The clinical material on the general surgery service is based on the busy referral practices that the attending staff maintains in colorectal surgery, hepatobiliary surgery, surgical oncology, and endocrine surgery. Broad-based exposure to general surgical care is provided by the on call responsibilities and general surgery portion of the practices.
This rotation is intended to instruct residents in the fundamentals of surgical care in the content areas described above. At the conclusion of this rotation, residents should be able to accurately evaluate and provide postoperative care for patients with common general surgical problems such as the acute abdomen, colon cancer, biliary colic, and thyroid nodules. Technical skills gained during this rotation should enable the resident to perform minor surgical procedures such as inguinal hernia repair, hemorrhoidectomy, and appendectomy with guidance. Residents also learn effective presentation skills, clinical problem solving, and the culture of professionalism in surgery. Involvement in the care of more complex cases provides a foundation for upper level rotations.
Residents gain independence in managing common surgical problems and more experience with complex problems such as hepatocellular carcinoma, pheochromocytoma, and rectal cancer. The operative experience is focused on more complex operations such as colectomy, thyroidectomy, and laparoscopic cholecystectomy. Residents refine preoperative decision-making skills and learn to identify and manage surgical complications. Residents gain maturity through instruction of medical students and junior residents, M&M presentations, and increased leadership responsibilities.
This rotation is intended to prepare the resident for independent practice in general surgery. Under the auspices of appropriate supervision, residents independently manage complex general surgical problems by providing comprehensive surgical care. Surgical skills are refined by performing complex operations such as laparoscopic adrenalectomy, the Whipple procedure, and rectal cancer resection. Leadership skills are refined through the independent responsibility of managing patients, residents, students, and mid-level providers on the service as well as M&M conference.