General Surgery Residency

Block schedule

The general surgery block schedule follows a monthly rotation for the first 3 years and a bimonthly rotation for the last 2 years.

PGY-1

• Acute Care Surgery
• Breast & Reconstruction Surgery
• Cardiothoracic
• Minimally Invasive Surgery
• Orthopedic/Neurosurgery
• Surgical ICU
• Trasplante
• Hepatobiliary
• Trauma
• Vascular

PGY-2

• Acute Care Surgery
• Breast & Reconstruction Surgery
• Cardiothoracic
• Minimally Invasive Surgery
• Urología
• Surgical ICU
• Trasplante
• Hepatobiliary
• Head & Neck Surgery
• Vascular
• Pediatric

PGY-3

• Acute Care Surgery
• Breast & Reconstruction Surgery
• Cardiothoracic
• Minimally Invasive Surgery
• Endoscopic
• Urología
• Trasplante
• Hepatobiliary
• Head & Neck Surgery
• Vascular
• Trauma

PGY-4

• Acute Care Surgery
• Cirugía cardiotorácica
• Head & Neck Surgery
• Cirugía Pediátrica
• Trasplante
• Elective
• Breast & Reconstruction Surgery

PGY-5

• Acute Care Surgery
• Trauma
• Minimally Invasive Surgery
• Cirugía vascular
• Hepatobiliary

Rotations

Acute care surgery

The Acute Care Surgery or ACS service is both our emergency general surgery and trauma service. This service’s patient population comes principally from in-house consultations, whether from the Emergency Department or from medicine inpatient services. However, there is an increasing practice of elective and outpatient cases. The ACS service has a dedicated OR (Room 1) and is in the midst of a growing robotic caseload. Finally, medical students and Anesthesia residents also rotate through the ACS service. General Surgery Resident collaboration and ability to teach is appreciated and highly encouraged.

Breast and reconstruction surgery

The Breast Reconstructive rotation will include cases that are performed at the Main OR as well as at Andrews Women’s Hospital. Please familiarize yourself with their OR prior to starting this rotation. Many of the breast cancer cases are combined with reconstructive surgery so, in addition, this will be a mini-Plastics rotation as well.

Cirugía cardiotorácica

The Cardiothoracic or CT service has been rapidly growing over the past 5 years, and includes both cardiac cases (CABGs, valve replacements, e.g.) and thoracic procedures (lung resections, VATS, transthoracic hiatal hernia repairs, etc.). Robotic approaches are also flourishing on this service. The CT service has two dedicated ORs (Rooms 15 & 16).

Cirugía de cabeza y cuello

The Head & Neck Surgery (H&N or ENT) service is the busiest service line (by surgical volume) not only at BASMC, but also in the country.  In addition to bread & butter H&N cases (thyroidectomies, parathyroidectomies), residents will participate in complex procedures which includes principles of plastic surgery, upper GI surgery and neurosurgery. The team is staffed by fellows and various APPs. Their patients are generally taken care of by the medical intensivists in the ICU and a hospitalist service on the floor. There are H&N surgeries just about daily with multiple rooms running (2+) from Monday through Thursday.

Hepatopancreatobiliary surgery

The HPB service is a growing service at BAS. Unlike transplant, HPB cases are scheduled and thus you will have amble time to prepare. HPB cases are performed using open, robotic and laparoscopic techniques.

Minimally invasive surgery

The Minimally Invasive Surgery or MIS service is led by our Core Faculty member, Dr. Garcia.  Most surgeries are outpatient, but there will be some combination cases with our H&N service. Dr. Garcia also performs a number of endoscopies so this will be a great opportunity to gain experience in this discipline (and requirement).  Finally, this rotation also included outpatient cases performed at Baylor Surgical Hospital and Baylor Surgicare. A weekly list of upcoming cases will be provided for the Baylor Surgical Hospital.

Ortho/Neurosurgery

This combined rotation will give residents exposure to general orthopedic, spine and neurosurgery cases. Orthopedics has a dedicated OR (room 2) and there will be some neurosurgery cases at the Baylor Surgical Hospital down the street. Please familiarize yourself with this center.

Pediatric surgery (Cook’s)

Cook Children’s is a busy stand-alone pediatric hospital in Fort Worth that has been rapidly expanding over the past decade. Residents from other surgical programs rotate at Cook’s as well.  Resident call schedule will be determined when you are on service. Vacation will not be allowed while on this rotation.

Cuidado crítico quirúrgico

This rotation is led by Dr. Freeman, who serves as Director of Surgical Critical Care. Residents will be involved in ICU care for trauma, general surgery, transplant, and critically ill patients including complex cardiac mechanical support like LVAD and ECMO. 

Cirugia de trasplante

The Transplant service is among the busiest on campus. It is a multidisciplinary service, and residents will have an opportunity to work with many consultants. In addition to transplants, residents will be involved in off campus procurements as well as general surgery cases on transplant patients. Transplant has a dedicated OR (room 17).

Trauma (JPS)

The Trauma service at John Peter Smith Hospital in Fort Worth is a busy Level 1 trauma center. Residents will have an excellent experience there. Note that residents from other surgical programs rotate at JPS as well. Resident coverage is thru 24 hours shifts with your team. Vacation will not be allowed while on this rotation.

Urología

The Urology service is one of the busier ones on campus. Procedures vary from cystoscopies to radical nephrectomies to complex urologic cases including ileal conduits and bladder reconstructions.

Cirugía vascular

The Vascular service is a rapidly growing service line with a breadth of cases, from AVF creations to CEA to AAA repairs. We have a dedicated Hybrid OR (Room 9) equipped for X-ray imaging and endovascular surgery.

Conferences

Breast Tumor Board - every Wednesday, 12-1pm (Hybrid – WebEx and JKBC Education Room)

General Tumor Board - 1st, 3rd, and 5th Tuesdays, 7:30 - 8:30am (Hybrid – WebEx and JKBC Education Room)

Head & Neck Tumor Conference - every 3rd Thursday, 6:30 - 8am (Hybrid - WebEx and JKBC Education Room)

Liver Tumor Conference - 2nd and 4th Tuesdays, 7-8am (WebEx)

Pancreas Tumor Conference - 1st and 3rd Tuesdays, 6:30 - 8am (WebEx)

Transplant Grand Rounds – every Thursday, 12-1pm (WebEx)

Trauma PIP Ops – 3rd Monday of every Month ((Hybrid - TEAMS and JKBC Education Room)

Critical Care – every Friday 12-1 WebEx

High Risk Cardiothoracic Conference – Every Friday 7:30 WebEx

LVAD – Every Friday 7:00am (Webex)

TAVR – Every Thursday 5:00pm (Hybrid - Webex and A6 conference room)

Didactic - Educational days

Every Friday will be our didactic/educational day and will typically be as follows:

• 7am-8am – M&M
• 8am-9am – Grand Rounds
• 9am-11am – Score Curriculum
• 11am-1pm – Lunch
• 1pm-3pm – Simulation & Skills Lab