Rotation Structure

The Program provides clinical learning and experience in the pre-operative, operative and post-operative learning and surgical experience for patients with all diseases which fall within the scope of practice of general surgery including:

  1. Skin and soft tissue
  2. Diseases of the head, neck and endocrine system
  3. Diseases of the gastrointestinal tract and other abdominal viscera
  4. Diseases of the breast
  5. Diseases of the abdominal wall
  6. Thoracic surgery and diseases of the vascular system
  7. Trauma, emergency surgery, surgical critical care
  8. Gynecological surgery
  9. Endoscopy
PGY Rotation Months
1 General Surgery/Acute Care 6
1 OB/GYN 1
1 SICU- HFH 1
1 Trauma & Thoracic
1
1 Vascular Surgery 2
1 Nights 1
  1. The PGY 1 resident must also:
    • Attend MSU/SCS Orientation
    • Attend (Detroit Medical Center / Wayne State University Medical School) Trauma Symposium
    • Take annual ABSITE In-Service Examination
    • Pass COMLEX 3 / USMLE STEP 3 before a contract will be offered for PGY2 position
    • Participate in mandatory board review and M&M conferences and attend trauma clinic when on trauma rotations
    • Rotate for ½ day per week, for 46 weeks in the Out Patient Surgery Clinic
  2. All seriously or critically ill, as well as recent post-operative patients, will be seen prior to commencing with the daily operating schedule.
  3. All admissions are to be reviewed and seen by the resident staff. Admission history and physical examinations, admission notes, and orders may be delegated to other house staff, but the resident is responsible for their completeness and appropriateness.
  4. Patient rounds should be made with the attending surgeon daily.
  5. The resident should see all patients on the service daily except during a resident's off duty weekend.
  6. The resident shall conduct a detailed study of the following day's surgeries; including anatomy, surgical technique, potential complications and operative indications. Laboratory data and x-rays for each case should be reviewed.
  7. The resident shall accompany surgeons during their performance of consultations, or review consultations within 24 hours.
PGY
Rotation Months
2 General Surgery/Acute Care 4
2 SICU - HFH 1
2 Trauma & Thoracic
2
2 Transplant - HFH 1
2 Vascular Surgery 2
2 Nights 2
  1. The PGY 2 resident must also:
    • Attend MSU/SCS anatomy class offered every year for 8 weeks Jan-Feb. The resident will be required to pass the final examination in this course to advance to the next year.
    • Attend MSU/SCS Orientation
    • Attend trauma clinic when on trauma rotation
    • Attend MSU/SCS (or equivalent) ATLS course
    • Attend (Detroit Medical Center / Wayne State University Medical School) Trauma Symposium
    • Rotate for ½ day per week, for 46 weeks in the Out Patient Surgery Clinic
    • Conduct a scholarly project in accordance with the ACGME guidelines.
    • Take annual ABSITE In-Service Examination
  2. It is expected that all seriously ill or critically ill as well as recent post-operative patients will be seen prior to commencing with the daily operating schedule.
  3. All admissions are to be reviewed and seen by the resident staff. Admission history and physical examination, admission notes, and orders may be delegated to other house staff, but the resident is responsible for their completeness and appropriateness.
  4. Patient rounds should be made with the attending surgeon daily, if possible. If not possible, the resident should see all of the patients on the service daily except during the resident's off duty weekends.
  5. The resident shall conduct a detailed study of the following days' surgeries; including anatomy, surgical technique, potential complications and operative indications. Laboratory data and x-rays for each case should be reviewed.
  6. The resident shall accompany surgeons during their performance of consultations or review consultations within twenty-four hours.
  7. The resident shall participate in the education of interns, externs, students, and other trainees.
PGY
Rotation Months
3
General Surgery/Acute Care 4
3
Gastroenterology & Endoscopy
1
3 Pediatric Surgery
2 - The Children's Medical Center of Dayton, OH
3
Trauma & Thoracic
1
3
Colon Rectal Surgery
1 - Beaumont
3
Vascular Surgery
2
3
Nights
1
  1. The PGY 3 resident must also:
    • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
    • Conduct a scholarly project following ACGME guidelines
    • Take annual ABSITE In-Service Examination
    • Attend trauma clinic when on Trauma rotation
    • Complete skill requirements for FLS certification & FES certification
    • Rotate for ½ day per week, for 46 weeks in the Out Patient Surgery Clinic
  2. The third year resident should be capable of increased independent, but supervised care of the surgical patient.
  3. PGY 1 and 2 responsibilities continue.
PGY
Rotation Months
4
Gastroenterology & Endoscopy
1
4
Colon Rectal Surgery
2 - Beaumont
4
Breast Surgery
1 - Beaumont
4
Trauma
1 - Sinai-Grace
1 - Hurley Medical Center
4
Vascular Surgery
1
4
Trauma & Thoracic
1
4
 Minimally Invasive Surgery
1 - Beaumont
4
 Transplant 1
4
Surgical Electives
1
4
Nights 1
  1. The PGY 4 resident must also:
    • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
    • Conduct a scholarly project following ACGME Guidelines
    • Take annual ABSITE In-Service Examination
    • Rotate for ½ day per week, for 46 weeks in the Out Patient Surgery Clinic
  2. The resident having progressed to this point should be able to care independently (although with supervision/observation) for the general surgical patient. The resident, however, should still require guidance in the care of the more complicated cases.
  3. PGY 1, 2 and 3 responsibilities continue.
PGY
Rotation Months
5
General Surgery/Acute Care
6
5
Minimally Invasive Surgery
1
5
Gastroenterology and Endoscopy
1
5
Trauma & Thoracic
1
5
Vascular Surgery
2
5
Interventional Radiology
1
  1. The PGY 5 resident must also:
    • Rotate for ½ day per week, for 46 weeks in the Out Patient Surgery Clinic.
    • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
    • Conduct a scholarly project following ACGME guidelines
    • Take annual ABSITE In-Service Examination
  2. The fifth year resident should be able to assume almost total care of most general surgery patients. It is to be remembered that the attending surgeon remains morally and legally responsible for the patients' total care. The resident's treatment plan should only be followed after discussion with the attending surgeon.