All surgical services at the University of Kansas and the integrated community hospitals associated with KU have dedicated attending surgeons that devote their full-time practices to the education and training of our general surgery residents.
With the changes in surgical training called for by the Residency Review Committee (RRC), the University of Kansas General Surgery Residency has adopted strict policies concerning work hours, days off, and didactic education. We have also adopted a "night-float" system for handling in-house call in an effort to better comply with the new guidelines.
PGY -1 (categorical)
The first year of general surgical residency is comprised of one-month rotations on the general, vascular, acute care, oncology, burn, transplant surgery services. One PGY-1 per month will be assigned to the "float" team to cover in-house call during the week. (Float coverage is Sunday - Friday.)
The primary responsibilities of the PGY-1 are the pre- and post-operative care of the surgical patients located in the hospital wards along with assisting and performing simple surgical procedures under the guidance of senior-level residents and attending surgeons.
Noncategorical PGY-1s will assume the same basic responsibilities as categorical PGY-1s, although they will have other rotations in their sub-specialties including orthopedics, neurology, neurosurgery, ENT, and urology.
The second year of residency is composed of approximately three two and a half month rotations of transplant, breast and SICU, a three and a half month rotation on surgical oncology, and one month as part of the "float" team.
The second year is highlighted by increased operative and clinical opportunity.
The third year residents develop more expertise in diagnosis and treatment of surgical diseases as well as develop increasing confidence in the care of complex patients.
The duties of the third year resident also include an increased role in the teaching and training of both junior residents and medical students.
The third year residents serve as the mid-level person on the "float" team and also rotate with cardiothoracic surgery, pediatric/general surgery, an outside pediatric surgery rotation, surgical oncology, and research/elective rotation.
During the fourth year of residency, residents rotate outside of KUMC for three of the twelve months at a Kansas community hospital in Topeka. This year of training is greatly anticipated by all of the residents, and the learning experience is second to none. When residents return, they feel confident in handling most surgical problems, and their operative skills have increased significantly. In addition, fourth year residents are the "float " chief and rotate with acute care surgery and vascular surgery.
PGY-5: Chief Resident
The chief year is the culmination of a resident's training. This year is primarily devoted to clinical practice. The chief resident assumes the responsibility of directing a surgical service under the supervision of the attending surgeon. During the chief year, residents rotate with oncology/colorectal surgery, acute care/trauma surgery, general surgery, and hepatobiliary surgery.
In addition, chief residents train both junior residents and medical students.
Chief residents are held in high regard by nursing services, medical students, junior residents and attending surgeons.
They have significant administrative as well as clinical responsibility and are relied on by the attending surgeons to provide leadership for each surgical service.