General Surgery (MIS/Bariatrics, XGS, Night Float)
An extremely active general surgery exposure is assured to residents on the services focused on General Surgery. The service lines directed at addressing both simple and complex General Surgery include the minimally invasive and bariatric service as well as the eXigent General Surgery service. These rotations offer residents exposure to the fundamentals of surgical practice, encompassing both basic and advanced educational opportunities in open as well as minimally invasive surgery.
The MIS/Bariatric service provides residents a foundation in clinical elective practice with extensive exposure to management of the continuum of perioperative care including pre-, peri-, and post-operative patients. The resident team is comprised of a PGY-3 and PGY-1 resident working in collaboration with the MIS/Bariatric faculty as well as 2 fellows. The scope of practice includes complex abdominal wall hernias and abdominal core health, advanced foregut intervention (paraesophageal hernias), and bariatric surgery (sleeve gastrectomy and roux-en-y gastric bypass). Residents are exposed to both open, laparoscopic, and robotic (DaVinci Xi) surgical approaches. The resident team has the opportunity to lead and manage a busy general surgery service, enhance their surgical education related to the surgical diseases, and develop skills in the operating room with the goal of progressive independence.
The XGS service is the emergency general surgery service with responsibility for and aims to provide efficient high quality surgical care to patients with acute general surgery problems (pneumoperitoneum associated with intestinal perforation, cholecystitis, appendicitis, ischemic bowel, intra-abdominal bleeding, etc.). The resident team is comprised of chief (PGY-5), PGY-3, PGY-2, and PGY-1 (x2). The team is responsible for evaluating and treating the multitude of emergent consultations referred to the service from the inpatient wards and emergency department on a daily basis. The patients presenting on this service are often acutely (and sometimes) severely ill typically with multiple medical problems, thus facilitating for a challenging, but enriching resident experience with the comprehensive evaluation and management of the acutely ill surgical patient.
The night float service is a time-defined evening/overnight rotation with a resident team comprised of a Chief (PGY-4 and/or PGY-5), PGY-3, PGY-2, PGY-1 (x2 or 3). The service is responsible for coverage of the Department of Surgery surgical services as well as for surgical consultations (emergencies too) that are requested overnight. This rotation is invaluable to maintaining ACGME duty hour compliance, but also stimulates resident development in the arenas of efficiency (as an individual and a vital team member), enhancing knowledge of various pathologies, and graduated autonomy in their administration of care.
