Clinical Practice The Clinical Practice aspect of the General Surgery Residency Program provides activities and involvement that seek to combine the breadth of operative experience with early leadership responsibilities. It is based on a high-volume, high-case complexity clinical experience. This includes independent decision making, pre- and post-operative patient care, and very extensive exposure to the sub-specialties of vascular, pediatric, gastrointestinal, laparoscopic, oncologic, trauma, transplant, critical care, plastic and reconstructive, and cardiac surgery. Clinical training is anchored at Strong Memorial Hospital, Western New York's largest tertiary care facility. It functions as a regional burn center and a regional pediatric trauma center. It is a New York State-designated Level I trauma center for the Western New York and Finger Lakes Regions, serving as the only Level I pediatric center in the area. More than 3,000 Level I trauma admissions — including blunt and penetrating injuries — occur each year. An integrated transplant program offers cardiac, lung, liver, pancreas and kidney transplants. Strong also has a National Cancer Institute-designated cancer program — the Wilmot Cancer Center. The Clinical Practice encourages the development of technically excellent surgeons with solid judgment and a broad range of skills. Operative volumes typically include more than 200 vascular procedures and 300 gastrointestinal procedures, with emphasis in surgical oncology and laparoscopic surgery. Residents are exposed to a broad range of ancillary skills, including endoscopy, sonography, ultrasonography, anesthesia, angiography and bronchoscopy.