Residency/Fellowship

St. Luke's-Roosevelt Hospital Center
Department of Orthopaedic Surgery Residency Program

Mission Statement
General Description
Curriculum Description
Research Requirements
Residency Rotations
Resident Application Process
Work Hours
Salary Benefits
Apartment Rentals and Housing


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.


GENERAL DESCRIPTION

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.

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CURRICULUM DESCRIPTION

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 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.

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RESEARCH REQUIREMENTS

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. As a result, multiple national presentations have been made and multiple peer-reviewed manuscripts have been published.

The Annual Research Day allows residents to formally present their research to the department and to a visiting professor.

Orthopaedic residents PGY-1 through PGY-5 are required to take the OITE during each year of their residency.

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RESIDENCY ROTATIONS

PGY-1: This year has been specifically designed to include the program requirements delineated by the Residency Review Committee. Each resident will spend no more than twelve weeks on the orthopaedic service. Monthly rotations will be done on anesthesia, emergency room, burns/plastics and ICU. The remainder of the year is spent within the department of General Surgery, where exposure is gained to multi-system trauma, general surgery and vascular surgery.

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 third post graduate year, an emphasis is placed upon enhancing surgical skills in the operating room and fostering the principles of non-operative and operative treatment. This year includes four months on the Hand Service at the Roosevelt site, four months of general orthopaedics and trauma at the Roosevelt site, two months at Memorial Sloane-Kettering Cancer Center on the Bone Tumor Service, and a two month period dedicated to Research, as well as exposure to Radiology and Rehabilitation. The Research rotation is primarily based at the Columbia University School of Bio-engineering.

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:
Chief Resident - Roosevelt Hospital: The chief resident at Roosevelt Hospital is responsible for all of the administrative aspects of the clinical service. During this block, there is great operative experience in total joint surgery and sports medicine. The resident is also responsible for presenting cases at weekly Grand Rounds and Mortality and Morbidity meetings.

Research Chief: During this four month rotation, with a lighter on-call schedule, the resident is afforded time to work on research projects. In addition, because of the many operative cases at the Roosevelt Hospital site, there is ample opportunity to help assist on a wide variety of advanced cases in all the subspecialties of orthopaedics.
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Alfred I duPont Institute (Wilmington, Delaware) The duPont Institute is an international leader in the field of musculoskeletal disorders in children and offers an intensive exposure to a large volume of pediatric orthopaedics (four months).

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.

Physician Extenders:
The Department of Orthopaedics employs five physician assistants, one at each site, who work closely with the residents on rounds, discharge planning and clinic coverage.

Clinical Clerkship for Medical Students:
There is a clinical clerkship for medical students that provides exposure to the specialty of Orthopaedic Surgery. The student will become an integral part of the service and is considered an important member of the team. Each student is expected to participate actively in the operating room, the specialty clinics and in all conferences. Night call is optional, but taking call every third night can provide valuable trauma service experience.

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RESIDENT APPLICATION PROCESS

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:

Boston University School of Medicine
Columbia University
Georgetown University
Loyola University
Medical University of South Carolina
New York Medical College
New York University
State University School of Medicine
Temple University
Tufts University School of Medicine
University of Medicine and Dentistry of New Jersey

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 or more additional letters of reference, a personal statement and USMLE scores. The scores on these exams must be consistent with Department standards.

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WORK HOURS

The Department of Orthopaedics maintains compliance with the New York State Department 405 regulations governing resident work hours by monitoring the hours worked by its residents.

In addition, residents are to have one 24-hour period of time off every week.

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SALARY BENEFITS

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.

In accordance with the CIR agreement, the PGY salary scale is as follows:

Annual Salaries for Residents in Accredited Graduate Medical Education Programs that will be in effect for 7/1/2009 are listed below. There will be a 3% increase, to each of the below listed salaries, on 10/1/09.

PGY 1 $53,271.15
PGY 2 $56,760.99
PGY 3 $60,237.71
PGY 4 $64,623.78
PGY 5 $66,074.28

 

· Health Benefits: House Staff Officers are part of the CIR’s health benefit plan.
· Meals: Meals or a meal allowance are provided for teaching conferences. Residents with evening on-call responsibility will also receive a meal allowance. The amount of the total meal allowance each resident receives has been negotiated and is determined by their program. The meal allowance will be payable in two equal installments, one-half in January and one-half in July/August of each year.
· Sick Time/Leave:
  - Twelve (12) days of paid sick leave is provided per year to a maximum of 48 days. There are provisions for bereavement leave and family and medical leave consistent with the Family and Medical Leave Act of 1993. Effect of Leave on Training: Any Leave of Absence Disability Leave, or other time off which results in the resident’s inability to meet the training time requirements set forth by the appropriate board will result in an extension of the resident’s training program..
· Vacation: The annual entitlement for a twelve-month period is four weeks. Vacation time for
all residents will be taken during the year accrued.
· Legal Holidays:
 

 

- New Year’s Day
- Martin Luther King’s Birthday
- Presidents Day (RH only)
- Good Friday (SL only)
- Memorial Day
- Fourth of July
- Labor Day
- Columbus Day
- Thanksgiving Day
- Christmas Day

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APARTMENT RENTALS AND HOUSING

The Hospital provides housing to residents in ACGME and ADA approved programs who submit an application and the appropriate deposit by a specific cut-off date. The Hospital Center owns and operates three apartment buildings (at 515 West 59th Street and 10 Amsterdam Avenue near Roosevelt Hospital and at 501 West 113th Street near St. Luke’s Hospital) for this purpose. The Real Estate Office makes all rent determinations, and rent is deducted automatically from residents’ paychecks. The Hospital Center understands the need to provide housing at a cost that is fair and consistent with applicable laws and market conditions. Terms of the current CIR agreement provide that the increase in rent will not exceed 5% in any year.

Only the resident and immediate family (spouse/partner and children only) who live in the apartment full time are eligible for housing. Parents, siblings, other relatives, and live-in help are not eligible for housing or considered for the apartment size. For more information, see the attached Real Estate information sheet of Rental Rates and Assignment Priorities - 2008.

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