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Curriculum

Clinical Training
The General Surgery Residency program provides one year of general surgery training before you go on to the military, public health or other professional interest.

Rotation Schedule

Rotation Length
General Surgery 1-3 months
Breast Surgery 1 month
ICU 1 month
Hepatobiliary Surgery 1-2 months
Colorectal Surgery 1-3 months
Vascular Surgery 4 months

A brief description of each rotation is given below. All preliminary surgery residency training takes place at Mayo Clinic in Jacksonville.

General Surgery
The general surgery rotations are preceptorships, during which you will rotate with each staff member as the only resident on a particular service. You will operate with the consultant, run their clinic and assume responsibility for managing all patient-care issues. Each consultant has a particular field of expertise upon which they base the majority of their practice. These interests include endocrine, laparoscopic and breast surgery.

Colorectal Surgery
This service consists of up to two attendings: senior resident and junior resident. This is one of the busiest services, as one of the two surgeons is typically operating each day. You will be exposed to a variety of procedures, including all types of colon resection, transanal excision, and perianal problem management. This rotation will involve patient experiences with colon cancer, incontinence and inflammatory bowel disease. Experience with laparoscopic-assisted colon resection is also provided.

Hepatobiliary Surgery
Provided through the abdominal transplant department, this rotation covers all aspects of hepatic, pancreatic and biliary tree surgery. You will learn advanced management of hepatobiliary cancers through clinical work-up, imaging, planning, treatment and postoperative care. Experience in hepatobiliary laparoscopic procedures is also part of the curriculum.

Intensive Care Unit
The intensive care unit is currently a combined medical/surgical unit. Your responsibilities will include managing general surgery, abdominal and cardiopulmonary transplant, cardiothoracic and medical patients. Extensive experience in infectious diseases, and ventilator and hemodynamic management of surgical and medical patients is provided.

Vascular Surgery
The vascular service is managed by a PGY-4 or PGY-5 and a PGY-1 resident. The senior resident is responsible for supervising all aspects of patient management and both residents participate in operating room activities. There is a wide variety of cases, including procedures in endovascular and open abdominal aortic aneurysm repairs, mesenteric revascularization, carotid endarterectomy, vascular bypass and vascular access.

Didactic Training

Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are all an integral part of the Preliminary Surgery Residency Program. Didactic training includes:

  • Morbidity and Mortality Conference (monthly)
  • Surgical Basic Science Program (weekly)
  • Surgical Grand Rounds (weekly)
  • Tumor Board Conference (weekly)
  • GI Surg-Path Conference (monthly)
  • Resident's Conference (bimonthly)
  • Journal Club (monthly)

Morbidity and Mortality Conference

This monthly conference reviews cases of interest for faculty review and resident education concerning problems in patient management. All residents are expected to participate in case presentation and review.

Surgical Basic Science Program

You will receive basic science instruction in topics such as wound healing, immunology, infections and organ system pathophysiology. You will be given a copy of the program reference text when you arrive at Mayo Clinic Jacksonville. An expert in the field being reviewed is invited to attend to supervise each session. Residents are required to generate questions based on the assigned reading for two sessions per academic year.

Surgical Grand Rounds Conference

Held once a week, this conference is given by both consultants and residents. Topics are chosen to be both educational reviews and presentation of advances in the current state of the art. Residents are expected to present two topics per academic year. Twice during the academic year, each PGY-4 and PGY-5 level resident presents a review of their surgical cases selected by the consultants as part of grand rounds.

Tumor Board Conference

Held weekly, this includes discussions of current medical and surgical oncology cases. Imaging, pathology and modes of treatment are discussed. Residents are expected to post and present cases as they become available.

GI Surg-Path Conference

This bimonthly conference is a combined interaction between the Surgery, Gastroenterology, Radiology and Pathology departments. Cases with pertinent teaching points and review of the current literature are presented. Residents are expected to present one case per year.

Resident's Conference

Held bimonthly, this conference is comprised of presentations of topics for general education chosen by the appointed resident. Items pertinent to board review are included.

Journal Club

Held once per month, journal club covers articles from the current literature, which are selected by the consultant and resident for critical review. Each resident is expected to present four or five articles at one journal club per academic year.

During each subspecialty rotation, you also will attend that subspecialty's weekly schedule of journal clubs, didactic presentations and conferences dealing with patient management problems.

You are encouraged to attend all regional and national general surgery meetings sponsored by Mayo Clinic.

Research Training

Preliminary surgery residents are not required to do research, but may choose to participate in clinical research in which they conduct chart reviews and write papers or develop case study presentations.

Evaluation

To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.

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