Our education program is designed to reflect the American Council on Graduate Medical Education (ACGME) six core competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. Resident evaluation is based on the ACGME General Surgery Milestones which incorporate the six core competencies.
Our program draws on the unique strengths of its integrated hospitals to provide breadth and excellence in clinical teaching at the bedside, in the operating room coupled with structured educational conferences and a comprehensive curriculum based in the simulation lab and our robotic/laparoscopic skills lab.
Through the five year General Surgery Residency program, our residents rotate through these Surgical Specialties:
Our program follows (SCORE) curriculum which is in conjunction with the weekly lecture schedule. The Wednesday morning conference is structured to cover the surgical curriculum yet remains varied to address all areas of surgical education including critical appraisal of current literature as well as surgical case studies. The monthly Journal Club is part of the lecture schedule to address critical review of literature. Our Clinical CorrelationsConference affords the resident to present interesting surgical cases they have participated in to the Department of Surgery with the guidance of his/her Attending faculty member. This allows the resident experience in preparing and presenting topics in a public but comfortable venue.
Juniors Club is an attending supervised and proctored interactive format in which surgical patients/cases are presented to the junior level residents to discuss and manage. This is a way to promote independent thinking and decision making by junior level residents while also learning about pertinent surgical topics.
Koffee with Koo provides residents an opportunity to research topics in conjunction with the conference and SCORE schedule and provide a presentation and discussion to further understand its nuances.
In addition to the weekly Wednesday conference attended by all residents, the surgical services at the different hospital sites may have separate teaching conferences, tumor board and morbidity and mortality conferences that the residents attend.
Chiefs Club, Mock Oral Boards, and ABSITE Review Club
A monthly Chiefs Club occurs at a faculty member’s home where the fourth and fifth year residents are able to practice the oral board format. Each month a different subject is presented and the residents are able to practice oral boards in a “mock oral” format. This is in preparation for a city-wide surgical residency formal Mock OralBoard Exam that is conducted by several of the residency programs in the city. This format allows for resident participation in a simulation of the actual exam complete with formal feedback and explanation of questions and answers. The chief residents have found this exercise to be extremely helpful in preparation for the General Surgery Board exam. Every other week, ABSITE Review Club allows residents to meet and discuss topics in conjunction with the conference and SCORE curricula based on weekly quizzes provided by our APDs. These quizzes are created using questions from popular study textbooks – Sabiston Textbook of Surgery, True Learn, etc.
A secondary goal of the program is to provide residents with the tools and mentorship necessary to foster their growth as future leaders in surgery. Our program is structured to permit trainees interested in academic surgery to spend additional years in research.
Andy Lee (2020 – Present)
This year, Dr. Lee will be working mainly on ex vivo lung perfusion (EVLP). His two aims this year on EVLP are (1) to recondition marginal quality donor lungs for transplant, and (2) to model pulmonary viral disease. Ex vivo lung perfusions were initially developed to improve upon ice-based cold storage methods to transport transplant organs from donor to recipient. Traditional static cold storage decreases metabolic requirements but accumulation of reactive oxygen species from anaerobic metabolism can still lead to ischemia-reperfusion injury post-transplant. In contrast, during EVLP, lungs are perfused and ventilated under physiologic and normothermic conditions on pump-based machines prior to transplant. The hypothesis is that by applying tolerogenic dendritic cell therapies to lungs on ex vivo perfusion, we would be able to recondition marginal quality donor lungs and reassess their suitability for transplantation. Another research interest of his this year is to induce viral ARDS to lungs on ex vivo perfusion. They will administer inhaled SARS-CoV-2 pseudovirus in escalating doses to human lungs maintained on EVLP. This will serve as a platform for testing potential prophylaxis and/or treatment to CoV-2 virus.
David Sigmon (2018-2020)
Dr. Sigmon was the surgical simulation & education fellow during my research year. I am currently researching the effects of in situ OR simulation to increase team performance with high fidelity scenarios. I am also conducting chart review for clinical science projects and getting a Master’s Degree in Medical Education.
Andrew Tully (2018-2019)
Dr. Tully’s research focused on transplant. The human costs of limb amputation are enormous. Persons with amputated limbs number over 1.6 million in the United States and 227,000 in Canada; China is beginning to see an epidemic of diabetes with an estimated 13.9 million currently diabetic and 493.4 million with prediabetes. Bombings, earthquakes, motor vehicle accidents, and armed conflicts produce many new traumatic amputations each year. Since 1999, limb transplant has held widely applicable therapeutic promise, largely unfulfilled. Although economic considerations also keep limb transplant out of reach for most candidates, the two main road blocks remain limited neurologic recovery and substantial sustained immunosuppression resulting in adverse outcomes. Andy Tully worked with the Northwestern University Limb Transplant Research Group in a rat model of limb transplant to overcome these obstacles and expand access to these therapies.
Posters, Publications, and Presentations
Residents in our program have the opportunity to publish and present their work at conferences. Here are a few examples of some of the work from the residents throughout their journey in this residency program.