Fourth Year
Surgical resident is expected to
- do more teaching of the junior residents, interns, and clinical clerks
- aid in their training by both formal lectures and participating in informal bedside teaching
The resident's personal training is progressive and targeted to perform major surgical procedures. This includes
- gallbladder surgery
- surgery of the biliary ducts
- gastric surgery
- surgery of the spleen
- pancreatic surgery
- trauma team
- thyroid surgery
- gynecologic and breast surgery
- large and small bowel surgery
The resident's reading program should be extensive and emphasize the above surgical procedures and related pathologies.
Resident rotates through the scrub services of the surgical section. One is accorded the privilege of "bumping" more junior residents on selected cases of special interest. When the Senior Surgical Resident elects to scrub a surgery not in his service, he or she is expected to see and evaluate the patient preoperatively, as well as assume the postoperative management of the patient under the attending surgeon's supervision.
The PGY4 residents are expected to
- refine their technique
- expand their knowledge
- incorporate sound clinical judgment
The correct syntheses of these disparate elements prepare the resident to enter practice as a competent and proficient surgeon.