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Program Description
The Residency
The education of surgeons motivated toward and capable of practicing surgery of the highest quality for an entire career is the major objective of the Univeristy of Missouri - Kansas City Department of Surgery. The process begins with the selection of candidates possessing ample intellectual capacity, high moral standards and humanistic attitudes who are willing to make a serious commitment to an intense and demanding educational experience. The modern surgeon is involved in every aspect of a broad spectrum of disease. His/her responsibilities include establishing the diagnosis and managing preoperative care, performing an extraordinary variety of technical procedures and, finally, directing postoperative care and rehabilitation. He/she must learn to relate effectively and productively to patients, their families, and a spectrum of colleagues. Every surgeon should recognize the importance of new knowledge and should participate in its acquisition. It is essential that he/she view surgical residency as just only part of an educational process which will continue for an entire career.
Program Design
The first year of the residency program in General Surgery is designated as a Surgery Categorical by the Director of Residency Training Programs and the NRMP. Five places are offered. In addition, our institution offers Designated Preliminary positions in Urology (one), Otolaryngology (three), and Orthopedic Surgery (three). Individuals accepted into these programs spend their first year in the Department of Surgery prior to moving on as categorical residents in their respective surgical specialties. Finally, the General Surgery Residency is approved for two Non-designated Preliminary positions. The end result is that there are fourteen house officers rotating at the first year level in the Department of Surgery. There is no "pyramid."
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PGY-1 (Junior Resident) - The first year is designed to allow the resident to acquire a broad base of knowledge and skills in the care of surgical patients. This includes appropriate evaluation of patient and perioperative management under experienced supervision. This year also allows residents to gain knowledge and expertise in the surgical subspecialties, rotating on general surgery, trauma,
otorhinolaryngology, plastics, neurosurgery, urology, and orthopedic surgery. There is some variability in the schedules first year, as designated preliminary residents rotate through anesthesia, critical care, and rehabilitation medicine as well.
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PGY-2 (Junior Resident) - During the second year, there is increased emphasis on acquiring technical skills. Besides general surgery, rotations include critical care, colorectal, pedatric surgery, research lab, and private hospital general surgery. In addition, there should be more time available for the essential activity of reading.
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PGY-3 (Senior Resident) - This year is designed to strengthen the resident's education in general surgery and is a key year for operative experience rotating on general, vascular, and trauma surgery.
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PGY-4 (Senior Resident) - The fourth year resident is aware that next year he/she will be Chief Resident, and spends the year to filling in any gaps in their knowledge and skill base, strengthening their education. Ordinarily, the four three-month rotations include VA general surgery, VA vascular/thoracic, Truman - Lakewood, and transplant/colorectal at St. Luke's.
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PGY-5 (Chief Resident) - The entire year is spent in general surgery with six months at Truman Medical Center and six months at St. Luke's Hospital. The Chief Resident is in charge of a surgical service and performs procedures independently. He/she has supervision at all times and is encouraged to seek consultation. This year the surgical resident becomes a staff surgeon, adding a large technical experience to the preceding years of learning about patients and their diseases. It is of the most intense and, at the same time, most rewarding years in the lives of the majority who complete it.
Board Certification
Written In-Service
Each year the American Board of Surgery In-Training Examination (ABSITE) is given to all residents during the last week of January. Though no minimal passing score is required for advancement and continuation in the program, remediation of basic and clinical science subjects is expected for those who do not perform to standard.
Oral In-Service
Also each spring, our fourth and fifth residents participate in mock oral examinations given by faculty from the University of Missouri - Columbia, and vice-versa. These provide the resident with preparatory experience for the oral portion of the ABS certification examination. The sessions are held in Kansas city or Columbia alternating years.
Operative Experience and Rotation Schedule
Each resident keeps a detailed record of their personal operative experience, using the ACGME computerized program.
Copies of these records are on file in the departmental offices. On an average, the Chief Resident performs more than 400 major procedures in his final year. In the years prior, the resident performs an average of 550 operations and serves as the first assistant on an additional 200 procedures. These procedures include virtually all operations in the field of
General Surgery, with a smaller number of procedures in the surgical subspecialties.
| Number of Months on Rotation |
| Rotation | PGY-1 | PGY-2 | PGY-3 | PGY-4 | PGY-5 |
| Colorectal/Endoscopy |
|
1 |
|
2 |
|
| Critical Care |
|
3 |
|
|
|
| General Surgery |
1 |
|
6 |
3 |
6 |
| General/Trauma |
2 |
|
3 |
|
3 |
| General/Vascular |
1 |
|
3 |
|
3 |
| VA (General) |
2 |
3 |
|
3 |
|
| VA (Thoracic/Vascular) |
1 |
|
|
3 |
|
| Neurosurgery |
1 |
|
|
|
|
| ENT |
1 |
|
|
|
|
| Orthopedics |
1 |
|
|
|
|
| Pediatric Surgery |
|
2 |
|
|
|
| Plastics |
1 |
|
|
|
|
| Research |
|
3 |
|
|
|
| Transplant |
|
|
|
1 |
|
| Urology |
1 |
|
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