The overall length of training is 72 months (six years), all of which occurs on the Mayo Clinic Rochester campus (there are currently no off-site rotations).
The residency is grossly divided into three basic parts:
- 30 (minimum) to 36 months in OMS
- Mayo Medical School – 2 years
- General Surgery – 2 years
Efficient scheduling of training allows these basic blocks to occur within the 72 months of training.
This year is mostly spent in OMS, with a brief rotation to the Dental Specialties Department, as well as intermittent medical school (Basic Doctoring and Nervous System module). Minnesota dental licensure must be obtained during this year.
This year is the Mayo Medical School (MMS) year two (MMSII). In addition, there are intermittent rotations back to the OMS service totaling approximately 3 months total time. USMLE Part I must be completed at the end of this year.
This year combines MMSIII and MMSIV into one year, while also allowing 12 weeks rotation back on OMS service. USMLE Part II must be completed in the spring quarter of this year.
This year is the PGY-1 General Surgery year and consists of:
- Trauma service – 6 weeks
- Plastic Surgery – 7 weeks
- General Surgery – 13 weeks
- Anesthesia – 13 weeks
- OMS – 13 weeks (scholarly activity time provided)
USMLE Step III and application for Minnesota medical licensure must be completed by the end of this year.
This year is the PGY-2 General Surgery year and consists of:
- General Surgery – 13 weeks
- Otolaryngology (ENT) – 4 weeks
- OMS – 35 weeks
In the final year of training, you will spend all 12 months on the OMS service, assigned to the various surgical consultants. You will have increasing autonomy during this time in terms of surgical management of patients. You will have administrative responsibilities to help manage the various surgical services and the other residents on service. Teaching of lower-level residents is an important requirement and expectation for PGY-6 residents. PGY-6 residents may be appointed to Chief Resident Associate status during this year, dependent on overall performance and as determined by the Program Director and the OMS consultant staff.
Scholarly activity or research is an expectation of all residents. PGY-1 residents will be expected to write up a case report/literature review with guidance from one of the OMS staff and submit to a journal for publication. PGY-1 residents will be expected to develop a research project during the first year that will be completed over the next five years. It is expected that each resident will present at least once at a national meeting. All research, scholarly activity, and travel expenses will be covered by the Division of OMS.
The division has a robust educational conference calendar, meeting on at least 2-3 mornings each week. Resident attendance at conferences is monitored and addressed if deficiency is noted. Specific conferences include:
- Morbidity and Mortality
- Topic lectures by OMS consultants and residents
- Surgical Pathology
- Surgical Orthodontics/Orthognathic Surgery
- Maxillofacial Trauma
- Journal Review/Selected Readings
- Facial Cosmetic Surgery
In addition, there are a number of departmental and institutional conferences that residents are expected to attend. Residents are assigned as presenters for various topics at the discretion of the program director, with increasing responsibilities for such presentations as they move through the program.
Residents are required to complete:
- ACLS, BLS, PALS, and ATLS certifications
- Microsurgery education (one week course on microneurosurgery/microvascular surgery)
- OMS Board Review course in the fifth or sixth year (paid by the division)
The call duties vary during training. The OMS service always has one junior level resident taking first call (out of hospital) and one senior resident taking second call (out of hospital), and one consultant covering the service. Mayo Clinic and the Division of OMS fully support the MSGME/RRC work hour restrictions. It is an expectation of the program that residents electronically clock in and out of the institution such that compliance with work-hour restrictions is assured. There is a dedicated call room for OMS such that residents can rest within the institution as needed on nights and weekends.
Moonlighting is not permitted for OMS residents per department and division policy.
Resident performance is monitored very carefully using evaluations from the Program Director, all OMS consultants, and allied health staff via regular evaluations (conducted after each rotation) and 360-degree reviews. In addition, residents are required to anonymously evaluate the consultant staff at regular intervals.
Regular meetings with the Program Director and mentors will occur to discuss performance.
All OMS Residents must take the American Board of OMS In-Training Examination (OMSITE) on a yearly basis. There are threshold levels of performance that are expected at each level of training. Deficiencies are identified and corrective action plans developed to improve competencies as necessary.
All OMS interns are assigned to an OMS mentor on admission to the program. In addition, if desired, a mentor outside OMS can also be assigned (for instance a resident interested in a particular area of research might have a research mentor in that area assigned to them).
The OMS division leadership and program director strongly support the OMS Education Committee. This committee is composed of all residents on-service, and all off-service residents as they desire, as well as the consultant staff and residency coordinator. This committee meets monthly to discuss issues of importance in an open forum format with the overall goal to maximize communication between resident staff and consultant/support staff within the division of OMS.