Leaders in Anesthesia

We don’t just talk about leadership. We teach leadership.

At St. Joseph’s our residents are taught how to be leaders, whether in their departments, hospitals, medical societies, communities or operating rooms.  Our residents serve on hospital, local and national committees; we give a “Leadership Symposium” to teach the many aspects of professionalism, practice management and broader healthcare issues.  Here is a small sample of our graduates who are current leaders and educators in the field:

Walter Lapicki, DO, 1989 - Chairman, Dept. of Anesthesia, Hunterdon Medical Center, Hunterdon, NJ.

Mark Badach, MD, 1991 - Chairman, Dept. of Anesthesia, St. Joseph’s Wayne Medical Center, Wayne, NJ.

Wilson Nuesa, MD, 1992 - Vice President of the Northern NJ Area, North American Partners in Anesthesia; Chairman, Dept of Anesthesia,  St. Mary’s Medical Center, Passaic, NJ.

Matt Chalfin, MD, 2007 - Director of Anesthesia at Health East Medical Center, Englewood, NJ.

Anson Moise, MD, 2009 - Founder and Chairman, Northeast Anesthesia and Health East Medical Group and Pain Specialists of New York and New Jersey; Medical Director, Health East Ambulatory Surgery Center, Englewood, NJ.

Jonathan Markley, DO, 2008 - Chairman Dept. of Anesthesia, East Orange Medical Center, East Orange NJ.

Daria Costa, DO, 2011 - Clinical Director and Chief of Neuroanesthesia, Dept. of Anesthesia,  St. Joseph’s University Medical Center, Paterson, NJ.

Georgina Sesana, MD, 2014 - Director of Regional Anesthesia, St. Joseph’s University Medical Center.

Pam Upadya, MD, 2003 - St. Joseph’s University Medical Center, Paterson , NJ: Founder and Co-Director, Simulation Training Laboratory; Chairperson, Medical Executive Committee; Director of Research, Dept. of Anesthesia; Medical Director, Compliant Documentation Management Program,  Associate Program Director, Anesthesia Residency.

Kiran Kuna, MD, 2006 - Member, Board of Trustees, Chief of Anesthesiology, 2019 Physician of the Year, Carroll Hospital, Carroll County, Maryland.

Andre Robinson, MD, 2006 - Chairman, Dept. of Anesthesia, Penn State Health/St. Joseph’s, Reading Pa.

And just a few of our recent grads making their mark in academic medicine:

Maisie Tsang, MD, 2014 - Medical student and Electives Coordinator, Hospital for Sick Children, Toronto, Canada.  Co-author of “A 4 year quality improvement initiative reducing post‐operative nausea and vomiting in children undergoing strabismus surgery at a quaternary paediatric hospital” in Paediatric Anesthesia, May 2019.

Joanne Spaliaris, MD, 2013 - Assistant Professor, Montefiore Medical Center, Bronx, NY; Contributing Author: Neuroanesthesia: A Problem Based Learning Review; Basic Anesthesiology Exam Review.

Mushfique Ahmed, MD, 2018 - Completed a regional anesthesia fellowship at University of Pittsburgh Medical Center.  Following a medical mission to Bangladesh (during his residency at St. Joseph’s University Medical Center) where he treated children in need of plastic surgery, Mushfique has opted to do a second fellowship at Pittsburgh in pediatric anesthesia, which will make him a pediatric regional anesthesia specialist!


Contact / Directions

Contact us:

Joann Runo
Program Coordinator
Office: (973)-754-2323

Directions :

From New York City

Take GW Bridge to Route 80 west (local or express lanes) for approximately 12 miles. Take Exit 58A Madison Avenue/Clifton (NOT Madison Avenue/Paterson) bear sharp right - Continue right at the yield sign to Madison Avenue and continue to the second light and make right turn onto Main Street north. Proceed under the railroad trestle and St. Joseph's parking pavilion will be on the right.

From Northern areas

Take Garden State Parkway south to Exit 158 - Route 80 west, then follow directions above from New York City.

From Western areas

Traveling east on Route 80 take Exit 58A Madison Avenue/Clifton. Make sharp right up the ramp to Madison Avenue and continue to the second light and make right turn onto Main Street north. Proceed under the railroad trestle and St. Joseph' sparking pavilion will be on the right

From Southern areas

Traveling north on the Garden State Parkway to Exit 155P for Route 19. Follow signs for Route 19. Travel on exit ramp to first for Broad Street/Clifton. Make a right at the end of the exit ramp on to Broad Street. Follow road under train tracks and bear left. Road becomes Marshall Street. Turn right on to Barclay Street. Hospital is directly in front of you. Follow signs to visitors parking.


How to Apply

The St. Joseph’s University Medical Center/NYMC Anesthesia residency program accepts applications through the AAMC Electronic Residency Application Service (ERAS) only. Please contact your medical school for information regarding the process for submitting application materials.
Please provide the following information through ERAS :

  • Curriculum Vitae
  • Personal Statement
  • Photo
  • Medical School Transcript / USMLE scores
  • Dean's Letter
  • 2 letters of recommendation (minimum)

We will begin reviewing applications September 15. The interview season will start in October and last through January. The interviews are conducted in small groups of 6-7 residents so that we get to spend adequate time getting to know each of our applicants. Interview days commence at 11 AM and typically last to approximately 4:30 PM. Local lodging can be recommended by our program coordinator, Joann Runo.

Note: In light of the uncertainty surrounding the ongoing pandemic we expect several changes in the interview process. The ERAS system has altered its timetable and our societies are urging videoconference rather than in-person interviews. We are working on updating this website to include more video recorded  messaging so you can meet our faculty, see our hospital  and get a feel for the our brand of training!
For additional information regarding the application process you may contact:

Joann Runo
Program Coordinator


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 (an NRMP Joint Advanced/Preliminary Program) for those who match into anesthesia and would like to do a preliminary year of surgery. The year will focus on medical management of the surgical patient, preoperative evaluation and preparation for surgery, trauma and intensive care and invasive monitoring. Residents will also become comfortable with the St. Joseph’s OR environment allowing a seamless transition into anesthesia training. All other positions begin at the PGY2/CAY1 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, “hipster” 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 scenic 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 60 hours/week.

How frequent is overnight call?

Between 5-6 overnight calls/month.

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

St. Joseph’s University Medical Center is a major teaching hospital and tertiary care center with multiple residencies and fellowships in almost all major specialties. We sponsor our own residency programs. St. Joe’s is an affiliate of Rowan University School of Osteopathic Medicine, Hackensack/Meridian School of Medicine at Seton Hall University and St. George’s School of Medicine and has medical student rotators from several institutions. 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 always 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.


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!

Graduation dinner

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.

Game of Thrones fan? Check out our most recent attending holiday video ( at least the intro)! The resident video was far better, but not suitable for display!!!

Resident/Attending Night Out
New resident welcome party

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.

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:


  • Robert Hill, Pediatric anesthesia fellowship, University of Texas, Houston
  • Pooja Gupta, Pediatric anesthesia fellowship, The Cleveland Clinics
  • Jack Karera, Pediatric anesthesia fellowship, Johns Hopkins
  • Shannale Lewis, Academic/Private practice, New Jersey
  • Samuel Landa, Private practice , New Jersey
  • Chan Li a Ping, Private practice Long Island, New York
  • Phoebe Levine, Private Practice, Long Island, New York
  • Matt Truocchio, Private practice, Arizona


  • Mushfique Ahmed, Regional anesthesia Fellowship, University of Pittsburgh; Pediatric Anesthesia Fellowship, University of Pittsburgh
  • Catie Coin, Private Practice, California
  • Foram Parikh, Pediatric anesthesia fellowship, Cincinnati Children’s Hospital
  • Shauna Mackenzie, Academic/Private practice, New Jersey
  • Kathleen Johansen, Private practice , Long Island, New York
  • Therese Lizardo-Escano, Academic/Private practice, New Jersey
  • Jarrett Schanzer, Private Practice, Florida
  • Harini Ramireddy, Private practice, California


  • 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


  • Joseph Eisele, Private practice, New Jersey
  • 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


  • 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


  • 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
  • Silvester Kagunye, Private practice, CA


Dr. Landa presenting at The Society of Obstetric Anesthesia and Perinatology Meeting, 2019

Award winner, International Anesthesia Research Society

Dr. Landa presenting at Society of Anesthesia and Perinatology meeting

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 will complete at least one scholarly project during training, many of them participate in multiple presentations. Our residents and attendings have been awarded for their projects in the past. The hospital has a strong research department, statistician and library staff to help with projects. Listed below are our scholarly presentations for 2017-2019



  • Upadya, Atoot, Albik, Meyer, Hong, Stillman, She.  The Effect of Analgesic Adjuvants on Emergence Delirium.  Poster presentation, Anesthesiology 2018 - American Society of Anesthesiologists Annual Meeting, San Francisco, CA, October 13-17, 2018.
  • Upadya, Atoot, Albik.  Emergence Delirium Scale Modified.  Poster presentation, Anesthesiology 2018 - American Society of Anesthesiologists Annual Meeting, San Francisco, CA, October 13-17, 2018.
  • Upadya, Atoot, Albik.  Facilitated Delirium Detection in the Ambulatory Setting.  Anesthesiology 2018 - American Society of Anesthesiologists Annual Meeting, San Francisco, CA, October 13-17, 2018.
  • S M Landa, Uapdya,P Meyer,M Bauman G.  Can Pre-Operative Anxiety Scales Be Used To Predict Post-Operative Delirium?  Poster Presentation, PGA-72, New York State Society of Anesthesiologists Post Graduate Assembly Annual Meeting, New York, NY, December 7-11, 2018.
  • LaMonica, Hill.  Successful Use of IV Cosyntropin for Post Dural Puncture Headache.  Poster Presentation, PGA-72, New York State Society of Anesthesiologists Post Graduate Assembly Annual Meeting, New York, NY, December 7-11, 2018.
  • Upadya, Komer, Saffran.  Medical Student Simulation Experiences – The Changing Times.  Poster Presentation, PGA-72, New York State Society of Anesthesiologists Post Graduate Assembly Annual Meeting, New York, NY, December 7-11, 2018.
  •  Levine,A  Upadya,P  Wieland,T  Rahman.  Awareness of Cost and Resource Usage.  Poster Presentation, American Society of Anesthesiologists Practice Management Conference, Las Vegas, NV, January 18-20, 2019.
  • Truocchio,M.  Postpartum Cortical Vein Thrombosis.  Poster presentation, New Jersey State Society of Anesthesiologists 60th Annual Meeting, New Brunswick, NJ.
  • Li-A-Ping.  RV Failure Secondary to Coronary Embolization of Mitral Valve.  Poster presentation, New Jersey State Society of Anesthesiologists 60th Annual Meeting, New Brunswick, NJ.
  • Singh,C  Landa,SE Costa,D Sakowitz-Cohen,N  Successful Spinal Anesthesia for Cesarean Section in a Parturient with Spondyloepiphyseal Dysplasia Congenita.   Case Report, Case Series presentation, Society for Obstetric Anesthesia and Perinatology 51st Annual Meeting, Phoenix, AZ, May 1-5, 2019. Awarded as a “Most Outstanding Case Report” SOAP 2019.
  • SE Landa.  Alternatives to Opioids (ALTO): An Initiative to Reduce Opioid Use in Cesarean Section Patients.  Poster presentation, Society for Obstetric Anesthesia and Perinatology 51st Annual Meeting, Phoenix, AZ, May 1-5, 2019.
  • Scheinberg, Boyd, Calhoun.  Beyond the Dark Room:  A General Review of the Management of Critically Ill Patients.  Poster presentation, American Roentgen Ray Society 2019 Annual Meeting, Honolulu, HI, May 5-10, 2019.
  • Komer, Nandigam, Grinn.  Preoperative Thromboelastography as a Predictor of Transfusion Requirement in Cardiac Surgical Patients. Poster presentation, Society of Cardiovascular Anesthesiologists 41st Annual Meeting and Workshop, Chicago, IL, May 18-21, 2019.
  • Kimmel,J, Grinn, M.  The Perioperative Management of a Patient with Sickle Cell Beta Thalassemia for Aortic Valve Replacement on Cardiopulmonary Bypass. Poster presentation, Society of Cardiovascular Anesthesiologists 41st Annual Meeting and Workshop, Chicago, IL May 18-21, 2019.
  • Landa, S.  A Life Lost Every Nine Minutes: How GME Can Help Solve the Opioid Crisis. Educational session at ACGME National Meeting, Orlando, Florida, March 8, 2019.
  • Upadya, P. Summary of Simulation Experience Among Third Year International Medical Students, Presentation, 19th International Meeting on Simulation in Healthcare, San Antonio, Jan, 2019
  • Scheinberg, D, Lashin, K, Landa, S, Dhaliwal, P. Surviving the Toxic Flood, Accepted fpr poster presentation, 2019 ASA Annual Meeting, Orlando,Fla, October 2019
  • Lashin, K, Scheinberg, D, Saffran, S.  When Looks Could Kill. Accepted for poster presentation, 2019 ASA Annual Meeting, Orlando, Fla, October 2019
  • Enriquez L. et al  Book chapter: Coagulation Monitoring.  Kaplan’s Cardiac Anesthesia: In  Cardiac and Non-Cardiac Surgeries, 7th ed. February, 2017.
  • Ravi R.  Retrospective Study of Intravenous Acetaminophen in The Pediatric Dental Surgery Ambulatory Population
  • 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.


  • Ashman, Ward, Umanoff, Paskhover.  Minimal Invasive Trigeminal Ablation: A Novel Transoral Technique for Targeted Treatment of  V3.  World Neurosurgery (2018) Oct 118:193-196.
  • Ward, Kandinov, Mammis, Umanoff, Paskhover.  Endoscopic Pericranial Flap Repair of Occipital-Frontal Electrode Erosion.  World Neurosurgery (2018) Nov 119:300-303.
  • Ward, Blanco, Mammis, Umanoff, Paskhover.  Minimal Invasive Trigeminal Ablation: A Trans-Oral Approach for Targeting V2.  World Neurosurgery (2018) Dec 120:211-213.
  • Boyd, Scheinberg, Prasad, Markley, Yablonsky. Primer on sedation, analgesia, and local anesthetic for the IR. IR Quarterly, Summer 2019

Book Chapter

LaMonica, Antoine, Carullo, Regional Anesthesia: Neuraxial in “Clinical Pediatric Anesthesia” McGraw-Hill pub, release, Fall 2019



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.



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:
Cardiothoracic anesthesia
Pain management (focus on regional anesthesia for post-op pain, catheter techniques, chronic pain and procedures).
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, Director)
Under the guidance of our Board-certified 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 ( 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.  Some of the procedures done in the pain center include epidural injections, facet injections, sacroiliac joint injections, nerve blocks, trigger point injections, radiofrequency ablation, discography, spinal cord stimulation, intrathecal pumps, percutaneous discectomy, 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; 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 our 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 :  
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, Georgina Sesana, 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 several fellowship-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.


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. Our IRB is active and supportive of hospital-wide research activities and sponsors a yearly “St. Joseph’s Research Day” presentation and competition.

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, “flipped classroom” 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. We have recently joined the “Anesthesia Toolbox”, an online collaborative anesthesia learning community which provides comprehensive educational material across all three years of training. 

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, Chair at St. Michael’s Medical Center, completed a Masters in Health Care Delivery Science, and 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:  Teaching our many rotating medical students from a variety of medical schools is an essential and satisfying component of the learning experience. We have introduced a “Teaching Residents to Teach” curriculum which focuses on how to teach in the challenging 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 and award winning librarians to assist you with your studies and projects.

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