PGY-1 Year
Residents enter the Orthopaedic Residency program as PGY-1’s. The PGY-1 year of their residency is spent in General Surgery, satisfying the nine month non-Orthopaedic requirement. Each resident spends two to four months in General Surgery. All general surgery rotations include specialized training in plastic surgery and time in the Burn Unit. The residents have a one month rotation on the Trauma service, which treats many multi-system injured patients. Each resident is also assigned at least one month of ICU training and either two or three months of vascular surgery. They have one month in Neurosurgery and one month on the pediatric surgery rotation. The pediatric surgery rotation is a very specialized educational opportunity where residents learn the intricacies of managing infants and children. Finally, the PGY-1 residents spend two months in Orthopaedics during their PGY-1 year. These months are scheduled during our high volume trauma months so the PGY-1 residents will get the maximum exposure to Orthopaedic Surgery. By following the above assignments, the PGY-1 resident develops proper knowledge, attitudes, and skills in the principles of surgical and medical care. They learn to deal with medical and surgical emergencies, multiple-organ system problems, soft tissue problems, neurosurgical problems, vascular problems, and various medical disorders. The PGY-1 residents gain knowledge in the care of the critically ill by participating in the ICU rotations. The residents routinely prepare preoperative patients and care for postoperative problems. The PGY-1 residents are exposed to the issues related to surgical anesthesia by regular participation in the operating room. The Department of Orthopaedics Program Director reviews all PGY-1 evaluations on a regular basis.
PGY-2 Year
The second year of residency marks the first year of full immersion into orthopaedics. The residents’ time is divided between Stony Brook University Medical Center, the only academic medical center on Long Island and the only tertiary care hospital in Suffolk County, and Winthrop University Hospital, which is a mix of an academic and community experience, where you will get significant exposure to general orthopaedics as well as work with the full time faculty in Pediatric Orthopaedics, Foot and Ankle, Sports Medicine, Hand Surgery, and Joint Reconstruction. The bulk of the operative experience will revolve around trauma, but junior residents have their time divided among all the subspecialties that we have available. Additionally, residents are encouraged to begin to participate in research and to attend at least one course during the year.
PGY-3 Year
The third year residents are designated “Senior Juniors” and have increased responsibility and operative experience. Rotations still involve Stony Brook University Medical Center and Winthrop University Hospital. However, a significant portion of the experience is more of the elective part of orthopaedic practice, as rotations through the Northport VA and Memorial Sloan Kettering Cancer Center are added. The Sloan experience is like none other in the world, where you will work full-time as a house officer on the orthopaedic pathology service. The VA experience is your first exposure to much more autonomy and management of patients.
PGY-4 Year
Fourth year residents are designated “Junior Seniors” and their role reflects that title. As a fourth year resident you are in charge when Chiefs are not available. Responsibility and role in the decision making processes of orthopaedic management are greatly increased. Time is spread among Stony Brook University Medical Center and Winthrop University Hospital. Additionally, there is a dedicated research rotation, where clinical duties are greatly reduced and attention is directed toward academic pursuits.
PGY-5 Year
All fifth year residents are referred to as Chiefs. Chiefs are in charge of the services to which they rotate. Case selection and experience has much more flexibility and can be slanted toward resident interest when possible. Time is divided among Stony Brook University Medical Center, Winthrop University Hospital, and Northport VA. Two residents are additionally selected as Administrative Chiefs, which adds the responsibility of monitoring and improving elements of the entire Residency Program. These two residents work most closely with the Chairman and Program Director.
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