New anesthesia residency program - HNSLIJ

Discussion in 'Anesthesiology' started by Anesthbro, Jan 1, 2016.

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  1. Anesthbro

    Anesthbro

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    New anesthesia program pros and cons, please?

    There's a new anesthesia residency, only two years old, currently with up to CA-2 year.
    My question is what are the pros and cons of a program like this?
    It's a university program, great location, by a school that's established and with great programs in other specialties. The PD was a PD for another program elsewhere for 25 years, and the faculty I met during interview seemed both impressive and excited about teaching, plus the hospitals on the network have tons of cases of all kinds to meet numbers.
    However, I'm sure there are cons to this kind of baby program and was wondering what they could be. If anyone could chime in, it'd be greatly appreciated.
     
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  3. Anesthbro

    Anesthbro

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    May be obvious, but it's in Long Island, NY.
     
    Last edited: Jan 1, 2016
  4. Carbocation1

    Carbocation1 2+ Year Member

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    Residency is the most important part of your career - you may not want to risk it.
     
  5. Wiscoblue

    Wiscoblue ASA Member 2+ Year Member

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    If it is at a hospital like the one in Royal Oak MI, your experience and exposure to all specialties will be great. All private groups in the state are aware of the quality of the hospital and the anesthesia department. You will have no problem finding a job.


    Sent from my iPad using Tapatalk
     
  6. chocomorsel

    chocomorsel Senior Member 10+ Year Member

    I would say go for it if you think it is solid. Think about it, no Fellows so one gets to do everything.

    However, Texas Tech in El Paso restarted their residency back in 2011 or so and were then bought out two or three years later. The residents had to all find new digs to finish their training. All hospitals care about is the bottom dollar. If they start losing money by starting this new program, they may be inclined to sell their services to the lowest bidder.
     
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  7. Anesthbro

    Anesthbro

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    Oh, to hell with it. It's Hofstra North Shore -LIJ.
     
    Last edited: Jan 1, 2016
  8. Anesthbro

    Anesthbro

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    Anyone heard anything postive or negative about the program?
    Better yet, is there a resident from there in the forum?
     
  9. Scotty_G

    Scotty_G Junior Member 10+ Year Member

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    Nappa the king of Management Companies in the NY/Long Island area is headquartered there. Why would you want to do residency there? You bet they will try to recruit you after for a ****y job. No fellows is a good thing but there are other residencies that don't have fellowships too. I still don't get how they could start a residency where the hospital anesthesia group is run by a management company. Now if they were a good group to join post residency then yea being a resident would help get your foot in the door. This is unfortunately not the case.
     
  10. Anesthbro

    Anesthbro

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    Can't I just not work for them when I'm done training? If there's nothing on the contract that forces me to, I mean.
    Reply would be greatly appreciated.
     
  11. Psai

    Psai Account on Hold 2+ Year Member

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    Northshore LIJ will soon become northwell. It's a wealthy hospital system with very nice facilities. They can also afford to pay for great ancillary services which seems to be a rather large problem in other places in the area. However, Hofstra is not an established medical school. It just graduated its first class this past year. It will do likely well in the future because it has a forward thinking dean and an interesting philosophy but they are still untested. They also have students from downstate and einstein rotate through. The location is great for paying nyc prices without the benefit of actually living in nyc. They do have pretty decent housing right next to the hospital though. The nice thing about established programs is that you have an alumni system and can probably find graduates from your program in the places that you are interested in but this program will not have many for you by the time you graduate.

    The chair of the department is the ceo of napa which is an anesthesia management company. These companies are good for people who like being employed so as to make less money for more work except for those in leadership positions. I did hear rumblings about how this company held the contract at the hospital system in another residency program which led to rather lackluster teaching for residents leading to a corresponding decrease in morale. I'm not sure how it works at their own program though.
     
  12. Anesthbro

    Anesthbro

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    So NAPA-owned/operated could translate into lackluster teaching?
     
  13. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor 10+ Year Member

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    I would be surprised if it doesn't. Teaching and profits are like ventilation and CO2.
     
  14. Anesthbro

    Anesthbro

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    Well, that's unfortunate.

    Any other factors I should consider?
     
  15. Scotty_G

    Scotty_G Junior Member 10+ Year Member

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    They have good facilities because the hospital system is very profitable as you know. I mean come on this is Long Island.... No wonder Nappa was started here :) In short I think most of us would agree it's risky to go there for residency. The only other place I know was the place previously mentioned in Texas. The residents had to be relocated after the AMC took over. I don't think that would happen here because it would make Nappa look bad. Rumors have it that admin are getting tired of Nappa at NS-LIJ.
     
    Last edited: Jan 2, 2016
  16. Psai

    Psai Account on Hold 2+ Year Member

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    I don't doubt it, judging by what I've heard about their business practices. But the chair of anesthesiology at ns-lij is the ceo of napa
     
  17. Anesthbro

    Anesthbro

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    So you
     
  18. criticalelement

    criticalelement Banned Banned Account on Hold 2+ Year Member

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    All management companies are inherently evil...
     
  19. Scotty_G

    Scotty_G Junior Member 10+ Year Member

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    Beware the dark side... once you join an AMC it will forever dominate your destiny.
     
  20. Anesthbro

    Anesthbro

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    I guess Im trying to understand what that would look like in this program, though.
    As a resident, would I be overworked as merely cheap labor or what?
    My apologies for continuing to ask. Just trying to grasp the extent of the issue for a resident in the program.
     
  21. TeslaCoil

    TeslaCoil

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    My best friend's wife is a ca-2 at LIJ. She says the training is excellent, pay is great, but she works ridiculous hours and always looks like a zombie. Just sayin.
     
  22. Anesthbro

    Anesthbro

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    Does she have time to study?
     
  23. Psai

    Psai Account on Hold 2+ Year Member

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    How many is ridiculous
     
  24. TeslaCoil

    TeslaCoil

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    On non call days I have personally seen her arrive at home after 7 on multiple occasions. She then proceeds to study. She said she usually puts in 60-70. Sometimes more. ICU is hell as usual.
     
  25. Anesthbro

    Anesthbro

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    Is that comparable to other programs in the city?
     
  26. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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  27. TeslaCoil

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    Well if shes working 60/wk then thats not so bad. If shes working 70/wk then thats pushing it imo. But just from seeing her coming home after 7-8 pm on tge random occasions that I happened to be at their house, I'm guessing its closer to 70.
     
  28. TeslaCoil

    TeslaCoil

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    Not sure abt that. But when i interviewed with some places in nyc they all seemed to stay around 55-60/week. Not including ICU.
     
  29. Anesthbro

    Anesthbro

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    So it's a workhorse program..

    Does anyone else have anything else they know and can add?

    Particularly, I am interested in any info on the program director, Aronhson.
     
  30. Anesthbro

    Anesthbro

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    Anything else I should know? And thanks!
     
  31. TeslaCoil

    TeslaCoil

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    If you are interested in CT anesthesia, the PD at LIJ is one of the top CT anesthesiologists in the nation, I would venture to say that a phone call from her on your behalf could knock down some serious doors for landing a CT fellowship...
     
  32. nimbus

    nimbus Member 10+ Year Member

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    Hahaha.....just have to laugh. Every decent program has "one of the top blah blah blah....."
     
  33. nycitygas

    nycitygas ASA Member 5+ Year Member

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    LIJ is going to dump NAPA in the next few years
     
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  34. TeslaCoil

    TeslaCoil

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    Laugh away. He asked about the pd and I tried to answer with what I knew. Not sure whats so laughable though...
     
  35. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor 10+ Year Member

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    The only thing worse than working for an AMC after residency is working for one during it. ;)
     
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  36. nimbus

    nimbus Member 10+ Year Member

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    The concept of "top cardiac anesthesiologist" is laughable. There are some leaders in cardiac anesthesia active in SCA and Echo week, who publish a lot and write books.....but there's no competition to determine one like "top chef". And I doubt the individual in question would come up on anyone's list of "top cardiac anesthesiologists in the nation".....even though she may be a stellar clinician like MANY of her peers. It's as meaningful as "second to none"....lmao
     
    Last edited: Jan 4, 2016
  37. TeslaCoil

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    She is in fact VERY active in many aspects. And I wasnt born yesterday. I didnt say she is THE top CT anesthesiologist, nor am I insinuating that an actual list or ranking of physicians exists or should exist. Thats an assumption you're making. I'm merely using "top doc" as a figure of speech to point out the fact that she is a highly publicised and well known CT doc, whose talks you can attend at any ASA meeting. Its not just a hunch, I know for a fact that this PD has clout. Any other productive adages??
     
  38. nimbus

    nimbus Member 10+ Year Member

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    The program director at NSLIJ is listed as Judith Aronsohn. I attend a lot of cardiac anesthesia and echo meetings and I've never seen or heard of her. In fact she is not echo boarded which makes me question whether she even does cardiac anesthesia. I suppose it's possible but it would be unusual.
     
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  39. Anesthbro

    Anesthbro

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    How about their head of neuro, Nardi?
     
  40. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor 10+ Year Member

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    Why would that matter? Neuroanesthesia can be taught by any generalist.
     
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  41. Anesthbro

    Anesthbro

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    Just wonder what his teaching is like. If he has a good rep, etc.
     
  42. Anesthbro

    Anesthbro

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    What makes you say that?
     
  43. ClaireUnderwood

    ClaireUnderwood ASA Member

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    .
     
    Last edited: Feb 9, 2016
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  44. Anesthbro

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    Yeah, I was told one of the CA-2 looking into CT fellowships is basically hand-picking their interviews thanks to Dr. Shore.
    I wonder if any of their other attendings have that kind of pull. How their pain is, for example.
     
  45. jk1979

    jk1979

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    i would b careful of putting too much emphasis on what one attending can do with a phone call. Fellowships want to recruit from programs that have a proven track record of giving them solid fellows. Whoever this cardiac person is, I'm sure there are equivalent at other programs. Personally, I wouldn't take any chances with a new program...to much growing pains and you only get a shot at proper training once.
     
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  46. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor 10+ Year Member

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    I tend to agree, especially with the emphasized part. Unless a person has a stellar recommendation and call from a well-known professor, it's usually the name of the residency program that opens the most doors, especially to top places.

    The brand matters a lot, that's just basic human psychology.
     
    Last edited: Jan 6, 2016
  47. kazuma

    kazuma ASA Member 5+ Year Member

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    You mean those "top vag reconstruction surgeon" ads in sky magazine are fake? I want my money back...
     
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  48. TeslaCoil

    TeslaCoil

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    Not a problem whatsoever, and yes, Dr. Shore-Lesserson is who I was referring to. Good luck!
     
    Last edited: Jan 8, 2016
  49. TeslaCoil

    TeslaCoil

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    I agree with what you're saying to an extent, but this line of thinking can also be highly fallacious. I have seen plenty of less than stellar docs come from top pedigree programs, and I have also seen many superb doctors who came from schools all over the world that you would least expect. In my honest opinion, this sort of mentality can be dangerous and should be avoided. Thats just one poor medical student's opinion though. However little it means to those looking down from their towers. o_O
     
  50. nimbus

    nimbus Member 10+ Year Member

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    I stand corrected. Your statement was legit. Sorry.
     
  51. TeslaCoil

    TeslaCoil

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    Hey, no biggie ;)
     

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