Rotations

At NYHQ, there are 13 four-week rotations per year, so the number of “months” each year is 12, plus one for vacation. Residents will spend a total of 47 months on services which provide experience in areas that constitute the principle components of general surgery. This breaks down to eight months in the SICU, two months on a trauma surgery rotation, and 37 months on one of the four general surgical services. Residents also spend an additional four months assigned to the Emergency Room, and may spend two months on oncologic surgery rotation at Memorial Sloan-Kettering Cancer Center.
The chart below describes the core rotations for residents during the first years. Note that wherever “General Surgery” is listed, this includes subspecialty exposure.

Day 1 Level

 ROTATION
LENGTH
LOCATION
 Surgical ICU
12 weeks
NYHQ
Vacation
4 weeks
NYHQ
General Surgery
Remainder of time
NYHQ

Day 2 Level

 ROTATION
LENGTH
LOCATION
 Burn Care
4 weeks
NYH-CUMC
SICU
14-24 weeks
NYHQ
Transplants
4 weeks
New York Presbyterian Hospital (Columbia)
General Surgery
Remainder of time
NYHQ
Vacation
4 weeks
NYHQ

Day 3 Level

 ROTATION
LENGTH
LOCATION
 Cardiothoracic
12 weeks
NYHQ
Pediatric Surgery
4 weeks
Babies Hospital, Columbia
General Surgery
Remainder of time
NYHQ
 Vacation
4 weeks
NYHQ

Burns

Experience in the management of burns is gained at The New York Hospital-Cornell Medical Center which houses the largest burn care facility in the United States. The four-week rotation exposes the PGY2 to the unique fluid management challenges found in critically burned patients. Also, the resident’s critical care training is broadened through participation in the management of the pulmonary, cardiac, and infectious complications seen commonly in this patient group.

The technical experience is considerable, with burn patients affording the resident the opportunity to hone his/her vascular access skills in difficult clinical circumstances. The operating room experience includes major resurfacing procedures as well as smaller, more delicate procedures. The resident emerges from the rotation with considerable experience in skin grafting and other restorative procedures.

Cardiothoracic Surgery

Cardiothoracic Surgery is a twelve week rotation at NYHQ. A team from the renowned New York Hospital Cardiac Surgery Program has been placed at the core of a high-technology, state-of-the-art cardiac center at our hospital. The PGY2 or PGY3 is exposed to the management of patients undergoing coronary artery bypass grafting, valvular surgery, and thoracic procedures. After morning rounds, the resident primarily participates in thoracic procedures, acting as “chief” resident of the thoracic service. Depending upon motivation and interest, the resident may choose to scrub on a varying number of cardiac cases. Operative and critical care teaching is excellent, and the call schedule is a pleasant one.

Pediatric Surgery

The goals of the Pediatric Surgery rotations are to teach the assessment of neonates and children with surgical disease and to recognize which conditions may be treated by the general surgeon, and which require subspecialty referral. Resident’s are exposed to pediatric procedures at the main institution, (NYHQ) where they attend a pediatric surgery clinic with the attendings. There is a 4-week Pediatric Surgery rotation at Babies Hospital on the Columbia campus of New York Presbyterian Hospital during which time the resident participates in a large number of “bread-and-butter” cases such as hernias, pyloromyotomies and laparotomies for NEC, while at the same time benefiting from exposure to many more complex cases. The resident is expected to run the busy pediatric surgery service with the assistance of two interns, being responsible for pre-operative, intra-operative, and post-operative care of all patients. The quality of the experience and the teaching make this a very popular rotation with the residents.