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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
  • Burn
  • Float B
  • HPB
  • Highland 1
  • Thoracic
  • SICU
  • SMH Vascular
  • Float A

Year 2

  • Trauma
  • SICU
  • Colorectal
  • Breast
  • Endoscopy
  • Pediatric Surgery
  • Transplant
  • Highland 1
  • HPB
  • Thoracic

Year 3

  • BTCU
  • HPB
  • Highland Hospital 2
  • General Surgery
  • Unity Hospital/GS
  • ED Consults
  • SMH Vascular
  • RGH General Surgery

Year 4

  • Thoracic
  • Unity Hospital/GS
  • Pediatrics
  • Trauma
  • Highland Hospital 2
  • Colorectal

Year 5

  • Endocrine
  • Pediatrics
  • Transplant
  • HPB
  • Highland Hospital 1
  • Trauma

Resident Operative Experience - New ACGME Defined Category Program Averages - Operative Cases 2017-2018

Resident Operative Experience Defined Category Program Averages - Operative Cases 2011-2017

Skin and Soft Tissue

Defined Category RRC Minimum Program Average
Skin and Soft Tissue 25 46.3

Breast

Defined Category RRC Minimum Program Average
Mastectomy 46.2
Axilla 12.2
Breast Total 40 59.5

Head and Neck

Defined Category RRC Minimum Program Average
Head and Neck 25 59.2

Alimentary Tract

Defined Category RRC Minimum Program Average
Esophagus 5 14.5
Stomach 15 62.7
Small Intestine 25 41
Large Intestine 40 47.8
Appendix 40 85.2
Anorectal 20 24.8
Alimentary Tract Total 180 276

Abdominal

Defined Category RRC Minimum Program Average
Biliary 85 165.2
Hernia 85 165
Liver 5 20.7
Pancreas 5 14
Abdominal Total 250 447.2

Vascular

Defined Category RRC Minimum Program Average
Access 10 15.8
Anastomosis, Repair, Exposure, or Endarterectomy 10 14
Vascular Total 50 61.5

Endocrine

Defined Category RRC Minimum Program Average
Thyroid or Parathyroid 10 39.3
Endocrine Total 15 44

Operative Trauma

Defined Category RRC Minimum Program Average
Operative 10 24.7

Non-Operative Trauma

Defined Category RRC Minimum Program Average
Team Leader Resuscitation 10 12
Non-Operative Trauma Total 40 58.2

Thoracic

Defined Category RRC Minimum Program Average
Open Thoracotomy 5 9.2
Thoracic Total 20 32.2

Pediatric

Defined Category RRC Minimum Program Average
Pediatric 20 59.2

Plastic

Defined Category RRC Minimum Program Average
Plastic 10 20

Surgical Critical Care

Defined Category RRC Minimum Program Average
Surgical Critical Care 40 42

Laparoscopic - Basic

Defined Category RRC Minimum Program Average
Laparoscopic - Basic 100 257.2

Endoscopy

Defined Category RRC Minimum Program Average
Upper Endoscopy 35 60.7
Colonoscopy 50 58.2
Endoscopy Total 85 131

Laparoscopic - Complex

Defined Category RRC Minimum Program Average
Laparoscopic - Complex 75 152.2

Role Totals

Defined Category RRC Minimum Program Average
Total MAJOR 850 1095.7
Total SURGEON CHIEF 200 301.5
Total TEACHING ASSISTANT 25 34.2