General Surgery Residency Curriculum: Rotations

PGY-1

The first-year program is designed to familiarize the resident with the basic components of acute patient care. Initial evaluation of the patients and postoperative care skills are developed in the inpatient setting, clinic and faculty offices.

Technical skills for open and laparoscopic surgery are taught in a structured course utilizing our surgical skills laboratory as well as through the daily experience in the operating room.

The rotations include:

• General and bariatric surgery (Lehigh Valley Hospital (LVH)–Cedar Crest and LVH–Muhlenberg)
• Pediatric surgery
• Transplant surgery
• Plastic surgery
• Acute care surgery
• Trauma
• Surgical critical care
• Intern night float
• Vascular

PGY-2

The goal of the second year of the residency is to familiarize the trainee with all components of surgical critical care. Additionally, continued experience on the general surgery services will expand the resident’s fund of knowledge.

The rotations provided in the second year are:

• General and bariatric surgery (LVH–Muhlenberg)
• Breast/Endocrine Surgery
• Colon and rectal surgery and endoscopy
• Surgical critical care
• Vascular surgery (LVH–Cedar Crest and LVH–Muhlenberg)
• ICU night float

PGY-3

The focus of the third year is to provide the resident with supervisory experience on the trauma service along with continued experience on the general surgery services. Operative experience during this year involves progressively more complex laparoscopic and open surgical procedures. Experience in diagnostic and therapeutic endoscopy is a strength of the training experience for the residents in this year.

The rotations include:

• General and bariatric surgery (LVH–Muhlenberg)
• Acute care surgery
• Surgical oncology
• Trauma
• Senior night float
• Cardiothoracic surgery

PGY-4

The objective of the fourth-year program is to provide the resident with increasing experience in performing complex surgical procedures in both general and vascular surgery. Residents have used the elective rotation to enhance their experience in a specific area or evaluate a subspecialty for possible further study after the completion of the general surgery program.

The fourth-year rotations include:

• General and bariatric surgery (LVH–Cedar Crest and LVH–Muhlenberg)
• Vascular surgery
• Pediatric surgery
• Transplant surgery
• Breast and endocrine rotation
• One-month elective rotation

PGY-5

The fifth year is structured to develop the skills and fund of knowledge to prepare the resident to be a competent general surgeon capable of independent decision making and performing operative procedures. Another major objective of this year is to develop broad teaching skills by serving as seminar leader for the resident conferences. Active participation in teaching will serve to enhance the knowledge of the senior resident while imparting information to junior residents and medical students.

The fifth-year rotations include:

• General and bariatric surgery (LVH–Cedar Crest)
• Surgical oncology
• Acute care surgery
• Chief night float
• Outpatient/clinic

Resident operative experience

The operative experience of the general surgery residents at Lehigh Valley Hospital is comprehensive in both quantity and variety of surgical procedures performed. The experience meets all criteria for complete training in all of the major components of general surgery as well as exceeds the requirements for all index cases defined by the Residency Review Committee. All rotations are done within Lehigh Valley Health Network (LVHN) at LVH–Cedar Crest (LVHN’s flagship hospital), LVH–Muhlenberg (eight weeks in second, third and fourth year) and LVH–17th Street (chief year, outpatient rotation).