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Data Section

General Surgery Residency: Data Section

I. Accreditation

RRC November 2007

Full accreditation – Approved for 3 categorical residents at each level.

Next site visit November 2011. 

II. SMC Operative Experience 

 

RRC Requirement

2006 Chiefs
(Average)

2007 Chiefs
(Average)

Head and Neck

24

88

74

Skin, Soft Tissue, Breast

25

82

79

Alimentary tract

72

153

211

Abdominal

65

175

230

Liver

4

6

10

Pancreas

3

8

9

Vascular

44

224

149

Endocrine

8

34

40

Trauma/Operative

10

33

53

Thoracic

15

27

50

Pediatric

20

28

34

Plastic

5

15

25

Basic Laparoscopy

34

189

249

Complex Laparoscopy

0

53

132

Endoscopy

29

121

122

Total as Chief

150

202

268

Total as Teaching Assistant

-

31

22

Total Majors

500

1091

1272

DataMinimally invasive surgery is a strong (and increasing) component of our practice. The two 2007 graduating chiefs performed the following (average per resident): 

Laparoscopic Nissen (16)
Laparoscopic Appendectomy (39)
Laparoscopic Cholecystectomy (210)
Laparoscopic Colectomy (27)
Thoracoscopy (incl. lobectomy) (34)
Total Laparoscopic/Thoracoscopic (414)

III. PGY-1 Operative Experience (2006-7)

Data are presented as average for our two categorical residents:

Total Major Cases 150  
Endoscopy 49  
Skin/Soft Tissue 22  
Breast 26  
Gastrostomy 6  
Appendectomy 7  
Cholecystectomy 8  
Hernia 13  
Laparoscopic/Thoracoscopic 18

IV. Current Research Projects 

Presented April 30, 2010Wheeler Podium

D. Barrineau, MD – “Comparison of the Number of Ventilator Associated Pneumonias (VAP) and Cultured Microorganisms in Trauma Patients based on Intubation Setting”

R Yoon, MD – “Early Experience with Thoracoscopic (VATS) Lobectomy at a Community Teaching Hospital”

Stephen Phillips, MD – “Effects of Histamine Antagonists on Infection Rates in Critically Ill Trauma Patients”

Ehsan Esmaeili, MD – “Uncontrolled Hypocalcemia in a Gastric Bypass Patient Following a Total Thyroidectomy”

Derek Brenda, MD – “A Single Intra-tumoral Injection of Tc 99 Sulfur Colloid for Tumor Localization and Sentinel Lymph Node Biopsy in Breast Cancer. , Preliminary Experience with the Keystone Flap for Coverage of Cutaneous Defects Following Skin Cancer Surgery.,” Congenital Epilus – case report

Brian Dalton, MD – “Gastrojejunal Anastomotic Strictures After Use of a 21 mm vs. 25mm Circular Stapler – An Analysis of 616 Patients”

Paul Perry, MD – “Component Separation with Biologic Implants for the Repair of Complex Incisional Hernias following Bariatric Surgery. , Central Venous Port Placement with Ultrasound Guided Internal Jugular Vein Cannulation and Fluoroscopic Guided Catheter Positioning: Is Routine Postoperative Chest X-ray Necessary?”

Brian Thurston, MD – “Needle Localization vs. Intra-tumoral Injection of Tc 99 Sulfur Colloid for Tumor Localization in Breast Cancer”

V. Summary of American Board of Surgery In-Service Examination (ABSITE) Scores:

  • Since the graduating class of 2002, the median percentile score is at the 62nd percentile.
  • 70% of residents have been above the national mean (50th percentile) for their PGY Year.
  • 19% of the scores were at or above the 90th percentile – 58% of our 2002-7 graduates scored in this category at least once.
  • One 2006 graduate, Barry Harris, MD, scored between the 94th and 99th percentile for each of his 5 years at SMC!

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