General Surgery Residency Programs

Categorical

• PGY-1 year includes one month of ED and 2 weeks of Surgical ICU and 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

• On call is every fourth night, one day off each week

• Educational emphasis on pre and postoperative management

• Ample surgical experience - approximately 100 cases
  

• 5 year program

• PGY-2 - 80% inpatient general surgery experience with significant responsibility for surgical subspecialty services

• 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 in rural clinic

  
  

• PGY-3 4 months at Strong Memorial Hospital in Rochester, NY for experience in transplantation and 2 months experience in pediatric surgery. 1 month of transplant rotation can be exchanged for an elective. Remaining 8 months consists of GI endoscopy, gynecology (1 mo), cardiac and general surgery.

• On call is every fourth night, one day off each week
  
  

• One month elective

• PGY-4 & 5 - Bassett Healthcare, 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

• 33% of graduates enter fellowships
  
  

• One month elective PGY 4 year to rural surgery practice in Saranac Lake, NY

  
  
  

Preliminary

• Two first-year positions are available. A second year position is possible 

• 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
730 - 815	Monday	Surgical Grand Rounds	Residents
815 - 845	Monday	Morbidity & Mortality	Residents
730 - 815	Wednesday	Basic Science Lecture (1st Wednesday of the month)	Attendings
730 - 815	Wednesday	2nd Wednesday - Surgical CPC (coordinated with the Pathology Dept.)	Yellow Team PGY-4
730 - 815	Wednesday	3rd Wednesday - GI cases (coordinated with the GI Dept.)	Yellow Team PGY-4
730 - 815	Wednesday	Clinical Case Presentation 4th Wednesday - General Surgery Cases (including topics on Endo, GI, Trauma and Oncol.)	Senior
800 - 900	Thursday	1st & 3rd Thursday, Vascular Rounds. 2nd & 4th Thursday, Trauma Conference	Attending
700 - 730	Friday	Surgical Subspecialty	Subspecialty Attending
1200	Friday	Chief of Service Rounds	PGY-1 residents and students
OTHER CONFERENCES OF GREAT VALUE INCLUDE:
700 - 730	Tuesday	2nd Tuesday attending case presentation	Zuckerman
730	Tuesday	1st and 3rd Tuesday, ICU Rounds	Heneghan
730	Tuesday	4th Tuesday, Reading Review	Borgstrom
1630	Wednesday	Tumor Board Conference
1600 - 1700	Thursday	4th Thursday Surgery Journal Club