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Graduate Medical Education| Resident Programs | Medical Students
1. First Year
A. The first year of the residency shall be spent rotating through the surgical services of Botsford General Hospital. In addition, the first year resident will rotate in the Intensive Care Unit where he/she will care for patients under the supervision of Earl Hecker, D.O. (Co Director ICU) and Sanford Sklar, M.D., Intensivist and C0-Director of the Intensive Care Unit.
There are Four General Surgery services and one subspecialty and one vascular surgical service. During the first year, the resident will be instructed in first-assisting at the operating table and in the performance of minor surgical cases under direction of the attending surgeon on his/her services.
The resident will be permitted to perform more complex cases as his/her experience and ability develop. Of necessity, the rate of development will vary from individual to individual.
The resident will make rounds with the Attending Surgeon and be instructed in the preoperative assessment and post-operative care of surgical patients. The resident will participate in the instruction and education of the interns and externs on their service.
B. Intensive Care Unit Rotation
During the ICU rotation, the resident is to be introduced and taught the basics of critical care of the surgical patient. The resident is expected to learn the techniques and applications of invasive monitoring, ventilator care and fluid and electrolyte management of the seriously ill patient.
He/She is to manage all surgical cases in the Intensive Care Unit under the supervision of the Directors of the ICU and the attending surgeons.
The ICU rotation is not intended to provide a complete instruction in the critical care management of all seriously ill surgical patients. This will be supplemented by the postoperative management of seriously ill surgical patients during the remainder of the resident's program. It may in addition be supplemented by an elective critical care rotation at another institution.
General Surgery Residency