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What to expect

General Surgery Residency: What to Expect

Rotation Schedule

Our rotation schedule varies slightly from year to year related to perceived needs and our yearly internal review.

PGY-1

  • Trauma Surgery (2-3 months)
  • Night Float (2 months)
  • Surgical Oncology (4-5 months)
  • Vascular Surgery (2-3 months)
  • Private General Surgery (0-1 month)

PGY-2

  • Surgical Critical Care (1 month)
  • Night Float (2 months)
  • Surgical Oncology (2 months)
  • Private General Surgery (4 months)
  • Pediatric Surgery (2 months)
  • Plastic Surgery (1 month)

PGY-3

  • Surgical Critical Care (1 month)
  • Night Float (2 months)
  • Surgical Oncology (2 months)
  • Private General Surgery (4 months)
  • Pediatric Surgery (2 months)
  • Plastic Surgery (1 month)

PGY-4

  • Trauma Surgery (3 months)
  • Surgical Oncology (1-2 months)
  • Vascular Surgery (1-2 months)
  • Private General Surgery (1-2 months)
  • Elective (1-2 months)
  • Plastic Surgery (1 month)
  • Bariatric Surgery (2 months)

PGY-5

  • Surgical Oncology (3 months)
  • Vascular Surgery (3 months)
  • Private General Surgery (3 months)
  • Elective (3 months)

DESCRIPTION OF SERVICES

Preliminary Residents

We offer three “non-designated” preliminary PGY-1 positions.

Surgical Oncology/Endocrine Surgery

Drs. Orr, Nguyen and Hird. There is a comprehensive level of surgical oncology with emphasis on breast, endocrine, lung, esophageal and pancreatic neoplasms. Minimally invasive techniques are commonly used with thoracic oncology and VATS procedures. Both benign and malignant breast disease are treated as are the management of endocrine neoplasms and melanoma.

Trauma/Critical Care/Colorectal Surgery

Drs. Ashley, Lombardozzi and Morrow. All patients admitted for trauma are managed by this service which also covers the critical care unit (predominately through the PGY2 or 3 resident). There are various teaching conferences while the resident is on the Critical Care and Trauma surgery rotation. The service covers both acute care and elective general surgery and provides the majority of a resident’s endoscopic experience.

Vascular Surgery

Drs. Calton and Hovis. This service covers a broad range of vascular procedures including standard open operations, endovascular procedures and a busy noninvasive vascular lab.

Private General Surgery

Drs. Woods, James, Reinhardt, Cochran, Woollen and Srinivasan The general surgery service enables the residents to experience a “private practice” model. Residents participate in a wide variety of general surgery and endoscopic procedures.

Bariatric Surgery

Dr. Paul Ross. Spartanburg Regional Weight Loss Services has performed in excess of 1000 bariatric operations and is formally credentialed by the American Society Metabolic and for Bariatric Surgery. He performs both bypass and Lap Band® procedures laparoscopically.

Vascular Access Surgery

This specialized area of surgery is performed almost entirely by Dr. Ari Kramer who has pioneered many innovative techniques and is actively involved in resident education.

Pediatric Surgery

A two-month rotation for PGY-3 residents at Greenville Hospital System.

Transplantation

A one-month rotation for PGY-2 residents at the Medical University of South Carolina in Charleston.

Graded Responsibility

A formal chain of command policy is given in written form to every resident. Common to most programs in the United States, a junior resident on a team will see new patients first. He/she will evaluate the patient, arranging routine tests and notify a more senior resident. The senior resident with attending input coordinates complicated or invasive diagnostic tests. Decisions for operative intervention are made jointly by the senior resident and attending. No patient goes to the operating room without an attending surgeon. The primary goal is always – the best patient care.

Residents are integrated into the operating room as early as possible. PGY-1 and PGY-2 residents at Spartanburg Regional perform far more operations than the national average.

Teaching Conference Schedule

Most conferences are from 7-8 a.m. two to three days a week. All residents are required to attend all conferences unless involved in life-threatening emergencies. A mandatory skills lab is for PGY-1 only: Each Wednesday from 8 a.m. until 10 a.m.

Morbidity and mortality conference is held weekly. Cases are presented and discussed in an educational and constructive format with an emphasis on adult learning.

Grand rounds are held three times per month. Most are given by Spartanburg Regional faculty, faculty from MUSC, and outside speakers. PGY-4 and PGY-5 residents give one grand round each year.

A general surgery conference is held weekly. Classic general surgery topics are presented with a discussion guided by the attending faculty. The format is one of interactive learning using the SCORE resident curriculum and American College of Surgeons Weekly update.

The skills lab meets weekly for the first-year residents and is protected time. Topics include basics as knots, suturing, laparoscopic techniques and eventual advancement to the FLS (Fundamental of Laparoscopic Surgery) level. All residents have 24-7 access to the lab.

Monthly practice mock oral exams are given for senior-level residents

Monthly General Surgery Journal Club meets to develop skills in reading and understanding literature and research findings.

A yearly conference showcases residents’ research.

Funds and appropriate time off are allocated for residents presenting papers at regional and national conferences. Additionally, the chief residents typically attend the American College of Surgeons annual meeting. 






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