General Surgery Training Program Handbook

Logging cases and procedures

Please read the following page regarding logging cases in ACGME and procedures in Medhub.

ABS Requirements

Please read the following page regarding ABS requirements.

AGME Requirements

Please read the following page regarding ACGME requirements.

Clinical Working Hours Policy


Seniors, when we start a new block,  please check in with the jr residents regarding their duty hours and note the following:

The team should have the appropriate number of days off for all level residents (4 days off averaged over the rotation period and NOT calendar month).  The weekend coverage and trauma shifts can sometimes require alternative days off during the weekdays.

If a resident is on vacation, they must get 3 days off.

If you do NOT have vacation during the next block, please check your schedule and confirm you are scheduled to have 4 full 24-hr periods off.

If you DO have vacation next block, please check the schedule and confirm that in addition to your 7 days of vacation, you have an additional 3 full 24-hr periods off.


If you do not have the required number of days off, please get in touch with Admin Chiefs and/or notify your service Chief Resident to identify a solution for a mid-week day off to ensure you all have the required days off.


This should be a habit for every rotation for the rest of your residency- please check your schedule, and if you ever do not have the required 4 days off (or 3 days + 7 days in the case of a vacation week), please notify your service Chief Residents or service attendings so it can be corrected before the end of the block.

  • Resources:

Hand Off and Transfer Protocols

handoff,  also known as “sign-out”, is a real time, active process of passing patient-specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care.

transfer is a real time, active process of conveying the responsibility for the care of a patient from one entity to another. It may involve the discharge from one entity and the admission to another along with the patient’s medical records or copies.


Policy and step-by-step instructions

Quality Improvement Policy

All QI must be logged on our Google tracking sheet

The ACGME requires that we track your QI participation and projects.  Please complete the following with your current QI participation.  


  • attending  M&M counts as quality improvement; you can list this as "Weekly M&M at Stanford"
  • presenting cases at M&M counts; you can list this as "presented M&M case"
  • Your 10-case log review at bi-annual counts as QI; you can list this as " 10-case review at Bi-annual." 
  • QI Self-Assessment Form


Stanford GME Weblink regarding QI

Moonlighting Policy

External moonlighting is forbidden during the five clinical years (PGY1-PGY5). If there is any indication of moonlighting, the situation will be investigated thoroughly. Should a resident who indicated that he/she is not moonlighting be found to be engaging in this activity, this will be grounds for dismissal from the program without mitigating circumstances.


Internal Moonlighting The GME approved internal moonlighting/call shifts in June 2022, and the program policy took effect on August 1, 2023. Professional Development residents are approved to internal moonlight and must be pre-approved by the Program. Clinical residents not in their PD years are not allowed to internal moonlight.

The following is the on-call/internal moonlighting policy: Policy


Conference Policy

All business-related travel needs PRIOR approval from the residency office before making travel arrangements. Once approved, the residents or admins can proceed with making travel arrangements.  

Professional Development Policy

Faculty Advisor Policy

Residents should meet with their advisors twice a year.

Meeting 1 should be completed by October 31

Meeting 2 should be completed by March 30.