Faculty in the General Surgical Anesthesiology Division are a diverse group with many different clinical and research interests.
The Columbia University Department of Surgery is active in many subspecialties including breast, colorectal, esophagus, endocrine, gallbladder, kidney, liver, obesity, pancreatic, plastic and reconstructive, spleen, small and large intestine, oncology, transplant, and minimal access surgery.
Anesthesiology residents benefit from this diversity and learn to employ a variety of state of the art anesthetic techniques including general anesthesia, regional anesthesia, peripheral nerve blocks, and monitored anesthetic care. By the end of their experience on this service residents are expected to be competent, efficient team leaders who can manage complex cases independently.
The resident experience in the General Surgical Anesthesiology Division is separated into 3 distinct levels of experience:
(Note – the name of the rotations reflects the name of the Milstein Hospital Building which is the site of our adult operating rooms)
1. Milstein Initial Rotation
The CA-1 resident who has completed the Orientation Rotation will continue to acquire additional knowledge, skills, and attributes required for the clinical practice of adult general surgical anesthesiology.
The focus is on the resident to acquire the knowledge and skills in order to deliver anesthetic care in a more independent manner, albeit always under close attending supervision. The resident will gain clinical experience on the ENT, General Surgical, Gynecologic, Urologic (including Cystoscopy suite), and Vascular/Endovascular Anesthesiology services. This experience will include both outpatient and inpatient procedures.
2. Milstein Junior Rotation
Residents will manage introductory anesthetic cases competently with the supervision of an attending anesthesiologist. The resident will gain additional clinical experience on the ENT, General Surgical, Gynecologic, Urologic (including Cystoscopy suite), and Vascular Anesthesiology services. The assigned cases will be increasingly more complex and the resident will be expected to develop more independence in managing these cases.
3. Milstein Senior Rotation
The Senior Milstein Resident will be able to plan and manage complex anesthetic cases independently and competently. The Milstein Senior should have knowledge of Hospital and Departmental Practice Guidelines, how to access them, and be a role model and resource for junior Residents. The Milstein Senior will be able to manage Hospital and Departmental resources in an efficient and competent manner. The Milstein Senior will be able to discuss perioperative issues with patients, family members and surgical staff in a clear, competent, and compassionate manner. The Resident will be a competent and efficient team leader, particularly when they act as Team Captain.
