Gary Giangola, MD
Interim Chairman, Department of Surgery
Parswa Ansari, MD
Program Director, Department of Surgery
Program Coordinator, Department of Surgery
The General Surgery Residency program is a five-year program accredited by the ACGME, and consists of two categorical residents per year for a total of ten categorical residents. In addition, there are six preliminary residents who go on to complete a variety of programs such as Urology, Radiology, and Anesthesiology. A Vascular Integrated Residency, with one resident per year fills out the housestaff complement.
Twelve surgeons comprise the core faculty at Lenox Hill Hospital. Their areas of expertise encompass various areas of specialization, including vascular and endovascular surgery, advanced laparoscopic surgery, colon and rectal surgery, bariatric surgery, surgical critical care, breast surgery, and reconstructive surgery. In addition, about thirty voluntary surgeons operate at Lenox Hill on a regular basis, providing further volume to the resident's surgical experience.
Several training components fulfill the resident's experience. There are three inpatient services of general and vascular surgery, and the operative cases cover a wide variety of specialties, including advanced laparoscopic surgery, colon and rectal surgery, vascular surgery (including endovascular approaches), pediatric surgery, breast oncology, thoracic surgery, and bariatric surgery. Residents participate in the physicians’ private offices, and junior residents make up the front lines in the intensive care unit, which is run by a dedicated intensive care attending staff. Mid-level residents round out their training in trauma at Maryland Shock Trauma, and are exposed to transplant surgery at New York University's Tisch Hospital. Supplemental pediatric surgery experience is provided through a rotation at Columbia Presbyterian’s Morgan Stanley Children’s Hospital. Chief residents graduate with an average of 950 cases over their five years.
Awards are given annually to residents based upon the ABSITE examination, and the teaching evaluations of medical students who rotate through the services. In addition, chief residents may be nominated for one of several hospital-wide awards.
All residents serve on the three inpatient services, covering general and vascular surgery. Third year residents spend one month at Maryland Shock Trauma, one month at NYU for transplant surgery, and one month at Columbia for pediatric surgery. Second year residents rotate through the ICU, and spend one month on Trauma. Interns usually have some time on other services, such as the SICU, Urology, and Orthopaedic surgery.
Surgical Critical Care
In order to comply with national work hour requirements, the Lenox Hill Hospital Surgery residents are on a Night Float system at the PGY-1 and-2 levels. Three interns cover the hospital at night, and a PGY-2 is in charge of the ICU and consults. A chief resident (PGY-4 or –5) takes call in-house, and is off duty the following day. PGY-2 and –3 residents cover consults and the ICU on weekends.
There are several academic conferences for which attendance by residents is mandatory. These include weekly Morbidity and Mortality conference, General Surgery conference, and Vascular Surgery conference. Additionally, quarterly grand rounds expose residents to speakers from outside institutions. Several Core Curriculum topics are covered in separate didactic lecture series. In the SICU, teaching conferences centered around critical care topics occur on a weekly basis.
A laboratory to develop and hone laparoscopic skills has been set up, and a curriculum following the Fundamentals in Laparoscopic Surgery course, endorsed by the American Board of Surgery, has been created. This will include didactic group sessions, hands-on group demonstrations, and one-on-one skills labs. Residents will have access to the laboratory at all times of the day.
A journal club is held approximately every two months, after hours. The topic alternates between vascular and general surgery, the latter derived from the Evidence-Based Reviews in Surgery program in the American College of Surgeons. The content of the articles, as well as the approach toward those articles are discussed in detail by residents and faculty.
In addition to the residents' work room in the Hospital, several other spaces are available for their use. A conference room on the 7th floor of the hospital is used for lunch meetings. The Surgery Residency Office includes a conference room, offices for residents, as well as the Laparoscopic Skills Lab.
A competitive salary is offered to residents, which scales up according to Post-Graduate Year. Malpractice insurance for residents is covered by the Hospital. Additionally, healthcare and dental benefits, disability and life insurance, transportation funds, and retirement accounts are available to all residents. Meal coupons are distributed to residents to be used in the Hospital cafeteria.
Residents are eligible for hospital-sponsored housing on a first-come, first-served basis, and if there is no housing available, a $3000 stipend is awarded to the resident. The Upper East Side of Manhattan provides nearly unlimited access to New York City culture and night life, including a wide variety of restaurants and bars.
Lenox Hill surgery residents have traditionally continued their surgical education in a variety of prestigious fellowship training programs. Examples from the past four years include fellowships in plastic surgery, surgical oncology, minimally invasive surgery, vascular surgery, hepatobiliary surgery, and colorectal surgery.