 Residency Training ProgramsThe Department of Surgery offers approved residency programs in General Surgery, Pediatric Surgery, Plastic and Reconstructive Surgery, Thoracic Surgery, Vascular Surgery and Surgical Critical Care. First-year residency positions in General Surgery and Integrated Plastic and Reconstructive Surgery are offered through the National Resident Matching Program. Applicants who have completed their training in General Surgery are eligible for applying for positions in our Pediatric, Cardiothoracic and Vascular training programs; these positions are also offered through the National Resident Matching Program. The General Surgery and Integrated Plastic and Reconstructive surgery residency programs at Michigan begin immediately following the candidates graduation from medical school. There is an initial foundation period or core of basic training for General Surgery, Integrated Plastics and Reconstructive Surgery, Urology, Neurosurgery, Orthopaedic Surgery and Otolaryngology appointees. Neurosurgery, Orthopaedic Surgery, Otolaryngology, and Urology appointees have a single year of core experience and begin their specific specialty training during the second year. About half of the core period is devoted to rotations within the Section of General Surgery (gastrointestinal, endocrine, burn/trauma, Surgical Oncology, peripheral vascular, transplantation). The remaining half comprises rotations in other services (Neurosurgery, Pediatric Surgery, Plastic Surgery and Thoracic Surgery). The core rotations take place at the University of Michigan Hospitals which includes C.S. Mott Children's Hospital. The goal of the core years is to provide the resident with broad training in the principles of all major areas of surgery as well as the progressive development of technical skills and surgical judgment. The typical service on which the house officer rotates consists of attending staff surgeons, a chief resident, a senior resident, a second-year house officer (HO II) and two first-year house officers (HO I) and several medical students. This team cares for approximately 15-25 patients. House Officer Is are primarily responsible for the diagnostic workups, bedside procedures, preparation of the patients for operation and postoperative care. They also perform, under close supervision of the attending and resident staff, the more basic surgical procedures, such as herniorrhaphy, hemorrhoidectomy, appendectomy and cholecystectomy in General Surgery, and operations of similar magnitude while on other services. Grand Rounds, Death and Complications Conference and General Surgery Teaching Conference take place on Thursday mornings. The entire Department of Surgery, including all attending staff, house officers and students, assemble for Surgery Grand Rounds and Death and Complications Conference; three Thursdays a month are devoted to Death and Complications Conference and one Thursday a month is devoted to Grand Rounds. Teaching Conference follows Death and Complications Conference or Grand Rounds and all residents and students are expected to attend. In addition, each Surgery Section also conducts several teaching conferences of its own each week; these are attended by the residents and attending staff of the section, as well as the students rotating on these services. The core years are organized and carefully supervised by the General Surgery Residency Program Director and the Education Advisory Committee. The Education Advisory Committee has faculty and resident representatives from each section of the Department. Residents are evaluated at the end of each rotation by the attending faculty and more senior residents. The Department administers the annual American Board of Surgery In-Service Training Examination to all residents during their core training experience. There are also mock Board Oral Examinations each year for Senior Residents. The entering candidates are all highly qualified and the residency programs are planned with the goal of all categorical candidates completing the programs. Appointments are made on a yearly basis. The Department also sponsors additional Fellowships in specialty areas including Breast Surgery, Trauma Surgery and Transplantation Surgery. These fellowships consist of one year of clinical experience and one year of research experience. They are designed to prepare candidates for positions in academic surgery. These programs are planned so as not to interfere with or dilute the responsibilities of the residents. General Surgery Residency Program
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