Curriculum

PGY1

The main objective of the PGY-1 year is to provide the resident an opportunity to apply acquired basic science to the management of their patients in the pre-, intra-, and post-operative setting appropriate to their level. They will gain familiarity with the technology and decision making used as part of the evaluation of surgical patients. They will develop the basic procedural skills necessary to care for surgical patients as part of a team of attendings and surgical residents in a supervised setting. They will average 100 minor surgical procedures including open appendectomies, hernia repair and breast biopsies. As well they will gain meaningful exposure to the same in a variety of surgical subspecialties.

PGY2

The main objective of the PGY-2 year is to educate residents in the difficulty of managing patients in the Surgical Intensive Care Unit. They will gain experience in trauma and burn patient evaluation and management. They will increase their familiarity with more complex surgical procedures and develop independent decision making skills. During this year they will develop laparoscopic skills and perform basic laparoscopic procedures. PGY2-4 residents are expected to participate in a clinical research project of their choosing with a faculty mentor.

PGY3

The main objective of the PGY-3 year is to increase the resident’s participation in the care of more involved surgical patients. They will be a senior resident on Transplant, Trauma, and General Surgery services. The goal of this is to provide them with directed advanced responsibility in the care of these complex patients under the supervision of a Chief Resident and the attending surgeon. The intent is to increase the complexity of all surgical interventions for these senior residents.

PGY4

The main objective of the PGY-4 year is to provide the resident with the opportunity to develop leadership, teaching, and communication skills required to manage a ward service that includes junior residents and medical students in the care of a variety of surgical patients. They will be exposed to more the more advanced surgical skills in vascular, oncologic, and thoracic surgery.

PGY5

The main objective of the Chief year is the development of independent advanced surgical decision making and procedural skills. Progressive independence is fostered in the setting of appropriate faculty supervision. The Chief Resident is responsible for organizing, teaching, and managing a team of residents and medical students on the General Surgery Services at Mt. Sinai Hospital. This includes organizing patient care, conferences, and call schedules as well as participating on department committees. The resident will improve both their executive and clinical skills and hopefully become effective life-long teachers as well as learners. PGY5 residents are expected to complete a review type paper suitable for publication on the topic of their choosing.

 

Clinical Rotations for the PGY 1 through PGY 5.

 

PGY 1
There are no Subspecialty Training Residents/Fellows on the Neurosurgery, Cardiothoracic Surgery, Vascular Surgery, Orthopedic, and ENT or Urology services. This allows for direct interaction with staff and an exceptional surgical experience.

 

General Surgery                           (8 months)
ENT                                                 (1 month)

Neurosurgery /Urology                 (1 month)
Orthopedics                                   (1 month)

Plastics/ Hand                               (1 month)
 

PGY 2
General Surgery                           (3 months)
Burn Surgery                                  (1 month)

Breast Surgery                              (1 month)
Pediatric Surgery                          (1 month)
Surgical Intensive Care               (6 months)

 

PGY 3

General Surgery                           (6 months)
Endocrine Surgery                       (1 month)

Surgical Oncology                        (1 month)

Transplant Surgery                       (1 month)
Trauma                                           (3 months)

 

PGY 4
General Surgery                           (6 months)
Surgical Oncology                        (1 month)
Thoracic  Surgery                         (1 month)
Trauma Surgery                            (3 months)

Vascular Surgery                          (1 month)

 

PGY 5

General Surgery                           (12 months) 

 

Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are an integral part of Mount Sinai's General Surgery Residency Program. All residents are required to attend our weekly morbidity and mortality conferences and Thursday morning Grand Rounds. Friday morning sessions are held every other week in both simulation and surgical skills centers to enhance resident learning.

Case Studies
During your residency you will frequently prepare case study presentations. You will present pertinent information from an interesting case, conduct an in-depth discussion of that case, using evidence-based material.

Evaluation
To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your general surgery training. Your supervising faculty member will formally evaluate you after each clinical rotation. Each evaluation is reviewed carefully by the program director.