Beaumont HospitalProfessional Education

General Surgery Residency, Farmington Hills

Curriculum

First year

Surgical services

There are three services

      • 2 general surgery
      • 1 sub-specialty / one vascular surgical service

The resident

  • 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

The resident 

  • 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.


Second Year

Scrub services

  • 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

Third Year

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.


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. 


Education

  • Lectures
    • Friday morning protected 4 hour block didactics
    • monthly Journal Club
    • weekly M&M
    • monthly SQIP
    • monthly Trauma
    • monthly Tumor Board
    • monthly anatomy lecture/dissection
  • Simulation/Skills Lab
  • Certifications
    • ACLS/BLS
    • ATLS
    • FLS
    • FES
    • ASSET
    • Ultrasound courses
  • SEMCME Basic Science Course
  • ABSITE review
  • SCORE lectures
  • Mock Oral 

    Rotation Schedule 2019 - 2020


    PGY - 18 months general surgery, 2 months Critical Care Medicine, 1 month nights, 1 month split Radiology/Anesthesia
    PGY - 28 months general surgery, 2 months nights, 1 month ICU, 1 month of SICU
    PGY - 36 months general surgery, 2 months of peds, 1 month nights, 1 monthof thoracic/vascular surgery, 1 month colorectal/advanced laparoscopy/minimally invasive surgery and 1 month elective
    PGY - 47 months general surgery, 2 months elective, 1 month of transplant, 1 month of minimally invasive or bariatric, 1 month of thoracic/vascular surgery
    PGY - 59 months of general surgery and 3 months of electives

    Residency Programs

    Fellowship Programs

    Fellowship Programs
    (no ACGME Accreditation)


    Copyright © Beaumont Health. All Rights Reserved.