| Residency/Fellowship
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| St. Luke's-Roosevelt
Hospital Center Mission Statement The primary mission of the department of orthopaedic surgery is to provide care of the highest quality to all orthopaedic patients presenting to St. Luke’s-Roosevelt Hospital Center, regardless of the patient’s race, religion, sexual orientation or ability to pay. To accomplish this task, we have an outstanding attending staff with fellowship training in all of the subspecialties of orthopaedic surgery. All of the attendings are board certified or board eligible and in the process of obtaining board certification. We strive to provide education of superior quality to our orthopaedic residents, fellows, third and fourth year medical students from Columbia’s College of Physicians & Surgeons as well as fourth year students from medical schools over a broad geographic area. By practicing with the highest standard of care, we strive to advance the knowledge of our hospital staff, patients and the community. In order to provide this educational experience, our faculty covers all subspecialties in orthopaedic surgery and most hold teaching appointments at Columbia’s College of Physicians & Surgeons, including some with the rank of clinical professor. St. Luke’s-Roosevelt Hospital Center (SLRHC) was formed in 1979 upon the merger of St. Luke’s and Roosevelt Hospitals. Hence, SLRHC consists of two sites located along Amsterdam Avenue on the Upper West Side of Manhattan. There is a continual flux of attendings, house staff, patients, and administrative personnel between these two sites. SLRHC is considered a single institution. The Hospital Center maintains a close academic affiliation with the Columbia University College of Physicians and Surgeons. All academic appointments for the attending surgeons of the SLRHC Department of Orthopaedic Surgery are through Columbia University. However, the orthopaedic surgery residency of SLRHC is run as an entirely separate and independent entity from the Columbia-Presbyterian Hospital Orthopaedic Surgery program. The residency program is currently approved for fifteen positions, three in each year of a five-year program. The PGY-1 residents (i.e. “interns”) are provided with a schedule of twelve one-month rotations controlled solely by the chairman of orthopaedics. These rotations are in compliance with the guidelines of the Residency Review Committee for resident education. The St. Luke’s-Roosevelt Orthopaedic Surgery program is an accredited five-year program with three residents in each year. The PGY-1 year is designed to give the first year residents experience in the surgical and non-surgical care of patients. They gain experience in and develop an understanding of surgical anesthesia, multi-system trauma, plastic surgery/burn care, intensive care and vascular surgery. This is accomplished with rotations on each of these services. In addition, the residents will spend no more than three months on the orthopaedic service during this year. During years two through five the residents are instructed in all areas of orthopaedics including but not limited to spine, joint arthroplasty, hand, sports medicine, orthopaedic oncology, foot and ankle, trauma, pediatrics and rehabilitation. The Department of Orthopaedic Surgery maintains an active clinical research program. Residents are required to attend monthly research meetings. Each resident is required to participate in at least one research project which produces a manuscript of publishable quality. Multiple national presentations have been made and multiple peer-reviewed manuscripts have been published in the last few years. There is also a yearly Research Day where residents formally present their research to the department. Orthopaedic residents PGY-1 through PGY-5 are required to take the OITE during each year of their residency. PGY-1: This year has been specifically designed to include the program requirements delineated by the RRC. Each resident will spend approximately ten weeks on the orthopaedic service. Fifteen weeks will be divided among emergency medicine, neurological surgery, and anesthesiology. The remaining twenty-seven weeks will be devoted to structured education in surgery including multi-system trauma, plastic surgery and burn care, intensive care, and vascular surgery. As a level one-trauma center at St.Luke’s, we are well equipped to provide exposure to multi-system trauma, intensive care, and vascular surgery. Each resident will rotate through an affiliated institution to gain specific experience with burns. Since both our emergency medicine and anesthesiology departments have residency training programs of their own, they have a strong tradition of teaching which greatly benefits our residents. PGY-2: This year of orthopaedic residency is spent at the St. Luke’s site in a structured setting for didactic and practical instruction under the close supervision of the attending staff and PGY-5 orthopaedic residents. When on call, residents are the first line of orthopaedic consultation from our Level I emergency department and for inpatient consultations. In this capacity, residents perform initial evaluations, admission procedures and/or emergency room treatment, and provide clinic coverage. The clinics include general orthopaedics, fractures, spine, hand, and pediatrics. PGY-2’s perform and assist in a full spectrum of orthopaedic surgery. By the end of the year, the PGY-2 will be able to perform a complete musculoskeletal evaluation and will begin to feel comfortable with advanced trauma management. Attendance at all academic conferences is required. PGY-3: During the 3rd post-graduate year, an emphasis is placed on enhancing technical skills in the operating room and fostering principles of non-operative and operative treatment. This year includes four months on the Hand Service at the Roosevelt site, five months of general orthopaedics and trauma at the Roosevelt site, and two months at Memorial Sloan-Kettering Cancer Center on the Bone Tumor Service. Research time is available during the 4-month rotation on the hand service. Additional time is available during the Rehabilitation-Radiology-Rheumatology rotation. PGY-4: As a senior member of the orthopaedic team, the fourth-year resident begins to assume greater responsibility in patient management and surgical decision making. In addition, they assist in educating the more junior residents and the rotating medical students. The year is separated into three four-month blocks: PGY-5: During this fifth year of post-graduate training,
each resident will begin to take on the responsibilities of an independent
orthopaedic surgeon. This year integrates and refines the accumulated
knowledge and clinical experience of the first four years. The entire
year is spent at the St. Luke’s site where four months are spent
as the senior administrative resident, four months are spent as the Chief
Resident for Pediatrics and Spine, and four months are spent supervising
the Hand Service. The entire year is spent teaching the PGY-2 residents
the fundamentals of orthopaedic surgery. Research time is available during
the 4-month Pediatric-Spine rotation. Additional time remains available
during the other 8 months of the PGY-5 year at the St. Luke’s site. There are a total of fifteen residents in the Department of Orthopaedic surgery, three each year, and they come from all parts of the country. The following medical schools are currently represented at our program: Columbia University Admission to the Orthopaedic Residency Program at St. Luke’s-Roosevelt Hospital Center is governed by the hospital bylaws and by the requirements of the Accreditation Council of Graduate Medical Education. Applications for positions are accepted from qualified students who have received an MD degree from an accredited medical school, at the time of entry into the program. The Program offers equal opportunity to all individuals who have the necessary qualifications. The Orthopaedic Residency Program offers 3 positions yearly. All positions are filled through the National Residency Match Program (MATCH). All applications must be submitted to the Department through the Electronic Residency Application System (ERAS). To be considered, the application and all supporting documents must be complete. Supporting documents consist of an official transcript from the medical school, Dean’s letter, two additional letters of reference, a personal statement and USMLE scores. The scores on these exams must be consistent with Department standards. The Department of Orthopaedics will maintain compliance with the New York State Department 405 regulations governing resident work hours by monitoring the hours worked by its residents. The New York State regulations are:
In addition, residents are to have one 24-hour period of time off every week.
St. Luke’s-Roosevelt Hospital Center has entered into a collective bargaining agreement and the Committee of Interns and Residents (CIR) has been certified by the NLRB as the representative for all house staff employed by SLRHC. All House Staff Officers covered by the CIR agreement shall, as a condition of employment, become and remain members of the CIR/SEOU in good standing during the term of their employment with periodic dues uniformly required as a condition of membership.
The Chief Resident differential is $2,000.
Monthly parking rates range from $150 to $200 per month and are paid
by payroll deduction after taxes. Each House Staff Officer with a monthly
parking contract shall receive a voucher for each on-call shift to be
used for parking overnight in a Hospital lot at the site where they do
not have monthly parking. The vouchers will be distributed based on the
scheduled number of monthly on-call assignments at the appropriate site,
(e.g. if a house staff officer with parking privileges at the Roosevelt
site is scheduled to be on-call 8 times at the St. Luke’s site in
the month, he/she shall receive 8 vouchers that month). APARTMENT RENTALS AND HOUSING Housing is guaranteed to house staff in ACGME accredited programs who submit a completed application and a deposit in the amount of $800 by April 25, 2004. This amount will be applied to the first month’s rent. House staff officers shall be given priority for any vacancies in hospital-owned apartment buildings. The hospital will maintain at a minimum the same ratio of housing units to house staff officers as currently exists. Upon reappointment, returning HSOs shall have the option of renewing their vacancy agreement. Rents shall be adjusted only between residency years. The Hospital Center understands the need to provide housing to its HSOs at a cost that is fair and reasonably consistent with applicable laws and market conditions. It is agreed that rent increases for members of the bargaining unit who reside in Hospital housing will not exceed 5% in any year. |
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