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Clinical Rotations

PGY-1 clinical rotations are designed to provide the resident broad-based exposure to the fundamentals of pre- and post-operative surgical care and a solid basis in surgical technical skills, such as the handling of tissue, closure of simple and complex wounds, exposure, and performance of basic general surgical procedures. Rotations consist of one to two months experiences in general and vascular surgery, surgical oncology, pediatric surgery and the surgical specialties of plastics, burn surgery, and cardiothoracic surgery.

PGY-2 clinical rotations are designed to provide the resident the knowledge, experience, and judgment necessary to evaluate and care for critically ill patients as well as patients with common surgical diseases such as abdominal wall hernias, colon cancer, and acute inflammatory conditions of the abdomen. The rotations consist of one to two month experiences in the surgical intensive care unit, the burn unit, and general surgery. It is during this clinical year that our residents begin to perform upper GI endoscopies and colonoscopies.

PGY-3 clinical rotations build upon the experience and knowledge gained in the first two clinical years. The 3rd year surgical residents begin to assume a leadership role in caring for surgical patients as they are the senior-most residents on the Breast Oncology service, the Cardiothoracic Surgery service, and the vascular surgery service at the VA. These residents are responsible for providing elective and emergency surgical consults on the general surgery services at the University Hospital. Under the direction of attending surgeons, these residents will perform a wide-spectrum of basic and laparoscopic general surgical procedures including breast biopsy, appendectomy, cholecystectomy, exploratory laparotomy, and colostomy.

PGY-4 clinical rotations provide the senior resident with significant operative and management experiences in surgical specialties such as vascular and pediatric surgery, transplantation, as well as general surgery. During this year, the residents will be able to take an advanced surgical elective in which they may chose to from experiences in thoracic surgery (at UAMS), burn surgery (at ACH), or private practice general surgery in either an urban (at Baptist Medical Center or St. Vincent’s Medical Center) or a rural setting (at Jefferson Medical Center in Pine Bluff).

PGY-5 clinical rotations provide the chief resident with experience managing patients with both basic and complex general surgical problems. Under the guidance of an attending surgeon, the chief resident in surgery is responsible for managing the continuum of pre-operative, operative and post-operative care of his or her patients on the general surgery services, surgical oncology service, and acute care surgery services at the University Hospital as well as the general surgery service at the CAVHS.