Anesthesiology is one of the great medical discoveries of humanity, allowing the advancement of surgery and pain management. While providing pain relief and amnesia to the patients, the anesthesiologist is the clinical pharmacologist and physiologist both inside and outside the operating room. The scope of practice of anesthesiology has broadened to include obstetrical analgesia, acute and chronic pain therapy, cardiac anesthesia, pediatric anesthesia, intensive care, office-based anesthesia and sedation and monitoring of patients undergoing GI, radiologic and ECT procedures.
The mission of the Residency Program at Stony Brook Medicine is to educate and facilitate the achievement of excellence in anesthesia care and thereby create physicians, who in the course of their careers will play a role in improving the quality of health care in our nation. The Department of Anesthesiology faculty excel in patient care, education and research and provide the educational experience for the residents. As a demonstration of our commitment to the residency program, we offer a comprehensive didactic program with all-day education days, an educational intranet, a dedicated faculty mentor for each resident, abundant opportunities for QA/QI projects, clinical and basic research, a generous educational allowance and a compensation package that is among the best in the country. The end product of this anesthesia residency education is a superbly trained consultant in anesthesiology, able to provide the highest quality of care to patients in the most challenging clinical conditions.
Healthgrades named Stony Brook Medicine as one of “America’s 100 Best Hospitals™” for 2019! This puts us in the top 2% of hospitals in the nation for exhibiting clinical excellence year over year. [Read more]
Resident wellness, or as we say
🔥 IT'S LIT 🔥, is a priority in our program! Mindfulness and other wellness sessions are integrated into the didactic curriculum as well as weekly lunches with the Chairman and class meetings with the Program Director. The institution and department hosts various social and team building events throughout the year including happy hours, BBQs, holiday parties, dinners, bowling parties, puppy socials and an annual ski trip. Our Instagram page shows what we do for fun! We ran two Spartan Races in 2018! Here is the video from November's race.
Residency Program At-a-Glance
▶ Welcome Messages
Virtual Tour of the Department (3:30 video)
▶ Clinical Base Year
The Stony Brook Anesthesiology Residency Program is a four-year program. During the clinical year (PGY- 1), our interns rotate through the Emergency Room, Surgery, Medicine, ICU, Pain and Anesthesiology Departments.
▶ Clinical Divisions and Rotations
The department is organized into clinical Divisions that emphasize the many subspecialties of anesthesiology.
Use the links below to meet the members of each Division, learn about their academic and research activities, and discover what a Day-in-the-Life-of-a-Resident is like!
▶ Clinical Skills Center and Simulation
Simulation is a component of our residents’ educational experience. There are numerous values to simulation. These include standardization of education, allowing residents to have their medical decisions proceed to a logical conclusion without attending intervention, identification of weaknesses in knowledge base as well as improving technical ability and learning through a kinesthetic teaching process.
The Clinical Skills Center at Stony Brook Medicine is a 4,000 square foot state-of-the-art training center that can be used as a resource for specialized training of physicians and other healthcare professionals. The Department of Anesthesiology has played a critical role in this Center from its inception. An operating room, complete with a high fidelity mannequin and a realistic setting, makes this an exciting educational experience. The majority of the Wednesday teaching sessions include a simulator component.
The simulator is used to create rare and dangerous situations that the resident may never see during the course of a residency. Examples include airway fires, malignant hyperthermia, anaphylaxis and the incapacitated surgeon. In addition, more routine types of cases and complications can be taught in the simulator, so the resident can encounter such scenarios as “cannot intubate, cannot ventilate” or serious arrhythmias in a safe environment. They can practice clinical skills such as intubate and placing lines on mannequins instead of “real patients”.
▶ Clinical Training
From the outset, the department has maintained a fully accredited residency training program. We are a four-year program. The Clinical Base Year (CBY) consists of rotations in the Departments of Medicine and Surgery, including two ICU months; one month in the Emergency Room and one month in Anesthesiology and one month in Pain Management. The CBY residents will have the opportunity to interact with faculty and residents in the Department of Anesthesiology.
Three groups of residents undergo training in each of the three clinical anesthesia years of training (CA-1, 2 and 3 years equivalent to PGY 2, 3 and 4). There is large variety in a very substantial caseload. All specialties and subspecialties are represented. All anesthetics are delivered by residents under the direction of an attending anesthesiologist. This supervision is given 24 hours per day, either on a one-to-one basis or, at most, in a ratio of one attending for two residents. It is an expression of our standard: optimal care, for all patients, at all hours. This applies not only in the operating rooms, but also in the obstetrical delivery suite, the intensive care units and the pain clinic.
This clinical instruction may be strenuous and demanding; it is alleviated by the strong personal relationship between attending and resident and by certain amenities, such as breaks throughout the working day, an attending late call system to allow timely resident relief, education days that break up the clinical routine and wellness sessions to provide self-care education and social support. In addition, we have a night float call system and our residents do not work more than 80 hours per week.
▶ Clinical Training Sites
Wednesday 7 AM Conferences
Wednesday 8:00am- 3:00pm Conferences (1 CA cohort per week; 1-2 times/month/CA class)
There are over 80 faculty members in the Department of Anesthesiology. Many of them are involved in all three aspects of the department: clinical care, teaching and research. Some of them, including eight Ph.D scientists, focus on one particular aspect. Faculty members have joint appointments in other departments and training programs in the Medical School including Physiology & Biophysics, Pharmacological Sciences, Health Sciences, Biochemistry, Neurological Surgery, Pediatrics, Dental Medicine and Urology. Many are active in the field of anesthesiology at the state, national and international levels.
Books and book chapters
▶ Global Health
The Department of Anesthesiology supports Residents and Attendings to participate in Global Health trips (Medical Missions). Recent destinations include Zambia, The Philippines, Ecuador, China and Honduras.
I went to Zambia during my last year of residency. I was so lucky to go - it was definitely an eye opener. I saw and learned SO much! it gave me a totally different perspective on medicine, how it can be done so differently with minimal resources. It forced me to get out of my comfort zone, and to still provide safe medical care. Now as an attending who is going on medical missions, I would recommend this experience to everyone!
-Dr. Anna Kogan, former Stony Brook Resident and current Stony Brook Attending
Ecuador 2018. Challenges: No consistent monitors, no emergency drugs available, finite amount of oxygen available, minimal equipment available. What we learned: You can work with less, not all propofol is created equal, you can reuse everything, turnover is faster without Joint Commission
-Drs. Justin Smith and Minxi Wang, class of 2018.
Philippines January 2019 video. Mission with Uplift Internationale to Naga City in the Philippines.
▶ Journal Club
Journal Club is held every other month. Meetings take place during dinner either on campus or at a nearby restaurant in a relaxed atmosphere. All faculty, residents, CRNAs and medical students rotating through the department are invited to attend.
Journal club is a didactic tool to teach life-long learning skills. It is a way to keep current in the anesthesiology literature and to learn to read the literature with a critical eye.
Journal Club is organized and moderated by Ursula N. Landman, D.O. and Eric Zabierowicz, M.D. All residents and faculty members have an opportunity to present at least once during the three year cycle.
Current and past Journal Club topics
▶ Office-based Anesthesia
We provide exposure to Office based surgery. CA-3 residents rotate with an anesthesiologist where they are exposed to the isolated lonely environment of an office setting. This office is fully certified and offers the highest possible safety standards. This should prepare the residents to set the highest standards for themselves when they eventually are exposed to this growing arena. Office-based Anesthesia is a component of the Ambulatory Anesthesia rotation.
▶ Pre-Admission Testing
Deborah Richman MB, ChB, FFA(SA), is the dedicated on-site Attending for Pre-Admission Testing. Residents do a four-week rotation in PAT.
For more information see the General Division.
▶ Research: Clinical, Quality Improvement, and Basic Science
The Department of Anesthesiology has outstanding infrastructure and opportunities for residents who wish to learn how to conduct clinical research, QA/QI projects and basic research.
We have excellent mentors who have a track record of assisting trainees to design, complete, and publish innovative projects. For example, the Chair (Dr. Gan) and Vice- Chair for Clinical Research (Dr. Bennett-Guerrero) have both mentored countless individuals over the last 25 years.
In addition to expert mentoring, there is dedicated departmental infrastructure to support research including clinical research coordinators, data management and biostatistical expertise, and clinical research space with patient stretcher, monitoring, IV infusion pump, -80 and -30 freezers, refrigerator, and refrigerated centrifuge. The department also offers seed money for promising projects and dedicated research time during the CA-3 year.
RECENT RESEARCH/QA PROJECTS
The department is also extremely active in quality improvement projects, especially Enhanced Recovery After Surgery (ERAS). Our Chairman (Dr. Gan) was the founding President of the American Society of Advanced Recovery (ASER) and is an internationally recognized expert in enhanced recovery. We have a dedicated ERAS coordinator who has been helping us expand from 4 to approximately 10 active protocols in different surgical procedures. Residents are encouraged to be involved in these efforts and are required to complete a QI or patient safety project during residency. For example, a graduating CA-3 resident (2018) worked on the lumbar spine fusion ERAS protocol during his residency, presented his results at the Department’s Academic Evening, where he won Best Resident Award, and is currently drafting the manuscript.
The Anesthesiology department has a strong and growing group of basic research scientists investigating fundamental topics in neuroscience, and in biological impacts of anesthesiology. Basic research in the department is diverse, including investigation of mechanisms of chronic and acute pain (Kaczocha; Puopolo; Azim), biological impacts of adult neurogenesis (Enikolopov), cellular mechanisms of neurodegeneration (Dubnau), impact of anesthesia on cancer metastasis (Jun Lin), effects of anesthetics on basic neurophysiology (Dilger), fundamental biology of cilia function (Peunova) and development of novel approaches for bone implants (Pentyala). Basic researchers in the department are highly successful in obtaining external funding from the NIH and other granting agencies.
Academic Research Evening
▶ Resident Presentations at National Meetings
We encourage our Residents to present research posters and Medically Challenging Cases at national meetings such as the ASA and PGA. Residents whose abstracts are accepted for presentation are fully funded to attend the meeting. A listing of the publications and presentations of each resident can be found on the Residents web page. Browse the archives of presentations since 2009.
Presentations at ASA October 2019
Ericksen WL, Eng M, Kim ES, Nie L, Levy JH, Senzel L, Bennett-Guerrero E. Comparison of Thrombin Generation in Cardiac Versus Non-cardiac Surgical Patients.
Mitchell D, Dhautal B, Holecek W, Romeiser J, Poppers JS, Bilfinger T, Parikh PB, Bennett-Guerrero E. Low Diastolic Blood Pressure and Aortic Insufficiency after Transcatheter Aortic Valve Replacement.
Wetcher A, Yau G, Wang K, Steinberg E, Schabel J. Anesthetic Management Of A Parturient With A Hypoplastic Right Ventricle.
Shuminov O, Shuminov R, Pedoto A. Erector Spinae Plane Catheter (esp-c) For Unplanned Open Lung Resection: A Case Series Of Two Patients With Contraindications For Neuraxial Blockade.
Chojnowski R, Poppers JS, Atkinson DJ. Neuraxial Anesthesia And Epoprostenol Via Bipap For Revision Right Hip Arthroplasty Complicated By Pulmonary Hypertension.
Al Bizri E, Mitchell D, Caldwell W. Pediatric Amplified Musculoskeletal Pain Syndrome (amps) And Calmare® Scrambler Therapy - A Case Series.
Brar C, Andraous WF. Ludwig's Angina Complications and Difficult Airway Algorithm Application to an Emergency Case.
McManus M, Caldwell W. Ultrasound Guided Stellate Ganglion Block for a Fully Anticoagulated Patient in Refractory Ventricular Tachycardia Failing Conservative Medical Therapy.
Mouch C, Caldwell W. Diagnostic Pseudofacet Block In Collegiate Athlete With Bertolotti Syndrome.
Ma S, Adrahtas D, Oleszak SP. Anesthesia Considerations for a 70 Year Old Male with Relapsing Polychondritis Involving the Airway for Elective Inguinal Hernia Repair.
Shah R, Na Javeed S, Abola RE. Anesthesia For Cesarean Section In Parturient With Pulmonary Hypertension And End Stage Renal Disease.
Mitchell D, Gupta R. A Case Report Of A Prolonged Spinal Following Routine Administration Of Intrathecal Bupivicaine.
Tenure R, Kim ES, McLarty A, Poppers JS. Apparent Iatrogenic Pulmonary Hypertension In A Patient With An Impella And Va Ecmo.
Ma S, Costa AC, Al Bizri E. 49 Year Old Female With Blue Discoloration Of Limb After Indigo Carmine Administration.
Siddique U, Stemke L, Azim SA. Intraoperative Massive Pulmonary Embolism Causing Bradyasystolic Arrest During Spinal Surgery.
Pasiliao J, Yau G, Andraous WF, Stemke L. Intrathecal Pump Replacement Under Transverse Abdominis Plane Block
Presentations at NYSSA-PGA December 2018
Al Bizri E, Lekhraj J, Oleszak S. One Lung Ventilation In A Patient With Unilateral Vocal Cord Paralysis.
Al Bizri E, Sanchez C, Andraous W. Airway Management During Transoral Resection Of Cervical Spinal Chordoma.
Al Bizri E, Landman U. Combined Spinal Epidural (CSE) for Parturient with Lumboperitoneal Shunt (LPS).
Wetcher A, Yau G, Wang K, Schabel J, Steinberg E. Anesthetic Management of a Parturient with a Hypoplastic Right Ventricle.
Yau G, Wetcher A, Costa A. Euglycemic Diabetic Ketoacidosis in Pregnancy.
Mouch C, Caldwell W. Diagnostic Pseudofacet Block in Collegiate Athlete with Bertolotti Syndrome.
Smestad A, Tateosian V. Newborn With Fetal Exposure to Zika Virus with Large Lumbar Myelomeningocele.
Yau G, Cheung R, Andraous W. Heliox Application During Awake Tracheostomy.
Khalili M, Caldwell W, Tan M. Successful Treatment of Central Pain Via Spinal Cord Stimulation.
Shah N, Lekhraj J, Schabel J. Anesthetic Management of a Parturient with TRAPS.
Presentation at ASRA November 2018
Vojdani R, Iskander A. Bilateral Supraclavicular Nerve Block for Bilateral Upper Extremity ORIF Surgery.
▶ Resident Life
Rotations at Stony Brook Medicine assigned as four-week blocks
How we have fun!
Our resident Instagram page : @stonybrookanesthesia
🔥 IT'S LIT 🔥
▶ Residency - What Next ??
30-70% of our residents pursue fellowships, depending on the interests of the class
Our residents have matched for fellowship at:
40-60% of the graduates enter private practice
Visit our Alumni page
▶ Salary and Benefits
The residents in the Department of Anesthesiology receive a salary that fits in the highest range in the country. The salary base is contractually increased annually. Full malpractice coverage of all clinical activity performed in the course of duty, basic and major medical insurance, dental insurance and a drug prescription plan are provided. Residents receive four weeks vacation leave per annum. Residents have the opportunity to attend a major national Anesthesiology meeting every year.
Current salary information
Telephone information: 631-632-6770
House Staff Office: 631-444-2754.
▶ Teaching Hospitals
Resident training in Anesthesiology is provided in two medical centers: Stony Brook University Medical Center and the Northport Veterans Administration Hospital.
Since we began providing care in 1980, the staff of Stony Brook University Medical Center has been committed to delivering excellence in patient care, research, education, and community service.
Northport Veterans Administration Medical Center offers quality medical, surgical, psychiatric, rehabilitative and skilled nursing care to Long Island veterans. With highly qualified and experienced healthcare professionals, state-of-the-art technology, a full range of services, and high ratings with the Joint Commission on Accreditation of Healthcare Organizations and other respected accrediting health care organizations, Northport VA Medical Center has a reputation for providing superior healthcare to Long Island's veterans.
▶ Teaching Videos
"I have to admit that I was not thrilled about starting residency at the same institution where I had just completed medical school. I wanted to try living in another part of the country. Life, however, dictated my fate... and I could not be happier. Aside from meeting some of my best friends during residency (and I still have one as a colleague here ☺), I feel incredibly well trained. I have friends all over the country in anesthesia, and we often compare our exposure to cases, especially traumas and neurointerventional procedures (my division). I can honestly say that I can work anywhere and feel confident in any case at any time because of my anesthesiology training at Stony Brook. Stony Brook Anesthesiology has a large enthusiastic group of young faculty members who are eager to teach, help and try new things. Residents feed off of this and often become good friends, not just trainees, with the faculty. The department is also willing to change and incorporate new ideas into every day resident life (e.g. night float system, international medical missions, opportunities for mini-fellowships CA3 year, etc). What I have learned is that when you are happy, you do well. I think you would be happy at Stony Brook."
Sofia Geralemou, MD
Graduate, Stony Brook Residency Program 2011
Assistant Professor of Anesthesiology
Stony Brook Anesthesia: Excellent Training in a Great Environment
"The best way I would describe my experience in anesthesia at Stony Brook is an excellent place for clinical training, with knowledgeable and friendly faculty, and great educational resources. Add to that the location of being in Long Island, with many different active and entertaining venues on its own, not to mention that it's just a train ride away from NYC, being here is the complete package. The department at Stony Brook was recently ranked #6 nationwide in NIH funding to an anesthesia department, and this is the result of the commitment they put into education and research. In fact, I was able to begin my research career here through the 6 month research track they offered during the 3rd year of my anesthesia residency. This research flourished and after receiving grant funding for my work, I decided to continue my research as faculty here at Stony Brook Anesthesiology. I am excited at the direction our department is moving, as we continue to grow and expand, and I look forward to working with each new resident group that joins our department. I certainly found the perfect anesthesia residency match for me and my career, hope you are able to find the same for you. Good luck!"
Rany Makaryus, MD
Graduate, Stony Brook Residency Program 2010
Assistant Professor of Anesthesiology
"Hi, my name is Dr. Jason Daras. I graduated from the Stony Brook Anesthesiology Residency Program in 2010. Through my years at Stony Brook, I had many wonderful experiences in the areas of academics, didactics, clinical anesthesia as well as research. The level of teaching at the program was far superior than I ever expected. Attending physicians stayed late or came in early to go over cases for board prep. They would give mock orals for our oral boards preparation starting in the CA1 year. I was able to easily pass my writing and oral boards on the first attempts.
I came out of Stony Brook feeling extremely comfortable providing anesthesia for my patients and, quickly, my new practice had confidence in me. I really attribute this to the amount of attention each resident receives at Stony Brook as they do their clinical work. The feedback I received from the residency program allowed me to adjust my skills to make me the safest and most efficient anesthesiologist I could be. And further, the exposure to all anesthesia related procedures is unbeatable by any program in the U.S. in my opinion. I graduated from the program able to easily and quickly insert various central lines, arterial lines, and perform peripheral nerve blocks for regional anesthesia. I came out of Stony Brook highly proficient in regional anesthesia. As an attending for 7 years, I have seen many new graduates incapable at performing regional anesthesia at the level of any graduates of the Stony Brook Anesthesiology Program that have joined my practice after me.
As a result of my experience at Stony Brook, I not only passed my boards on the first attempt, I joined the largest physician run anesthesia group in New Jersey, Morris Anesthesia Group. I quickly took on a leadership role and in my first year was promoted to Director of Regional Anesthesia. I truly believe Stony Brook brings something special to the table and that is teaching its residents how to be leaders in the world of anesthesia. Now, 7 years out of residency, I am not only a managing partner of Morris Anesthesia, but I was just named Chief of Anesthesia at our hospital. I attribute this great achievement to the place it all started. The experience that residents get at Stony Brook is priceless and I cherish my decision in listing Stony Brook as my number one choice for anesthesia residency."
Jason Daras, DO
Graduate, Stony Brook Residency Program 2010
Director of Regional Anesthesia
Morris Anesthesia Group, Parsippany, NJ
Mark Kim, MD and Jonathan Tan, MD (Graduates, Stony Brook Residency Program 2013) discuss their residency experience at Stony Brook Anesthesiology.
Stony Brook University
From its beginnings in 1957, Stony Brook University has been characterized by innovation, energy, and progress, transforming the lives of people who earn degrees, work, and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.
Stony Brook's reach extends from its 1,100-acre campus on Long Island's North Shore: encompassing the main academic areas, an 8,300-seat stadium & sports complex, a performing arts center, Stony Brook University Medical Center, the Health Sciences Center, and the Veterans Home to Stony Brook Manhattan, a new Research and Development Park, three business incubators and the new Stony Brook Southampton campus on Long Island's East End. Stony Brook also co-manages Brookhaven National Laboratory
Stony Brook is still growing. To the students, the scholars, the health professionals, the entrepreneurs, and all the valued members who make up the vibrant Stony Brook community, this is a not only a great local and national university, but one that is making an impact on a global scale.
The Stony Brook area is one of the most attractive residential communities in the Northeast. Amid the hilly dunes near Long Island Sound the woods and fields along the water offer a variety of scenic delights. Fishing, boating, golf and horseback riding are among the many opportunities for recreation. Small wonder that the area has always been attractive to artists and scholars. The local museums and neighboring communities provide recreation and educational experience.Discover Long Island
Three Village Patch - local activities
▶ Visiting Professors
The department sponsors a monthly Visiting Professor lecture series. Invited speakers present clinical and/or research topics at our Wednesday morning Grand Rounds. Whenever possible, the Visiting Professor makes a separate presentation to the Residents on Tuesday afternoon.
The Visiting Professorship in April or May is combined with our annual Academic Research Evening. During the poster session, Residents, Faculty and Students present display their research accomplishments. Several Residents and Students are selected to give oral presentations as well. The Visiting Professor presents the keynote speech. This is followed by dinner and an awards ceremony.
Current and Past Visiting Professors