The St. Joseph’s Regional Medical Center
New York Medical College Anesthesia Residency
 
Preliminary year:
 Though anesthesia  training officially begins at the CA1 level, we will provide our  PGY1 residents with a series of short, fun, educational videos as well as a brief introductory online textbook to familiarize our incoming residents with basic anesthesia topics.  Our department offers one PGY 1 position in conjunction with the Metropolitan Hospital/NYMC/St. Joseph's Surgical Residency Program.
EDUCATIONAL CURRICULUM
CA-1 Orientation:
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 and valuable 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.
Lecture Series:
Lecture Series: Tu, Wed, Fri, 6:30-7:10 AM- Comprehensive lecture series covering all major basic and subspecialty topics in anesthesia. We also include frequent board review sessions and mock oral exam style conferences
Th, 7-8 AM : Departmental meetings  including Morbidity and Mortality Conference, Grand Rounds, Problem-Based Learning, Research Conference, Journal Club and Guest Lectures.  
Monthly simulation sessions, difficult airway workshop, ultrasound guided regional anesthesia workshops.
Teaching:
St. Joseph’s and St. Michaels Medical Center’s function as the New Jersey branch of New York Medical College. Teaching our many rotating medical students from a variety of schools is an essential and satisfying component of the learning experience.
Educational Support:
St. Joseph’s provides all residents with a $500/year educational stipend which can be used to purchase textbooks or technology. There is also a conference stipend for  residents presenting at educational meetings.
CA1 (PGY2) 
Introductory Lecture Series and Simulation
8 months general OR experience
1 month obstetric anesthesia
1 month pain management
1 month preadmission testing
2 weeks post anesthesia care unit
CA2 (PGY3)
One month rotations in the following subspecialties:
Pediatrics
Cardiothoracic anesthesia
Pain management
Obstetrics
Regional Anesthesia
Neuroanesthesia
Pediatric ICU
4 months general OR experience
CA3 (PGY4)
One month rotations in:Advanced neuroanesthesia
Advanced cardiothoracic anesthesia
Surgical intensive care unit
Advanced clinical anesthesia
In the remain 8 months residents may choose to do 1-4 months of cardiac, obstetrics, pediatrics, pain management, neuroanesthesia, regional anesthesia, or critical care.
CA3 residents will complete a scholarly project resulting in a local, regional or national presentation or journal publication.

Rotation Highlights:
Pediatric Anesthesia: St. Joseph's has a State designated 120-bed Children's Hospital. Residents will be exposed to the full gamut of basic 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.

State-of-the-art Cardiothoracic Anesthesia at St. Joseph's Cardiac Institute and St. Michael's Medical Center where over 1500 cardiac surgical procedures are performed each year. Residents will learn management of on and off pump bypass, Trans Esophageal Echocardiography, invasive monitoring, one- lung ventilation

Our Pain Management Center (Total Pain Care, P.A.) provides care to those suffering acute and chronic pain. A multidisciplinary approach to pain management includes non-invasive and invasive treatments, such as nerve blocks, spinal cord stimulator insertion, epiduroscopy and permanent intrathecal pump implantation. Residents will have the opportunity to rotate off campus at our outpatient surgical centers as well.

Neurosurgical Anesthesia - Residents participate in a variety of intracranial, neurovascular and spine surgeries. They will learn principles of EEG and evoked potential monitoring, controlled hypotension and management of increased intracranial pressures.

Obstetric anesthesia: SJRMC has a high-risk obstetrics department with approximately 3,500 deliveries each year. Residents care for parturients with preeclampsia, hemorrhage, cardiac disease and multiple births (including one set of quintuplets!) and we will soon be starting an EXIT (ex utero intrapartum treatment) program.

SJRMC is a State-designated Trauma Center (with helistop capable of receiving large military helicopters) treating approximately 1,300 cases per year.
 
Regional Anesthesia: Busy orthopedic, plastic surgery and podiatric services provide the resident with many opportunities for expertise in ultrasound-guided peripheral nerve blocks. Residents are encouraged to attend events sponsored by the New Jersey Society of Regional Anesthesia.

Rotations: