surgery program curriculum at Kaweah Delta consists of five years of coordinated, progressive didactic and supervised clinical activities designed to prepare the trainees to assume gradually higher
responsibility and autonomy in the care of surgical patients, and ultimately enter the unsupervised practice of surgery.
The following core didactic activities take place at the program's primary site within a scheduled weekly 4-hour block of time protected from clinical assignments:
- Grand Rounds
- Practice Based Learning
and Improvement conference
- Basic science and clinical curriculum session
- Supervised simulation and skills lab session
- Journal club meetings
rotation-specific didactic activities at the primary site, such as Tumor board, Trauma and Vascular
conferences, may occur outside the protected time block. During off-site rotations, residents attend the didactic activities available at that site.
Self-study programs based on online curricula
and ad-hoc didactic sessions or workshop address specific areas such as
clinical research, fatigue mitigation, patient safety, quality and performance improvement, communication and teaching skills, professionalism, and cultural sensitivity.
Kaweah Delta Surgery program faculty and residents can access the current didactic schedule on the password-protected New Innovations website (https://www.new-innov.com/Login/Login.aspx). A live calendar of the current academic year conference schedule is also available here.
The vast majority of the surgery program's rotations takes place at Kaweah Delta main campus, the program's primary site. Specific off-site rotations are arranged with the appropriate sites to
give the residents exposure to content areas in which it is anticipated that the program's main site may not provide an adequate experience, such as pediatric surgery,
transplantation, burns, and complex surgical oncology, hepato-biliary and
pancreatic surgery. Nearly all the rotations include inpatient and outpatient assignments.
The clinical assignments of the first two years
of residency are designed to provide the trainees with a balanced exposure to all content areas of surgery. Specific
rotations in surgical critical care, transplant and endoscopy offer clinical
and didactic activities aimed at achieving the competency expected of a general
surgeon in those areas. Focused
assignments of one or two weeks’ duration aimed at acquiring specific
procedural skills in anesthesiology and endoscopy take place during primary site
rotations in the course of the first two years.
the subsequent three years of training, general surgery residents gain progressively increasing knowledge and
patient care skills in the following essential
content areas of surgery:
- Alimentary tract
- Abdomen and its contents
- Breast, skin, and soft tissue
- Head and neck, including
trauma, vascular, endocrine, congenital and oncologic disorders -- particularly
tumors of the skin, salivary glands, thyroid, parathyroid, and the oral cavity.
- Vascular system, excluding
the intracranial vessels and heart.
- Endocrine system, including
thyroid, parathyroid, adrenal and endocrine pancreas.
- Surgical oncology, including
coordinated multimodality management of the cancer patient by screening,
surveillance, surgical adjunctive therapy, rehabilitation, and follow-up.
- Comprehensive management of
trauma, including musculoskeletal, hand, and head injuries.
care of critically ill patients with underlying surgical conditions, in the
emergency room, intensive care unit and trauma/burn units.
Primary site rotations include General Surgery , Acute Care and Trauma Surgery,
Vascular Surgery, Critical Care and Surgical Endoscopy.
rotations include Burn, Hepato-biliary-pancreatic and Transplant Surgery rotations at University of California in Irvine, and a Pediatric Surgery rotation at Valley Children Hospital in Madera.
Subject to Kaweah Delta program director's approval, a four-week block during the fourth year of training is available for elective rotations at a site of the resident’s choice.
Kaweah Delta Surgery program faculty and residents can access the current block schedule and the incremental goals and competency-based objectives of every rotation for each year of training on the password-protected New Innovations website (https://www.new-innov.com/Login/Login.aspx).