Clinical Rotations

Our clinical rotations include: Junior Surgical Residency (PGY-1 and PGY-2), Senior Surgical Residency (PGY-3 & PGY-4), an Overseas Rotation, and Surgical Chief Residency (PGY-5).

Junior Surgical Residency (PGY-1 and PGY-2)

The first two years offer a broad introduction to the art and science of surgery. Residents learn to diagnose a wide range of surgical problems within general surgery and the surgical subspecialties. While the curriculum emphasizes pre and post-operative management of surgical problems, residents also gain surgical experience under the direct guidance of an attending surgeon.

All rotations are at the Icahn School of Medicine at Mount Sinai, unless otherwise noted.

PGY-1:

  • Three months on General Surgery at ISMMS
  • Two months on General Surgery/Trauma Service at EHC
  • Two months on SICU
  • One month on Plastic Surgery
  • One month on Vascular Surgery
  • One month on Surgical Oncology
  • One month on Orthopedic Surgery/Urology at EHC

PGY-2:

  • Two months on Breast Surgery/Surgical Oncology
  • One month on General Surgery/Trauma Service at EHC
  • One month on Thoracic Surgery
  • One month on the Burn Unit/Radiology at Jacobi Medical Center
  • One month on Vascular Surgery
  • Two months on General Surgery/ER Consult Service
  • One month on Liver/Kidney Transplant
  • One month on Endoscopy at Queens Hospital Center
  • One month on Anesthesiology/Pathology

We have established a two-week rotation in Surgical Pathology for PGY-2 residents. Surgical residents will have the opportunity to work with a Pathology attending and resident in the analysis of surgical specimens, performance of frozen sections and participation in autopsies.

PGY-2 residents will also spend two weeks in Anesthesiology. During this rotation, residents will learn to understand the pathophysiology of pain management, perioperative assessment and principals of airway and intraoperative management.

Senior Surgical Residency (PGY-3 & PGY-4)

During the third and fourth years, residents assume increasing responsibility in all aspects of patient care. Third and fourth year residents either act as the senior on a large general surgery service (supervised by a chief resident and attending surgeons) or as the chief resident on a smaller specialty (i.e. Hepatobiliary, Thoracic, Cardiac, or at an affiliate hospital).

PGY3:

  • Five months on General Surgery at ISMMS
  • Two months on General Surgery/Trauma Service at EHC
  • One month on General Surgery at James J. Peters VA Medical Center
  • Two months as Chief Resident of Pediatric Surgery
  • One month in the Dominican Republic

PGY4:

  • Five months on General Surgery at ISMMS
  • Four months on General Surgery/Trauma Service at EHC
  • One month on General Surgery at James J. Peters VA Medical Center
  • One month on Vascular Surgery
  • One month elective

Electives

A new four-week elective rotation has been implemented for the PGY4 categorical residents, allowing them the opportunity to explore their personal interest in other surgical specialties, either within Mount Sinai or outside institutions, in the setting of their choice. Examples of elective rotations have included Thoracic, Trauma, Endocrine, Transplant and Colorectal surgery.

Overseas Rotation

As part of our residents’ training, during their PGY-3 year they spend 1 month on a clinical rotation in the Dominican Republic. Senior surgical residents can operate in an environment culturally and socioeconomically distinct from their own. Here, they learn to observe, appreciate and ultimately incorporate valuable skills and lessons into patient care. This opportunity also allows senior residents to contribute to the global community as humanitarians

Our institution provides an ongoing clinical rotation in which surgical residents rotate on a routine basis to a rural hospital in the Dominican Republic. The local population benefits from the medical care provided by these residents. At the same time, the residents themselves benefit from working in an environment with limited resources distinctly different from their own, allowing them to improve their surgical and medical skills.

Surgical Chief Residency (PGY-5)

During the chief resident year, residents supervise General Surgery service, charged with the responsibility of patient care and for supervising the junior and senior residents below them. Chief residents perform a wide range of surgical procedures under the supervision of an attending surgeon.

PGY5:

  • Seven months on General Surgery at ISMMS
  • Two months on General Surgery/Trauma Service at EHC
  • One month on General Surgery at James J Peters VA Medical Center
  • Two months on Surgical Oncology

Affiliate Hospitals

The Icahn School of Medicine at Mount Sinai General Surgery Residency Program has affiliations with several premiere healthcare institutions in the New York metropolitan area. Each partner excels in distinct specialties to create a unique program that offers broad-based training in a VA facility and a city hospital. Together, these different environments complement the tertiary care experience gained at Mount Sinai.

Elmhurst Hospital Center

Elmhurst Hospital Center (EHC) is a completely modernized facililty which serves as the major tertiary care provider in the borough of Queens. The 545-bed hospital is a highly-regarded Level I Trauma and Stroke Center. In 2013, EHC received close to 700,000 ambulatory care visits and over 130,000 Emergency Room visits, making it one of New York City’s busiest ER and trauma centers. Elmhurst is a premiere health care organization and a regional referral center for trauma services, cardiac catheterization, neurosurgery, Adult, Adolescent, and Pediatric psychiatric services and rehabilitative medicine. Designated as an American Cancer Society (ACS) Teaching Hospital, Elmhurst Hospital Center serves an area of nearly one million people in one of the most ethnically and linguistically diverse communities in the United States. Patients come from across the globe, speaking a multitude of languages and dialects and bringing with them their particular beliefs and customs. Elmhurst is responsive to their needs, and makes every effort to alleviate cultural barriers and to ensure that its patients are provided with the quality healthcare they deserve. Culturally-sensitive care is a hallmark of its highly-regarded Mental Health Services.

James J. Peters Veterans Affairs Medical Center

The oldest Veterans Affairs (VA) facility in New York, The James J. Peters VA Medical Center has served United States veterans for more than 75 years. Today, The James J. Peters VA Medical Center is a multi-level health care center of excellence, accredited by the Joint Commission on Accreditation of Healthcare Organizations. The institution also holds distinction as a Veterans Health Administration designated ‘Comprehensive Cancer Center’ approved by the Commission on Cancer of the American College of Surgeons. The outpatient service includes ten separate practices encompassing dozens of specialties and sub-specialties. Inpatient wards support 311 beds and a 120-bed nursing home care unit.

Electives

A four-week elective rotation has been implemented for the PGY4 categorical residents, allowing them the opportunity to explore their personal interest in other surgical specialties, either within Mount Sinai or outside institutions, in the setting of their choice. Examples of elective rotations have included Thoracic, Trauma, Endocrine, and Transplant and Colorectal surgery.

Overseas Rotation

As part of our residents’ training, during their PGY-3 year they spend 1 month on a clinical rotation in the Dominican Republic. Senior surgical residents can operate in an environment culturally and socioeconomically distinct from their own. Here, they learn to observe, appreciate and ultimately incorporate valuable skills and lessons into patient care. This opportunity also allows senior residents to contribute to the global community as humanitarians

Our institution provides an ongoing clinical rotation in which surgical residents rotate on a routine basis to a rural hospital in the Dominican Republic. The local population benefits from the medical care provided by these residents. At the same time, the residents themselves benefit from working in an environment with limited resources distinctly different from their own, allowing them to improve their surgical and medical skills.