Rotations

Residents rotate on clinical services for four- to eight-week blocks, depending on their clinical year. These blocks are coordinated among the various clinical years and align the education component of the training program.

On various services with subspeciality fellows, the roles of the fellows and chief residents are strictly separated by attendings. In this way, the presence of a fellowship does not detract from the operative experience for the general surgery residents.

The call schedule operates on a combination of night float system and home call. During the first year, PGY1 residents do not have any call periods longer than 16 hours to comply with the ACGME duty hours requirements. During the PGY2, PGY3 and PGY4 years, most residents who are not on night float take in-house call on average either 1 in 7 or 1 in 14 days. Chief residents do not take in-house call and are home one to two weekend calls per month and take home call during the week. The call schedules are designed to comply with all aspects of the 80-hour work week regulations.

The rotations for 2013-2014 are shown below. The number in the columns represents the number of residents at this post-graduate year on the rotation.

 

Hospital Rotation

PGY1

PGY2

PGY3

PGY4

PGY5

Barnes-Jewish Hospital
(North & South Campus)

General Surgery, Endocrine/Oncology

1

 1

 

 

1

General Surgery, Gastrointestinal/ Hepatobiliary

2

 

1

 

1

Minimally Invasive - MIS

 

1

1

 

1

ACCS - Acute & Critical Care (Trauma)

ACES - Acute Care Emergency Surgery

2*

1

1

1

 

Colorectal

2*

 

1

 

1

Vascular

1

1

 

 

Transplant

1

 

 

 

Emergency

 

1

 

 

SICU*

2

1

 

 

 

Cardiac ICU

1

1

 

 

 

Thoracic

2*

 

 

1

 

ENT

1

 

 

 

 

Plastic Surgery

1

 

 

 

 

Urology

1

 

 

 

 

Night Float

3

1

 1

 

Barnes West County  General Surgery    

 

 

Children's Hospital Pediatric Surgery

2

1

 

 

VA Hospital General Surgery, Vascular, Oncology

 

2

 

 

1

North Surgery***

General Surgery, Vascular, Oncology

1

 

 

1

 

* Extra resident rotates on service (either Anesthesia or Emergency Medicine).

*** Surgery is performed at Barnes-Jewish Hospital North Campus.