Rotations

Sites

• Kaweah Delta Health Care District Hospital (Primary Site)
• Fresno VA Medical Center (Integrated Site)

PGY level

1, 2, 3, 4, 5

Total blocks

22

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient management of patients with:

• 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.

Surgical procedural experience covering all the essential common and uncommon operations and some complex operations inclusive but not limited to:

• Open and laparoscopic exploration of the abdomen
• Open and laparoscopic hernia repairs
• Open and laparoscopic hepatic, biliary and pancreatic surgery
• Open and laparoscopic surgery of esophagus, stomach, small and large bowel, rectum and anus
• Surgery of breast, skin and soft tissues
• Surgery of the endocrine organs
• Surgery of head and neck
• Open and percutaneous surgery of the vascular system
• Endoscopy of the gastrointestinal and respiratory tractOpen and laparoscopic exploration of the abdomen

Evaluation and management, inclusive of a limited procedural experience, of patients for whom a general surgeon may be called to provide initial care in the following non-essential content area of surgery:

• Neurological Surgery
• Cardiothoracic Surgery
• Otolaryngology
• Genito-urinary Surgery
• Orthopedic Surgery
• Gynecology

Site

Kaweah Delta Health Care District Hospital (Primary Site)

PGY level

1, 2, 3, 4, 5

Total blocks

22

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient management of patients with:

• Blunt and penetrating trauma of the head, torso and extremities
• Acute surgical conditions affecting head and neck, breast, skin and soft tissues, thorax, abdomen and alimentary tract, the genitourinary tract, the endocrine and the reproductive system

Surgical procedural experience covering all the essential common and uncommon operations and some complex operations inclusive but not limited to:

• Open and laparoscopic exploration of the abdomen
• Open and laparoscopic hernia repairs
• Open and laparoscopic hepatic, biliary and pancreatic surgery
• Open and laparoscopic surgery of esophagus, stomach, small and large bowel, rectum and anus
• Surgery of breast, skin and soft tissues

Site

Kaweah Delta Health Care District Hospital (Primary Site)

PGY level

1, 2, 4

Total blocks

6

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient care patients with conditions affecting vascular system, excluding the intracranial vessels and heart, including but not limited to :

• Arterial occlusive disease
• Aneurysmal disease
• Visceral occlusive disease
• Thromboembolic disease
• Venous disease
• Vascular trauma

Surgical procedural experience covering all the essential common and uncommon operations and some complex operations inclusive but not limited to:

• Vascular bypass procedures
• Endovascular procedures
• Aneurysmal repairs, open and endovascular
• Visceral vascular procedures
• Vascular injury repairs
• Venous procedures
• Vascular access procedures

Site

University of California, Irvine Medical Center

PGY level

1, 2, 3

Total blocks

4

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient management of patients with:

• Benign and malignant surgical hepato-biliary disease
• Benign and malignant surgical pancreatic disease
• Solid organ transplant

Surgical procedural experience covering all the essential common and uncommon operations and some complex operations inclusive but not limited to:

• Open and laparoscopic liver surgery
• Open and laparoscopic biliary tree surgery
• Open and laparoscopic pancreatic surgery
• Transplant surgery

Site

University of California, Irvine Medical Center

PGY level

2

Total blocks

1

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient management of adult and pediatric patients with burns of various extent and severity

Surgical procedural experience covering all the essential common and uncommon operations and some complex operations inclusive but not limited to:

• Wound care Debridement and grafting
• Escharotomy
• Arterial line placement
• Pulmonary artery catheterization
• Bronchoscopy

Site

Kaweah Delta Health Care District Hospital (Primary Site)

PGY level

1, 2, 3

Total blocks

3

Clinical Subject

Evaluation and care of critically ill patients 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

Clinical experience covering all the essential, common decision-making and interventions required by the critically surgical patients, inclusive but not limited to:

• Airway establishment and maintenance
• Mechanical respiratory support
• Fluid an electrolyte balance correction and maintenance
• Management of acute blood loss
• Acute pharmacological support and management of cardiac and circulatory functions
• Acute support and management of renal function
• Acute support and management of nutritional function
• Complex wound care
• Complex surgical infections
• Neurological function assessment and monitoring
• Endoscopy of the respiratory tract
• End-of-life and palliative care

Site

Valley Children's Hospital, Madera

PGY level

3

Total blocks

2

Clinical Subject

Evaluation and operative and non-operative, inpatient and outpatient management of pediatric patients with congenital and acquired surgical conditions affecting head and neck, breast, skin and soft tissues, thorax, abdomen and alimentary tract, the genitourinary tract, the endocrine and the reproductive system

Surgical procedural experience covering all the essential common and uncommon pediatric operations and some complex pediatric operations inclusive but not limited to:

• Open and laparoscopic exploration of the abdomen
• Open and laparoscopic hernia repairs
• Open and laparoscopic hepatic, biliary and pancreatic surgery
• Open and laparoscopic surgery of esophagus, stomach, small and large bowel, rectum and anus
• Surgery of skin and soft tissues
• Surgery of the endocrine organs
• Surgery of head and neck