Surgery Rotation

Surgery Rotation Program Description

Legacy Emanuel and Legacy Good Samaritan hospitals are integrated members of the citywide General Surgery Residency Program sponsored by Oregon Health Sciences University. The transitional resident is a key member of the general surgery or trauma surgery team and is a full participant in the evaluation, operative care and management of surgery patients. Often the transitional resident will be the first surgical resident to have contact with a patient who has been admitted through the Emergency Department. The resident is responsible for initial evaluation of the patient and formulation of the initial management plan. While on the surgery rotation, the transitional resident will also see patients for evaluation, pre- and post-operative visits at Legacy's outpatient clinics.

Objectives

  • The transitional resident's surgery rotation is divided between the general surgery and trauma surgery services. The resident is expected to:
  • Develop skills in the initial evaluation and diagnosis of patients who present with potential surgical problems.
  • Understand the spectrum of surgical disease and be able to identify seriously ill patients.
  • Gain a working knowledge of operating room decorum and protocols, including the duties and functions of the operating team.
  • Acquire knowledge of sterile technique, instrument names and handling procedures.
  • Develop basic suture techniques.
  • Increase knowledge of basic surgical science through conference attendance, participation in journal club and independent study.
  • Expand skills in time management and prioritization.
  • Complete initial patient work-up, order appropriate diagnostic tests and write admission orders.
  • Complete and record a surgical history and physical.
  • Perform surgical procedures according to resident's ability, including appendectomy, breast biopsy, hernia repair, insertion of Groshong catheter, suture of lacerations, tracheostomy and closure of abdominal incisions.
  • Assist in major surgical procedures.
  • Become proficient in the evaluation of the surgical intensive care unit patient.
  • Participate in the insertion of hemodynamic monitoring devices such as central venous lines, arterial lines, Swan-Ganz catheters and pulmonary artery catheters.
  • Write orders, preoperative, postoperative and daily, and progress notes.
  • Serve as a primary contact for the patient and provide a coordinated approach to care, communicating with more senior residents and attending physicians

Teaching Conferences

  • Grand Rounds
  • Trauma Admission Conference
  • Clinical Case Conference
  • Basic Science Conference
  • Morbidity & Mortality Conference
  • Tumor Board
  • Journal Club