Resident Rotations

Our training philosophy emphasizes total patient care including outpatient pre and postoperative care, pre-operative decision making, intra-operative technique and operative strategy, and postoperative critical care. Residents on each rotation participate in all these aspects of patient care, including all ICU care, with increasing responsibility commensurate with their experience and PGY level. Clinics are part of most all rotations.

The are two acute care surgical services at ULH and typically the team consists of PGY-5, 3,2, and 1 general surgery residents and PGY-1 rotators from other specialties. The entire team is in house during their particular shift and average census is 40 patients per team with about 15 in the ICU. All acute care patients including emergency general surgery, blunt and penetrating trauma, and burns are admitted to this service. The team also provides critical care consultation to other services in the ICU. Faculty include Drs. Harbrecht, Smith, Franklin, Benns, Miller, Nash, and Bozeman with additional faculty providing night and weekend coverage. Four nurse practitioners assist the two teams with patient care and documentation. The operative experience includes a wide variety of urgent cases in these areas and there are two trauma clinics per week for ambulatory follow-up. There are also intensivists (PGY-2) and floor day floats to assist the post call team and insure continuity of care.

This team is comprised of a PGY-5, 3, and 2 including rotators from other specialties. Cases include a variety of open and minimally invasive procedures including intra-abdominal procedures, hernia repairs, and endocrine procedures with an average inpatient census of 15 patients. There is one clinic day per week for ambulatory care and continuity of patient care. The team also takes night call twice per week to relieve the trauma teams and comply with the ACGME duty hours requirements. The residents in the lab also assist twice per month and the critical care fellows also take call as well.

There are two teams at the VA. Each team is comprised of a PGY-5, 3 or 2, and two PGY-1s and cases included a wide variety of surgery for benign and malignant diseases including vascular and endoscopy. Faculty include Dr. Yancey, Chief of Surgery, and Drs. Wrightson, Franklin, Gaar and one nurse practitioner. There are several clinics at the VA including general surgery, vascular, and colorectal, and residents see all patients under attending supervision.

This team consists of a PGY-4 or 5, 3, 2, and 1 and is responsible for all general surgery patients, which averages about 20 patients. Dr. Kehdy's practice is based at Norton, where residents perform a wide variety of laparoscopic foregut procedures, robotic procedures, complex general surgery cases, and interventional endoscopy. Drs. Cheadle, Benns, and Bozeman also practice broad-based general surgery at Norton. One nurse practitioner supports the team.

This three-person team consist of a PGY-4, 3, and a 1. Several busy general surgeons, including our acute care surgical faculty, have a busy broad-based general surgery practice that includes many emergency cases. The team also participates in patient care for a busy private practice group on the clinical teaching faculty, and the average total inpatient census is 20 patients.

This team consists of a PGY 4 or 3, and a 1. Residents participate in all aspects of kidney, pancreas, and liver transplantation including operations, peri-operative critical care and immune suppression regimens under the supervisions of Drs. Adamson, Eng, and Jones. Residents also attend 3 weekly transplant clinics and closely interact with two transplant coordinators with an average inpatient census of 10.

This service consist of the colorectal fellow and a PGY-4 or 5, and a PGY-1, under the supervision of Drs. Galandiuk, Jordan, Ellis, and Farmer. Patients are independently managed by either the general surgery resident or colorectal fellow. General surgery residents participate in both routine and complex colorectal operations, faculty and resident clinics, and the colorectal conference. This service emphasizes one-on-one teaching to the general surgery resident in the private office of these faculty members. The average in patient census is 15, and the general surgery resident sees about 50 outpatients per week, which includes office procedures.

This service consists of the surgical oncology fellow, and five general surgery residents (PGY-5, 4, 3, 2 and 1) under the supervision of Drs. McMasters, Martin, Scoggins, Philips, Ajkay, and Egger. The fellow and general surgery residents manage their own patients independently, and there is emphasis on faculty - resident teaching in the private office. Residents perform a wide variety of oncologic surgery including visceral resections, hepatectomy, pancreaticoduodenectomy, sarcoma resections, wide local excision of melanoma, and breast cases including sentinel node biopsy, partial/total mastectomy and axillary dissections. The average in patient census is 20. Residents also participate in tumor board, melanoma, conference, and breast and surgical oncology clinics, seeing approximately 30 outpatients per week.

This service consists of a PGY 5 or 4, and PGY 3 or 2 under the supervision of Drs. Dwivedi, Sigdel and Wayne. Residents perform a variety of both open and endovascular cases including many vascular emergencies, and the average inpatient census is 25. They also participate in vascular and diabetic foot clinic at ULH, seeing about 15 patients per week and present cases at the weekly vascular conference.

This service consists of the pediatric surgery fellow, and four general surgery residents (PGY-4, 3 or 2, and two 1s) under the supervision of Drs. Fallat, Bond, Downard, Foley, Murrell and Wright. Norton Children's Hospital is one of the nations largest and the residents will perform a variety of cases on pediatric patients from newborns to teens. These include index cases, neonatal procedures, complex abdominal procedures, and the more routine hernias and appendectomies. The inpatient census is about 60 including the NCIU and ICU, and these unit patients are managed in conjunction with the pediatric intensivists and neonatologists.

Residents at the PGY-2 to 4 levels may choose electives at either Madisonville or Owensboro, during which time they will work with several general surgeons both in the hospital and their offices. Owensboro is located about 106 miles and Madisonville 130 miles west of Louisville. The resident typically performs about 75 general surgical cases per month and gains knowledge of typical rural practices in these areas.