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Graduate Medical Education

Lenox Hill Hospital is committed to excellence in all of its educational programs. The Hospital established a Department of Medical Education in 1961 to monitor and coordinate its various medical education programs.

The Medical Education Department oversees ongoing educational programs at all levels, and assists in identifying and correcting deficiencies and strengthening already outstanding programs. The Department serves as a liaison between the house staff and Hospital management, as well as between the house staff and the attending staff. In conjunction with the Hospital's Medical Education Committee of the Board of Trustees, the Department has implemented procedures for compliance with Institutional and Program Requirements of the Accreditation Council for Graduate Medical Education and New York State Department of Health Regulations concerning house staff credentialing, privileging, scheduling and supervision.

The goals of the individual programs in graduate medical education at Lenox Hill Hospital are to ensure that residents receive the highest quality of education in an ethical and professional environment.

Graduate Medical Education Programs

Each academic year, approximately 160 residents participate in 16 accredited independent graduate medical education (GME) programs. The Hospital also participates in 3 integrated residency programs, which include residents in Otolaryngology, Ophthalmology, and Psychiatry. There are 38 fellows enrolled in 9 fellowship programs.

Program Overview

First-year positions (PGY-1) are either “categorical” (sponsored and conducted by a single approved residency program as part of that residency), or “preliminary” (one or two years required as a prerequisite for another residency). Both “preliminary” and “categorical” tracks are used by the Internal Medicine and General Surgery programs; the preliminary track in Medicine is limited to those applicants who wish to complete only one year as a prerequisite for another residency; in Surgery the preliminary track is for those applicants who require or desire one or two years as a prerequisite.

Lenox Hill Hospital’s other categorical programs include Obstetrics and Gynecology, Orthopaedics, Pathology, Diagnostic Radiology and Urology. Completion of any independent Lenox Hill Hospital residency program will qualify that candidate for the appropriate board certification examinations, with variations depending upon the program.

Many of the GME programs at Lenox Hill Hospital have established rotations in other institutions where both formal and informal affiliations exist. Candidates for all residency programs must be graduates of Liaison Committee for Medical Education (LCME) accredited medical schools in the United States or Canada, or graduates of international medical schools listed in the current edition of the World Directory of Medical Schools, a publication of the World Health Organization. Additional requirements exist for the following programs: Ophthalmology, Orthopaedic Surgery,
Otolaryngology, Plastic Surgery, Psychiatry, Diagnostic Radiology, Urology, and the fellowships.

The Department of Medical Education coordinates administrative aspects of the Hospital’s Graduate Medical Education programs in those disciplines which participate in the National Resident Matching Program (NRMP). These include: Internal Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Diagnostic Radiology, and General Surgery. Applicants for programs in General Surgery, Obstetrics and Gynecology, Orthopaedic Surgery, Radiology and Internal Medicine use the Electronic Resident Application System (ERAS). All inquiries and applications to the remaining residency and fellowship programs should be directed to the appropriate program director.

Credentialing, Privileging, Work Hours and Supervision

Lenox Hill Hospital residents are scheduled and supervised in accordance with Section 405.4 of the New York State Hospital Operating Code and the ACGME work hour rules. The Medical Education Committee of the Board of Trustees has approved policies and procedures governing the activities of all residents while at Lenox Hill Hospital, including the requirements of each Residency Review Committee of the Accreditation Council for Graduate Medical Education.

Credentialing is the review of documents that support the resident’s qualifications for participation in the residency program. Credentialing is the responsibility of the Medical Education Department and must be completed before a resident can commence his/her duties.

Privileging of each resident is the responsibility of the program director. The program director recommends privileges that are specific to treatments and/or procedures for each resident, based upon written criteria developed by each Department. The specific treatments or procedures the resident is authorized to perform and the degree of supervision required by a resident in the performance of any activity for which he/she has privileges are in writing. The privileges indicate which treatments or procedures will require general control and supervision and which must be performed under direct visual supervision.

Resident work hours are scheduled in accordance with the ACGME Duty Hours Standard and New York State regulations. Work hours include daily activities, but most importantly night and weekend on-call duty. With the exception of surgical residents, the regulations state that the scheduled workweek shall not exceed an average of eighty (80) hours per week over a four-week period. Residents shall not be scheduled to work for more than twenty-four (24) consecutive hours. Assignments to the Emergency Room are not to exceed twelve (12) hour shifts. There shall be at least one twenty-four (24) hour period of scheduled nonworking time per week.

On call duty varies in each program with both in-house and at home on call assignments. All schedules are designed in accordance with ACGME requirements and New York State regulations.

Surgical call schedules are monitored and reported to the Designated Institutional Official on a monthly basis. In-house on call is scheduled no more often than every third night. Residents assigned on call duty maintain activity logs which are reviewed on a periodic basis.

Supervision of residents during work varies depending on the program. All procedures performed in the operating room or endoscopy suite are supervised by a licensed attending physician who has been privileged to perform the procedure. The program director is responsible for establishing and discussing supervisory methodology with each resident. Documentation of each resident’s working hours and supervision during the academic year is maintained and monitored.