Rotation Structure

The Program provides each resident with a sufficient scope, volume, and variety of clinical experiences in general surgery:

  1. Each resident in the program will document by program completion, participation, under appropriate supervision, a minimum of 500 major surgical procedures, as surgeon or first assistant.
  2. Of these 500 procedures, each resident should average 125 cases per year.
  3. During the chief year, at least 150 major surgical procedures of appropriate scope and variety with senior responsibility must be documented.
  4. During each year of the program, progression of surgical responsibility should be demonstrated including an adequate scope, volume, and variety of surgical experience.
  5. Excessive numbers of surgical procedures, either by category in total care unacceptable.

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
OGME Rotation Months
1 General Surgery/Acute Care 3
1 Internal Medicine 2
1 Emergency Medicine 1
1 MICU 1
1 SICU- HFH 2
1 Trauma 1
1 Vascular Surgery 1
1 Nights 1
  1. The OGME1 resident must also:
    • Attend MSU/SCS Orientation
    • Attend MSU/SCS (or equivalent) ATLS course
    • Attend (Detroit Medical Center / Wayne State University Medical School) Trauma Symposium
    • Take annual ACOS In-Service Examination
    • Take annual ABSITE In-Service Examination
    • Pass COMLEX 3 before a contract will be offered for PGY2
    • Participate in mandatory board review and M&M conferencesAttend trauma clinic when on trauma rotations
  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.
  8. The resident shall attend department and other AOA-required committee meetings.
  9. The resident shall familiarize him/herself with ACOS Scholarly Project guidelines in preparation for fulfilling these future assignments.
  10. The resident shall participate in the education of externs, students, and other trainees.
OGME Rotation Months
2 General Surgery/Acute Care 4
2 SICU - HFH 2
2 Trauma 2
2 Transplant - HFH 1
2 Vascular Surgery 1
2 Nights 2
  1. The OGME2 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
    • Conduct a scholarly project in accordance with the ACOS/AOA guidelines.
    • Take annual ACOS Exam
    • Take annual ABSITE In-Service Examination
  • 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.
  • 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.
  • 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.
  • 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.
  • The resident shall accompany surgeons during their performance of consultations or review consultations within twenty-four hours.
  • The resident shall attend department and other AOA required committee meetings.
  • The resident shall participate in the education of interns, externs, students, and other trainees.
  • OGME Rotation Months
    3 General Surgery/Acute Care 4
    3 Gastro/Endoscopy 1
    3 Pediatric Surgery 2-The Children's' Medical Center of Dayton, OH
    3 Trauma 1
    3 Vascular Surgery 1
    3 Nights 2
    1. The OGME3 resident must also:
      • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
      • Conduct a scholarly project following ACOS/AOA guidelines
      • Take annual ACOS Exam
      • Take annual ABSITE In-Service Examination
      • Attend trauma clinic when on Trauma rotation
      • Complete skill requirements for FLS certification
    2. The third year resident should be capable of increased independent, but supervised care of the surgical patient.
    3. OGME 1 and 2 responsibilities continue.
    OGME Rotation Months
    4 General Surgery/Acute Care 4
    4 Gastro/Endoscopy 1
    4 Colon Rectal Surgery 1- Beaumont
    4 Breast Surgery 1- Beaumont
    4 Trauma 1-2-Sinai-Grace
    4 Vascular Surgery 1
    4 Surgical Electives 0-1
    4 Nights 2
    1. The OGME 4 resident must also:
      • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
      • Conduct a scholarly project following ACOS/AOA Guidelines
      • Take annual ACOS exam
      • Take annual ABSITE In-Service Examination
    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. OGME 1, 2 and 3 responsibilities continue.
    OGME Rotation Months
    5 General Surgery/Acute Care 5-7
    5 Breast Surgery 0-1
    5 Colon Rectal Surgery 2
    5 Vascular 2-3
    5 Surgical Electives 2
    1. The OGME5 resident must also:
      • Rotate for ½ day per week, for 46 weeks in the Chief Residents' Clinic.
      • Attend (Detroit Medical Center/Wayne State University Medical School) Trauma Symposium
      • Attend the ACOS Annual Clinical Assembly
      • Conduct a scholarly project following ACOS/AOA guidelines
      • Take annual ACOS exam
      • 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.