General Surgery Residency: Manhattan Curriculum

Categorical Program

Year 1 and 2: The Foundational Surgery Residency

The first two years teach peri-operative care and technical surgical skills with increasing operative responsibility. Residents rotate through the services of the three hospitals and work under the direct supervision of senior residents, fellows and faculty surgeons. The clinical program is supplemented by a didactic program in the surgery basic sciences using the SCORE curriculum and core departmental and divisional conferences. Residents also have a Skills lab curriculum for learning and mastering surgical techniques from knot-tying to advanced laparoscopy and robotics. First and second year residents rotate through NYU Kimmel, Bellevue, and the Manhattan VA.

Rotations through different services are four weeks in duration and follow these approximately:

•    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 NYU Kimmel, Bellevue. The responsibilities include consultation to inpatient services, outpatient clinics, and the emergency room, supervision of 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 move to 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 NYU Kimmel Hospital.

In the fifth year, chief surgical residents rotate through Bellevue and the VA hospitals on the general and trauma services. Chief residents have broad responsibilities which include administration of the service, teaching junior residents, organization of conferences, pre- and post- hospitalization care, surgical planning and performance of major operative procedures under faculty supervision. The chief residents rotate through general surgery, colorectal surgery, surgical oncology, trauma surgery, and minimally invasive surgery

The assistant chief and senior resident rotations provide the base of knowledge, technical skill, and experience leading to the ability to function as a chief resident. This setup 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 our five-year program. The surgical experience ranges from bread and butter general surgery to subspecialty surgery with strong experiences in surgical oncology, endocrine surgery, colorectal surgery, minimally invasive and robotic surgery, transplant surgery, and trauma and acute care surgery.

Didactic Program

In our residency you 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, you receive a full range of basic science instruction in the Basic Science Lecture Series. The series’ is based on the Surgical Council on Resident Education (SCORE) curriculum and covers topics including immunology, hemostasis, wound healing, and cardiorespiratory and gastrointestinal physiology. Basic scientists and experts from our own department and others give weekly presentations to the residents.

Service Conferences

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

The General Surgery conference focuses on case presentations, journal club, 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 a surgical topic. The objective for the residents and students is to increase clinical and basic science knowledge base, understand surgical principles, evaluate literature and learn evidence-based approach to clinical decision-making.

Surgical Professionalism Curriculum

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

The Accrediting Council for Graduate Medical Education has mandated that we as surgeons carry out our professional responsibilities adhering to ethical principles coupled with sensitivity to our diverse patient populations. We have created a curriculum which is aimed at fulfilling these responsibilities and helping you to become thoughtful, concerned and effective surgeons.

The curriculum is presented in six sessions throughout the year during the Wednesday morning surgical lecture series.

  • 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 our Vice Chair for Education Dr. Mark Hochberg. Program leadership feel these topics are crucial components of NYU's surgical training and expect all residents to be proficient in these skills early.

Benefits and Wellness

All residents are provided with low cost medical and dental insurance, disability and life insurance, and four weeks paid vacation per year. Residents can also take advantage of many benefits and discounts provided through NYU Langone Health. Residents are also provided with yearly book funds and a conference fund.

The NYU Langone Health Department of Surgery is committed to the wellbeing of our faculty and residents. At the both the institutional and programmatic level there are wellness committees run by residents with faculty support. The program sponsors social events for the surgery housestaff such as central park outings, holiday parties, and post- in-training exam celebrations. The program works to ensure that on-call schedules are finalized at minimum three months in advance to allow for optimal work-life balance and planning. In addition, the NYU Langone Health also provides GME dedicated mental health physicians with extended late night and weekend hours for all housestaff.

Resident Research

Research is a critical component of surgical training. Clinical and basic science research is a major focus of the NYU surgical faculty and residents who are involved in diverse laboratory and clinical research projects.

Our faculty members participate in many national and international cooperative groups. NYU Surgery residents are able to carry out basic science or clinical research in our own Departmental laboratories, in other NYU School of Medicine Departments, and in other medical centers in the United States or abroad. Research periods generally last between 1-2 years. The Department also supports resident participation in clinical research during the course of their residencies.

NYU Surgery residents are by no means 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 1-2 years off from training to conduct research.

In addition to the laboratories at NYU Langone Health, our residents in recent years have pursued research in laboratories at the Memorial Sloan Kettering Cancer Center, Boston Children’s Hospital, 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.