Plastic & Reconstructive Surgery › NuHealth - Nassau Health Care Corporation

Plastic & Reconstructive Surgery

Welcome

The residency program in Plastic and Reconstructive Surgery at NuHealth is designed to provide within a three-year period a complete education in all aspects of plastic surgery. Our program prides itself on a solid foundation of plastic surgical principles and strict attention to detail. The resident's experience encompasses the full range of reconstructive and cosmetic surgery within a model designed to provide progressive independence.

Resident selection emphasizes creativity, maturity, diversity of prerequisite training, and accomplished scholarly activity. Our training provides a high volume and variety of plastic surgery, hand surgery, and burn reconstruction through working closely with 26 different attending surgeons in a combination of public and private settings. Residents are continually challenged and held accountable for a high standard of productivity. Resident interaction is encouraged in an atmosphere of collegiality and professionalism. The NuHealth program has educated residents in plastic surgery successfully since 1954.

We welcome your interest in our resident program, and we look forward to seeing you soon.

Glenn Faust, MD
Chairman, Department of Surgery

Roger L. Simpson, MD, MBA, FACS
Diplomate, American Board of Plastic Surgery
Director, Plastic and Reconstructive Surgical Residency Program

Program Description

Residents rotate through our affiliated hospitals for a complete spectrum of plastic surgery.

NUHEALTH (Nassau University Medical Center)
The residents are responsible for the selection and management of their patients. This is considered the high point of their rotations. Each resident will rotate at NuHealth twice yearly. Patients with birth defects of the head and neck, trunk, and limbs are managed by the Plastic Surgical service. This includes cleft lip and palate, spina bifida and other congenital defects requiring complex coverage. Soft tissue reconstruction encompasses a large portion of the residents' work. Skin tumors of the head and neck are also admitted to the Plastic Surgical division. Intraoral malignancy is admitted to the General Surgical service with definitive reconstruction, either immediate or delayed, performed by Plastic Surgery in a coordinated fashion. An excellent continuous working relationship in all areas of reconstruction exists with the orthopedic, general surgical, oral surgical, and neurosurgical divisions.

Acute burn patients are admitted to the Burn Center under the care of the Burn Fellow. Residents will work with attending physicians in burn wound management, early excision and grafting, and post-burn care. Plastic Surgical residents and the Burn Fellow formulate plans and work together during late burn-scar reconstruction procedures. The resident is able to gain a valuable experience managing open wounds, and performs a large number of skin grafts, using all methods of skin graft harvest. The burn experience provides confidence for future wound management under all conditions.

Cosmetic surgical cases are admitted by the residents to their service. The number of patients receiving cosmetic surgery permits the residents to meet their requirements. Selection of patients and choice of procedure complement the training experience. Cosmetic cases for surgery are discussed at the weekly Grand Rounds. Cases are formally presented with photos and clinical data, and discussed with the attending surgeons before the surgery is scheduled.

Resident teaching responsibilities include General Surgical residents rotating through the Burn Center service and the Plastic Surgical service. Medical students from the State University of New York as well as those from the New York College of Osteopathy spend part of their rotations on the Plastic Surgical service. Progressive responsibility and teaching are the key elements to this rotation. Formal attending rounds each week encourage original thinking and decision-making. A higher level of confidence is seen within each resident upon completion of the rotation. Each resident will spend four months (two two-month rotations) at the Medical Center yearly.

WINTHROP UNIVERSITY HOSPITAL
One Plastic Surgical resident is assigned to Winthrop University Hospital for a two-month rotation. Winthrop is a 650-bed private institution with a large volume of reconstructive Plastic Surgery. The residents are exposed to a wide variety of cases and techniques and build a foundation while participating in the surgery and post-operative care. At Winthrop the resident participates in a high volume of pediatric genito-urinary reconstructions under the guidance a Pediatric Urologist. The residents' experience in Facial Paralysis surgery is also unique. These patients are usually admitted to this hospital for their facial reanimation procedures. Animation exercises and protocol for motion are learned in the office portion of this rotation. The Plastic Surgical resident is also assigned to selected Oral and Maxillofacial Surgical cases and acquires experience in TMJ arthroplasties, mandibular reconstruction, and bone grafting. Planned time for discussion of cephalometrics on selected patients is available with those oral surgeons doing orthognathic reconstruction.

NORTH SHORE UNIVERSITY HOSPITAL
One resident from the NuHealth program spends two months on this rotation in both junior and senior year. North Shore University Hospital is a 650-bed private teaching institution with a large volume of reconstructive and congenital pediatric Plastic Surgery. A clinic in Plastic Surgery is held twice monthly in which the residents see patients from the surrounding community with attending supervision.

The Cleft Lip and Palate Center for Nassau County is located at the North Shore University Hospital. A team meeting is held every other week at which selected patients are reviewed. The residents on service participate in the discussions of the children as additional treatment plans are developed. This includes speech evaluations, psychology, endoscopy, and video fluoroscopy. Dental, orthodontic, and oral surgical evaluation of each child is also performed.

Head and neck ablative surgery has its greatest volume in this institution. The reconstructive work including flap rotation and free tissue transfer adds to the resident’s experience. The craniofacial surgery, performed with the plastic surgeons and the pediatric neurosurgeons, takes place here, and priority time is allotted to the resident to participate. A large volume of reconstructive microsurgery and breast reconstruction is performed during this rotation.

THE LONG ISLAND PLASTIC SURGICAL GROUP ROTATION
The Day Op Ambulatory Center and the Long Island Plastic Surgical Group make up the majority of the surgical experience on this rotation. The assigned resident spends two months each year on this rotation. Case assignments are made on the basis of educational interest and importance of the surgery to the residents' curriculum. The resident is responsible for familiarizing himself with the details of the case prior to coming to the operating room. A schedule is distributed in advance of upcoming surgeries over a ten-day period.

The Long Island Plastic Surgical Group in Garden City, New York consists of eleven Board-certified plastic surgeons. This rotation consists of office exposure as well as general Plastic Surgical cases. The resident is assigned to attendings according to a weekly schedule distributed 10 days in advance. Time permits preoperative discussion on all cases. The resident participates in the surgery in the ambulatory center or the affiliated hospitals. He or she will follow the post-operative care of the patients in the hospital and in the office on the days assigned.

THE HAND SURGICAL ROTATION
This two-month rotation provides a concentrated hand experience to the residents' education. This resident will rotate through this section for two months each year. Experience in both acute and reconstructive adult and pediatric hand surgery will be provided. The resident will be assigned to selected cases. A busy outpatient department at NuHealth will provide access to a large variety of hand pathology. Outpatient experience with both plastic surgeons and orthopedists complements the experience.

Faculty

Glenn Faust, MD - Chairman Department of Surgery
George Angus, MD - Vice-Chairman
Elizabeth Cirincione, MD - Residency Program Director, General Surgery
Paul Scott, MD, Attending
Roger L. Simpson, MD, MBA, FACS, Residency Program Director

Richard Batista, MD
Edwin Gonzalez, MD
Leonard O. Barrett, MD
Venkatesh Sasthakonar, MD

Education/Conferences

At NUMC, your education will be enhanced by a wide range of learning experiences. From daily teaching rounds to subspecialty conferences and visiting professor lectures, formal teaching occurs multiple times each day. Your confidence will grow from the interaction and guidance you will receive from our attending physicians. During your residency you will participate in:

  • Grand Rounds. Weekly formal lectures prepared by residents provide an overview of the pathophysiology, diagnosis, and treatment of various disease processes. Clinical seminars feature many prominent speakers from outside the Medical Center.
  • Core Lecture Series. Lectures by faculty from the attending staff on both general and subspecialty internal medicine.
  • Journal Clubs. Monthly discussions of recent literature with an emphasis on critical appraisal skills.
  • Morbidity and Mortality Conferences. A formal opportunity for the residents to discuss cases each week with the program directors in a supportive learning environment.
  • Clinical-Pathological Conferences. Residents are presented with the clinical course, radiological findings, and relevant laboratory results for a particular patient. The resident then analyzes the case and presents his or her thinking process to the program in an educational format.
  • Critical Care Conferences. Residents rotating in the ICU have lectures scheduled several times a week with intensivists to review relevant topics such as EKG tutorials or ventilator management.
  • Attending Work Rounds. Attending work rounds are held by board-certified, specialist-trained faculty. These discussions focus on patients' management skills.
  • Teaching Report. Full-time faculty lead these case-based teaching sessions. All levels of residents and medical students participate in these practical discussions. Topics range from differential diagnosis, therapeutic plan, controversies, and ethical dilemmas.
  • Morning Report. A morning report audience will include medical students, residents, fellows, and general and subspecialty attendings coming together to contribute to the learning environment.

These conferences are well-attended by both faculty and house staff, which encourages the active interchange of ideas.

Research

Research is encouraged on both experimental and clinical levels. Attendings will mentor the residents in selecting and developing projects. A project suitable for presentation at the annual Senior Residents Conference is submitted for review in December of the residents' second year.

Microvascular surgery is taught over a one-week course to all Plastic Surgery residents in their first year. Laboratory setup and videotapes of techniques and procedures are reviewed, and residents are assisted by the assigned attending on a regular basis. Each resident is encouraged to refresh his or her technique in microsurgery frequently.

Opportunities are also available for cadaver and anatomical specimen review. The State University of New York at Stony Brook permits focused cadaver work related to ongoing research.

Contact Us

Jeannie Watson
Residency Program Coordinator
Telephone: (516) 535-6744
Fax: (516) 535-6755
E-mail: jwatson@lipsg.com

Other Important Information

Application: The Plastic Surgery Residency Program participates in the San Francisco Plastic Surgery Match. Applications for most residency programs can be submitted beginning September 1; however, you can begin the process of preparing your application early by visiting the San Francisco Match website at www.sfmatch.org.

San Francisco Match
655 Beach Street San Francisco, CA 94109
Telephone: (415) 447-0350
Fascimile: (415) 561-8535

Basic science and core lectures are held each Wednesday morning at the resident meetings over the summer months. A series of six lectures dealing with wound healing, flap design, nerve and bone healing, and transplantation are given to junior and senior residents alike. Basic science is continually stressed throughout the year during resident teaching. Our philosophy of teaching Plastic Surgery through attention to basic scientific surgical principles is the foundation of the residents' education. Each resident gains a thorough understanding of why and how these principles will achieve their goal. This portion of the residents' education is clearly demonstrated in their Grand Rounds presentations and responses.

Resident Grand Rounds are held every Wednesday morning. Rounds include a presentation and discussion of patients selected by the Chief Resident for upcoming surgery. These cases are selected from the clinic visits, and the Plastic Surgery resident is responsible for an organized plan of treatment and alternatives. All resident opinions are solicited with attending discussion following. PowerPoint presentations of post-operative results and patients of interest are also presented by the residents. These weekly conferences clearly demonstrate the maturation of the residents, allowing them to teach and organize. Patients admitted to the floor (Plastic Surgery) will be presented to the attendings on discussion rounds. Rounds in the Burn Center follow with bedside discussion of each patient. Visiting professors are selected for our organized regional conferences in Plastic Surgery twice yearly.