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Curriculum
General Surgery Residency Programs
Categorical
PGY-1 year includes one month of ED and ICU, and two weeks of Anesthesia as well as a one month elective in the surgical subspecialties:
- Assigned to a team
- Transitional Year Residents also assigned to Surgical Inpatient Teams
- The On call schedule averages one in four nights. There is one day off each week
- Educational emphasis on pre and postoperative management
- Ample surgical experience - approximately 100 operative cases
- 5 year program
PGY-2 - 80% inpatient general surgery experience with significant responsibility for surgical subspecialty service:
- On call is every fourth night, one day in seven off
- Rotation to Surgical Outpatient Department, Surgical Pathology, ICU and primary consult to E.R.
- One month elective
PGY-3 - 4 months at Strong Memorial Hospital in Rochester, NY, for 1 month transplantation, 2 months' experience in pediatric surgery, and 1 month of trauma or CC. Remaining 8 months consists of GI endoscopy, gynecology (1 mo), cardiac and general surgery at Bassett Medical Center:
- On call is every fourth night, one day off each week
- One month elective
PGY-4 & 5 - Bassett Medical Center, the last year as Chief Resident:
- Every 4th night call inhouse
- Log approximately 1,000 operative cases for PGY-1 through PGY-5 years, 250 cases as Chief
- Chief is responsible for administering the service, assigning cases to junior residents as well as teaching
- Opportunities for participation in ongoing laboratory projects exist
- Clinical as well as laboratory investigation is encouraged
- 50% of graduates enter fellowships
- One month elective PGY 4 year to rural surgery practice in Saranac Lake, NY
Preliminary
- One first-year position is available.
- Rotations closely follow those of categorical residents.
- It is possible to emphasize areas of interest within the standard rotation as well as during the elective month.
- Effort is made to assist these residents desiring advanced subspecialty training to obtain positions if they do not already have one.
- Over the past five years, 40% of our preliminary residents have obtained further surgical training. The remaining 60% are completing their training in other medical fields.
SURGICAL SERVICE CONFERENCES
| TIME | DAY | CONFERENCE | RESPONSIBLE INDIVIDUAL |
| 0730 - 0815 | Monday | Surgical Grand Rounds | Residents, attendings |
| 0815 - 0845 | Monday | Morbidity & Mortality | Residents |
| 0700 - 0730 | Tuesday | House Staff Communication Session | Dr. Borgstrom |
| 0730 - 0815 | Wednesday | Basic Science Lecture (1st Wednesday of the month) | Attendings |
| 0730 - 0815 | Wednesday | 2nd Wednesday - Surgical CPC (coordinated with the Pathology Dept.) | Blue Team PGY-4 |
| 0730 - 0815 | Wednesday | 3rd Wednesday - GI cases (coordinated with the GI Dept.) | Yellow Team PGY-4 |
| 0730 - 0815 | Wednesday | Clinical Case Presentation 4th Wednesday - General Surgery Cases (including topics on Endo, GI, Trauma and Oncol.) | Senior |
| 1630 - 1530 | Wednesday | Tumor Board | |
| 0700 - 0800 | Thursday | Skills Lab | Attending |
| 0800 - 0900 | Thursday | 1st & 3rd Thursday, Vascular Rounds. 2nd & 4th Thursday, Trauma Conference | Attending |
| 1600 - 1700 |
Thursday |
Surgery Journal Club - 4th Thursday of the month | |
| 1200 | Friday | Chief of Service Rounds | PGY-1 residents and students |
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| AVERAGE OPERATIVE EXPERIENCE OF CHIEF RESIDENTS | |
| Total Major Cases | 1230 |
| Chief Year Major |
290 |
| Teaching Assistant | 16 |
| Endoscopic Procedures | 151 |
| Average 5 year Surgical Experience for Finishing Residents | ||
| # of Cases | ||
| Skin, Soft Tissues and Breast | 113 | |
| Head and Neck |
94 |
|
| Alimentary Tract | 314 | |
| Abdomen | 379 | |
| Vascular | 175 | |
| Endocrine | 42 | |
| Thoracic | 36 | |
| Pediatric | 42 | |
| Plastic | 67 | |
| Trauma | 54 | |
| Total Major Operations | 1230 | |





