General Surgery Resident Experience

The General Surgery Residency at Orlando Regional Medical Center (ORMC) consists of rotations through a variety of surgical disciplines. The program is based on the traditional residency concept of progressive responsibility for patient care. This ultimately leads to the PGY 5 year, when as chief of various general surgery teaching services, a resident is responsible for all patient care management and decision-making on their service. The majority of the surgery training occurs on the main campus of ORMC. Overall, the program provides an excellent, well-rounded clinical experience in general surgery.

Residents are expected to complete at least two research projects that leads to presentation and publication during their five years in the program. The first will be completed during the PGY 1-3 years and the second during the PGY 4-5 years. Residents are also expected to revise or develop new evidence based guidelines during the surgical critical care rotation in PGY 2-3 years.

Each year of the surgical residency is divided into the following rotations:

PGY-I (Categorical)

  • Acute Care Surgery (three months)
  • Burn Service (one month)
  • General Surgery (three months)
  • Night Float (one month)
  • Pediatric Surgery (one month)
  • Surgical Oncology (one month)
  • Thoracic Surgery (one month)
  • Vascular Surgery (one month)

PGY-II

  • Acute Care Surgery (two months)
  • Cardiothoracic Surgery (one month)
  • Colorectal Surgery (one month)
  • General Surgery (one month)
  • Night Float (one month)
  • Pediatric Surgery (one month)
  • Plastic Surgery (one month)
  • Surgical Critical Care (two months)
  • Surgical Oncology (one month)
  • Vascular Surgery (one month)

PGY-III

  • Acute Care Surgery (two months)
  • Colorectal Surgery (one month)
  • General Surgery (one month)
  • Night Float (one - two month)
  • Pediatric Surgery (one month)
  • Surgical Critical Care (two months)
  • Surgical Oncology (one - two months)
  • Transplant Surgery (one month)
  • Vascular Surgery (one – two months)

PGY-IV

  • Acute Care Surgery (two months)
  • General Surgery (two – three months)
  • Head & Neck Surgery (two months)
  • Laparoscopic Surgery (one month)
  • Night Float (two months)
  • Surgical Oncology (one month)
  • Thoracic Surgery (one month)
  • Vascular Surgery (one month)
  • Elective (if desired) (one month)

PGY-V (Chief Resident)

  • Acute Care Surgery (one month)
  • General Surgery (five – six months)
  • Surgical Oncology (one month)
  • Thoracic Surgery (one month)
  • Vascular Surgery (two months)
  • Elective (if desired) (one – two months)

Department Research 2014 - Present

Conference Schedule

Basic Science/SCORE Conference
Weekly every Wednesday morning
6:30am - 7:30am

Mock Oral Prep Conference
PGY 2 and 3 meet the 2nd Thursday each month
PGY 4 and 5 meet the 2nd Thursday each month
6:30am – 7:30am

Ultrasound Simulator Conference
(Surgery residents on Trauma, NF and SICU)
Thursday mornings in Simulation Center
6:30am – 7:30am

Grand Rounds Conference
Friday mornings
8:00am - 9:00am

Mortality and Morbidity Conference
Friday mornings
7:00am - 8:00am

Journal Club
4th Friday each month (in place of Grand Rounds)
8:00am - 9:00am

Surgical Critical Care Core Lectures
Tuesday mornings
7:00am – 9:00am

Surgical Critical Care Teaching Conference
Tuesday, Wednesday and Thursday afternoons
12:00pm - 1:00pm

Acute Care Surgery Rotation

The Acute Care General Surgery Teaching Service is divided into two teams, each directed by a senior resident and their assigned attending surgeons. The average daily census between the two teams is approximately 30-40 patients. The residents on the Teaching Services participate in the overall care of their patients including pre-admission evaluation, admission, preoperative, operative, postoperative and post-hospital care, as all patients are followed in the Orlando Health Outpatient Center.

The ACS Team and General Surgery services admit up to 300 patients a month. The Team consists of a senior resident, a second or third year resident and two-three intern level residents.

Night Float Surgery Rotation

Residents in their first, second and third year spend at least one month per year on night float rotation, while fourth year residents spend two months on this rotation. The chief resident is in charge of supervising and directing the night float team. The second or third year resident is responsible for covering other private surgery services (private surgery, surgical oncology, plastics, thoracic, etc) and helping covering night team acute care surgery duties. There are two interns on this team who help handle the two acute care surgery team’s patients, see new consults and admission, and assists with trauma patients. This services involves working closely the general surgery residency department faculty. Residents are responsible for night coverage from Sunday night until Friday morning. 

Surgical Critical Care (SCC)

Each resident receives extensive experience in management of the critically ill surgical patient through daily walk rounds in the various intensive care units, as well as dedicated rotations on the SCC Service. These rotations involve one-on-one teaching between the resident and each of the seven SCC attendings, with further teaching from the SCC and ACS fellows. Residents completing the program are well trained in resuscitation, ventilator management, use and insertion of invasive monitoring catheters, antibiotic therapy and surgical nutrition. ORMC has an extensive medical library that contains the majority of commonly referenced medical journals, as well as current editions of major textbooks. Journals not immediately available in the library's collections are rapidly obtained through a shared resource arrangement with other libraries throughout the country to provide affiliated healthcare professionals with needed books and journal articles not readily available locally. Online access to Medline for literature searches is readily available.

In addition, the Orlando Health Surgical Critical Care and Acute Care Surgery Fellowships maintain an official online interactive, education website with surgical critical care resources. These resources include evidence based guidelines, surgical critical care lectures, resources for making calculations and reference materials for any physician, resident, nurse, respiratory therapist, medical student, or other allied healthcare provider. The link can be found at http://surgicalcriticalcare.net/index.php.

Private General Surgery Rotations

Residents in the program spend a significant portion of their time working closely with private general surgeons who are actively involved in the Department of Surgical Education. This involves pre- and post-hospital evaluation of general surgery and surgical oncology patients in the private surgeon's offices, as well as in-hospital management and operative experience. Operative experiences include skin and soft tissue, breast, endocrine, gastrointestinal, hepatobiliary, hernia and colon surgeries. Residents are expected to also participate in weekly conference to discuss patient care in a multidisciplinary approach. Most of these surgeons have offices on the hospital campus. 

Dr. Phillips General Surgery Associates: http://www.orlandohealth.com/physician-practices/dr-phillips-general-surgery-associates

Orlando Health Surgical Group: http://www.orlandohealth.com/physician-practices/orlando-health-surgical-group

Surgical Group of Orlando: https://sgo.portalforpatients.com/portal/default.aspx

Pediatric Surgery Rotation

First year through third year residents spend one month per year working closely with pediatric surgeons who are actively involved in the Department of Surgical Education. The pediatric surgery rotation is located at Arnold Palmer Hospital for Children, which is also a Level I children’s trauma center. This rotation involves pre- and post-hospital evaluation of pediatric patients in the private surgeon's offices, as well as in-hospital management and operative experience. Residents gain experience both in the pediatric surgery patient and the traumatic pediatric patient by the completion of their residency. All of these surgeons have offices on the hospital campus. http://www.pediatricsurgeryorlando.com/

Surgical Oncology Rotation

Residents in the program spend a significant portion of their time working closely with private surgical oncology surgeons who are actively involved in the Department of Surgical Education. This involves pre- and post-hospital evaluation of general surgery and surgical oncology patients in the private surgeon's offices, as well as in-hospital management and operative experience. Operative experiences include hepatobiliary, melanoma and gastrointestinal cancers. All of these surgeons have offices on the hospital campus. http://www.ufhealthcancerorlando.com/centers/gastrointestinal-cancer-center

Vascular Surgery Rotation

Residents in the program spend a significant portion of their time working closely with private vascular surgeons who are actively involved in the Department of Surgical Education. These vascular surgeons also take trauma call at Orlando Regional Medical Center’s Level One Trauma Center. This rotation involves pre- and post-hospital evaluation of vascular surgery who present in both acute and chronic nature, as well as in-hospital management and operative experience. All of these vascular surgeons are skilled in endovascular surgery techniques as well. http://www.arteryandvein.com/

Colon and Rectal Surgery Rotation

Residents in their second and third year spend one month each year on this rotation. Chief residents have the option for elective rotations in this area. Residents spend a significant portion of their time working with a colon and rectal surgeon involved in the Department of Surgical Education. This involves pre- and post-hospital evaluation of colon and rectal surgery patients in the private surgeon's offices, as well as in-hospital management and operative experience. Residents during this time area able to further develop endoscopy skills, including colonoscopies. Residents on these rotations do work with colon and rectal surgery fellows. Most of these surgeons have offices on the hospital campus. https://www.crcorlando.com/

Cardiothoracic and Thoracic Surgery Rotations

Residents in the program spend a significant portion of their time working closely with cardiothoracic surgeons who are actively involved in the Department of Surgical Education. Second year residents spend one month on the cardiothoracic surgery service developing skills in pre- and post-hospital evaluations of the cardiothoracic patient in private surgeon’s offices, as well as in-hospital ICU management and gain operative experience in the cardiothoracic region. Residents also spend several months both as junior and chief residents on the thoracic surgery service in pre- and post-hospital evaluation of thoracic surgery and thoracic oncology patients in private offices, as well as in-hospital management and operative experience. All of these surgeons have offices on the hospital campus.

http://www.orlandohealth.com/physician-practices/orlando-health-cardiovascular-and-thoracic-surgery

http://www.ufhealthcancerorlando.com/centers/rod-taylor-thoracic-care-center

Plastic Surgery Rotation

Residents in the their second year spend one month on plastic surgery rotation, while chief residents have the option for elective rotations. Residents spend a significant portion of their time working closely with private plastic and reconstructive surgeons affiliated with University of Florida Health Cancer Center. This involves pre- and post-hospital evaluation of plastic surgery patients in the private surgeon's offices, as well as in-hospital management and operative experience. Residents currently have the opportunity to gain operative experience in microvascular surgery with surgeons highly experienced in DIEP flap surgery, VLNT and Head and Neck free flap surgery. All of these surgeons have offices on the hospital campus. http://www.ufhealthcancerorlando.com/centers/plastic-and-reconstructive-surgery-center

Head and Neck Surgery Rotation

Chief residents spend at least two months in their fourth year and have the option for elective rotations their fifth year working with Head and Neck Surgical Oncology physicians affiliated with University of Florida Health Cancer Center at Orlando, Florida. This involves pre- and post-hospital evaluation of head and neck general surgery and surgical oncology patients in the center, as well as in-hospital management and operative experience. All of these surgeons have offices on the hospital campus. http://www.ufhealthcancerorlando.com/centers/head-and-neck-center

Laparoscopic and Bariatric Surgery Rotation

Chief residents spend at least two months in their fourth year and have the option for elective rotations their fifth year working with general surgeons in the Bariatric and Laparoscopic Center. Residents actively participate in operative experiences involving laparoscopic and da Vinci Robotic Surgical System. This rotation involves pre- and post-hospital evaluation of general and bariatric surgery patients at the bariatric center, as well as in-hospital management and operative experience. These surgeons have offices on the hospital campus. http://www.jawadmd.com/