The attending staff on this rotation is comprised of four fellowship-trained and board-certified trauma/critical care surgeons. All trauma patients are admitted to this service. Two of the surgeons also maintain busy practices in general surgery and breast surgery, respectively.
This rotation is intended to instruct residents in the fundamentals of surgical care for the injured patient and the general surgical patient. A focused experience in breast surgery is provided as well. At the conclusion of this rotation, residents should be able to accurately evaluate the injured patient using ATLS protocols, facilitate their care, and implement discharge plans. In addition, they should be able to evaluate and provide postoperative care for patients with common general surgical problems such as the acute abdomen, colon cancer, biliary colic, and breast masses. Technical skills gained during this rotation should enable the resident to perform minor surgical procedures such as central line placement, inguinal hernia repair, breast biopsy, 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 critically injured patients provides a foundation for upper level rotations.
This rotation is intended to prepare the resident for the independent practice of general surgery with a special emphasis on the care of the injured patient. Under the auspices of appropriate supervision, the chief resident independently leads all trauma resuscitations, develops and implements plans for diagnosis and treatment, and determines treatment priorities in multisystem injury. The resident also provides comprehensive care of patients with general surgical problems, especially those with breast disease. Leadership skills are refined through the independent responsibility of managing patients with multisystem injury and Trauma M&M Conference. Residents should be able to perform the vast majority of procedures on the service with minimal guidance.