Sinai Hospital is a large community-based tertiary care center and Maryland's third largest teaching hospital. In the Department of Surgery and affiliated specialties the categorical surgical residents will be exposed to over 5,000 cases per year, in both inpatient and outpatient setting.
The breadth of exposure for the resident includes all essential components of general surgery, as well as specialties like orthopedics, neurosurgery, gynecology & GYN oncology, urology, soft-tissue surgery, and so forth (see rotations and schedules ).
Although the surgical resident will receive the majority of his or her training at Sinai Hospital, we have carefully chosen strategic teaching institutions of outstanding reputation and high clinical volume to supplement the training of each resident. For a more detailed description of each institution and their educational rationale, please visit the appropriate Web pages on our site or the respective hospital's propitiatory web pages..
Due to work-hour restrictions and other recent changes in resident education paradigms, a large number of training programs in surgery have been forced to limit or completely remove the majority of (sub-)specialty and strategic outside hospital rotations to cover services within their main hospitals. In contrast to this approach, the Program in Surgery at Sinai Hospital has designed the general surgery residency with a focus on well-balanced and broad-based education. This means that the program at Sinai specifically includes subspecialty rotations in areas relevant to the practicing Surgeon.
To emphasize the focus of education over service, the resident's schedules are designed to stay on, average, well below the maximum of 80 hours per week. This allows for greater flexibility on the part of the individual resident to maximize continuity of patient care and involvement in interesting cases.& Educational time is protected and participation in the various components of structured education (lectures, interactive conferences, workshops, courses, skills labs, etc.) is expected to be at least 85% for any given resident during any given academic year.
Rotations are designed to provide the resident with a balanced blend of responsibilities, learning opportunities and sufficient number and variety of cases on an ongoing basis. We expect our residents to participate in around 200 cases per year.
Although most services and learning opportunities are available within the main hospital, strategic affiliations and specialty rotations at outstanding, high volume teaching institutions in the region are designed to complement the resident's experience.
Rotations at Sinai:
- Red Surgery w. focus on Trauma, Emergency Surgery, Pediatric Surgery, Surgical Oncology
- Blue Surgery w. focus on Minimally Invasive & Bariatric Surgery, Thoracic Surgery, Vascular Surgery
GI & Endoscopy
The Johns Hopkins Hospital is one of the premier teaching institutions in this country. Sinai Hospital has a long-standing history of academic affiliation with Hopkins: The internal medicine residency at Sinai is fully integrated with Hopkins, medical students and fellows in various specialties rotate at Sinai throughout the year, and until the academic year 2005 up to 10 surgical residents from the Johns Hopkins general surgery residency program rotated full time at Sinai Hospital as one of the integrated training sites. The core general surgery faculty as well as faculty in various other specialties at Sinai all hold faculty appointments at Hopkins and are involved in collaborative research efforts.
As part of the Sinai Surgery program, residents will attend Grand Rounds, and the animal operatory lab at Hopkins on a monthly basis.
Two strategic rotations at Hopkins have been designed to complement the training of Sinai Surgery residents: As PGY III the resident will join the solid organ transplant team, under the direction or Dr. Robert Montgomery. This rotation will expose the Sinai resident to the science and clinical practice of pancreas, kidney and liver transplantation at a high-volume academic center. The Sinai resident is an integrated member of the transplant team and will participate in a variety of basic science and clinical educational conferences and lectures. As PGY IV the Sinai surgical resident will spend six weeks on the plastic/head and neck surgery service at Hopkins. The chief, Dr. Paul Manson, is one of the fathers of plastic surgery and has created one of the busiest and most comprehensive divisions in the country. Services span the fields of trauma and oncologic reconstructive surgery, pediatric (including craniofacial deformities), burn and cosmetic plastic surgery. The Sinai resident will be an integrated member of the team and interact with Hopkins residents and fellows in plastic surgery. The comprehensive array of core curriculum and other educational activities provides for a great experience.
Rotations at Hopkins:
The RA Cowley Shock Trauma Center is one of the country's premier trauma centers. The Sinai Surgery resident (PGY III) will complement the trauma training received at Sinai at this high-volume (> 7,500 patients per year) high-ISS (mean > 15) center during a six-week rotation. During that time, the resident will have the opportunity to work and exchange ideas with surgery and emergency medicine residents and trauma, anesthesia and critical care fellows from all over the country. The faculty is highly diverse, academic and focused on teaching. Educational activities include weekly M&M, resident core curriculum anatomy and other sessions, as well as certification in ATLS (PGYI), FAST (PGY II) and ATOM (PGYIII). Outside of the trauma and critical care experience, Shock Trauma houses one of the largest Hyperbaric Oxygen Centers in the country. The Sinai Surgery resident spends four weeks on the soft tissue service, where he or she will learn, in one-on-one training with the attending and highly experienced mid-level providers, the care of complicated soft tissue injury and infection.
In addition to this rich experience, as outlined in the section for the value-added year, our residents may choose to pursue a career in trauma surgery and critical care, by completing a one-year fellowship at the Shock Trauma Center after their PGY III year.
Rotations at Shock Trauma:
Sinai Hospital has an active Pediatric Surgery service; but to enhance certain aspects of this experience (complex neonatal surgery, pediatric trauma, pediatric organ transplantation, adolescent bariatric surgery) the residents (PGY III) will rotate at the Alfred I duPont Children's Hospital as an integral member of the Pediatric Surgery team.
The duPont Hospital is the only children's hospital in the state of Delaware and also serves the populations of the Eastern Shore (Maryland) and New Jersey. The Pediatric Surgery Service cares for neonates, infants, children and adolescents with a variety of problems including congenital, neoplastic, infections and trauma, and organ failure. The Division of Pediatric Surgery performs over 1,400 operative cases per year, which include minimally invasive and adolescent bariatric surgery and pediatric organ transplantation.
The rotation will provide additional educational experience to the Sinai residents in the form of pediatric surgery specific M&M conferences, resident teaching conferences, pediatric tumor board, pathology and gastroenterology conferences and a monthly pediatric trauma conference. Dr. Kirk Reichard, the clinical director, before joining duPont Hospital, was a long-standing faculty member at Sinai and received numerous citations for his excellence in resident teaching. The division has an established track record of resident education (Jefferson University System) and the residents will participate in a comprehensive syllabus.
Rotations at DuPont: