General surgery clinical training at UWHC focusing on pre- and post-operative management of general surgery patients (colorectal, pediatric, thoracic, vascular, transplant, surgical oncology, emergency general surgery. General surgery rotations will be at Meriter and VAH.).
Primary focus at UWHC is trauma, surgical critical care, burn and emergency general surgery. Resident will also receive clinical training in anesthesia and nutrition. The resident will spend a month at each of the three participating sites, focusing primarily on sub-specialty surgical areas (e.g., Ob/Gyn, urology, orthopedic trauma, and endoscopy). Three months will be spent with community partners.
Intensive development of operative skills in common general surgery procedures. At UWHC, resident will have clinical training in colorectal, breast/melanoma, endocrine and vascular surgery. Four months will be at participating sites. One month will be at Theda Clark concentrating on laparoscopic abdominal surgery. The other three months will be at two or three other sites, focusing on basic general surgical procedures (hernias, appendectomies, cholecystectomies, venous and arterial surgery) and on sub-specialty procedures in urology and ob/gyn. Starting in the PGY-3 year, the resident will be responsible for tracking patient outcomes along with logging cases. By the end of the PGY-3 year the residents will be assessed on their medical knowledge and patient care skills on the “essential-common” general surgical procedures and diseases as defined by the national SCORE curriculum. Four months will be spent with community partners.
Seven months of clinical training will be at UWHC focusing on trauma, surgical critical care and minimally invasive surgery. Five months will be spent at partnering institutions. Two of these months will be an elective “career pathway” rotation. The resident will select a site based on the type and size of practice s/he envisions as a future career. It will primarily consist of an apprenticeship training model. The resident will be involved in the total care of patients, learn the surgeon’s and institution’s practice management structure, undertake a quality improvement project that is aligned with the hospital’s patient safety initiatives, and become involved in community activities outside of the hospital. The other three months will be at two of the other partnering training sites and will have a similar curriculum focus. Five months will be spent with community partners.
Seven months of training will be at UWHC at the beginning and end of the academic year. We plan to include a three-month “transition to practice” rotation at one of the partnering institutions in which the chief resident develops greater accountability for the total care of surgical patients in a practice setting similar to the one s/he has chosen as a career. The emphasis is on patient ownership and continuity of patient care. Another two months will be spent at another institution. Five months will be spent with community partners.