Montefiore Medical Center is a premier academic medical center nationally renowned for its clinical excellence, scientific discovery and commitment to its community. The hospital system serves a diverse population, mainly from lower socioeconomic backgrounds. The Cancer Center is one of the first NCI designated centers in the USA since 1971 and has been continuously funded by the NCI since then. It has been certified with an outstanding achievement award for more than 10 years, and certified by the ACS Commission on Cancer. The Breast Center is NAPBC accredited. The breast surgery fellowship seeks to prepare a trainee in surgery for a career devoted to the care, diagnosis, treatment, and study of patients with breast cancer and benign disease. The program will provide training using a multidisciplinary approach to treatment, with opportunities for collaborative research.
Program Overview
The Montefiore Medical Center Breast Program will occupy a new space, due to open in the summer of 2020. This state of the art facility will house clinic space, breast imaging and multidisciplinary patient visits with medical oncology, radiation oncology, plastic surgery, social work, nutrition and support services. The fellowship will incorporate time in the operating room, multidisciplinary clinic for new breast cancer patients, as well as rotations in collaborating specialties. The breast surgery team includes PGY 2+3 surgical residents, medical students from Albert Einstein College of Medicine, nurse practitioners, nurse navigators and research coordinators. The program serves a very high volume with a diverse population. The fellow will be exposed to all cancer stages, including advance disease presentations. The fellow will have the opportunity to have their own clinic, with supervision, as well as autonomy in the operating room. They will be exposed to cutting edge patient centered approaches including ARM-LYMPHA, IORT, oncoplastic techniques, ultrasound guided tumor ablation, reconstructive techniques, novel intraoperative tumor localization and margin assessment, as well as mammary ductoscopy. The commitment to teaching and research is palpable through all the rotations the fellow will experience.
Rotations
The fellow will spend 7 months on breast surgery, 1 month on medical oncology, 1 month on radiation oncology, 1 month on plastic surgery, 1 month on breast imaging, and various time rotating through pathology, genetics, rehabilitation, community outreach and psycho-oncology. The clinical practice treats 2000 new consults a year, 30% cancer, and 70% benign.
Education/Conference
The fellow will participate in multiple teaching conferences:
- Weekly general surgery Grand Rounds
- Weekly general surgery Morbidity and Mortality
- Weekly Breast Tumor Board
- Weekly Breast Division Conference
- Weekly Breast Lecture Series
- Monthly Master of Surgery Grand Rounds Lecture Series
- Monthly Breast Surgery Journal Club
- Quarterly Breast Surgery Grand Rounds
- Quarterly Breast Surgery and Plastic Surgery Morbidity and Mortality
- Bi annual CME in Breast Cancer
- Annual national meetings such as SSO, ASBrS
Research/Clinical Trials
The fellow will be expected to initiate, conduct and complete at least one research project during their fellowship year. The fellow will have access to faculty, statistician, and a research team to help them. In addition the fellow will have exposure to clinical trials conducted at Montefiore Medical Center, and take an active role in identifying eligible patients, working with research coordinators, and conducting the surgical clinical trials available. Lastly the fellow will participate in a clinic research course “Design and Conduct of Clinical Research” for 8 weeks.
Goals/Objectives
We aim to train a strong breast fellow to be the future of breast surgery. Fellows will achieve competence in daily clinical practice rotating with 4 breast surgeons, and numerous subspecialists in their rotations. The fellow will see patients from a variety of socioeconomic and cultural backgrounds. They will engage in community activities for screening as well as events for patients and survivors to focus on wellness. We believe in a single standard of care, no matter the patients’ economic situation. The fellow will develop our philosophy of delivering compassionate, patient centered, individualized care by a coordinated multidisciplinary team.
Eligibility
Candidates must be board-eligible graduates of an ACGME-accredited general surgery residency.
Contact Information:
| Program Director: | Maureen P. McEvoy, MD |
| Email: | mmcevoy@montefiore.org |
| Phone: | 718-862-8846 |
| Program Administrator: | Briana Brown |
| Phone: | 718-904-3505 |
| Email: | briabrown@montefiore.org |
| Office Address: | 1521 Jarrett Place, Bronx, NY 10461 |
| Phone: | 718-862-8846 |
| Fax: | 718-862-8859 |