Rotations During Training
The Core General Surgery Residency: Anyone contemplating interviewing at Stanford and becoming part of this training program will want to know something about the rotations during their five clinical years of training. We have chosen to divide the residency into two components; the Core General Surgery Residency and the Senior General Surgery Training Program. At Stanford, the six categorical General Surgery residents are joined by up to five preliminary residents who are entering fields such as Interventional Radiology, Anesthesiology, etc., as well as seven first year Orthopedic residents, three first year Plastic Surgery residents, three Urology residents, four Otolaryngology/Head and Neck residents , two Cardiothoracic residents, and one Vascular resident. Thus, in the first postgraduate year there are a total of 31 interns at Stanford. In the second year of training there are at least 15 residents and occasionally 17 or 18, consisting of the six categorical General Surgery residents, the three Plastic Surgery residents, three Urology residents, two Cardiothoracic residents, 1 Vascular, and occasionally two or three individuals seeking a second year of training before going into a different subspecialty. These residents are considered to be part of the Core General Surgery Residency.
The assignments of residents are driven by a core curriculum and by the special requirements of the Residency Review Committee. A representative sample of rotations follows this brief narrative description. The goal of the Core General Surgery Residency is to provide residents with graduated responsibilities in the primary components of General Surgery. In addition, it will give them an appropriate experience in subspecialties required by the Residency Review Committee. It is extremely important to point out that during these first two years the residents do a large number of operations under the direct supervision of a faculty attending or in some cases, a senior surgical resident. Our interns and second year residents perform as many as 100-200 cases per year during this time.
Resident Rotations by Year
Residents on Rotations
Residents in the Department of Surgery's General Surgery Residency Program speak about the four different sites they rotate through (the Palo Alto VA, Kaiser Santa Clara, Santa Clara Valley Medical Center, and Stanford Hospital) and the different skills they learn at each.
Training Schedule & ACGME
The Training Program at Stanford is dedicated to developing a call schedule whose goal is consistent with the core curriculum, not with service that makes learning difficult or in some cases impossible. We have committed ourselves to following the ACGME work hour rules.
International rotations in a resource-constrained environment offer a rich opportunity for personal and professional growth. During their third clinical year, Stanford General Surgery residents may choose to rotate at the University of Zimbabwe during one of their two elective rotations.
Residents participating in this rotation are supervised on site by Professor Godfrey Muguti, FRCS, University of Zimbabwe, and at Stanford by International Rotation Director Dr. Sherry Wren.
About the University of Zimbabwe
Zimbabwe is a low-income country emerging from an economically challenged decade where the basic medical education structure of the country was severely impacted. The University of Zimbabwe is the only medical school in the country and offers certified training programs in general surgery, orthopedics, and pediatric surgery. The hospital is the trauma center and tertiary referral center for the entire country. There are 13 surgical faculty with the academic and program leadership being led by Professor Godfrey Muguti, FRCS.
Description of the Clinical Experience:
● Type of center: governmental tertiary referral university health care system
● Hospital is the referral hospital for all complex surgical care in Zimbabwe and has general, neurosurgery, urology, ENT, and orthopedics services. Surgeons perform all of the endoscopy in the hospital.
● Hospital has 12 operating rooms daily.
● Trained anesthesia physicians are present in the OR for all cases, basic radiology services of plain x-ray are routinely available. Advanced imaging such as CT or US is occasionally available. Basic laboratory services are available.
● Residents will attend clinic with the general surgery team in the hospital.
● Residents will enter cases via the web-based case log system.
● Residents will serve as educators for the medical students on service and the more junior residents in basic surgical skills such as suturing and knot tying.
Choose two: Transplant, Surgical Oncology, Thoracic, Breast Surgery, …or Africa?
“I want [the residents] to see medicine practiced in a very different environment and construct than they are used to, to compare and contrast two distinct healthcare delivery systems and to see the strengths and weaknesses in both,” said Wren, who supervises the international rotation on the local side.