Senior Resident (PGY-4, 5)

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Generally the senior resident will have the day-to-day responsibility of organizing and running the service to which he/she is assigned.

He/She is accountable for all aspects of care (preoperative evaluation, participation in the OR as surgeon or first assistant, providing postoperative care and a post discharge follow-up visit) for all patients admitted to the assigned service. The senior resident also has a greater role in teaching and supervising the junior surgical residents.


During the fourth year, the resident will function in a senior capacity on the Trauma Service, the Vascular/Transplant service, the Cardiothoracic service, Elective General Surgery and will also have the opportunity to complete an outside elective of his/her choice pending approval of the Program Director.

PGY-4 Rotation Breakdown for 2014/15 (slight variations between residents)
Rotation Length
Advanced Laparoscopy 1-2 Months
Acute Care Surgery 1-2 Months
Transplant 2 Months
VA Hospital* 1 Month
Night Chief 1 month
Outside Elective 0-1 Month
Vascular (University Hospital) 2 Months
Thoracic 2 Months


During the fifth year, as a Chief Resident, responsibility is for all aspects of patient care with an emphasis on independent decision-making. The basic concept of an increasing level of responsibility is that the fifth year permits fine tuning of a resident's operative, clinical and intellectual skills.

This approach results in a sophisticated and knowledgeable practitioner in the art and science of general surgery as well as providing a superior foundation should the resident decide to pursue a fellowship. Graduating residents have also had extensive exposure to both advanced laparoscopic surgery and bariatric surgery.

Following new guidelines by the RRC and the American Board of Surgery we have implemented increased rotation flexibility for our Chief Residents based on their career plans.

Our program has always provided a large clinical volume which shows when looking at our graduating chiefs average case counts and their case counts when broken down by category.

PGY-5 Rotation Breakdown for 2014/15
Rotation Length
Surgical Oncology I 1-2 Months
Surgical Oncology II 2 Months
VA Hospital* 1 Month
Community Campus* 0-3 Months
Crouse Hospital* 2 Months
Night Chief 1 Month
Vascular (St. Joe's) 0-4 Months

* Go to Program Overview (Affiliated Hospitals) to see what services are covered