Basic Residency Program
The Department of Surgery offers 23 PG-I positions:
- Nine positions in the PG-1 year are for physicians entering the five year categorical program, including 1 categorical position offered in conjunction with the US Air Force.
- 10 positions are designated in the PGY-1 year for active duty Air Force physicians designated in the Pre Flight Surgery Surgical Training Track.
- 1 position is offered in conjunction with the Plastic Surgery Integrated Program.
- 3 positions provide basic surgery training for residents entering surgical subspecialties.
The first is our diversity of clinical training. The centerpiece of the program is UC Davis Medical Center, a tertiary referral center for Northern California. The surgical care at the university includes trauma, acute care surgery, surgical critical care, vascular, surgical oncology, transplant, pediatric, burns and general surgery, including minimally invasive, bariatrics and robotic. The clinical experience at the University is augmented by our robust outside rotations in all clinical settings (private practice, HMO, military, VA, and charitable care). We understand that general surgery is shifting toward more subspecialization. To train our residents in this environment we have developed flexible training tracks in the final years of training to refocus clinical training into the resident’s area of future specialization
Second is the research excellence at UC Davis and within the Department of Surgery. Cutting edge surgical research augments the clinical aspects of our training program. Many of the faculty in the department are funded and welcome resident participation in their research. Residents are able to take advantage of the UC Davis Institute for Regenerative Cures, the William R. Prichard Veterinary Medical Teaching Hospital at UC Davis, the Clinical Investigation Facility at Travis AFB, and the UC Davis Center for Healthcare Policy and Research. Projects encompassing both clinical and basic science research designed to better prepare our residents for fellowships, academic or private practice.
We augment our educational environment by providing specific training to our residents in the basics of adult education. We conduct a “Teach the Teachers” course to both our residents and faculty.
First and Second Year Resident
During the first two years of the basic program (PG-I and PG-II), each participant receives approximately 12 months of general surgery (gastrointestinal, oncology, pediatrics, trauma, vascular), with one or two months each of burn, cardiothoracic surgery, ER/trauma, neurosurgery, orthopedic surgery, transplant, plastic, SICU, urology, and one month vacation each year. Rotations at the PG-I year are scheduled primarily at UC Davis Medical Center and are designed to provide continuity in patient care.
The objectives of the two-year basic program are:
- to provide the residents with the patient-care skills and experiences needed in preparation for a residency in any of the major surgical subspecialties
- to provide the fundamentals of basic science needed by surgeons
- to provide experience in preoperative and postoperative patient care
- to expose the resident to basic surgical techniques and minor surgical procedures
Patient volume per resident averages 10-25 patients, varying from service to service. PG-I and PG-II residents, along with the senior residents and attending staff, are responsible for the admission, evaluation, diagnostic studies, and the therapeutic plan of their patients. PG-I' s are not required to perform blood draws or other routine procedures such as Foley catheter insertion, but are encouraged to familiarize themselves with these routine procedures.
Third Year Resident
Third-year residents (PG-III) supervise junior housestaff in the preoperative and postoperative management of patients, including all outpatient activities. In addition, they perform moderately complex surgical procedures, thus progressively developing the dexterity and experience needed for a career in surgery. The resident's experience and ability determine the extent of delegated operative responsibility. The majority of the third year is spent on general surgery services.
Most, but not all, residents participate in a one to three year research experience (clinical or laboratory). The research experience is tailored to the career goals of the individual and permits either a commitment to a specific clinical discipline for extended specialized experience, or a commitment to bench research. The goal is to learn research design, experimental method and problem solving, data analysis and interpretation. In certain circumstances, when a trainee's career interests require an extensive research experience, we may extend this period to three years. It is during this time that residents may select entry into one of our specific training tracks.
Fourth Year Resident – Senior Resident
The fourth clinical year of surgical residency (PG-IV) includes a senior resident responsibility in pediatric surgery, transplant and general surgery at UC Davis Medical Center, Kaiser Permanente Medical Centers, and Sutter Hospital. These rotations serve as the resident's introduction to independent patient care management and team leadership. PG-IV residents assume responsibility for the team of junior residents on their service and perform major surgical procedures under the guidance of attending physicians.
Fifth Year Resident – Chief Resident
The final clinical year of the surgical residency (PG-V) training program consists of focused experiences as the chief resident on surgical oncology, trauma, acute care, vascular surgery and gastrointestinal surgery at UC Davis Medical Center. In addition, PG-V residents spend time at Kaiser, North/Roseville working with general surgeons who have practices that deal primarily with complex patients. The chief resident performs all necessary procedures in the course of treatment of his or her patients and delegates responsibility for performing all necessary diagnostic and therapeutic procedures to junior residents. The chief resident also participates in teaching junior residents, medical students, nurses and other paramedical personnel. Rotations are divided between UC Davis Medical Center and Kaiser Permanente Medical Center.
Approximately 20% of our graduating chief residents enter general surgery, and 80% go onto fellowship training. Because of the high quality of training they receive, UC Davis surgery graduates have been successful in obtaining competitive fellowships. The research experience and broad training base have made our graduates extremely competitive with graduates from other programs.
Post-residency fellowships at UC Davis provide opportunities for additional surgical-specialty training. Several divisions with established track records of clinical leadership and teaching excellence offer fellowship programs. These include ACGME-certificated fellowships in surgical critical care, plastic surgery, and cardiothoracic surgery, minimally invasive/bariatric surgery and a vascular surgery fellowship. In order to ensure superior training for our general surgery residents, we have taken care to limit the number of graduate fellowship positions in our program. Because of the abundance of cases, our general surgery residents receive experience in many areas that is equivalent to what is offered by some fellowship training programs. We feel that our fellowships do not detract from the general surgery training program, but, in fact, enhance it.
|General Surgery Education Office|
|2315 Stockton Boulevard
Suite OP 512 Pavilion
Sacramento, CA 95817