General Surgery Residency: Manhattan Curriculum & Categorical Program | NYU Langone Health

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General Surgery Residency: Manhattan General Surgery Residency: Manhattan Curriculum & Categorical Program

General Surgery Residency: Manhattan Curriculum & Categorical Program

NYU Grossman School of Medicine’s General Surgery Residency in Manhattan prepares graduates for careers in surgery. In our program residents gain the skills, understanding, and expertise to evaluate and surgically treat patients with a broad range of conditions.

Department of Surgery Orientation

As a new member of the house staff, residents also participate in NYU Langone and NYC Health + Hospitals/Bellevue general orientation sessions plus a Department of Surgery orientation. These sessions, which take place during the week before the beginning of the academic year, introduce residents to the workings of the Department of Surgery, acquaint them with faculty and house staff, and prepare them for the first days of clinical duties.

Categorical Program

In our program residents gain increasing levels of skill and take on progressive levels of responsibility. Throughout the residency, they receive support and guidance from our renowned faculty and staff.

Years 1 and 2: Foundational Surgery Residency

The first two years of the residency teach perioperative care and technical surgical skills with increasing operative responsibility. Working under the direct supervision of senior residents, fellows, and faculty surgeons, residents rotate through the services of our training sites:

Our clinical program is supplemented by a didactic program in the surgery basic sciences using the Surgical Council on Resident Education (SCORE®) curriculum and core departmental and divisional conferences.

The Surgical Skills Laboratory curriculum enables residents to master surgical techniques from knot-tying to advanced laparoscopy and robotics.

Four-week rotations in different services are as follows:

  • 7 months in general surgery
  • 1 month in colorectal surgery
  • 1 month in pediatric surgery
  • 2 months in trauma and acute care surgery
  • 1 month in surgical intensive care unit
  • 1 month in transplantation
  • 2 months in surgical oncology
  • 1 month in cardiothoracic
  • 3 months in vascular surgery
  • 2 months in minimally invasive surgery/bariatric surgery
  • 2 months in endocrine surgery
  • 1 month in night float on general surgery

Year 3: Assistant Chief–Consultant

During the third year, residents spend one third of their time as a surgical consult and two thirds as an assistant chief resident on services at Kimmel Pavilion and Bellevue. In this role responsibilities include consultation to inpatient services, outpatient clinics, and the emergency room, supervising junior residents, and teaching of third-year students.

The year includes rotations in general surgery, trauma surgery, surgical oncology, colorectal surgery, minimally invasive surgery, cardiothoracic, and vascular surgery, as well as rotations with senior resident responsibility in the surgical intensive care unit and on the breast surgery service.

Years 4 and 5: Junior and Senior Chief Residency

In the fourth year, residents take on senior responsibilities under direct faculty supervision during clinical rotations in general surgery, acute care surgery, endocrine surgery, minimally invasive surgery pediatric surgery, and surgical oncology at Kimmel Pavilion.

In the fifth year, chief surgical residents rotate through Bellevue and the Manhattan campus of the VA NY Harbor Healthcare System on the general and trauma services. Chief residents have broad responsibilities that include the following:

  • administration of the service
  • teaching junior residents
  • organizing conferences
  • managing pre- and post-hospitalization care
  • surgical planning
  • performing major operative procedures under faculty supervision

During this time, residents rotate through general surgery, colorectal surgery, surgical oncology, trauma surgery, and minimally invasive surgery.

The assistant chief and senior resident rotations provide trainees with a base of knowledge, technical skill, and experience that enable them to function as a chief resident. This allows for a natural progression from a supervised to a supervisory role.

Operative Experience

Our graduating general surgery chief residents perform approximately 1,100 operations by the completion of the 5-year program. The surgical experience ranges from general surgery to subspecialty surgery, with strong experiences in the following areas:

  • colorectal surgery
  • endocrine surgery
  • hepatopancreatobiliary surgery
  • minimally invasive and robotic surgery
  • surgical oncology
  • transplant surgery
  • trauma and acute care surgery

Didactic Program

Residents spend five to six hours in didactic learning each week. This teaching program includes the following.

Basic Science Lecture Series

In addition to an emphasis on the basic and clinical fundamental science that underlies general surgery throughout the program, residents receive a full range of basic science instruction in the Basic Science Lecture Series. The series is based on the SCORE® curriculum and covers topics including immunology, hemostasis, wound healing, and cardiorespiratory and gastrointestinal physiology. Basic scientists and experts from our department and others give weekly presentations.

Service Conferences

Each week residents participate in conferences in general surgery, surgical oncology, endocrine surgery, vascular surgery, and pediatric surgery. During the conferences residents make presentations on various surgical topics and quality improvement. They also participate in the weekly mortality and morbidity (M&M) conference with faculty.

The General Surgery Conference focuses on case presentations, journal club, and multidisciplinary GI oncology and pancreatic diseases.

Grand Rounds Lectures

Medical students, faculty, and residents participate in a monthly grand rounds lecture in which distinguished faculty from outside institutions visit NYU Langone to lecture on surgical topics. The objective for the residents and students is to increase the clinical and basic science knowledge base, understand surgical principles, evaluate literature, and learn evidence-based approaches to clinical decision-making.

Surgical Professionalism Curriculum

The Department of Surgery is strongly committed to developing the professionalism of our surgical residents.

The Accreditation Council for Graduate Medical Education has mandated that we as surgeons carry out our professional responsibilities by adhering to ethical principles coupled with sensitivity to our diverse patient populations. Our curriculum is aimed at fulfilling these responsibilities and helping residents to become thoughtful, concerned, and effective surgeons.

The curriculum is presented in six sessions throughout the year during the Wednesday morning surgical lecture series. These topics are crucial components of NYU Langone’s surgical training and all residents are expected to be proficient in these skills early in training:

  • Self-Care and the Stress of Surgical Practice
  • Working Across Language and Culture: The Case for Informed Consent
  • Delivering Bad News: Your Chance to Become a Master Surgeon
  • Residents as Teachers: Your Responsibility as an Educator
  • Admitting Mistakes: Medical Malpractice and the Surgeon
  • Managing Your Career: Job Seeking, Evaluating an Offer, Contact Negotiation, the ACA and You

The course coordinator is Mark Hochberg, MD, vice chair for education.

Resident Research

Research is a critical component of surgical training at NYU Grossman School of Medicine. Clinical and basic science research is a major focus of our surgical faculty and residents.

Our faculty members participate in many national and international cooperative groups. Residents carry out basic science or clinical research in Department of Surgery laboratories, in other NYU Langone departments’ labs, and in other medical centers in the United States or abroad. Research periods generally last between one and two years. The department also supports resident participation in clinical research during their residencies.

NYU Grossman School of Medicine surgery residents are not required to take time off from residency training to complete research, but it is strongly supported. At present, 66 percent of residents elect to take one to two years off from training to conduct research.

In addition to conducting research at the laboratories at NYU Langone, our residents have pursued research in laboratories at the Memorial Sloan Kettering Cancer Center, Boston Children’s Hospital, the University of Pittsburgh, Oregon Health and Sciences, and George Washington University.

We are also very supportive our residents who are interested in pursuing advanced degrees such as a master of public health or a master of business administration.

Benefits and Wellness

All residents are provided with low-cost medical and dental insurance, disability and life insurance, and four weeks of paid vacation per year in addition to a yearly book fund, and, pending approval, a conference fund. Residents may also take advantage of many benefits and discounts provided through NYU Langone.

The Department of Surgery is committed to the wellbeing of our faculty and residents. Various wellness committees are run by residents with faculty support. Our residency sponsors social events for surgery house staff such as Central Park outings, holiday parties, and post-exam celebrations. We work to ensure that on-call schedules are finalized at least three months in advance to allow for optimal work–life balance and planning. In addition, NYU Langone also provides access to graduate medical education–dedicated mental health physicians with extended late-night and weekend hours for all house staff.

Housing

A small number of subsidized on-campus apartments are made available, with priority given to first-year house staff and house staff moving from out of state. Learn more about housing for house staff, including off-campus resources. Send questions about housing to housing@nyulangone.org.