Working Environment

The General Surgery Residency Program at Harlem Hospital Center is a fully accredited program with three categorical residents at each PGY level and nine preliminary residents at PGY1 and II. It is integrated with the Department of Surgery at Woodhull Hospital which is a community hospital like Harlem and affiliated with Memorial Sloan Kettering and New York Presbyterian Hospital for rotation in Surgical Oncology and Transplant Surgery respectively.

At Harlem Hospital Center, there are two general surgery services with specialty services available in Neurosurgery, ENT, Vascular Surgery, Chest Surgery, Urology, Pediatric Surgery and Plastic Surgery. Orthopedic Surgery is a separate department. Each of the services has its own clinics and operating room schedules.

There are conferences arranged for the residents and they include Morbidity and Mortality conference, Basic Science conference and Journal clubs. Quarterly internal examinations are held to evaluate the residents medical knowledge and clinical acumen.

The Morbidity and Mortality conference is held with Radiology in attendance weekly. There is a GI-Surgery Conference held quarterly and Tumor Board monthly. Residents are involved also in interdisciplinary quality improvement meetings held monthly to discuss quality management of cases. There is a House staff Patient Safety Council which reports to the GMEC. There is resident representation on the Medical Board subcommittees including membership on the GMEC.

The residents duty hours are formulated to be in compliance with both the ACGME requirements and the Bell 405.There is security provided by hospital police 24/7 with installation of cameras at vantage points in the hospital and monitored 24/7.There is also parking available for residents. The residents are provided with a Resource Center and on-call rooms. The resource center has a microwave, refrigerator, computers with internet access for electronic retrieval of medical information, lockers for all residents, sturdy bookcase for textbooks, rack for hanging coats and center table with chairs.

The on call rooms are gender specific, have single beds and have dividers with curtains to give residents privacy. The rooms have two or three telephones, the doors have electronic access to provide extra security and they are close to the work areas of the residents with readily accessible computers

The residents also have transport services 24/7, there is phlebotomy service from 7:00am till 12 midnight every day, EKG technician are available 24/7.  The nurses have been trained to start IV’s. Hence when there is a need for a peripheral intravenous access, the nurses are the first responders. The residents are called to perform the difficult sticks most of the time. The residents have been provided with food stipend in their bi weekly salaries. The institution has negotiated with some vendors for delivery of food on site until 11:30pm each day.

The Institution has provided the residents with Electronic Medical Records (EMR) which allows them to document and retrieve all patients information with ease. This allows for good quality patient care, residents education and a resource for scholarly activity.

The Department tries to make the work environment as friendly as possible, to limit the work load and to make the residents concentrate on the clinical activities as much possible.