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Medical Education—
Program in General Surgery
Approved Positions: 10 categorical; 4 preliminary
Funded Positions: 10 categorical; 4 preliminary

Message from the program directors
The objective of the hospital and the department of surgery in maintaining a surgery residency program is to develop accomplished general surgeons who are fully trained for the practice of surgery and/or for further training in subspecialty programs that require general surgical training as a prerequisite. Almost half of the graduates of this program during the past decade have entered subspecialty training programs to become "doubly boarded," while the other graduates entered the practice of general surgery upon completion of the residency.

The program is designed specifically to meet and exceed the requirements of the American Board of Surgery, the residency review committee (RRC) in surgery and the Accreditation Council for Graduate Medical Education (ACGME).

Program structure
The residency program in general surgery is a five-year program that is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) and the RRC for surgery. During the five years, residents progress through the program with increasing levels of responsibility. The fifth post-graduate year of training provides senior responsibilities. The senior resident is chief surgical resident for six months, and administrative chief resident for six months. There is an outstanding variety and large volume of major surgical cases in the program. Scholarly achievement is stressed.

This program pioneered the formal teaching of basic surgical sciences within a residency program, and every resident also carries out a research project. The program combines the best elements of a community-based program and a university-based program in a 500-bed community hospital with a major medical school affiliation.

Residents perform 250 to 300 major operations as chief resident and 900 to 1,000 major operations throughout the program. In addition, there is a good patient mix with an excellent number of complex cases, a large number of surgical assistants and many minor cases and floor procedures.

The curriculum for residents is as follows:

PGY-I
General Surgery 3 months
Staff Surgery/ICU/Plastics 3 months
Thoracic/Vascular/ENT 2 months
Urology 2 months
Orthopedics/Neurosurgery 1 month
Emergency Medicine 1 month
PGY-II
General Surgery 4 months
Staff General Surgery/ICU 4 months
Thoracic/Vascular 3 months
Burn Unit 1 month
PGY-III
General Surgery 7 months
Thoracic/Vascular 4 months
Transplant Surgery 1 month
PGY-IV
General/Pediatric/Colorectal 6 months
General/Vascular Surgery 6 months
PGY-V
Chief Resident 6 months
Administrative Chief Resident 6 months

Academic program
The faculty in the general surgery residency program have developed a structured didactic program to complement the experiences gained in the operating room and through direct patient care. These include:

  • Weekly programs
    • Grand rounds/morbidity and mortality conference.
    • Surgical anatomy course.
    • Surgical physiology course.
    • Vascular and text review conference.
    • Surgical specialty conference.
    • Breast conference.
    • Pharmaceutical Update Conference.
    • Tumor board.
    • Special teaching patient rooms.
  • Twice a month
    • Critical Care and Trauma Conference.
    • SEMCME Basic Science Course.
  • Monthly
    • Journal club.
    • Ethics conference.

The department of surgery adheres to the policies and procedures regarding duty hours and vacation as defined by the ACGME. Residents in the program can expect the following:

  • Hospital night call average of once every four nights.
  • Structured night call schedule with responsibilities based on PGY position in the program.
  • Chief residents to take call from home.

Application requirements
Applications must be filed electronically through the Electronic Residency Application Service (ERAS). In order to qualify for an interview, you must have graduated from medical school within the last three years and scored 80 or higher on both steps 1 and 2 of the boards.

For more information on the medical education program in general surgery, please call 248-858-3234.

Please note: Applicants must be U.S. citizens, permanent residents of the U.S., or have a work authorization card or a J1 visa.

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