Facilities

St. Joseph’s University Medical Center

Rich in history, St. Joseph's Health has evolved from humble beginnings. In 1867, the Sisters of Charity of Saint Elizabeth opened St. Joseph's Hospital on Church Street in Paterson with only 12 beds.  Now, St. Joseph’s University Medical Center is a 650-bed tertiary care academic center, providing state-of-the-art health care to Northern New Jersey.   It is consistently rated as one of the top hospitals in the New York Metropolitan area by U.S. News and World Report. We recently completed a $250 million expansion and renovation project. The most extensive part of this master facilities plan is the new 183,000 square-foot Critical Care Building.

The Critical Care Building features 12 systems-integrated operating theatres with pre-operative and post-operative areas; separate Pediatric and Adult Emergency Departments (EDs) with a total of 88 treatment areas; 56 new private critical care rooms in four dedicated units (Cardiac Care/Open Heart Cardiac Care Unit, Surgical Intensive Care Unit, Medical Intensive Care Unit, and Intensive Respiratory Care Unit); and a rooftop helistop capable of accepting large medical helicopters.  In 2015, we opened our new ambulatory surgical facility which includes 5 operating rooms, an endoscopy center and pain management suite. More recently we dedicated a neurointerventional suite adjacent to the ORs.   

St. Michael’s Medical Center

Established by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 357-bed regional tertiary-care, teaching, and research center in the heart of Newark's business and educational district. Combining state-of-the-art technology, the latest diagnostic and therapeutic procedures, leading-edge research, and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health care services delivered with compassionate care.

The first medical institution in New Jersey to perform open-heart surgery and the first to develop a cardiac catheterization program, Saint Michael's Medical Center is home to the Heart and Vascular Institute, which offers a comprehensive array of innovative cardiac treatments and procedures.     

Our academic affiliations:

The residency programs at both hospitals are sponsored by the New York Medical College/Touro University System.

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Rotations

Rotation schedule and description

CA-1 year:

8 months general OR experience

1 month obstetric anesthesia

1 month pain management (focus on acute pain management; evaluation, examination and consultation of acute and chronic pain patients).

1 month preadmission testing

2 weeks post anesthesia care unit

CA-2 year – One month rotations in the following subspecialties:

Pediatrics

Cardiothoracic anesthesia

Pain management (focus on regional anesthesia for post-op pain, catheter techniques, chronic pain and procedures).

Obstetrics

 Neuroanesthesia

Pediatric ICU

6 months general OR experience

CA3 year – One month rotations in:

Advanced neuroanesthesia

Advanced cardiothoracic anesthesia

Surgical intensive care unit

Advanced clinical anesthesia

Non-operating room (“outside”) anesthesia- 2 weeks (includes MRI, endoscopy, pain management, cardiac cath, peds oncology, interventional radiology).

In the remaining 8 months residents may choose to do 1-3 months of cardiac, obstetrics, pediatrics, pain management, neuroanesthesia, regional anesthesia, or critical care.

Preadmission Testing: ( Jonathan Markley, Director)

During this one month CA1 rotation, the resident evaluates, prepares, optimizes and educates the patient who will be coming in for scheduled surgery. Residents will become adept at history taking and physical exam, learn how co-existing diseases affect and are affected by surgery and anesthesia, and create an anesthetic plan appropriate for the patient. The PAT resident will learn the appropriate and cost effective ordering of lab studies, medical and subspecialty consultation prior to surgery. Complex patients will be presented to the attending in charge for additional consultation and planning.

Cardiothoracic Anesthesia: (Suhaib Akhtar, Salvatore Zisa, Co-Directors, SJUMC; Claudia Komer, Harish Nandigam, Co-Directors, SMMC)

Cardiothoracic anesthesia training occurs during the CA2 and 3 years at both the St. Joseph's Cardiac Institute and St. Michael's Medical Center where over 1500 cardiac and thoracic surgical procedures are performed each year. Residents will learn management of on and off pump cardiac bypass, valve replacement, trans-aortic valve repair (TAVR), thoracic aneurysm repair, open thoracotomy and video-assisted thoracoscopy(VATS), cardiac catheterization and electrophysiologic ablation. Residents will become adept at the insertion and interpretation of invasive monitors, transesophageal echocardiography (TEE), placement of double lumen tubes and bronchial blockers and management of one-lung ventilation.   

Critical Care Medicine: (Claudia Komer, Director; William De Bruin, Director, Pediatric Intensive Care Unit)

The Critical Care rotation takes place during the CA2 and CA3 years. The CA2 resident spends a month in the Pediatric Intensive Care Unit integrating into the peds critical care team. Residents will learn the fundamentals of pediatric intensive care, ventilator management, pain management and   invasive monitoring. They will also participate in a variety of procedures requiring sedation such as MRI or invasive radiology.

The second month of Critical Care takes place at St. Michael’s Medical Center, where the intensive care units are overseen by anesthesia. Claudia Komer, board certified in critical care, will round with the resident on patients in the med/surg ICU and the post-cardiac surgery ICU, discussing, planning and  managing their ongoing care. Residents will care for patients with a wide variety of life-threatening medical issues and post-operative complications.

 Neurosurgical anesthesia: (Daria Costa, Director)

For a month in both the CA2 and CA3 years, residents participate in a variety of intracranial, neurovascular and spine surgeries. They will learn principles of EEG and evoked potential monitoring, brain protection, total intravenous anesthesia, controlled hypotension, management of increased intracranial pressures, the awake craniotomy and traumatic brain injury. Residents will also manage endovascular procedures in the new neurointerventional suite.

Obstetric Anesthesia: (Seth Landa, Director)   

St. Joseph’s University Medical Center has a high-risk obstetrics department with over 3,700 deliveries each year. Residents care for parturients with preeclampsia, hemorrhage, cardiac disease and multiple births (including one set of quintuplets!). CA1 residents quickly become adept at performing spinal and epidural anesthesia, managing labor analgesia, elective and urgent cesarean section and post-operative pain.  CA2 and 3 residents become adept at handling the most challenging regional anesthetics and become expert in the management of the pregnant patient with co-existing disease. Residents are expected to formulate an anesthetic plan for the medically complicated obstetric patient together with the patient’s obstetric team and medical consultants. The team approach is emphasized throughout training and simulations will involve nursing and obstetric personnel. Residents are also expected to teach the basics of obstetric anesthesia to our rotating medical students.

 Pain Management: (Michael Umanoff, Brian Jakubowicz, Co-Directors)

Under the guidance of our five specialty trained pain management physicians, residents will rotate for a month in each of their 3 years with an option for additional CA3 training for those interested. The CA 1 resident focuses on learning examination and evaluation of the pain patient, and formulating a plan for acute and post-operative pain management; the CA 2 rotation emphasizes regional blocks and pain procedures as well as developing a multi-disciplinary approach to chronic pain management; while the CA 3 will learn office–based management of chronic pain and advanced procedures.   

Our pain management center ( www.totalpaincarenj.com) focuses on restoring function and improving quality of life for those suffering from acute and chronic pain including disorders of the spine, cancer pain and neuropathic pain.  Procedures done in the pain center include epidural injections and lysis of adhesions, facet injections, sacroiliac joint injections, nerve blocks, trigger point injections, radiofrequency ablation, discography, spinal cord stimulation, intrathecal pumps, percutaneous discectomy, Tenex procedures, insertion of interspinous spacers for spinal stenosis, stellate ganglion and lumbar sympathetic blocks for CRPS, celiac plexus and neurolytic injections for cancer pain.

St. Joseph’s is nationally recognized for promoting opioid-free pain care through the ALTO program (Alternatives to Opioids) and our pain center has been at the forefront of this effort promoting utilization of blocks, non-opiate medications and other alternative therapies in the ER and throughout the hospital. Residents will be educated in this important trendsetting approach to pain management.

Pediatric Anesthesia: (Stephen Winikoff, Director; Kar-Mei Chan, Director Pediatric Cardiac Anesthesiology; William De Bruin, Director Pediatric Intensive Care)

St. Joseph's has a state designated 120-bed Children's Hospital.  During the CA2 and CA3 rotations residents will be exposed to the full gamut of routine and advanced pediatric cases and neonatal surgeries, as well as pediatric intensive care, pediatric cardiac surgery, neurosurgery, ENT, craniofacial repairs, and genitourinary surgery. Our residents participated in the first (and only!) separation of conjoined twins in New Jersey history. Residents will also learn pediatric pain management including regional techniques and participate in sedations for MRI, cardiac cath, endoscopy and oncology procedures. With six pediatric specialty-trained attendings providing supervision and training, and an abundance of cases, graduating residents take with them the needed skills and knowledge to be comfortable with both basic and advanced pediatric surgery.

Postanesthesia Care Unit : (Marc Meyer, Director)

The goal of this rotation is to provide residents with the knowledge skills and clinical experience to provide care for patients recovering from general, regional and monitored anesthesia care. Residents will become competent at recognizing and managing common PACU problems and more serious crises, with emphasis on effective communication with the appropriate surgical, medical, nursing services and the primary anesthesia team.  Residents will round and receive regular lectures on a variety of topics relating to PACU care. Residents will become familiar with ventilator management and weaning and acute post-operative pain management.

Regional Anesthesia: (Jonathan Markley, Ahmed Sultan, Co-directors)

With busy orthopedic, trauma, vascular, podiatric and plastic surgery services, our residents will have plenty of exposure to regional techniques throughout training as well as during their CA2 pain rotation and CA 3 regional month. Residents will learn central neuraxial anesthesia and a wide variety of peripheral nerve blocks done under ultrasound guidance.  They will hone their skills in the Simulation Lab on models and experience an ultrasound visualization workshop with live volunteers. Our faculty includes five specialty-trained regional specialists and many others who share a passion for providing optimal intra and post-operative care utilizing regional techniques. Throughout training, residents will receive lectures on the latest cutting edge techniques and outcome studies on the benefits of the various procedures. Our residents become adept not only at providing expert intraoperative care but will also recognize the importance of regional anesthesia in providing enhanced recovery after surgery (ERAS). Minimum required numbers are met early in training and our graduates are very comfortable with these valuable, essential skills.

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Educational Curriculum

Preliminary year: The Department of Surgery has two PGY 1 positions available through the match for interested residents who match with our anesthesia program. Though anesthesia training officially begins at the CA1 (PGY 2) level, we will provide all our incoming PGY1 residents with a series of short, fun, educational videos as well as a brief introductory online textbook to familiarize them with basic anesthesia topics.

First month:  The first week of July is devoted to orientation of the new residents under the guidance of the program director and chief residents. Residents will be familiarized with anesthesia equipment, pre- operative assessment, case preparation and room set up, record keeping and basic clinical practice. Lectures in the first 2 months will cover basics of anesthesia. Readings will be keyed to Morgan and Mikhail’s Clinical Anesthesiology text which we will provide.  CA1s will participate in several Simulation Laboratory sessions, providing a unique, pressure -free opportunity to become accustomed to anesthetic practice and the operating room.  In the O.R. residents will be supervised one -to -one by their assigned mentors.

Scholarly activity:  All residents will complete one or more scholarly projects resulting in a local, regional or national presentation or journal publication.

Lecture Series:   Tu, W, Fri, 6:30-7:10 AM- Comprehensive lecture series covering all major basic and subspecialty topics in anesthesia. We also include frequent Basic and Advanced exam board review sessions, problem-based learning discussions and mock oral exams.  Th 7-8 AM: Departmental meetings including Morbidity and Mortality Conference, Grand Rounds, Journal Club and Guest Lectures.

Simulation Training: (Pam Upadya, Director)

The first Thursday of each month is a dedicated simulation session. Simulation is an essential component of anesthesia training, providing a safe, low-pressure, enjoyable and intellectually stimulating environment for learning critical thinking, fast-paced decision making, crisis management and team skills. Sim sessions are followed by reflective and formative debriefing which may include a video review of team performance. Pam Upadya has helped develop our own spacious simulation laboratory which is used hospital-wide by residents, nurses, medical students and even Paterson first responders. The lab includes manikins and models to practice technical skills, a high-fidelity computerized anesthesia simulator and virtual reality case simulations. We also run workshops for difficult airway training using manikins for fiberoptic intubation and pig tracheas for percutaneous tracheotomy, retrograde intubation and double lumen tube insertion. Residents will also be well-prepared for the future OSCE component of the ABA exam through a variety of simulated patient experiences.

Leadership Training Symposium:  Dr. Claudia Komer, who completed a Masters in Health Care Delivery Science, has organized this innovative lecture series designed to help our residents understand the “non-technical” requirements for being a successful clinician and health care leader. This dinner series covers professionalism, quality improvement, providing value-based care, the perioperative surgical home (PSH) and education about the future of medicine and anesthesia.  Meetings take place every other month. Our residents are also given the opportunity to put this training into practice by serving on hospital committees (Critical Care, Infectious Disease, Blood Products/Transfusion, Pharmacy, Clinical Utilization, Patient Safety, Root Cause Analysis), and represent us at local (New Jersey State Society  of Anesthesia) and national (American Society of Anesthesiologists  Resident Component) Meetings.

Workshops: We organize difficult airway and regional anesthesia workshops using models, anatomic specimens and live subjects (for ultrasound visualization only!)

Teaching: St. Joseph’s and St. Michael’s Medical Center’s function as the New Jersey campus of New York Medical College. Teaching our many rotating medical students from a variety of schools is an essential and satisfying component of the learning experience. In conjunction with NYMC we have introduced a “Teaching Residents to Teach” curriculum which we have supplemented to include how to teach in the unique OR environment. If you can teach it you can do it!

Educational support and resources: St. Joseph’s provides all residents with a yearly educational stipend which can be used to purchase textbooks or technology. There is also a conference stipend for residents presenting at educational meetings. St. Joseph’s has an excellent hospital library, award winning librarians to assist you and is part of the New York Medical College library system.

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Program Director Welcome

Welcome to St. Joe’s - Training with a difference.

Congratulations!  You have finally reached the final and most important stage of your training, your anesthesia residency. Finding the right program can be a daunting task. You will be spending hours comparing programs, applying, going on interviews, touring hospitals and meeting faculty. There is so much information to process. I am happy you have chosen to visit our website and even happier you have read this much of yet another seemingly generic program director’s letter!

Here at St. Joseph’s we offer training with a difference. That difference is a friendly, supportive environment designed to make learning stimulating and fun. From day one of your residency you will become part of a team dedicated to giving our patients the finest care available while providing you with the education necessary to become compassionate, well-rounded, board-certified anesthesiologists. We aim towards the future - giving you the tools to become leaders in our rapidly changing profession and health care system. With 24 residents and a faculty of over 60 attendings, we are able to provide our residents with individualized attention to help each reach their full potential. Our friendly faculty will mentor your professional growth while giving you the emotional support, advice and encouragement you need to cope with the demands of training. We take great pride in our graduates and they take great pride in their training.

Residency should be the most exciting, intellectually stimulating and rewarding time of your life. Spend a few minutes exploring these pages to find out why St. Joseph’s may be the program for you. Learn about our world-class hospitals, educational curriculum, simulation center, rotations, alumni, research/scholarly activity, faculty, recreation and our location in Northern New Jersey, just 15 minutes from Manhattan. We’re sure you’ll like what you see!

Sincerely,


Seth Landa
Program Director

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Program Overview

At the Leading Edge of Anesthesia Care, Training, and Research

St. Joseph’s University Medical Center just celebrated its 150 year anniversary, and the anesthesia residency training program- New Jersey’s oldest - has been training leaders in the field for over 60 years. It has once again been recognized by U.S. News and World Report as one of the New York metropolitan area’s finest hospitals. Both the hospital and the anesthesia department continue to grow, providing our residents with the finest clinical and academic training in a world-class institution.

In 2016, our program expanded to 24 residents (8/year), a comfortable size allowing for a “small-program” feel with personalized attention but in a “big-program” setting with all the necessary resources, the latest educational modalities and broad clinical experiences. As a major teaching hospital affiliated with New York Medical College our residents experience all the advantages of both university-based and community-based training. Our Simulation Laboratory provides residents with a variety of learning experiences to advance their technical and non-technical skills, decision making, team work, task management and situational awareness. We have designed an innovative “Leadership Symposium” helping to train all our residents to become future leaders in our specialty.

With the recent completion of St. Joseph’s Critical Care Building, residents train in an ultra-modern, state-of-the-art facility encompassing new operating rooms, intensive care units, a same-day surgical facility and emergency rooms. The area around the hospital has also changed with new eateries, a fitness center, a new parking garage and affordable resident/student housing.

We have seen across the board increases in our surgical and high-risk obstetric services. As a state-designated Children’s Hospital, our residents become comfortable providing care to our smallest population. Our regional anesthesia program has undergone explosive growth and is a huge part of our increased perioperative involvement as we move closer to the “perioperative surgical home” model of anesthesia care. At both St. Joseph’s and St. Michael’s Hospitals our residents experience the latest in adult and pediatric open heart surgery. St. Joseph’s is nationally recognized for stroke care and recently opened a neuro-interventional suite where  residents on their neuroanesthesia and non-operating room anesthesia rotations have  played an important role the care for patients with aneurysms, AV malformations, stroke, and carotid artery disease. As a level two trauma center with a helipad, residents experience the excitement of life saving shock-trauma care.

St. Joseph’s has received national news coverage (New York Times, The Record, CBS, NPR, PIX11 and others) for its landmark “Alternative To Opiates (ALTO)” ER pain management program, designed to reduce narcotic use as a first line therapy. Our Pain Center has been at the forefront of these efforts. The Co-Director of our Pain Management Center, Dr. Brian Jakubowicz, along with regional anesthesia specialist, Dr. Talitha Burns, helped to train the nation’s first emergency room/pain fellow, Dr. Alexis LaPietra, who now directs the ALTO program.

This is just a small sampler of what you can expect to experience during training at St. Joe’s. The quality of our residents is evident not only in their high board pass rate (over 90%), but also in their continued acceptance to prestigious fellowships. We also take great pride in the number of graduates who stay on as attendings to train the next generation of residents. Please explore the links above to learn more about our hospital, our department and our training program. Welcome to St. Joe’s! 


Stephen P. Winikoff
Chairman

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Jersey Health Connect

Through RelayHealth, Jersey Health Connect offers the ability for both staff and affiliated physicians to seamlessly access health system data regarding:

  • Laboratory results
  • Clinical Documents
  • Tests and orders
  • Health summaries
  • Prescription histories

RelayHealth creates a physician-friendly environment and enables health systems to achieve clinical integration across their enterprises. Clinical integration leverages HIE connectivity to make information available when and where it is needed, essentially bringing information to providers, as opposed to making them look for it by logging into separate systems. This includes delivering labs and other results to the physicians electronically. The increased functionality and convenience of clinical integration aligns providers with the health system because it gives them the tools they need to improve the care they deliver.

To log into RelayHealth or to register, please click HERE. jhc

 

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Tel: 973.942.6900

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