend approximately three months on a General Surgical Service and two months on the Trauma Service. There is a three-month assignment to the Surgical Intensive Care Unit, and a one-month rotation each on Plastic Surgery, Neurosurgery, Urology and ENT. In the Intensive Care Unit, the Resident is responsible for formulating and carrying out the care plan, including learning the manual and technical skills of critical care, under senior surgical supervision.

First-year residents are responsible for the care of all private and service patients under the supervision of the full-time, part-time and visiting staff of the Department’s Resident Teaching Faculty. Bedside teaching activities and conferences are specifically organized for first-year residents and student clerks rotating through the service. House officers also participate in the management of patients in the Outpatient Department, under supervision, including discovery, formulation of treatment plans, and follow-up care for patients after discharge. There is also opportunity to evaluate and follow private patients in the offices of the geographic full-time faculty.

During a one-year cycle, the formal, didactic educational program reviews the complete
sphere of surgical knowledge.

SECOND POSTGRADUATE YEAR
During the second year, residents spend two months on specialty rotations, including Gynecology, Anesthesiology and Orthopedic Surgery. All other rotations provide an in-depth experience in the principles and procedural techniques of their respective disciplines.

The residents spend one month on rotation on transplantation surgery at NYU Medical Center. Four additional months are spent at our integrated affiliate, South Nassau Communities Hospital (SNCH), which has a full range of General, Thoracic, Vascular and Specialty Surgery. The remainder of the year is spent on ICU, General Surgery and Trauma rotations at NuHealth’s Nassau University Medical Center.

THIRD POSTGRADUATE YEAR
The remaining months are spent on the General Surgical Services and Surgical ICU at NuHealth or SNCH, with each resident assuming an increased measure of responsibility for direct patient care, commensurate with demonstrated capabilities and expertise.

FOURTH POSTGRADUATE YEAR
The exposure to clinical surgery is intensified in the final two years of training. Residents are assigned to the General Surgical Service at NuHealth and to the Surgical Oncology/Colorectal Surgery Service at SNCH for the entire fourth year, except for a one-month rotation on the Cardiovascular Thoracic service at Long Island Jewish Hospital (LIJH). During this time, four months are spent as functional Chief Resident on the Trauma Service, where Residents assume complete responsibility for the management of all torso and multiple-system trauma, and independently, under guidance, decide on treatment plans and operate on all patients admitted to that service. On the elective Surgical Services, residents at this level are responsible for supervision of preoperative workups and the preparation of patients for operation. Under the guidance of experienced attendings, there is opportunity to exercise independent judgment and to acquire the skills necessary to serve as Chief Resident. As part of their teaching responsibility, Senior Residents actively participate in the educational programs for third-year medical students from the State University of New York Health Science Center at Stony Brook (SUNY HSCSB), New York College of Osteopathic Medicine (NYCOM), and the American University of the
Caribbean (AUC), which participate in clerkships in the Department.

FIFTH POSTGRADUATE YEAR
The Chief Resident is in charge of all patients, private and service patients alike, on his or her service and, with the advice of the Resident Teaching Faculty, independently decides on treatment plans and operates on all patients or assigns less complex problems to junior residents for operation. Chief Residents are responsible for, and supervise the care of, all of the patients on their respective services, and they conduct their service’s weekly Outpatient Care Clinics, where postoperative patients are followed up on, and preoperative patients are worked up and scheduled for operation. They also may see private patients first in the offices of the geographic full-time faculty, where they establish the diagnoses and institute treatment plans. Chief Residents admit these private patients to the hospital, with the concurrence of the faculty, and operate as the primary member of the operative team, applying the experience, judgment and technical skills attained in their previous years of training.

During this final year, which is devoted entirely to clinical surgery, the residents perform major abdominal, vascular, head and neck, thoracic and pediatric procedures. They are responsible for conducting bedside rounds, and for supervision of the junior residents in the operating room, as well as for responding to requests for consultation from other services, and directing and participating in the medical student teaching program. In addition, the Department sends each Chief Resident to one national surgical meeting or review course of his or her choice, and encourages all house officers to attend local surgical meetings.

Contact Us

Telephone: 516-572-6703
Fascimile: 516-572-5140

Other Important Information (FAQ)

Facility/Medical Floors

The Department of Surgery is responsible for 50 clinical beds for patients on the Residency Teaching Services. These numbers are flexible, and may be increased as the need arises. There is a 12-suite operating area where more than 2,000 general surgical procedures are performed annually. In the same period, the hospital’s active Emergency Department handles more than 85,000 patient visits.

Non-Invasive Vascular Laboratory

Non-invasive techniques for diagnosis and evaluation of peripheral vascular disease are performed in the Department’s Non-Invasive Vascular Laboratory. This facility is supervised by the Chief of the Vascular Surgical Service, assisted by a full-time coordinator trained in the sophisticated instrumentation required for identification and assessment of arterial and venous lesions. Doppler, ultrasound, real-time B-mode scanning, plethysmographic and impedance equipment are available to provide accurate data regarding the site and extent of vascular derangements. Residents assigned to the Vascular Service gain proficiency in applying non-invasive methodology to aid patient selection for vascular reconstructive surgery, and to evaluate hemodynamic results.

Tumor Registry

The Hospital has a fully staffed, well-organized, computerized Tumor Registry for data input, follow-up retrieval, and analysis of cancer cases. Individuals with special interest in neoplastic diseases will find this the key to a balanced, comprehensive cancer program.

Trauma Registry

The Department has established a computerized registry for all major trauma patients seen at the Nassau University Medical Center. This will permit easy evaluation of the efficiency of our management of these patients, and aid in the preparation of clinical papers.