Curriculum

General Surgery Residency Programs

Categorical

 

PGY-1

(Intern) year includes 1 month of Emergency Medicine and Intensive Care medicine. Also 2 weeks of Anesthesia as well as a 1-month elective in a surgical subspecialty of their choosing:

  • Assigned to 1 of 3 surgical teams
  • Transitional Year Residents also assigned to surgical inpatient teams
  • Interns take night call (12-hour shifts-6 nights) about every 4-5 weeks. Always one 24-hour period off each week 
  • Educational emphasis on pre- and post-operative management
  • Ample surgical experience - approximately 100 operative cases as primary operative resident
  • 1 month of emergency medicine (no on-call responsibility)
  • 1 month in the intensive care unit (ICU) (take call with ICU team only)
  • 2 weeks of anesthesia (no on-call responsibilities)

PGY-2

80% inpatient general surgery experience with significant responsibility for surgical subspecialty service:

  • On call is every fourth or fifth night (home call is possible)
  • Always one 24-hour period off each week
  • Rotation to Surgical Outpatient Department
  • Surgical Pathology rotation
  • One month ICU -- more advanced role than PGY-1 rotation
  • Primary consult to Emergency Room patients requiring surgical intervention 
  • 1 month elective -- choice
  • Surgical conference -- time for travel/attendance
  • Expectation of 150+ cases as PGY-2 (easily achieved)

PGY-3

  • On call is every fourth or fifth night
  • Always one 24-hour period off each week 
  • 4 months at Strong Memorial Hospital in Rochester, New York
    • Transplant - 1 month
    • Pediatric Surgery - 2 months
    • Traumatic/critical care - 1 month
  • Remaining 8 months at Bassett Medical Center consists of:
    • Gastrointestinal endoscopy -- 6 weeks
    • Gynecologic surgery -- 4 weeks
    • Cardiac surgery -- 4 weeks
    • General surgery -- 1 of 3 teams

PGY-4

  • Every fifth or sixth night call in-house
  • Always one 24-hour period off each week
  • Senior level resident as part of a team/leader when Chief is absent
  • Rural surgery at Saranac Lake, New York -- 1 month
  • Surgical conference -- time for travel/attendance
  • 200-300 cases

PGY-5

  • Every fifth or sixth night call in-house
  • Always one 24-hour period off each week
  • Runs 1 of 3 surgical teams
  • Chief is responsible for administering the day-to-day surgical service
    • assigns cases to the other residents as well as teaching
    • works with the Program Director (PD) in managing the educational conferences/content
    • runs the monthly resident journal club
    • works with the PD and Chief of General Surgery to run the Surgical Quality Conference (M&M)
    • manages a Chief Resident outpatient clinic with attending supervision
  • Log approximately 1,000 operative cases over 5 years, 250-300 cases as Chief Resident

Preliminary

  • 1 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 5 years, 80% of our preliminary residents have obtained further surgical training. The remaining 20% are completing their training in other medical fields.

Surgical Service Conferences

Time Day Conference Responsible Individual
0700 - 0800 Monday 1st & 3rd - Surgical Quality Conference (SQC)
2nd, 3rd & 5th - Surgery Grand Rounds/SQC
Residents and attendings
0700 - 0800 Tuesday SCORE Conference (case presentation and SCORE topic presentation) Residents and attendings
0700 - 0800 Wednesday 1st - Journal Club
2nd - Trauma Cases
3rd - Critical Care
4th - Trauma Lecture
Residents and attendings
1630 Tumor Board
0700 - 0800 Thursday 1st & 2nd - No Conference
3rd - Jrs-Skills, Srs-Coding/Contracts etc
4th - Srs-Skill Lab
Drs. Heneghan, Longhi, and S. Oceguera

Dr. Reis
0700 - 0800 Friday Alternative Meeting with PGY-1's and Chief Residents Dr. Kaufman

Average Operative Experience of Chief Residents

Case Type # of Cases
Total Major Cases 1052
Chief Year Major 175
Teaching Assistant 47
Endoscopic 173

Average 5 Year Surgical Experience for Finishing Residents

# of Cases
Skin, Soft Tissues and Breast 110
Head and Neck 64
Alimentary Tract 257
Abdomen 310
Vascular 124
Endocrine 25
Thoracic 40
Pediatric 34
Plastic 67
Trauma 52
Total Major Operations 1052
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