The Icahn School of Medicine at Mount Sinai offers a wide range of resources to support residents’ academic pursuits and professional development. The department encourages resident participation and presentation in national meetings and finances travel expenses. Fourth–year residents attend the spring meeting of the American College of Surgeons (ACS), and all Chief Residents have the opportunity to attend the ACS fall meeting.
All surgical residents are provided with their own multimedia tablet to assist them in their independent educational pursuits. They are also given individual subscriptions to The Fundamentals of Surgery, an online, interactive, case management curriculum developed by the American College of Surgeons. Containing a reference guide and other resources for additional study, the curriculum helps residents develop critical thinking skills by working through more than 90 cases of varying difficulty.
Residents receive access to the Gustave L. and Janet W. Levy Library. Online resources include 89 databases, such as Medline/PubMed and AccessMedicine, and more than 11,000 full-text e–journals.
Residents have 24-hour access to the Resident Library, conveniently located near the operating rooms. The library offers:
- Audio-visual equipment
- Computer terminals with high–speed Internet access
- Laparoscopic trainers for honing minimally invasive surgical skills
Surgical Simulation Center
The Icahn School of Medicine offers a state-of-the-art Surgical Simulation Center, equipped with:
- Laparoscopic and endoscopic simulators
- Inanimate models
- Web-based learning modules
- Fundamentals of Laparoscopic Surgery (FLS) training boxes
- Fundamentals of Endoscopic Surgery (FES) GI mentor
Every two weeks, residents spend four hours mastering surgical techniques in the Simulation Center. The Program Director monitors residents' progress during the sessions, using defined metrics, and provides ongoing performance feedback.
Faculty members are available during scheduled training sessions to instruct residents on surgical techniques. In addition, junior and senior residents work together in assigned training sessions to simulate surgical collaboration.
Resident Work Hours
Mount Sinai strictly adheres to the resident work hour guidelines mandated by the Accreditation Council for Graduate Medical Education (ACGME) and New York State law. Specific limitations on resident work hours can be found at: www.acgme.org.
The following guidelines apply to residents schedules:
- Residents will not be at the hospital more than 80 hours per week.
- All residents will receive one day off per week.
- Call periods will not exceed 24 hours.
- In-house call no more frequent than every third night.
- Residents will receive 8 hours off between shifts.
These guidelines apply to all resident levels.
During the first year, resident day call, referred to as ‘consult’, varies from one to two times per week by affiliate site and surgical service.
At Mount Sinai, Physician Assistants and Nurse Practitioners assist first and second year residents with routine care, ensuring maximum learning and operating opportunities for residents.
Surgical Boot Camp
The Surgical Boot Camp is a three-day surgical skills session for incoming surgical interns covering basic surgical skills and radiology, floor management principles and professionalism. This camp was designed, implemented and executed by surgical residents as teachers. The primary purpose of the boot camp is to raise the confidence levels of interns in performing technical skills, managing emergent situations, pain management, as well as teaching professionalism, and improving medical knowledge. The surgical boot camp prepares interns for their daily duties and gives them a solid foot hold from early on allowing them to move forward in their training rapidly, despite duty hour restrictions. This camp will be expanded in the upcoming years to include a cadaveric and anatomic component as well as simulation emergency care management.
Surgical Skills Curriculum
All surgical residents are allotted protected-time from clinical duties to attend formal mandatory simulation-based surgical skills courses which take place on a monthly basis on Friday mornings. The skills curriculum is based on the ACS/APDS (Association of Program Directors in Surgery) Surgery Skills Curriculum for Residents. The skills sessions cover a range of topics including basic surgical and laparoscopic skills to more advanced practices including vascular techniques and colorectal surgery with both inanimate and animate models. This session incorporates surgical simulation technology with increased difficulty at each progressive session.
Robotic Surgery Skills Curriculum
The Robotic Surgery Curriculum is designed to provide surgical residents with an integrated approach of computer-based learning modules and hands-on training. The curriculum provides all residents with basic knowledge of robotically assisted laparoscopy, its instrumentation, system components, and troubleshooting techniques through a computer based testing. It also provides residents with a dry lab to familiarize themselves with the components and instrumentation of the robotic operating system and its uses.
Minimally Invasive Surgery Animal Laboratory
As part of the Minimally Invasive Surgery curriculum to teach and enhance residents' laparoscopic skills, four laboratory sessions have been added to the curriculum for the PGY 2-5 years. Using a porcine model, residents will have the opportunity to perform a variety of advanced laparoscopic procedures, including splenectomy, nephrectomy, cholecystectomy, and Nissen fundoplication. Faculty will supervise and enhance the residents' learning by observing and instructing. The goal for these sessions is that by performing routine laparoscopic surgeries, the surgical residents will become more familiar and confident in their skill set.