Throughout the training program, residents have close relationships with the clinical faculty in both general surgery and the surgical specialties. On several services, a preceptor style of instruction allows direct contact between junior residents and faculty members. Most of the preceptors are experienced teachers, and provide a rich resource for the residents. On other larger services, senior and junior residents work together as teams. As experience increases, residents are given increasing responsibility for management of patients. We expect this graded responsibility to produce surgeons who are technically proficient, knowledgeable and highly competent in pre- and post-operative care, and personally able to relate to patients in a compassionate, effective and responsible way.
Training is provided primarily at Princeton Baptist Medical Center and Grandview, which have a total of 1,033 beds, including a surgical bed capacity of over 200. More than 16,000 major operations and 11,000 minor and ambulatory surgeries are performed each year. Generally residents average six months of each year at each hospital. In addition to the chief resident's staff service at each hospital, residents are assigned to two or more private services depending on case loads and training requirements. Pediatric surgery experience is obtained at the Children's Hospital of Alabama at Birmingham and transplantation and trauma surgery at University Hospital. Trauma experience is also obtained at DCH Hospital. A regular schedule of conferences and bedside teaching by experienced faculty members are regular parts of the weekly program. Basic science conferences are held regularly throughout the year. The Brookwood Baptist Health General Surgery Program adheres to the ACGME duty hours policy.
Evaluation of residents is a continuing process, which includes reports from all preceptors, periodic reviews by the teaching faculty at each hospital, and evaluations during conferences and teaching rounds. Residents are counseled regularly. The American Board of Surgery in-training examination is given annually. Residents provide regular feedback for evaluation of attending surgeons and clinical experience for ongoing program improvements.
Residents receive a rich operative experience at Brookwood Baptist Health. Evidence of this is seen as residents enter their cases in the ACGME case log system. The graduating chiefs can expect to participate in greater than 1000 cases during their five years.
One Year Surgery Preliminary
There are five positions in the first year for those seeking a firm base of general surgery experience before going on to training in their terminal residency program.
The Preliminary program is designed to develop judgment, skill and knowledge in the management of problems basic to all fields of surgery. Typically, a resident will be assigned to rotate through ten months of general surgery and two months of electives which are planned to meet the needs of each resident. Experience in clinical research is offered.
Five Year General Surgery Categorical
There are four categorical positions in the five year General Surgery program. During the first three years, residents are assigned to general surgery, plastic surgery, pediatric surgery, transplantation, cardiovascular/thoracic surgery, and one or more months in anesthesiology, trauma surgery, and otolaryngology. The fourth year includes thoracic surgery, vascular surgery, surgical endoscopy, trauma, and general surgery. Some of these rotations may be arranged at other institutions, such as the University of Alabama at Birmingham Hospital, the Children's Hospital and DCH Health System in Tuscaloosa, Alabama.
During the fifth year, the chief resident is responsible for direction and operation of the staff services and the outpatient referral clinics for several months each at the Princeton Baptist campus and the Grandview Medical Center campus. Under the supervision of faculty members at each hospital, the chief resident cares for patients with the full spectrum of surgical diseases. Endoscopic examinations are performed by the residents.
Meetings, Conferences, Reading and Research
Each hospital conducts surgical conferences to provide tracking of morbidity and mortality and regular didactic teaching sessions. Additional conferences in medicine, pathology, radiology and pharmacology are held regularly at each hospital. Regular multidisciplinary conferences, such as tumor board, are also available.
Excellent library facilities available at both locations include computer access to literature searches and other on-line programs. A supervised journal club meets regularly. Computers are designated for resident use at both hospitals.
Residents are expected to complete a clinical or basic research project for publication. Time for full-time research may be assigned and limited funding is available. Numerous opportunities are available for successful completion of research projects within the time constraints of the residency program with assistance provided on an as needed basis. Residents are encouraged to present their findings at local, regional, or national meetings. Attendance at surgical meetings or courses may be available when approved by the Program Director.
- Technology Allowance (for categorical residents)
- Education Conferences PGY2 - PGY5, approval
- ACS Membership
- Surgical loupes (categorical residents)