Residency: Rotations
The categorical residency is five clinical years in length (with a sixth and/or seventh year for basic science research). All residents rotate through the general surgical sections and the surgical intensive care units in addition to the surgical subspecialties. Rotations are designed to provide each resident with the maximum responsibility appropriate for his or her level of training with increasing responsibility as proficiency is gained. The curriculum is a robust one, with adjustments made to suit the educational needs of trainees. Throughout the five clinical years, a primary resident responsibility is the education of the students and more junior residents. Residents are also responsible for covering cases in the operating room, clinical supervision of more junior trainees, and preparation of material for service and teaching conferences.
First Year
Residents in the first year of training are offered some exposure to operative procedures although the majority of the first year is in patient care and evaluation.
PGY-1 rotations include:
- Acute Care Surgery
- General Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
- Surgical Oncology
- Transplant Surgery
- Vascular Surgery
Second Year
The second year provides continuing experience and exposure to the surgical disciplines as well as experience in critical care, with progressively more operative exposure.
Upon completion of the second year, residents are required to pursue up to two years of basic science research within the Department of Surgery with the expectation that their experience will culminate in additions to the surgical literature.
PGY-2 rotations include:
- General Surgery
- Pediatric Surgery
- Surgical Intensive Care
- Thoracic Surgery
- Transplant Surgery
- Trauma Surgery
- Vascular Surgery
Third Year
Third-year residents act as surgical admitting officers for the University of Maryland Medical System. Patient evaluation and operative experience are stressed.
PGY-3 rotations include:
- Acute Care Surgery
- General Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
- Surgical Oncology
- Vascular Surgery
Fourth Year
Fourth year residents participate in multi-organ transplantation, trauma, minimally invasive surgery, and endoscopy, both diagnostic and therapeutic. All residents during the fourth clinical year function as chief resident in a surgical subspecialty: pediatric, general, or transplantation. It is during this year that residents assume senior-level responsibility for their patients and perform increasingly complex procedures.
PGY-4 rotations include:
- Acute Care Surgery
- Minimally Invasive Surgery
- Pediatric Surgery
- Surgical Endoscopy
- Transplant Surgery
- Vascular Surgery
Fifth Year (Chief)
The fifth year is dedicated to the principal components of general surgery. Residents perform the full spectrum of complex general surgical operations and assume independent yet supervised responsibility for patients. Chief residents are responsible for patient evaluation as well as perioperative and postoperative care. The chief residents assume much of the responsibility for team management and should function as junior attendings at this point in their training.
PGY-5 rotations include:
- General Surgery
- Surgical Oncology
- Trauma Surgery
- Vascular Surgery
Rotations are performed at:
- University of Maryland Medical Center
- Baltimore Veterans Affairs Medical Center
- Baltimore Washington Medical Center
- John Hopkins Hospital
- Mercy Medical Center
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