Anesthesiology

  • Overview
  • Curriculum
  • Research
  • Residents
  • Medical Students
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St. Joseph’s Regional Medical Center (SJRMC), founded in 1867 has the oldest existing anesthesiology residency program in the State of New Jersey. In our department’s more-than-60-year history, our graduates have become leaders in the fields of Anesthesiology and Pain Management, department heads, academic and clinical anesthesiologists practicing across the country. We are sponsored by New York Medical College, a member of the Touro University System.

Our new critical care building has spacious state-of-the-art operating rooms where you will be exposed to a wide variety of cutting edge procedures and technology. The dedication and experience of our teaching faculty assures that you will receive the finest academic and clinical training available. With our approximately 2:1 ratio of attendings to residents, you will receive the individual attention that few programs can offer. Using the latest innovations in education – simulation, workshops, teamwork training – as well as traditional lectures and conferences, our residents develop the skills and knowledge to flourish in any clinical setting and consistently have a high board certification rate. There are many opportunities for research and scholarship to advance our field.  Our reputation for excellence in training and education has been recognized by the many prestigious fellowship programs and anesthesia departments across the country that have eagerly welcomed our graduates. We believe your learning experience should be in a supportive, friendly and stimulating environment. Our program provides many opportunities to relax, enjoy, and have some fun together while making lifelong friends.

Program highlights:

  • At our two campuses - SJRMC (Paterson) and St. Michael’s Medical Center (Newark) residents will be exposed to the finest academic and clinical training available.
  • Daily comprehensive lecture series covering all major topics in anesthesia (30-45 min).
  • Thursday morning departmental conferences: Grand Rounds, Guest Lectures, Morbidity and Mortality Conference, Journal Club (one hour).
  • Frequent written board preparatory sessions and mock oral boards have resulted in a high board certification rate.
  • Clinical research presentations at major national conferences.
  • Basic and advanced training in all subspecialties of anesthesia:
  • Pediatric Anesthesia: St. Joseph’s has a State designated 120-bed Children’s Hospital. Residents will be exposed to the full gamut of basic pediatric cases and neonatal surgeries, as well as, pediatric intensive care, pediatric cardiac surgery, neurosurgery, ENT, craniofacial repairs, and genitourinary surgery. Our residents participated in the first (and only!) separation of conjoined twins in New Jersey history.
  • State-of-the-art cardiac anesthesia at St. Joseph’s Cardiac Institute and St. Michael’s Medical Center where over 1500 cardiac surgical procedures are performed each year.
  • Our Pain Management Center (Total Pain Care, P.A.) provides care to those suffering acute and chronic pain. A multidisciplinary approach to pain management includes non-invasive and invasive treatments, such as nerve blocks, spinal cord stimulator insertion, epiduroscopy and permanent intrathecal pump implantation.
  • Neurosurgical Anesthesia - Residents participate in a variety of intracranial, neuro-vascular and spine surgeries. They will learn principles of EEG and evoked potential monitoring, controlled hypotension and management of increased intracranial pressures.
  • SJRMC has a high-risk obstetrics department with approximately 3,000 deliveries each year. Residents care for parturients with preeclampsia, hemorrhage, cardiac disease and multiple births (including quintuplets in 2002!).
  • SJRMC is a State-designated Trauma Center (with helistop capable of receiving large military helicopters) treating approximately 1,300 cases per year.
  • Busy orthopedic, plastic surgery and podiatric services provide the resident with many opportunities for ultrasound-guided peripheral nerve blocks.
  • Well-stocked anesthesia library (including texts, journals, audio-visual material and computer access), as well as the hospital's Health Sciences Library (with approximately 3,000 books, 300 journals, 600 audio-visuals, 10 computers, video conferencing, and access to the National Library of Medicine databases).
  • Residents are involved in teaching medical students and rotating residents from Medicine, Pediatrics, Dental and Oral Surgery, and General Surgery.
  • Educational allowances include an annual book stipend and a senior conference stipend. 


The Clinical Base Year

While all our positions are “advanced” beginning at the PGY2 level, we do offer a limited number of preliminary (PGY1) positions through the Department of Surgery.

We also provide all PGY1 residents with a series of short, fun videos as well as a brief introductory online “textbook” to familiarize our incoming residents with basic anesthesia topics.

CA1 (PGY2) – Introductory Lecture Series and Simulation

  • 8 months general OR experience
  • 1 month obstetric anesthesia
  • 1 month pain management
  • 1 month preadmission testing
  • 2 weeks post anesthesia care unit

CA2 (PGY3) – One month rotations in the following subspecialties:

  • Pediatrics
  • Cardiothoracic anesthesia
  • Pain management
  • Obstetrics
  • Regional Anesthesia
  • Neuroanesthesia
  • Pediatric ICU
  • 4 months general OR experience

CA3 (PGY4) – One month rotations in:

  • Advanced neuroanesthesia
  • Advanced cardiothoracic anesthesia
  • Surgical intensive care unit
  • Advanced clinical anesthesia
  • In the remain 8 months residents may choose to do 1-4 months of cardiac, obstetrics, pediatrics, pain management, neuroanesthesia, regional anesthesia, or critical care.
  • CA3 residents will complete a scholarly project resulting in a local, regional or national presentation or journal publication.

Davis-Phinn M, Kagunye S, Bauman G.  Pediatric Mis-Diagnosis and Delayed Treatment: An Atypical Presentation of Foreign Body.  St. Joseph’s Research Day, Poster Presentation, June 2, 2014. 

Uapdya P, Dadaian S, Shah S.  Low Flow Anesthesia.  International Anesthesia Research Society Annual Meeting, Poster Presentation, May 27, 2014. 

Upadya P, Dadaian S, Shah S.  Less Fresh is More Green.  International Anesthesia Research Society Annual Meeting, Poster Presentation, May 27, 2014.  Cooper E, Sesana G, Dadaian S, Burns T, Landa S. Upadya P.  Improving the Utilization of an Inpatient Pain Service at a Community Hospital.  International Anesthesia Research Society Annual Meeting.  Poster Presentation, May 17, 2014. 

Yukhvid D, Upadya P.  Resident Led Quality Improvement Initiative to Improve Intra-Operative Handoff Communication.  Mid-Atlantic Anesthesia Research Conference.  Poster Presentation, April 26, 2014. 

Hsieh J, Landa S, Winikoff S, Ravi, R.  Does Failure to Aspirate CSF during Spinal for Cesarean Section Predict Block Failure?  Mid-Atlantic Anesthesia Research Conference.  Poster Presentation, April 26, 2014. 

Kagunye S, Shah S, Upadya P.  An Interprofessional Approach to effective Time-Outs in the Operating Room: A resident Initiated Patient Safety Quality Improvement Project.  25th Anniversary George Perez Research Colloquium, Seton Hall University.  Poster Presentation, April 22, 2014. 

Upadya P, Padover A, Runo J, DeBari V.  Interview Date Bias, Does It Exist?  25th Anniversary George Perez Research Colloquium, Seton Hall University.  Poster Presentation, April 22, 2014.

Upadya P, Ephros H. Using Simulation in the Evaluation of Residency Candidates. ADEA Annual Session and Exhibition, San Antonio, TX. Poster Presentation, March 15, 2014.

Goel M, Upadya P. Difficult Intravenous Access: Reverse Esmarch Bandaging in the Ambulatory Setting. Journal of Clinical Anesthesia.  February;26(1):83-4. 

Upadya P, Mirzayan N, Vaid-Pinyard S, DeBari V, LaPorta L, Ephros H. Evaluation of Non-Technical Skills in Residency Candidates by Medical Students Versus Professional Facilitators. IMSH, San Francisco, CA. Poster Presentation, January 28, 2014. 

Upadya P. Incorporation of Simulation into Medical Student Orientation.  IMSH, San Francisco, CA. Poster Presentation,January 28, 2014. 

Garcia G, Upadya P, Dreznin H. Case Report: How Did We Find That There? Post Graduate Assembly, NYSSA, New York. Poster Presentation, December 14, 2013. 

Cammarata L, Lake J. Perioperative and Anesthetic Management of a Patient with Pheochromocytoma for Bilateral Adrenalectomy. Post Graduate Assembly, NYSSA, New York. Poster Presentation, December 14, 2013. 

Cooper E, Landa S. Misadventures with Nasogastric Tubes: Two Unrecognized Misplacements. Post Graduate Assembly, NYSSA, New York. Poster Presentation, December 14, 2013. 

Tsang M, Winikoff S, Upadya P. Epidermolysis Bullosa: Anesthetic Concerns and Considerations. Post Graduate Assembly, NYSSA, New York. Poster Presentation, December 14, 2013. 

Tsang M, Cammarata L, Upadya P. Systems Based Quality Improvement Initiative for the Safety of Out of Operating Room Intubations. Post Graduate Assembly, NYSSA, New York. Poster Presentation, December 14, 2013.

Sinha N, Upadya P. Introduction of the Advanced Breathing Circuit. American Society for Anesthesiologists Annual Meeting, San Francisco, CA. Scientific and Educational Exhibit, October 12-14, 2013. 

Kagunye S, Upadya P. Resident Led Quality Improvement Initiative to Identify the Barriers of Effective Peri-Operative Time-Outs. American Society for Anesthesiologists Annual Meeting, San Francisco, CA. Resident Research Forum, October 12, 2013. 

Kagunye S, Upadya P. Resident Led Quality Improvement Initiative to Identify the Barriers of Effective Peri-Operative Time-Outs. American Society for Anesthesiologists Annual Meeting, San Francisco, CA. Poster Presentation, October 15, 2013. 

Cammarata L, Upadya P. Systems Based Quality Improvement Initiative for the Safety of Out of Operating Room Intubations. New York Academy of Medicine, New York New York. Oral Presentation, September 25, 2013. 

Sesana G, Upadya P. Analysis of a Safe, Simple and Effective Upper Extremity Regional Blockade. New York Society of Regional Anesthesia, Annual Conference, New York, New York. Poster and Oral Presentation, September 21, 2013. 

Conopio M, Spaliaras J, Upadya P. Evaluation of Out of Operating Room Intubations in U.S. Anesthesiology Programs. Society of Airway Management Annual Conference, Poster Presentation. September 21, 2013. 

Mirzayan N, Upadya P, Landa S. Using Simulation Based MMI to Appropriately Select Candidates for Residency. Society for Education in Anesthesia Spring Annual Meeting, Poster Presentation. May 31, 2013. 

Vaid-Pinyard S, Upadya P, Landa S. Simulation as a Tool for Evaluating Residency Candidates. Society for Education in Anesthesia Spring Annual Meeting, Poster Presentation. May 31, 2013

Wong E, Galldin L, Landa S. Ketorolac Prevents Nausea and Vomiting during Cesarean Section. SJHMC Hospital Research Day, Runner Up. May 20, 2013. 

Vaid-Pinyard S, Upadya P. Evaluation of Non-Technical Skills in Anesthesia Residency Candidates by Medical Students versus Professional Facilitators. SJHMC Hospital Research Day, Runner Up. May 20, 2013. 

Kagunye S, Markley J. Laparoscopically Induced Subcutaneous Carbon Dioxide Emphysema. SJHMC Hospital Research Day. Poster Presentation.  May 20, 2013. 

Vaid-Pinyard S, Upadya P. Evaluation of Non-Technical Skills in Anesthesia Residency Candidates by Medical Students versus Professional Facilitators. IARS Poster Presentation. May 4, 2013.

Upadya P. Using Simulation Based MMI to Appropriately Select Candidates for Residency. ACGME Annual Educational Conference, Marvin R. Dunn Poster Session. March 1, 2013.

Upadya P. Bringing Elements of Simulation to the Lecture Hall. IMSH, Orlando, Florida. Workshop Presentation, January 29, 2013.

Winikoff SP, Alagappan A. Atelectasis. Chapter in The 5-Minute Anesthesia Consult, ed. Nina Singh-Radcliff, pp 96-97. 2013.

Winikoff SP, Dave N. Awareness Under Anesthesia. Chapter in The 5-Minute Anesthesia Consult, ed. Nina Singh-Radcliff, pp 116-117. 2013. 

Winikoff SP, Gargani S. Brain Death. Chapter in The 5-Minute Anesthesia Consult, ed. Nina Singh-Radcliff, pp 142-143. 2013. 

Winikoff SP, Kanarek V. Cement Implantation Syndrome. Chapter in The 5-Minute Anesthesia Consult, ed. Nina Singh-Radcliff, pp 198-199. 2013.

Below is a list of our 5-year history for fellowship programs proceeding residency at St. Joseph’s Regional Medical Center:

  • Cardiac Anesthesia, Mount Sinai School of Medicine, NY
  • Pain Management, Beth Israel Medical Center, NY
  • Mount Sinai School of Medicine, NY
  • Pediatric Anesthesia, Cleveland Clinic, OH
  • St. Christopher’s, PA
  • Nemours at DuPont Children’s Hospital, DE
  • Toronto Sick Children’s Hospital, Canada
  • Regional Anesthesia, Cleveland Clinic, OH
  • Regional Anesthesia and Acute Pain, University of Iowa, IA.

The medical student rotation for the Anesthesiology Department is arranged through the Academic Affairs Department and accepts four students per week. The medical students on anesthesia rotation participate in our didactic program, attend all morning lectures, Grand Rounds, Journal Club, and Mortality & Morbidity Conferences. Each student will be assigned to operating room cases under the direct supervision of senior residents and attendings. 

The Chairman and Program Director of the Department are responsible for the oversight of the medical student’s rotation and for the timely evaluation and its submission to the sponsoring medical school. Medical students will participate in the pre-anesthetic evaluation of patients, pre-operative preparation, including IV insertion, proper monitoring, airway management, anesthetic induction, maintenance and emergence, post-operative care and pain management.  Students will be exposed to a diverse case mix including pediatrics, obstetrics, cardiac, neurosurgical, orthopedic, and general surgical procedures.

Applications are accepted only through ERAS. We have seven positions per year starting at the PGY2 level, following the completion of a preliminary or transitional program in the U.S. that is accredited by the ACGME or approved by the AOA. 

Our program accepts J1 and H1 visas. The Department does not make the selection for interview decision solely based on licensure exam scores and takes into consideration many factors. We do, however, receive applications from many highly qualified applicants, and therefore, the Residency Selection Committee must strongly consider first attempt and competitive Step scores in their decision.   

Generally, the Residency Selection Committee uses a five year graduation cutoff in considering applications. However, there is no absolute graduation cut-off and the Committee will apply additional scrutiny to those applicants who have been practicing in other fields.  For additional information please email the residency coordinator at runoj@sjhmc.org or call 973.754.2323.

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