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
Rotation Length
Elective General Surgery 5 Weeks
Acute Care Surgery 10 Weeks
Crouse Hospital* 5 Weeks
VA Hospital* 10 Weeks
Night Chief 5 Weeks
Outside Elective 5 Weeks
Vascular (University Hospital) 5 Weeks
Thoracic/Transplant 5 Weeks


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.

PGY-5 Rotation Breakdown
Rotation Length
Advanced Laparoscopic/Hepatobiliary 10 Weeks
VA Hospital* 10 Weeks
Community Campus* 10 Weeks
Crouse Hospital* 5 Weeks
Night Chief 5 Weeks
Vascular (St. Joe's) 10 Weeks

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