Frequently Asked Questions

Do you have a preliminary year?

Though the program is officially an advanced program, the Department of Surgery has two spots reserved for those who match into anesthesia and would like to do a preliminary year of surgery. These positions are part of the New York Med/Metropolitan Hospital/St. Joseph’s Surgical Residency. We are working with the hospital on a similar arrangement with our department internal medicine. All other positions begin at the PGY 2 (CA1) level.

How is the location?

Our hospital locations are in Newark (SMMC) and Paterson (SJUMC), the first and third most populous cities in New Jersey. As a result, residents are exposed to a tremendous variety of surgical cases and medical problems. St. Joseph’s University Medical Center is conveniently located alongside major highways making it easily accessible. There is recently built hospital housing available, though many of our residents choose to live in some of the trendy, hip nearby communities or even in Manhattan, (about 20 minutes away).

Paterson, known as “Silk City” is an historical city founded by Alexander Hamilton in 1791. Recently, the Great Falls of Paterson, located 10 minutes from the hospital, was designated as a National Historical Park.

What is a typical day like?

Residents come into the hospital between 6-6:15 AM to set up their rooms and attend lecture (Tues, Wed, Fri 6:30, Thurs 7:00, Monday - sleep late!). After lecture, patients are seen in the holding area and final room preparation is made. Our first cases start at 7:30 AM (8:30 on Thurs). Residents are relieved from the OR around 5 PM. The day prior to an overnight call, residents are sent home earlier, typically early afternoon. On average, residents work about 65 hours/week.

How frequent is overnight call?

Between 5-7 calls/month.

Is St. Joe’s an academic center or community hospital?

St. Joseph’s University Medical Center is a major teaching hospital with multiple residencies and fellowships in almost all major specialties. It is an affiliate of New York Medical College and serves as a rotation site for third and fourth year NYMC students. St. Joe’s has all the specialized clinical services,   academic experiences, top-notch teaching faculty and research opportunities expected at a university hospital but still retains a community hospital “feel” serving both Paterson and Northern New Jersey.   

What is the patient population like?

Serving Paterson and the surrounding suburbs, St. Joe’s cares for an incredibly diverse population of both “private” and “service” patients.  Whether we are caring for the homeless, or well-to-do suburban professionals, recent immigrants or professional athletes from our local teams, our mission is the same-to provide exceptional care for all patients.

How is the work environment?

St. Joe’s is a diverse and welcoming place and our anesthesia department fosters a tremendous sense of camaraderie, friendship and teamwork. Our residents and attendings form a strong bond, working towards the common goals of providing great patient care and resident education. You will find multiple mentors in our department for every need, whether it is employment or fellowship advice, academic help or emotional support. Our department and our residents have a great reputation and are   respected and appreciated by other departments in the hospital.

What are you looking for in a resident?

  • First, that you enjoy what you are doing. Anesthesia is a dynamic, intellectually challenging, and satisfying specialty. The road to becoming a great clinician is long and tough, but if you are enthusiastic about anesthesia, work in a supportive environment and focus on helping your patients, the time flies!
  • We need team players! Residency in general and anesthesia specifically are team sports- you will be working with surgeons, nurses, techs, consultants and of course your colleagues. Team skills and good interpersonal relations are essential to patient care, operating room management and your residency experience. Help those around you and they will return the favor.
  • You must be self-motivated to learn. You don’t need to be a “rocket scientist” but you must be dedicated to consistent reading and studying. Residency isn’t med school and even with our extensive lecture series most of the information will come from your own reading and discussion with your teachers. You have to want to improve, seek learning experiences and welcome feedback to become a better clinician.
  • Be thorough and responsible. Every task in anesthesia has ramifications for the patient. There are no “little things”. Take pride in what you do and make sure you are doing the best possible for your patient.

(It also helps our Holiday videos if you can act, write, sing, dance, choreograph, video, edit, photograph or just have a sense of humor!!!).

Do you have minimum USMLE scores?

We consider each candidate on all their merits, not just board scores. Nevertheless, you will be expected to pass exams, which is something our program will be judged by, so we certainly prioritize strong test takers.

Is there moonlighting?

We allow some moonlighting but only if it falls within duty hours and does not overburden or interfere with a resident’s academic time.

Do you have any positions for those who have already completed a preliminary year?

We have one “R” position available if you have successfully done at least one accepted year of training.

Do you have a “years since graduation” cutoff?

We would need an explanation of any gaps. If you are switching from another field but have been active in medicine that would likely be acceptable.

What visas do you sponsor?

J1 and H1b

Do you accept COMLEX alone or only USMLE?

We are comfortable with COMLEX alone, though it can be advantageous to have done well on both.

Is there a food allowance? 

Residents get a “Free to Go” card that is good in the cafeteria, Au Bon Pain, Mocha Town Grill and Subway. Many attendings are happy to treat the on call team to something different (favorites include Italian, Chinese, Kosher Chinese and Middle Eastern)!

Is there an educational allowance?

Each year residents are given a $500 stipend to be spent on educational material. There is also a conference stipend for residents who are presenting their scholarly activity.   

 

 

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Location / Leisure

What do dinner and a play in NYC, sitting on a beach, and skiing all have in common?  They are all just a short trip from St. Joseph’s University Medical Center.

In addition to our on-site housing, residents frequently reside in trendy, upscale nearby communities including Hoboken, Jersey City, Montclair, as well as Manhattan. The Garden State has a variety of terrific outdoor activities, museums, historical sights, college and professional sports. New York City is just a short car, train or bus ride away. If you can imagine your post call days hiking the Hudson Highlands, rafting on the Delaware River, hitting the slopes at Mountain Creek or laying on a beach at the beautiful Jersey Shore, then St. Joseph’s might be the place for you!

Since residency is such a busy time, periodically we make sure to take a break in the action.  We have several annual events and the occasional spontaneous night out at a local eatery. Our new resident welcome BBQ and pool party is a great time not only to meet your colleagues, but also to introduce us to your families and start new friendships. You don’t have to be Indian to celebrate Diwali with us, but be prepared for lots of great Indian cuisine!  Our departmental Holiday party is renowned through the hospital (and unfortunately, Youtube) for featuring our famous (or infamous) comical resident and attending video presentations. Each spring pros and hackers alike swing away at the annual departmental golf outing. And finally, our graduates spend one last night of fun and reminiscence at our graduation dinner.

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Life after St. Joe's

St. Joseph’s graduates have become leaders in the fields of anesthesia and pain management across the United States.  Our graduates are well represented in both academics and clinical practice. The late Dr. George Morales, a graduate of St. Joseph’s in the early 1950s, was the trauma anesthesiologist to take care of President Ronald Reagan after an assassination attempt in 1981. Many of our graduates have chosen to stay with us at St. Joseph’s and St. Michael’s, educating the next generation of anesthesiologists.

Here is a list of our most recent alumni and where they went after training:

2017

Bilal Abadi, Private practice, AZ

Amber Campbell, Critical Care fellowship, University of Texas

Linda Hormozi, Cardiac anesthesia fellowship, Duke University

Victor Perkins, Private practice, NY

Namratha Prabhu, Pain Management fellowship, University of Rochester

Noah Rolleri, Cardiac anesthesia fellowship, Johns Hopkins University

John Ruth, Pediatric anesthesia fellowship, Children's National Medical Center (D.C.)

Pesach Schorr, Private practice, NJ

 

2016

Joseph Eisele, Private practice, NJ

Jeffrey Hsieh, Private practice, NJ

Yiaho Jiang, Private practice, NJ

Tripali Kundu, Pediatric anesthesia fellowship, Emory University

Michael Lapicki, Private practice, NJ

Abigail Meigh, Pediatric-anesthesia fellowship, Montefiore Medical Center

Alyssa Padover, Pediatric-anesthesia fellowship, Johns Hopkins University

 

2015

Justin Carbonello, Cardiothoracic anesthesia fellowship: Montefiore Medical Center

Susan Dadaian, Private practice, NJ

Michaella Davis-Phinn, Private practice, NJ

Gerald Garcia, Pediatric anesthesia fellowship: Arkansas Children’s Hospital, University of Arkansas

Michael Marji, Private/academic practice, NJ

Nadine Mirzayan, Obstetric anesthesia fellowship: Mount Sinai Medical Center/St. Luke’s

Neelema Sinha, Regional anesthesia fellowship: University of New Mexico

Dmitriy Yukhvid, Cardiothoracic anesthesia fellowship: Rutgers/ Robert Wood Johnson

 

2014

Georgina Sesana, Acute Pain & Regional anesthesia fellowship, The Cleveland Clinic

Maisie Tsang, Pediatric anesthesia fellowship, Hospital for Sick Children,Toronto

Sumreen Vaid-Pinyard, Regional anesthesia & Acute pain fellowship: University of Iowa

Lindsay Cammarata, Pediatric fellowship: Nemours DuPont Hospital for Children

Eliyahu Cooper, Private practice, NJ

Monica Goel, Private practice,  PA

Silvester Kagunye, Private practice, CA

 

2013

Joanne Spaliaras, Pediatric anesthesia fellowship, The Cleveland Clinic

Mark Conopio, Private practice in PA

Lars Galldin, Private/academic practice, NJ

Harmanjot Kaur, Private practice, NJ

Mira Kehar, Private practice, NJ

Eugene Wong, Private practice, CA

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Research

Research and Scholarly Activity

The Department of anesthesia has a robust program of research and scholarly activities resulting in multiple yearly presentations at national and regional conferences. While every resident must complete one scholarly project during training, many of them participate in multiple presentations. Our residents have been awarded for their projects and in 2016, the Director of OB anesthesia, Dr. Seth Landa, received “Best Obstetric Anesthesia Presentation” and tied for “Best Paper” at the International Anesthesia Research Society Meeting. The hospital has a strong research department, statistician and library staff to help with projects. Listed below are our scholarly presentations for 2016-2017.

 

 

Publications and Presentations

 

Enriquez L. et al  Book chapter: Coagulation Monitoring.  Kaplan’s Cardiac Anesthesia: In  Cardiac and Non-Cardiac Surgeries, 7th ed. February, 2017.

 

Prabhu N, Parvez U.  Conventional vs Endoscopic Radiofrequency Ablation for Treatment of Lumbar Facet Syndrome.  New York School of Regional Anesthesia 14th Annual Symposium.  Case report presentation,   September 19, 2015.

 

Campbell A, Ravi R, Landa S, Pakonis G.  Cephalosporin Use in the Penicillin Allergic Patient.  American Society of Anesthesiologists Annual Meeting, San Diego, CA.  Poster presentation, October 24, 2015.

 

Landa S, Winikoff S, Pakonis G.  Geographic Preferences of Medical Students Matching in Anesthesia: Implications for Residency Programs.  American Society for Anesthesiologists Annual Meeting, San Diego, CA.  Poster presentation, October 24, 2015.

 

Escano J, Lizardo-Escano T, Patel, Tse.  A Simple Mask Assembly Provided Pre-Oxygenation and Assisted Nasal Ventilation in a Morbidly Obese Patient during VL ETI and Post Extubation CPAP.  International Society for the Perioperative Care of the Obese Patient (ISPCOP) Fourth Annual Symposium, San Diego, CA.  Poster presentation, October 26, 2015.

 

Escano J, Cohen S, Denny, Lizardo-Escano T, Woo, Tse.  Does No Cost TSE Mask Improve Oxygenation and Reduce Severe Oxygen Desaturation in Obese Patients During Cardioversion/AICD Testing.  International Society for the Perioperative Care of the Obese Patient (ISPCOP) Fourth Annual Symposium, San Diego, CA.  Poster presentation, October 26, 2015.

 

Teplitsky, Zauk J, Perkins V, Upadya P.  Techniques and Rationale for Properly Securing the Nasal Endotracheal Tube.  Mid-Atlantic Anesthesia Research Conference, Portsmouth, VA.  Poster presentation, April 16, 2016.

 

Kundu T, Upadya P.  Satisfaction of Anesthesia Providers with Current Practices of Transition of Care.  7th Networking World Anesthesia Convention, New York, NY.  Poster presentation, April 20, 2016.

 

Woglom A, Upadya P.  Overcoming Design Barriers in an Independent Pediatric Surgical Center.  Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016.

 

Ravi R.  Retrospective Study of Intravenous Acetaminophen in The Pediatric Dental Surgery Ambulatory Population.  Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016.

 

Lizardo-Escano T, Ravi R.  Soothe The Pain Away.  Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016

 

Upadya P, Woglom A.  The Effects of Anesthetics On Postoperative Delirium In The Outpatient Surgical Center Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016.

 

Ravi R.  Retrospective Study of Intravenous Acetaminophen in The Pediatric Dental Surgery Ambulatory Population

Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016.

 

Upadya P, Woglom A.  The Effects of Anesthetics On Postoperative Delirium In The Outpatient Surgical Center.  Society for Ambulatory Anesthesia 31st Annual Meeting, Orlando, FL.  Poster presentation, May 5, 2016.

 

Prabhu N, Parvez U.  Radiofrequency ablation for chronic back pain: a comparison of two techniques of radiofrequency ablation in the management of lumbar facet syndrome.  35th Annual Scientific Meeting of the American Pain Society, Austin Tx.  Poster presentation, May 11, 2016.

 

Landa S, Costa D, Markley J, Woglom A, Jiang A, Hormozi L.  Ketorolac Prevents Nausea and Vomiting Related to Uterine Exteriorization During Cesarean Section: A Randomized, Controlled Double-Blinded Study.  International Anesthesia Research Society 2016 Annual Meeting  San Francisco, CA.  Poster presentation, May 21, 2016.

 

Kundu T, Upadya P.  Quality Improvement Iniative: Developing a Standard Hand-Off Protocol for Utilization Amongst Anesthesia Providers to Enhance Intra-operative Communication.  International Anesthesia Research Society 2016 Annual Meeting, San Francisco, CA.  Poster presentation, May 21, 2016.

 

Abadi B, Uva N, Linaac, Sung HC, Ramireddy H, Jakimovski, Upadya P, Genovese.  A Novel Interdiscplinary Approach To Reducing Preoperative Laboratory Testing - A Step Toward The Peri-Operative Surgical Home?  2016 St. Joseph's University Medical Center Research Day, Paterson, NJ.  Poster presentation, June 1, 2016.

 

 

Abadi B, Ramireddy H, Upadya P.  The Ongoing Tale of Preoperative Testing in ASA 1 Patients: The Cost of Gender Discrepancies.  Poster presentation at the 2016 Annual Meeting of the American Society of Anesthesiologists, October 22, 2016.

 

Upadya P, Parikh F, Mackenzie S.  Incidence of Post-Operative Nausea and Vomiting.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Mekhjian H, Upadya P.  Hemiplegic Conversion Disorder Followng Suction D&C in a Patient with No Prior Psychiatric History.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Upadya P.  Promoting Safety in the Ambulatory Surgical Center.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Upadya P, Parikh F, Mackenzie S.  Under-utilization of Apfel Scores Necessitating Further Educational Strategies.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Upadya M, Meyer M.  Comparison of m-YPAS scoring between Pre-operative Nursing and Anesthesiologist in the Outpatient setting.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Mackenzie S, Parikh F, Upadya F.  Cost-effective Use of Single-dose Intra-operative Dexamethasone in the Prevention of Post-operative Nausea and Vomiting: A Prospective Observational Study.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Bauman G, Upadya P.  Outpatient Comparison and Utilization of the M-YPAS Assessment to Estimate the Level of Anxiety at Induction of Anesthesia for the Pediatric Patient by Anesthesiologist and Nurse. Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Ramireddy H, Abadi B, Upadya P.  The Continued Tale of Pre-operative Testing: A Glance at the Sub-specialty Cost of ASA I Patients.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Schanzer J, Mekhjian H, Upadya P.  Case Report: Over-utilization of Hospital Resources in the Non-Compliant Bipolar Patient.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

Mackenzie S, Parikh F, Upadya P.  Excessive use of Medications Causing Low Incidence of Post Operative Nausea and Vomiting in a Community Teaching Hospital.  Poster presentation at PGA-70, Post Graduate Assembly in Anesthesiology, sponsored by the New York State Society of Anesthesiologist, December 9, 2016.

 

 

Winikof S, Meyer M, Landa S, Parikh F, Ruth J.  Utilization of Non-Opioid Analgesics for Post-Operative Pain in the Pediatric Population.  Poster presentation at the Society for Pediatric Anesthesia-American Academy of Pediatrics 2017 Annual Meeting, March 4, 2017.

 

Ruth J, Chan K.  Multimodal Anesthetic Approach for Fast Tracking Surgical Repair of Ostium Secundum Atrial Septal Defect Patients.  Poster presentation at the Society for Pediatric Anesthesia-American Academy of Pediatrics 2017 Annual Meeting, March 4, 2017.

 

Parikh F, Chan K.  The Anesthetic Management of a Girl With West Syndrome.  Poster presentation at the Society for Pediatric Anesthesia-American Academy of Pediatrics 2017 Annual Meeting, March 4, 2017.

 

Ruth J, Chan K, Winikoff S.  Multimodal Anesthetic Approach for Fast Tracking Surgical Repair of Ostium Secundum Atrial Septal Defect Patients.  Poster presentation at the New Jersey State Society of Anesthesiology 2017 Annual Meeting, March 11, 2017.

 

Hormozi L, Ravi R, Lewis S.  Wellens’ Syndrome: A Potentially Catastrophic Near-Miss in the Perioperative Period.  Poster presentation at the Society of Ambulatory Anesthesia 32nd Annual Meeting, May 6, 2017.

 

Landa S, Marji M, Rolleri N, Akhtar S, Zisa S.  Anesthetic Management of Cesarean Section in a Rare Variant of Ehlers-Danlos Syndrome.  Poster presentation at the Society for Obstetric Anesthesia and Perinatology 49th Annual Meeting, May 14, 2017.

 

Landa S, Chan K, Costa D, Lizardo-Escano T.  Music in the Section Room? The Obstetrician's Perspective.  Poster presentation at the Society for Obstetric Anesthesia and Perinatology 49th Annual Meeting, May 14, 2017.

 

Upadya P, Schorr D.  Subdural Hematoma After Epidural Placement – A Case Report.   Presented  at Research Day, St. Joseph’s University Medical Center, May 25, 2017.

 

Perkins V, Mara, Zauk J, Upadya P.  Technique Variations of Securing the Naso-endotracheal tube, the Dentist’s Preference.  Presented at the American Academy of Pediatric Dentists 2017 Annual Meeting, May 27, 2017.

 

 

 

 

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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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