Curriculum and Didactics in General Surgery

The General Surgery program provides a robust didactic schedule. It is designed to utilize the extensive resources of Henry Ford Health Simulation Center and our affiliated training institutions. To accomplish the program goal of preparing for competency in General Surgery, residents will devote time to technical training in general surgery, related specialties, academic endeavors and research.

HFWH General Surgery Residency Program will use the SCORE curriculum, which includes the on-line use of surgical textbooks, videos, anatomy, and board review activities. The HFWH General Surgery Program Director will be able to track, assess and develop reports on the residents' progress in working through the developed curriculum rotations. Residents and the Program Director are able to access the program from any computer with internet access.

We have a variety of regularly scheduled education conferences that include journal club, board review using SCORE system, Morbidity & Mortality, and Grand Round lectures by guest lecturers and medical student lecture presentations/ suture clinics or skills labs.

The Program requires that each resident obtain competence in the seven ACGME competencies to the level expected of a new practitioner. Surgical skills will be assessed through skills labs including FLS, FES, and Ultrasound guided paracentesis, and vascular access. Residents are expected to have FLS certification by the end of the 3rd year of residency.

Scheduled activities

Daily

• Resident morning report
• Bedside rounds

Weekly

• Two protected half-day lecture series
• Morbidity & Mortality Conference
• Mock Oral Board Preparation

Biweekly

• Quizzes from assigned material

Monthly

• Journal club
• Grand Rounds, Third Wednesday of the month
• Tumor Board
• Pathology Conference
• Evidence Based Medicine
• OMM
• Full-day Statewide Campus System lecture series, last Wednesday of the month
• Score Curriculum
• Hands On Workshops at Henry Ford Simulation Center

Quarterly

• Inservice Exams and mock oral exams

Yearly

• ACS ABSITE Exam

Reading List

A list of books representing minimal core knowledge of surgery has been established. Students applying for a residency in General Surgery are expected to have completed a standard surgical text prior to starting his/her residency. This would appear to be the minimum knowledge, which would allow him/her to be of assistance to the surgical patient and attending staff. Additional reading from the "list" is encouraged throughout the program. Obligatory reading is regularly assigned to the Resident. Use of the interactive learning center is also encouraged. Journal articles are recommended and referred throughout the program.

First year resident

• Cameron; Current Surgical Therapy
• Fitzgibbons; Nyhus and Condon's Hernia
• Greenfield et al; Surgery, Scientific Practice & Principles
• Maingot; Maingot's Abdominal Operations
• Miller; Millers Anesthesia
• Pertzmanetal; The Trauma Manual
• Schwartz; Principles of Surgery
• Thorek; Anatomy in Surgery
• Townsend; Sabiston Textbook of Surgery
• Zuidema; Shackelford's Surgery of the Alimentary Tract

Second year resident

• ACS Surgery; Principles and Practice
• Bland; The Breast
• Blumgart; Surgery of the Liver and Biliary Tract
• Harris; Diseases of the Breast
• Kirkpatrick; The Acute Abdomen
• Shields; General Thoracic Surgery
• Telinde; Operative Gynecology
• Trede; Surgery of the Pancreas
• Werner & Ingbar; The Thyroid
• Williams; Textbook of Endocrinology

Third year resident

• Moore; Trauma
• Rosai; Rosai & Ackermans Surgical Pathology
• Wells, Kyle, Dunphy; Scientific Foundations in Surgery
• Major Journals such as Journal of Surgery; Surgery; New England Journal of Medicine, Lancet, etc.

Fourth year resident

• Corman; Colon and Rectal Surgery
• Gordon; Principles and Practice of Surgery for the Colon, Rectum, & Anus
• Major Journals

Fifth year resident

• Text and Journals as noted above

Recommended journals:

• American Journal of Surgery
• American Surgeon
• Annals of Surgery
• Archives in Surgery
• Cancer
• Current Problems in Surgery
• Diseases of the Colon & Rectum
• Diseases of the Colon and Rectum
• Gastroenterology
• Journal of the ACS
• Journal of Thoracic & Vascular Surgery
• Journal of Trauma
• Surgical Clinics of North America