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Curriculum for the General Surgery Residency Program

Yan Qi

Yanjie Qi, MD
Associate Program Director
Curriculum & Simulation

Didactic Sessions

Residents are excused from clinical responsibilities on Thursday mornings for didactic sessions which include lectures to cover areas of basic and clinical science of general surgery, and is presented by residents with faculty moderators.  In addition to didactic conference, there are weekly Grand Rounds, monthly Morbidity & Mortality conference, mock oral examinations, and Journal Club which reviews seminal publications in the surgical literature. 

The surgical skills lab teaches residents suturing to knot tying and other basic skills at the beginning of the first year, and extends in complexity of skills taught to residents in all years of the training program.  As residents gain more experience, sessions involve more complex case-based skills.  Mid-level models include the laparoscopic box trainer, FLS, and FES trainers and extend to laparoscopic towers as well as the robotic curriculum offered during the fourth and fifth years after which residents receive a certificate of completion in robotic training.

Clinical Rotations

Surgical residents gain expertise in the preoperative, operative, and postoperative care of patients with general surgical diseases under the guidance of expert faculty.

Surgical internship consist of 4 week rotations geared towards acquiring broad basic skills in the general surgical specialties including colorectal, trauma, thoracic, plastic, vascular, and intensive care.  Following internship, residents are integrated at the PGY-2 level into progressively independent leadership responsibilities, commensurate with increasing levels of clinical experience.  This includes 4-8 week rotations in colorectal, trauma, breast, pediatric surgery, transplant, thoracic, and intensive care.

The PGY-3 year offers 7.5 week rotations including trauma, hepatobiliary surgery, vascular as well as rotations at community hospitals including Highland Hospital and Unity Hospital.  They PGY-4 year allow residents to focus on major areas of surgery including laparoscopic surgery, surgical oncology, and trauma/critical care.

PGY-5 year is devoted to operating independently and maturation of clinical decision making, as well as developing leadership skills by leading teams of surgical residents.  The Chief resident is responsible for running her/his own services at Strong Memorial Hospital.

Rotation Schedule

The General Surgery Residency Program employs a rotation schedule designed to give its trainees broad, intensive and useful exposure to all required surgical disciplines. Below is an example of a typical rotation schedule.

Year 1

  • Trauma
  • Colorectal
  • Highland 2
  • Trauma
  • Burn
  • Float B
  • HPB
  • Plastic
  • Thoracic
  • SICU
  • SMH Vascular
  • Float A

Year 2

  • Trauma
  • SICU
  • Colorectal
  • Breast
  • Endoscopy
  • Pediatric Surgery
  • Transplant
  • Thoracic

Year 3

  • BTCU
  • HPB
  • Highland Hospital 2
  • General Surgery
  • SMH Vascular
  • ED Consults
  • SMH Vascular

Year 4

  • Thoracic
  • Pediatric Surgery
  • RGH General Surgery
  • Trauma
  • Highland Hospital 2
  • Colorectal

Year 5

  • Endocrine
  • General Surgery
  • Transplant
  • HPB
  • Highland Hospital 1
  • Trauma
  • Elective

Resident Operative Experience

Defined Category Program Averages - Operative Cases 2011-2016

  Residents
Graduating
in 2018*
2016 2015 2014 2013 2012 2011
Skin, Soft Tissue & Breast 65 86 82 82 87 81 73
Head & Neck 25 68 74 55 64 77 64
Alimentary Tract 180 228 230 259 270 259 245
Abdominal 250 277 316 326 362 333 287
Liver 5 10 10 12 11 8 9
Pancreas 5 8 13 12 15.5 16 13
Vascular 50 81 71 69 64 82 91
Endocrine 15 51 57 38 43 61 42
Trauma 10 22 23 149 24 26 22
Trauma Non-Operative 40 23 35 48 115 177 42
Thoracic 20 64 41 35 35 47 32
Pediatric 20 33 49 35 37 44 36
Plastic 10 18 15 23 17 19 28
Laparoscopic Basic 100 162 177 181 208 193 160
Endoscopy Total 85 119 101 113 113 115 116
Upper ENDSY 35 50 38 44 44 53 41
Colonoscopy 50 54 50 64 58 51 65
Laparoscopic Complex 35 119 130 146 44 157 112
TTL/750 MAJ 850 897 917 903 970 975 874
TTL/150 CHIEF 200 212 215 198 287 150 216
TTL/TA 25 28 29 15 21 22 14

*The ACGME has increased the required case minimums as of 2017/2018