Maimonides Medical Center is a tertiary care, independent teaching hospital located in central Brooklyn dedicated to serving its community. Brooklyn is a borough with almost 3 million people and it epitomizes the concept of a melting pot. There is incredible cultural diversity and wide extremes of age in our patients: over 73 different languages are spoken annually at Maimonides, we care for over 8000 obstetric patients per year (more than any other NY state hospital), and more than 35% of our inpatients and outpatients are over 65 years of age.
Unfortunately, many of these patients are very sick; more than 46% of our patients are ASA physical status III, IV, or V. Caring for these complex and challenging patients undergoing cutting edge operations and procedures provides a phenomenal resource for our Residency Program.
Our residency program
The Department of Anesthesiology Residency Program is a mid-sized program with several relatively unique characteristics. All core ACGME required residency rotations take place here. There are no mandatory rotations at other outside hospitals. The core values of our Department are Patient Safety, Professionalism, Constant Improvement and Teamwork. Having all the core rotations at our home institution, helps build a greater sense of Team, fosters Professionalism, and it also facilitates a closer relationship between the residents and the faculty. This allows our faculty members to offer the important appropriate progressive increases in patient care responsibility that fosters lifelong learning. Another asset of the program is that our best faculty members are matched to the most challenging cases.
In some institutions the most challenging cases may be at an affiliated municipal or Veterans Administration Hospital with a different faculty. This is not the case at Maimonides, where our best faculty and cases are in one institution. Due to the complexity of the cases, there is a very high frequency of one-on-one resident supervision. Because we do not have accredited fellowships or SRNA's, there is no competition for the best, most interesting and educational cases.
Teamwork is not just within the Department of Anesthesiology but extends to all aspects of the perioperative services arena. In fact one of the Departmental Vice Chairmen serves as the Medical Director of Perioperative Services. The Department is actively engaged in multidisciplinary scholarly activity and performance improvement projects. Several years ago the leadership of the Departments of Anesthesiology and Surgery lead the adoption of Institutional Code of Mutual Respect and provided education in conflict avoidance and resolution through the Crucial Conversationsâ„¢ program. Proof of the success of these programs can be seen in our improved patient safety record and our now collegial professional relationships. The success of these programs is also evident in the annual, combined Surgery, Orthopedics, Nursing, and Anesthesiology Holiday party. Further proof of the positive OR environment is the stability of the Department.
Throughout the entire training period, strong emphasis is placed on developing leadership and independence in both clinical and scholarly activities. The successes of these efforts are seen in the key outcome measures of the residency. The Department has been incredibly productive in scholarly work. Over the past few years we have averaged about 15 resident presentations per year at the various national Anesthesiology meetings. Working with our faculty caring for our medically challenging patients during complex cases, our residents become superb, confident clinicians. The residents do well on their boards, and many of our residents are awarded fellowships at great institutions. It is even more telling that these same fellowship programs gladly welcome our newly graduated residents year after year. Another important outcome is that a number or our recent chief residents and residents who left to do a fellowship, have chosen to join our faculty. They know the program better than others and have opted to join Maimonides to teach our residents, to embrace our challenges and core values, and to enjoy a rewarding professional environment.
Our program offers unmatched patient care learning opportunities. The residents work with dynamic, well trained, incentivized faculty and together as a team the program has achieved a great track record on key outcome measures.