| Pediatric
Surgery
Andrew Hong, MD THE
PEDIATRIC SURGERY RESIDENCY PROGRAM AT The Pediatric Surgery residency Program at Schneider Children's Hospital is one of the newer training programs in North America. It was accredited by the American Council on Graduate Medical Education (ACGME) and the Residency Review Committee (RRC) in the fall of 2004 and granted Continued Accreditation as of February 22nd of 2007 for three years. It is a two-year clinical training program. The sponsoring institution for the training program is The North Shore - LIJ Health System (NS-LIJ), which is a large health system comprised of 15 hospitals. The Health System sponsors a large number of both adult and pediatric graduate medical education programs. The primary facility for our program is Schneider Children's Hospital, the only children's hospital on Long Island. Schneider Children's Hospital is a teaching hospital committed to comprehensive care of children, from infants to young adults. At the present, the hospital has 154 beds arranged in separate units on five floors, each with their own nursing and social work staffs, as well as playrooms. Construction on a new inpatient tower to completely replace the present inpatient facility has begun, and is scheduled for completion by 2012. Schneider Children's Hospital has one of the largest pediatric residency programs in the country, and it also serves as the primary institution for post graduate training programs in Pediatric Urology, Neonatology, Critical Care, Emergency Medicine, Rheumatology, Endocrinology, Cardiology, Infectious Disease, Radiology, Allergy and Immunology, Hematology/Oncology, and Neurology. GOALS /OBJECTIVES OF TRAINING PROGRAM The objective of our training program is to develop a Pediatric General Surgeon who can assume complete responsibility for the preoperative, operative, and postoperative management of patients with problems within the purvey of Pediatric general surgery and who can also work together with all colleagues involved in the care of pediatric patients. Additionally, it is expected that the resident in Pediatric General Surgery develops the sensitivity required to deal not only with pediatric patients, but their families; while maintaining the attitude and demeanor corresponding with the highest quality of primary care of pediatric patients. Along with these objectives will be those of an ethical and academic nature that will reflect the conscience of modern Pediatric General Surgery and help shape its future. The general objectives are to train pediatric surgeons to maintain the leadership and direction of the profession of Pediatric General Surgery. THE EXPERIENCE The program is designed to provide a broad experience in all aspects of Pediatric General Surgery. There is an extensive minimally invasive surgery experience, with all advanced laparoscopic and thorascopic procedures being performed by all of the full time attendings and some of the voluntary faculty. Approximately 2200 ambulatory and inpatient cases are done by the Pediatric General Surgery service at SCH every year. 10 months of the first year are spent as Assistant Chief Resident on the General Surgery Service. One month is spent on a rotation in the NICU at SCH, and one month is spent on a rotation at Memorial Sloan Kettering Cancer Center in Manhattan, focusing on Pediatric Surgical Oncology with Dr. Mike Laquaglia. The entire second year is spent as Chief Resident on the Pediatric General Surgery Service. SCH is a major referral center for many pediatric surgical problems including Anorectal Malformations, Inflamatory Bowel Disease, Chest Wall Abnormalities, Solid tumors and Congenital Diaphragmatic Hernias. The hospital is one of two centers in the New York Metropolitan area that perform ECMO. The average daily census for the pediatric surgical service is approximately 10 -12 patients, not including the patients in the PICU and NICU, and on the consult service We are supported by superb clinicians in Pediatric Anesthesia, Radiology, Pathology and all pediatric sub-specialties. The chief resident organizes the conference schedule and journal club. Both residents lecture to the surgical and pediatric house staff on a regular basis. A significant amount of teaching occurs on a daily basis during rounds. Finally, the chief residents are expected to function as the teaching assistant in the OR for cases that are appropriate for a junior house officer to perform. The basic and clinical science curriculum addresses the educational needs of the surgical residents, Pediatric Surgery Chief Residents, and surgical Attendings through a combination of daily rounds, didactic lectures, case conferences, grand rounds, and mortality and morbidity conferences. In addition, a formal lecture series addressing the necessary basic science topics has been established. The lecture series, which spans two years, is designed to provide exposure to the basic and clinical science topics that have been identified by the ACGME as important; including embryology, genetics, wound healing, hemostasis and blood disorders, immunobiology, transplantation and the physiology and pathology of the circulatory, respiratory, gastrointestinal, genitourinary and endocrine systems. Education is provided in fluid and electrolyte balance, nutrition, infection, metabolic response to injury and anesthesiology. In addition to the lecture series, regular conferences are held to supplement the formal educational series. Regular pediatric surgical grand rounds provide a forum for didactic lectures from local, national and internationally known speakers. Regular pediatric surgical mortality and morbidity conferences are held in conjunction with the adult general surgery mortality and morbidity conference. This conference is attended by the pediatric surgical attending staff, the adult surgical attending staff, and the surgical house staff. The Pediatric Surgical Chief Resident or the senior resident on the service present the cases. All cases in which a morbidity or mortality occurs are discussed in detail. There is a monthly combined pediatric surgical, pathological, and radiological conference in which interesting cases on the service are discussed along with the imaging studies and pathologic findings. The general surgery house staff, the voluntary and full time pediatric surgical staff, and representatives from pediatric pathology and radiology attend this conference. The pediatric surgeons as well as the Division of Pediatric Hematology-Oncology attend weekly pediatric tumor board. All patients with newly diagnosed tumors are discussed, as well as the operative and pathological findings of any patients undergoing surgery. Routine follow up of oncology patients is also reviewed.
The combination of the didactic lecture series, Grand Rounds, M & M and radiology/pathology conferences, Tumor Board and Professors' and daily rounds address the cognitive component of the Trainee's educational experience. An emphasis is placed on the scholarly attributes of self-instruction, teaching, skilled clinical analysis, sound surgical judgment and research creativity. Reviewing Institutional Operative Data for the last two academic years, our residents participated in close to 2300 cases. THE TEAM The pediatric surgery team is made up of a Pediatric Surgical Chief Resident, Assistant Chief Resident, a third year surgical resident and 3 first year surgical residents from the NSLIJ General Surgery Residency Program. Emergent patient evaluations begin in the emergency room or on the floor, and are performed by either the 3rd year surgical resident or the Pediatric Surgical Chief Resident, along with a 1st year resident. CALL Stephen
Dolgin, MD Dr. Dolgin joined us July 1, 2005 rom Mt. Sinai School of Medicine. For 21 years, he was the leader of their Pediatric Surgery division, a Professor of Surgery and Pediatrics, and a widely respected clinician. In addition to all the standard problems in pediatric surgery, he has acquired special expertise in childhood inflammatory bowel disease (Crohn's Disease and Ulcerative Colitis). He has the largest series of reconstructive operations for childhood Ulcerative Colitis of any surgeon in the eastern part of the United States. Dr. Dolgin received his BA at Yale University and his MD from New York University. He trained in General Surgery at the Peter Bent Brigham Hospital in Boston, a major teaching affiliate of the Harvard University School of Medicine. He then completed his fellowship in Pediatric Surgery at the Children's Memorial Hospital in Chicago, part of the Northwestern University School of Medicine.
Dr. Hong joined the full time staff at Schneider Children's Hospital in June of 1997. He received his undergraduate degree from Dartmouth College, and his medical degree from the University of Wisconsin Medical School in 1985. Dr. Hong received his training in general surgery at the Medical Center Hospital of Vermont in Burlington, Vermont and his training in pediatric surgery at the Montreal Children's Hospital and McGill University, in Montreal. Dr. Hong is currently Chief of Pediatric Minimally Invasive Surgery at Schneider Children's Hospital. He also serves as Chief of the Division of Pediatric Surgery at Schneider Children's Hospital at North Shore. His interests include pediatric minimally invasive surgery, pediatric thoracic surgery and pediatric oncologic surgery. Nelson Rosen, MD - Pediatric Surgeon Dr. Rosen is originally from Philadelphia were he grew up working in his father's bakery. He received a Bachelor's degree in Biomedical Electrical engineering at Rensselaer Polytechnic Institute in Troy, New York. He then returned to Philadelphia and graduated from Temple University School of Medicine in 1994. He completed his residency in adult general surgery at the Long Island Jewish Medical Center where he discovered his interest in pediatric surgery working at Schneider Children's Hospital. Dr. Rosen is currently Chief of the Pediatric Trauma Center at Schneider Children's Hospital. His practice is limited to Surgery of infants and children. He performed 2 years of additional research and clinical training with pediatric colorectal surgery before completing his formal residency in Pediatric Surgery at the University of Montreal's Sainte-Justine Hospital. Dr. Rosen's interests include pediatric colorectal surgery, inflammatory bowel disease, and minimally invasive surgery. Richard Glick, MD - Pediatric Surgeon Dr. Glick grew up in Montreal and attended McGill University for both his undergraduate and medical educations, where he received the prestigious Holmes Gold Medal Award. He was then trained in General Surgery at the New York Presbyterian Hospital-Weill-Cornell Medical Center as well as Memorial Sloan-Kettering Cancer Center in Manhattan. He also completed a two-year research fellowship at Memorial in Pediatric Surgical Oncology. He then went on to Baylor College of Medicine and Texas Children's Hospital where he completed his fellowship in Pediatric Surgery. Dr. Glick's interests include pediatric oncology as well as congenital malformations.
Dr. Soffer joins us from Columbia University College of Physicians and Surgeons and the Children's Hospital of New York- Presbyterian where he completed his fellowship in pediatric surgery. He received his BA magna cum laude from Yeshiva University (1989) and graduated from SUNY- Downstate Medical School (1996) where he was awarded The Samuel L. Kountz award for Clinical Excellence in surgery. He completed his general surgical training here at the Long Island Jewish Medical Center in 2003. During his surgical training, Dr. Soffer spent two additional years as a Research/ Extracorporeal Life Support fellow at Columbia University. Dr Soffer has been an active researcher throughout his surgical training with numerous basic science and clinical publications to his credit. Dr. Soffer's
clinical interests span the breadth of pediatric surgery with particular
focus in neonatal surgery, pediatric surgical oncology and minimally
invasive techniques including video-assisted repair of pectus excavatum.
|
||||