There are three services
- 2 general surgery
- 1 sub-specialty / one vascular surgical service
- will be assisting at the operating table and minor surgical cases
- will assist with complex cases as experience and ability develop
- makes rounds with the Attending Surgeon
- participates in preoperative assessment and post-operative care of surgical patients
- participates in the instruction and education of the interns and externs
Intensive care unit rotation
- learns critical care basics for the surgical patient
- learns the techniques and applications of invasive monitoring, ventilator care and fluid and electrolyte management
- manages all surgical cases in the Intensive Care Unit
The ICU rotation is not intended to provide a complete instruction in the critical care management of all seriously ill surgical patients. This is supplemented by postoperative management of seriously ill surgical patients during the remainder of the resident's program. It may also be supplemented by an elective critical care rotation at another institution.
- training is programmed in a progressive manner to provide more opportunity for performing surgery as training progresses
- resident should be opening and closing most incisions and is allowed to perform most minor surgical procedures
Out rotations / Electives
- surgical resident can take two to three during a five-year residency program
- electives are taken the second, third, fourth and fifth years of the residency program
The third year is spent in the surgical section except for approved out rotations. During this year, concentration is on improving one's skill in the operating room along with continued guidance and training in surgical diagnosis.
The resident shall be progressively allowed to perform more complex major procedures as his ability and knowledge increase.
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.