Surgery

HomeResidency Surgery Curriculum

Surgery Residency Educational Experience

Resident education at Prisma Health–Midlands is structured to give the surgical resident graduated clinical responsibility throughout the five years of training commensurate with the maturation of their psychomotor skills and clinical judgment.

The resident will acquire the cognitive skills required for the practice of general surgery by completion of the written curriculum, independent and group study, and peri-operative management of surgical patients under the supervision of the surgical faculty and senior-level residents. Operative skills are developed beginning in the first year of postgraduate surgical training with residents in the first two years performing approximately 250 operative procedures supervised by full-time and clinical faculty.

Senior-level residents assume increased independence in patient care decisions and operative, however the faculty continues to provide an appropriate level of supervision. Graduates of the program report an average of 950 (in 2008) operative cases to the American Board of Surgery, meeting the minimum requirements for all defined categories in general surgery, including surgical critical care and endoscopy.

Teaching Responsibilities

All residents are expected to accept responsibility for their own education and for the education of their colleagues, subordinates and medical students of the University of South Carolina. Residents are expected to commit sufficient time to facilitate the achievement of educational objectives for the student's core surgery rotation through informal group discussions and one-on-one interactions. Senior residents are expected to provide educational leadership for the resident staff through formal student didactic sessions/group discussions, presentations at Morbidity and Mortality Conference and Grand Rounds and to serve as co-discussion leader with a faculty mentor during Journal/Study Club activities. Assessment of the resident's teaching efforts constitutes a significant portion of the resident's periodic performance evaluation.

Evaluation of Residents

Constructive assessment and appraisal of performance is essential to provide direction for optimal growth in both cognitive and psychomotor skills and attitude/professionalism. Formal evaluation of the resident's performance occurs at the end of each rotation based on specific educational and performance objectives developed jointly by the resident and faculty mentor at the commencement of the rotation. Progress through the general training curriculum is monitored as well. Residents are expected to meet with their faculty advisor as often as desirable/necessary, but at least every other month to formally review the progress made, areas needing additional effort and progress with the independent research project. Summary evaluations are provided (both written and verbal) bi-annually by the resident's faculty advisor and the Program Director/Department Chairman

The ABSITE examination is given each January. A departmental standard of performance has been established and failure to perform at that level may result in academic probation, development of a program of remediation or, if repetitive, suspension from the program. A departmental examination is administered in the fall of each academic year. Performance expectations are developed jointly between the resident and their faculty advisor.

Didactic conferences, journal club, textbook review, technical surgical laboratory training, simulation/skills laboratory training and directed independent study activities have been constructed to assist the resident in developing the cognitive and psychomotor skills required for competent surgical practice. However, independent study remains the cornerstone for successful academic achievement.

Residents are expected to submit anonymous evaluations of their clinical rotations and their faculty member's performance as an educator at the conclusion of each rotation.

Conference/Clinic Schedule

Weekly Conference Schedule

Tuesday: 

  • Trauma Conference: Monday–Thursday

Wednesday:

  • Vascular Conference – bi-weekly
  • Multidisciplinary breast conference – weekly
  • GI Conference – monthly
  • Palmetto Health Tumor Board – monthly

Thursday: 

  • DVAH Tumor Board

Friday

  • M&M
  • Grand Rounds

Additional scheduled conferences:

  • ABSITE study group: weekly, August – January
  • Resident Journal Club: monthly
  • Resident/Faculty Advisor: bi-monthly (minimum)

Weekly Clinic Schedule

  • Monday: PRISMA HEALTH RICHLAND HOSPITAL  - General Surgery Clinic
  • Tuesday: DVAH Plastic Surgery Clinic
  • Wednesday: PRISMA HEALTH RICHLAND HOSPITAL  - Trauma Clinic, DVAH General/Thoracic/Vascular Clinic
  • Friday: PRISMA HEALTH RICHLAND HOSPITAL  - General Surgery Clinic, DVAH Plastic Surgery Clinic

Curriculum

PGY-1

  • General Surgery
  • Trauma
  • Plastic Surgery

PGY-2

  • General Surgery
  • Plastic Surgery
  • Pediatric Surgery
  • Trauma
  • Gastrointestinal

PGY-3

  • General Surgery*
  • Cardiac Surgery
  • Transplant Surgery**
  • Pediatric
  • Trauma

PGY-4

  • General Surgery
  • Vascular Surgery
  • Thoracic Surgery
  • Trauma

PGY-5

  • General Surgery
  • Vascular Surgery
  • Thoracic Surgery
  • Trauma

Note: General Surgery* indicated in PGY1-3 includes general, thoracic and vascular surgery at PRISMA HEALTH RICHLAND HOSPITAL in Columbia.

Transplant surgery**: Medical University of South Carolina in Charleston, SC.