Rotations and Schedules
Example schedule demonstrating break-down of rotations for each PGY level.
Plastic & Reconstructive Surgery (PRS)
The plastic and reconstructive surgery service functions as two teams each consisting of three residents, one to two mid-level practitioners and five to seven assigned staff. The clinical focus of both teams includes breast reconstruction and aesthetic surgery, with one team focusing on microsurgery and complex head and neck reconstruction and the other with a focus on hand surgery and wound management.
As a resident on this service, you will be responsible for all aspects of patient care, including peri-operative and operative management. Call responsibilities while on the plastic surgery service are discussed below. Residents participate in a wide range of surgical cases, including:
- facial trauma
- complex head and neck reconstruction
- microsurgical and non-microsurgical breast reconstruction
- aesthetic surgery
- hand trauma, including replantation
- elective hand surgery
- complex upper extremity surgery, including nerve/tendon transfers and brachial plexus surgery
- gender-affirmation surgery, including both " top" and " bottom" surgery
- pressure ulcer and chronic wound management
- Mohs defect closure
In addition, we often work with other services for closure of complex oncologic defects and post-operative wounds.
Chief Elective Rotation (ELEC)
Chief residents spend three months completing an elective rotation of their choice. This experience can be tailored to the particular resident's goals and interests; however, many use this experience as an opportunity to gain further exposure to cosmetic surgery. Over the past years, we have continued to foster strong relationships with our community plastic surgeons, who welcome our residents to spend time at their practices.
VA Hospital (VA)
During your PGY-4 and PGY-5 years, you will spend three months rotating at the VA Hospital in Kansas City, MO. As the sole resident on this service over an extended time-period, residents are provided a unique opportunity to follow patients longitudinally, participating in pre-operative, intra-operative and post-operative aspects of patient care. In working with this unique population of patients, residents gain substantial exposure to all aspects of care of the aging adult, including elective hand surgery, facial aesthetic surgery and oculoplastic surgery, Mohs reconstruction, and much more.
Children's Mercy Hospital (CMH)
You will spend three months rotating at Children's Mercy Hospital in Kansas City, MO during your PGY-4 and PGY-5 years. Residents on this service work closely with five clinical staff, treating a range of congenital and acquired conditions. Operative exposure includes orthognathic surgery, congenital hand surgery, cleft lip and palate surgery, rhinoplasty, vascular malformations and pediatric extremity trauma. Residents are either the sole resident on the service or work in conjunction with an OMFS resident. Each faculty has their own mid-level who helps in the hospital and clinic. Operative volume is robust. Many programs have difficulty fulfilling their minimum index numbers for clefts, whereas each resident's experience at CMH achieves those minimums and goes well beyond. Most importantly, as a result of this rotation and collaboration, residents matriculating through our program are very comfortable performing these operations autonomously.
In the PGY-3 year, you are allotted two separate months to perform clinical research. While residents are required to develop and carry out research on a yearly basis, this rotation allows residents time to make significant gains on on-going projects and develop ideas for new projects to focus on in the upcoming years as their clinical interests narrow.
Orthopedic Hand Surgery (ORTH)
During the third year of training, you will spend t wo months on the orthopedic surgery hand service . This experience is meant to augment your robust plastic surgery hand experience by increasing exposure to forearm and elbow surgery, in addition to gaining an appreciation for nuances in the care of the hand patient that vary between specialties and providers.
Facial Plastics (ENT)
During the third year of plastic surgery training, you will spend two consecutive months with the otolaryngology service, in particular, with facial plastic surgeons Drs. Humphrey and Kreit. During this time, residents gain significant exposure to all aspects of facial plastic surgery, with an emphasis on rhinoplasty and facelift, as well as facial trauma.
Burn Surgery (BURN)
You will spend two months on the burn surgery service during your PGY-2 and PGY-1 years. As a PGY-1, residents gain exposure to peri-operative and operative care of the burn patient, including assessment of acute burns, resuscitation of critical burns, wound care, and operative management of burn wounds. This experience continues at the PGY-2 level, as residents begin to take on more responsibility, with increasing call responsibilities and management of the burn team.
General Surgery (GS)
You will spend time with our general surgery colleagues during the PGY-1 and PGY-2 years of your residency. In the PGY-1 year, residents spend a month each on the breast surgery service and transplant surgery service. In the PGY-2 year, residents spend a month each on the surgical oncology/colorectal, surgical ICU, pediatric surgery and vascular surgery services. Residents gain an appreciation for the operative and peri-operative management of common surgical problems and foster relationships with colleagues with whom we often work closely.
Fundamentals of Plastic Surgery (FPS)
Newly created in 2019, the fundamentals of plastic surgery rotation is a unique opportunity afforded to our PGY-1 residents. This one-month rotation is positioned within the first three months of residency with a goal of increased exposure to basic and fundamental aspects of plastic surgery prior to their immersive three- month plastic surgery rotations. While on this rotation, residents are provided several goals and objectives to accomplish, including splint application, wound closure, assessment of facial and hand trauma, harvesting skin grafts and more. Chief residents or staff members sign-off on objectives once they are completed. Residents are not committed to particular teams or operative cases, allowing them to be available for any and all educational opportunities.
During the PGY-1 year, you will spend one month rotating with the neurosurgery service. While on this service, residents gain experience in the peri-operative and operative management of neurologic disorders. The rotation exposes residents to the unique aspects of neurosurgical ICU care, which is critical later in training when caring for flap patients for our combined cases. Thus, it serves to foster relationships with colleagues with whom we often work closely.
Emergency Medicine (EM)
You will spend o ne month in the emergency department during the PGY-1 year. This opportunity is meant to provide additional exposure to both acute surgical and medical conditions and bolsters interns' knowledge of general medical care. Additionally, there is exposure to many ED based procedures. During this time, you will gain familiarity with the ED environment and staff, which helps with ongoing call responsibilities later in residency.
You will spend one month rotating on the anesthesia service during your PGY-1 year. This time allows residents to practice critical care skills including intubation, arterial and central line placement and peri-operative care.
You will also spend one month on the dermatology outpatient service during the intern year. While on this service, residents gain exposure to common dermatologic conditions; however, the focus of this rotation is on the outpatient management of melanoma and non-melanoma skin cancers. While on this rotation, residents take an active role in both excision and closure of skin lesions, including Mohs surgery.
Residents on the plastic and reconstructive surgery service take call on a rotating basis. Junior residents (PGY-2-3) take primary call with a senior resident (PGY-4-6) to assist with formulation of an assessment and plan. Weekend call is also assigned on a rotating basis with two residents covering an entire weekend (Friday evening through Sunday morning). Holidays are distributed justly amongst the residents. Hand call is split with the orthopedic surgery service on a biweekly basis. Facial trauma call is split with the otolaryngology service every other day.
During the PGY-6 year, you will spend one week in Guatemala on an immersive surgical outreach trip. Learn more about this unique rotation and why it is important to our department.