Ocala Regional Medical Center

Ocala Regional Medical Center (ORMC) is a 222 bed medical center and a verified Level II Trauma Center that will serve as the primary teaching site for this program. Dr. Darwin Ang will oversee all resident rotations, electives, and research at the base hospital, ORMC, a teaching hospital with accredited ACGME residency programs. He will coordinate and communicate with the five local or Site Directors regarding ORMC residents rotating at any of those five sites: North Florida Regional Medical Center (Integrated Site - Gainesville, FL), West Marion Community Hospital (Integrated Site - Ocala, FL), Johns Hopkins All Children's Hospital (St. Petersburg, FL), Methodist Hospital (San Antonio, TX), and AdventHealth Tampa (Tampa, FL). Four of the five outside sites are established teaching hospitals with an ethic and milieu conducive to learning, teaching, and mentorship. The hospital has all of the required medical and surgical specialties as well as support services to make teaching and learning at this site ideal. The facility has state of the art equipment where residents will gain clinical expertise and a diverse patient population where residents will gain clinical experience to ultimately practice independently.

The educational experience at Ocala Regional Medical Center will include faculty coverage (supervision) available at all times to the residents. A supervising faculty attending will be available to provide both indirect supervision by phone at all times with direct supervision available if required. Volumes and variety of clinical experience will be monitored by the program director through a regular review of the residents patient encounters and procedure logs to insure each resident is receiving the experience necessary to prepare him/her for successful completion of the program and the independent practice of General Surgery.

West Marion Community Hospital

West Marion Community Hospital is a 138 bed sister hospital to the program's primary training location (Ocala Regional Medical Center). Residents will rotate for a one-month rotations in PGY-2 and PGY-3 to gain varied experience in minimally invasive bariatric surgery, cardiac and thoracic surgery, and GI-related general surgery procedures.

The educational experience at this site will include faculty supervision appropriate to the PGY-level to which they precept. The volume and variety of procedures available for the residents to assist with are a compliment to the primary training site location; allowing the residents beneficial experience to additional varied procedures. Hospital leadership and training faculty are fully supportive of the General Surgery residency program and will provide all the necessary educational and clinical resources necessary to ensure a high-quality clinical experience for program participants.

North Florida Regional Medical Center

North Florida Regional Medical Center (NFRMC) is a 445 bed, full-service medical and surgical acute care center serving North Central Florida and offering comprehensive cardiovascular care, oncology, orthopedics, neurosciences, minimally-invasive laparoscopic and robotic surgery, weight loss surgery and treatment, wound therapy and many other surgical services. NFRMC is the ideal choice as an integrated training site for general surgery residency training.

The educational experience at this site will include working alongside board-certified physicians during their general surgery rotations. Case variety and volumes are appropriate for the utilization during these rotational experiences and the Program Director will continuously monitor resident case logs to ensure appropriate benchmarks are met through these experiences. While at NFRMC, residents will be supervised by board-certified teaching faculty at a level appropriate to the PGY-level, and as determined by the program director in conjunction with the supervising faculty's observation/assessment. PGY-1 residents will be directly supervised by the supervising physician while more senior residents, after developing progressive levels of responsibility/trust, will be supervised by a teaching faculty via both indirect supervision with the attending immediately available or indirect supervision with the attending available by phone.

AdventHealth Tampa (formerly Florida Hospital)

AdventHealth Tampa is a 475 bed facility in the Tampa Bay region. General Surgery at AdventHealth Tampa involves a full range of elective, urgent and emergent operative procedures 24 hours a day, seven days a week. The Main Operating Suite consists of nine operating rooms, including a special robot-assisted surgery suite, and is capable of handling all types of surgery. More than 1,000 inpatient and outpatient surgical cases are performed each month, many in their robotic surgical suite.

The educational experience at this site will include rotating to AdventHealth Tampa for supplemental clinical experience in liver and pancreas. The total liver, biliary, and pancreatic surgical cases performed at AdventHealth Tampa, will provide the residents with experience on the hepato-pancreo-billiary services and gain exposure to additional case volumes and experience in patient management. The surgery residents are scheduled to rotate to AdventHealth Tampa for both their PGY-3 and PGY-4 years of training. The site director for this rotation is Alexander Rosemurgy, MD, ABMS-certified in Surgery.

All Children’s Hospital

Johns Hopkins All Children's Hospital is a 259 bed free standing children's hospital which admits patients from the age of 0-21 years. Annual volumes include over 450,000 outpatient encounters, 6000 admissions, and 9000 surgical cases. The institution has a medical staff that includes a broad number of pediatric subspecialties. It is the training site for two pediatric residencies, 7 fellowships, and 4 surgical subspecialties. The institution is home to a regional pediatric trauma center, a congenital cardiac disease and cardiac transplant center, pediatric oncology and bone marrow transplant center, a neuroscience institute, maternal and neonatal diseases institute, as well as the Congenital Diaphragmatic Hernia and ECMO Program. The hospital has a division of radiology, pathology, critical care, pediatric hospitalist medicine, and emergency medicine focused on pediatric care and operational 24 hours per day. The emergency center has 48,000 visits per year while the Baby Place Labor and Delivery unit has 4,200 deliveries per year. The facility has 97 NICU beds, 28 Cardiovascular ICU beds, 22 PICU beds, 28 specialized surgery-neuroscience ward beds, 28 oncology/bone marrow transplant unit beds, and 56 general medical/surgical beds. The average daily census on the pediatric surgical service is 21 with patients distributed throughout the various units within the hospital.

The educational experience at this site will include functioning as members of a health care team that is run by two pediatric surgery fellows and staffed with six advanced practice providers. Members of the pediatric surgery faculty provide oversight and mentorship. The service is responsible for operating room cases, inpatient admissions and consultations, the pediatric trauma service, and daily outpatient clinic. The rotation also includes participation in various teaching and learning conferences including: M&M, Pre-Op conference, Journal Club, Tumor Board, Radiology/ Pathology Conference, Trauma PIP committee, and Pediatric Surgery SCORE modules. Residents on the service will be assigned clinical responsibilities and conference tasks based upon their level of experience and capability. The average daily census on the pediatric surgical service is 21 patients. The yearly operative volume on the service is 1200 cases.

Methodist Hospital

The 26 bed medical/surgical unit emphasizes highly personal nursing care for patients recovering from operations related to urology, orthopedics, gastric bypass/weight loss and general surgeries. Methodist Specialty and Transplant Hospital has three dedicated endoscopic/laparoscopic operating suites featuring equipment that allows surgeons to perform traditional surgeries through smaller incisions. This type of surgery offers a number of benefits including decreased hospitalization, faster recovery and lowered risk of infection.

The educational experience at this site will include a comprehensive program combining both stem cell transplant and solid organ transplant programs. Since 1999, we have grown to become a top destination for people from all over the world. We have assembled a team of world-class physicians, nurses, administrators and coordinators with vast experience in the field of transplantation. We consistently receive international praise for our outstanding kidney transplant, liver transplant and pancreas transplant programs, setting record numbers for volume and desired outcomes.

Medical City Plano

Medical City Plano is the proud home of the first Sarah Cannon hospital in Texas. Since opening their doors in 1975, Medical City Plano has provided Plano and Collin County with advanced health care. Medical City Plano is a full-service, 603-bed acute care hospital with more than 2,000 employees and over 1,400 physicians on staff, representing over 70 specialties and sub specialties. Medical City Plano is also the first and only Level I Trauma Center in Collin County.

The residents rotate to Medical City Plano in their PGY 2, 3 and 4 year for their breast and endocrine experience, which includes patient management skills.

Medical City Plano offers a wide range of surgical procedures including: robotic, general, breast, urologic, gynecologic, cardiothoracic and bariatric surgery.

Matthew Carrick, MD, ABS-certified in Surgery, will serve as the site director and he works with the Program Director to ensure that other learners from other programs do not impact negatively on this rotation.

The general surgery program is a five year program. A sample block schedule for each year is provided below.


PGY 1

Rotation Duration
Trauma/ACS/Emergency General Surgery 4 Months
Pediatric Surgery 2 Months
Vascular Surgery 2 Months
Thoracic Surgery 2 Months
Anesthesia/Gastroenterology 1 Month
Night Float 1 Month
Plastic Surgery 1 Month

PGY 2

Rotation Duration
Trauma/ACS/Emergency General Surgery 2 Months
Night Float 2 Months
Surgical Critical Care 2 Months
Thoracic Surgery 1 Month
Plastic Surgery 1 Month
General Surgery 1 Month
Elective Surgery 1 Month
Advanced Minimally Invasive 1 Month
Vascular Surgery 1 Month

PGY 3

Rotation Duration
ACS/Emergency General Surgery 2 Months
Minimally Invasive Surgery 2 Months
Night Float 1 Month
Thoracic Surgery 1 Month
Transplant Surgery 1 Month
General Surgery 2 Months
Pancreatic/Hepatobiliary Surgery 1 Month
Colorectal Surgery 1 Month
Surgical Critical Care 1 Month
Vascular Surgery 1 Month

PGY 4

Rotation Duration
Trauma/ACS/Emergency General Surgery 4 Months
Pediatric Surgery 3 Months
Pancreatic/Hepatobiliary Surgery 2 Months
Colorectal Surgery 1 Month
Vascular Surgery 1 Month
General Surgery 1 Month

PGY 5

Rotation Duration
General Surgery 4 Months
Trauma/ACS/Emergency General Surgery 2 Months
Vascular Surgery 2 Months
Minimally Invasive Surgery 2 Months
Elective Surgery 2 Months

Didactic Session

Basic Science Lecture

Includes:

  • Case Review
  • Morbidity & Mortality Conference
  • Core Lectures in Surgery
  • Grand Rounds
  • Journal Club
  • Basic Science

Additional didactic sessions may include process improvement, combined conferences with other specialists (pathology, radiology pulmonology, gastroenterology, neonatology, ICU, etc). Multidisciplinary tumor board is held each month for one hour and the residents are encouraged to attend.

Research Component

Opportunities for clinical research exist at the institutional, regional, and national level. The resident will have access to a wide variety of datasets for large scale retrospective studies. The resident will also have opportunities to participate in prospective clinical studies and ongoing multicenter randomized studies. Residents will be paired with mentors and there are research electives available. All residents are expected to produce a research product worthy of peer-reviewed publication and/or presentation at a national conference.

Southeastern Surgical Congress (SESC) 2019