American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Stony Brook University Hospital

Long Island, NY

Number of Positions Offered: 1

Contact Information

Mastery in General Surgery Program Chief

Samer Sbayi, MD, FACS

Additional Information

Department of Surgery
HSC T19-053
Stony Brook, NY 11794-8191


Stony Brook School of Medicine

Program Highlights

The Junior Associate will run their own clinic. Experience will include basic gynecologic conditions as well as basic emergency and elective conditions in the areas of otolaryngology, urology, and orthopedic surgery and regularly scheduled endoscopy clinics. There will be opportunities to rotate on other services including trauma/critical care, orthopedics, urology, OB/GYN, and ENT. Stony Brook University Hospital (SBUH) has many specialties to reach out to including off-site rotations with local affiliates, smaller community hospitals, rural locations, and international mission opportunities.

Program Description

The year will be spent almost entirely at SBUH and the degree of supervision required will be tailored to the formal evaluation at monthly intervals. The Junior Associate will function as a Junior Attending and participate in the Attending call roster. Additionally, the Junior Associate will run their own clinic seeing postops, follow-up patients, and new consults along with other residents.

The Junior Associate will share call and procedures with the faculty members at SBUH for the first three months, including taking call for the emergency department, seeing patients in the ambulatory setting, performing operations and endoscopic procedures, rounding daily on inpatients, and taking consultations from the hospital—with the Junior Associate conferring with the Senior Associates regarding management decisions and having direct supervision for all operations. The Junior Associate will meet with the majority of the referring physicians during the first two months so that they can become familiar with the Junior Associate’s background and desire to be consulted for appropriate cases. When appropriate, the Junior Associate will enter the emergency call schedule as an independent practitioner. The Senior Associates will continue to be available to provide consultation and advice to the Associate for any cases in which there are questions and a weekly case presentation conference will be held to discuss representative cases.

Every attempt will be made to allow the Junior Associate to have patient care and operative experience with caesarean sections and other basic gynecologic conditions as well as basic emergency and elective conditions in the areas of otolaryngology, urology, and orthopedic surgery. In addition to basic general surgical procedures, gastrointestinal endoscopy will be a major feature of the Junior Associate’s curriculum, with regularly scheduled endoscopy clinics. The Junior Associate will spend the majority of the year with the exigent surgery service and then have three months or more (based on their needs and preferences) to rotate on other services including trauma/critical care, orthopedics, urology, OB/GYN and ENT.

The Junior Associate will learn about practice management issues including billing, collections, medical liability, contract negotiations, quality improvement, and patient safety initiatives from the faculty as well as from the practice manager of the surgical group. The Junior Associate will meet with patient advocacy and risk management and will also have the opportunity to sit on the Surgical Quality meetings and Surgery Program of Distinction meetings with faculty and non-physician leaders to review multiple quality measures including ACS National Surgical Quality Improvement Program dashboards and safety and advocacy reports. The practice group will hold a regularly scheduled morbidity and mortality conference at which all deaths and complications are discussed.

The intake assessment will be used to identify the level of performance of the Junior Associate and to plan his or her subsequent curriculum and experiences. The Junior Associate will meet monthly with the Senior Associate for evaluation and feedback and where the goals and objectives for the next month will be discussed and decided upon collectively. A semiannual review will be scheduled to include the Junior Associate, the Senior Associate from each hospital and the Program Chief to assess achievement of performance-based goals and objectives that were established at the intake assessment. A final assessment will be completed by the Senior Associate using all interim assessments as well as a final competency-based assessment from all Senior Associates at the site.

Senior Associates

Andrew T. Bates, MD
Salvatore Docimo, DO
George D. Keckeisen, MD, FACS
Aurora D. Pryor, MD, FACS
Jessica Schnur, MD
Konstantinos Spaniolas, MD, FACS
Mark A. Talamini, MD, MBA, FACS