The residency training program in general surgery has been carefully planned to provide a balance of clinical, research, didactic, and operative experience under the close supervision of the full-time and voluntary faculty at two institutions: Maimonides Medical Center and Coney Island Hospital. In addition to trauma experience at Maimonides and Coney Island hospitals, residents further elevate their trauma experience at Shock Trauma, one of the premier centers in the nation. Transplant surgery experience is gained at Mount Sinai hospital in Manhattan, one of the largest adult and pediatric transplant centers in the world. We encourage you to review the goals and objectives for each rotation.
During the weeks of orientation before the start of internship we organize a Boot Camp at the surgery simulation center to prepare the interns for the clinical and technical challenges they will face the minute they step through the hospital doors and assume the role as a physician for hundreds of patients. Floor emergencies and basic surgical skills are highlighted.
In the first year, residents are exposed to the fundamentals of clinical surgery, including pre- and post-operative principles and a full didactic course in basic core surgical knowledge. The PGY-1 resident is the patient’s primary physician and assumes responsibility for the patient’s hospitalization and clinical contact. This is done under the close supervision of the senior resident staff and faculty. The resident scrubs as a second assistant on major operative cases and first-assists on appropriate cases. When the resident has achieved clinical competency for his or her level, the opportunity to perform appropriate procedures under supervision is provided. Six to eight months of this year are spent in general surgery. Experience with subspecialties including vascular and thoracic surgery round out the education during the PGY1 year.
The PGY-2 resident experience differs from the first year in that additional responsibility is given to the resident along with an increased operative load and exposure to even more subspecialties. The PGY-2 resident is a central member of the general surgical team and is increasingly responsible for consultations, emergency admissions, and assisting in the supervision of students and PGY-1 residents. The majority of the year is spent in general surgery with the remainder of the year assigned to the Surgical Intensive Care Unit, Vascular Surgery, Cardiothoracic Surgery, GI/Endoscopy, Acute Care Surgery Team, and Trauma service at Maryland Shock Trauma Center.
The PGY-3 curriculum is designed to expand overall operative experience in general surgery and in the surgical subspecialties, as well as exposure to other multi-disciplinary fields that work in collaboration with surgery. At Coney Island Hospital, the resident is a senior member of the general surgical team and functions with increased independence in patient management. Subspecialty rotations include transplant surgery at Mount Sinai Hospital and pediatric surgery.
The fourth post-graduate year provides the resident with the opportunity to run a service and assume complete responsibility for all the activities of that service. The experience ensures intensive exposure to general surgery, and trauma surgery. Two months are spent at the Maryland Shock Trauma Center. Residents are responsible for patient management decisions and the supervision of all surgical house staff at the institution. The fourth-year resident acts as chief at Coney Island Hospital and is fully responsible for running the surgical service under faculty-attending supervision.
The final year of the program is designed to complete the resident’s training in general surgery with emphasis on operative surgery, mastery of all basic surgery skills, and assuming the role as an educator. Chief residents lead the core general surgery teams at Maimonides Medical Center. As leaders among their peers the chief residents lead discussions during weekly conferences and help shape the evolving educational curriculum.
The Mock Oral Exam
A biannual exam for PGY3-5 years replicates the certifying board exam with video and written feedback. We feel having to critically think through complex surgical problems and defend answers in a safe testing environment is a critical component in preparation for successfully passing the certifying board exam