Graduate Medical Education| Resident Programs | Medical Students

4. Fourth Year

This year, the surgical resident will be expected to do more teaching of the junior residents, interns, and clinical clerks. He will be expected to aid in their training by both formal lectures and by participating in informal bedside teaching.

The resident's personal training shall be progressive and shall be targeted to perform major surgical procedures. This, of course, shall include gallbladder surgery, surgery of the biliary ducts, gastric surgery, surgery of the spleen, pancreatic surgery, trauma team, thyroid surgery, gynecologic and breast surgery as well as large and small bowel surgery.

The residents reading program shall be extensive and shall emphasize the above surgical procedures and related pathologies.

The fourth-year resident will rotate through the scrub services of the surgical section. In addition, they will be accorded the privilege of "bumping" more junior residents on selected cases of special interest. This privilege is not to be abused. When the Senior Surgical Resident elects to scrub a surgery not in his service, he is expected to see and evaluate the patient preoperatively, as well as assume the postoperative management of the patient under the Attending Surgeon's supervision.

Residents are discouraged from taking out rotations during the fourth year. This is the most important year of the clinical training program. It is during this time that the residents are expected to refine their technique and expand their knowledge, and combine both with sound clinical judgment.

The correct syntheses of these disparate elements will prepare the resident to enter practice as a competent and proficient surgeon.

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Third Year

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General Surgery Residency