First and Second Year

BTH Surgeons (320x240)
Ben Taub Hospital surgical faculty

Training during the first two years in the General Surgery Residency program provides a sound background for increasing responsibility for patient care. Residents are assigned to surgical rotations at affiliated hospitals in the Texas Medical Center, where they gain invaluable surgical experience. They work directly with experienced surgical faculty in an environment where progressive, supervised operative experience is available. Rotations include many of the general surgical rotations as well as the intensive care unit, emergency center, and some surgical specialties.

At Ben Taub Hospital, the PGY-2 resident serves as consult to the emergency room, and is responsible for coordinating all aspects of the emergency room. For example, residents run the shock room, managing penetrating and blunt trauma. At Ben Taub Hospital, PGY-2 residents also rotate on the elective surgery service.

Third Year

OR photo vignete (320x240)
credit: Scott HolmesHands on in the operating room

General surgery residents rotate on pediatric surgery at Texas Children’s Hospital, acute care and oncology at Michael E. DeBakey Veterans Affairs Medical Center, and transplant surgery, acute care surgery, oncology surgery, general surgery and private practice at Baylor St. Luke’s Medical Center.

While rotating at Texas Children’s Hospital, the third year resident serves as chief of the rotation leading his or her team of residents under the direction of the pediatric surgery faculty and fellows.

At Michael E. DeBakey VA Medical Center, the resident serves as the second-in-command of the general surgery and vascular surgery services, working with the chief residents and attending faculty. Residents gain a wide range of clinical operative experience as surgeons.

During the third year, residents receive increasing graded responsibility in the care of their patients, under the supervision of the chief resident and faculty. They find this time to be full of excitement and personal growth as they progress into their fourth year of training.

Fourth Year

Dr. O'Mahony in the OR (320x240)
credit: Scott HolmesResident Sonia Orcutt, M.D. assists transplant surgeon Christine O'Mahony, M.D.

During their fourth year of general surgery residency training, residents assist the chief resident in the management of the general surgery rotation while at Ben Taub Hospital. In addition, they assist the general surgery service at The University of Texas MD Anderson Cancer Center, functioning with a team on the surgical oncology rotations. Residents gain outstanding experience on the thoracic surgery and general surgery rotations at Baylor St. Luke’s Medical Center, vascular surgery rotation at the Michael E. DeBakey Veterans Affairs Medical Center and vascular surgery rotation at Ben Taub Hospital. During this year, residents continue to expand their technical skills and knowledge base and increase their operative numbers as surgeons.

The Michael E. DeBakey Department of Surgery has coordinated an elective rotation with Penrose-St. Francis in Colorado Springs, Colorado as part of our approved affiliated institution for the General Surgery Residency Program at Baylor College of Medicine. This new rotation will provide an additional surgical experience for our senior residents at the PGY-4 level and provide an excellent experience in rural surgery. Penrose-St. Francis Health Services is a full service, 522-bed acute care facility located in Colorado Springs and is currently in the process of becoming a Level 1 trauma center. Our senior residents will travel to Colorado Springs and rotate for six-weeks with general surgeons at Penrose-St. Francis on their general surgery/trauma service. Our residents will gain experience in community-based general surgery and  have an opportunity for a large clinical volume of 2,400 annual surgical cases and a trauma patient volume of 1,250.

Fifth (Chief) Year

Chiefs in clean mall (320x240)
credit: Scott HolmesChief residents teach and train more junior residents and students on the service.

Chief residents are assigned to surgical rotations at Ben Taub Hospital, Baylor St. Luke’s Medical Center, and Michael E. DeBakey Veterans Affairs Medical Center, where they have the opportunity to assume responsibility for performing operations independently. They are the leaders of their teams and coordinate all clinical activities for their rotation with the appropriate assistance of their assigned faculty member. Residents are involved in directing service and administrative functions and report directly to the senior staff of the department at each institution, as well as to the program director, associate program director and chair.

The chief resident is expected to serve as a role model to junior residents and to develop leadership skills, which will strengthen throughout the year as graduation approaches. Each chief resident graduates from the program with an outstanding clinical operative experience that meets the requirements of the American Board of Surgery and the Residency Review Committee for Surgery. Chief graduates are qualified to be accepted into competitive fellowship programs or outstanding practices either in academics or private practice.

2019-2020 Rotation Summary for General Surgery Categorical Residents

Rotations for PGY1 residents:

Ben Taub Hospital: (3 Months)
General Surgery/Acute Care/Trauma
Surgical/Trauma Intensive Care Unit

Michael E. DeBakey Veterans Affairs Medical Center: (3 Months)
General Surgery
Surgical Intensive Care Unit
Vascular Surgery

Baylor St. Luke’s Medical Center: (4 Months)
Transplant Surgery
Surgical Oncology
General Surgery
Cardiothoracic Surgery
Vascular Surgery

Texas Children’s Hospital: (2 Months)
Pediatric Surgery 

Rotations for PGY2 residents:

Ben Taub Hospital: (7 Months)
Emergency Center
Vascular Surgery
Plastic Surgery
Surgical/Trauma Intensive Care Unit
Surgical Oncology 

Michael E. DeBakey Veterans Affairs Medical Center: (3 Months)
Endoscopy
Surgical Intensive Care Unit 
Vascular Surgery

Baylor St. Luke’s Medical Center (1 month)
Vascular Surgery

Texas Children’s Hospital: (1 Months)
Pediatric Surgery

Rotations for PGY3 residents: 

Michael E. DeBakey Veterans Affairs Medical Center: (3 Months)
Surgical Oncology
Acute Care

Baylor St. Luke’s Medical Center: (6 Months)
Surgical Oncology/General Surgery
Acute Care
Transplant Surgery

Texas Children’s Hospital: (3 Months)
Pediatric Surgery 

Rotations for PGY4 residents:

Ben Taub Hospital: (4.5 Months)
General Surgery/Acute Care/Trauma
Vascular Surgery

Michael E. DeBakey Veterans Affairs Medical Center: (1.5 Months)
Vascular Surgery 

Baylor St. Luke’s Medical Center: (3 Months)
General Thoracic Surgery
General Surgery

University of Texas MD Anderson Cancer Center (1.5 months)
Surgical Oncology

Penrose/St. Francis Health System (Colorado Springs) (1.5 months)
General Surgery

Rotations for PGY5 residents: 

Ben Taub Hospital: (5 Months)
General Surgery/Acute Care/Trauma
Surgical Oncology

Michael E. DeBakey Veterans Affairs Medical Center: (3.5 Months)
Surgical Oncology
General Surgery

Baylor St. Luke’s Medical Center: (3.5 Months)
General Thoracic Surgery
Surgical Oncology

Sub-specialty (Preliminary) Residents

For residents who need less than five years of general surgical training as a prerequisite for continued training in a surgical specialty, experience afforded by the General Surgery Residency program is tailored to the needs of these residents in their chosen specialties. The specialty program directors, associate program directors and the general surgery program director and associate program director work collaboratively on the design of these rotations to ensure an outstanding, diverse experience.  Assignments in general surgery are divided between the private and public hospitals.

Preliminary Residents

The preliminary surgery program offers a wide variety of surgical experiences to residents who either did not match into their program of choice, or have decided to take a different path than the one they originally decided on in medical school and want to learn more about a career in surgery. The program will give these trainees one year of general surgery training before they go on to future graduate medical education.