Core Surgery Rotations at David Grant USAF Medical Center

Military program faculty, from left: Capt Andrew Wishy, Capt Meryl Simon, Capt Jason Nieves, and Maj Timothy Williams (the site director)David Grant USAF Medical Center (DGMC) rotations provide residents experience with a broad spectrum of surgical pathology and opportunities for patient assessment and problem solving in a structured and well-supervised environment. Areas of surgical exposure include general, vascular, thoracic, and surgical critical care.

See David Grant USAF Medical Center Specialty Care video. 

DGMC has outpatient clinics co-located with inpatient wards, catheterization laboratories, intensive care units and operating room suites. The resident will be involved with all aspects of pre-, post-, and intra-operative patient care. Further, the vascular and cardiothoracic surgery services at DGMC are co-located in the DGMC Heart, Lung and Vascular Center with the medical specialties of cardiology and pulmonology. Thus, the trainee will be exposed to the full-spectrum of cardiovascular therapy, evaluation and intervention on both an outpatient and inpatient basis.

David Grant UCSF medical Center (DGMC)

The resident team at DGMC provides coverage for general, cardiothoracic and vascular surgery patients. In addition to surgical residents, there may be family medicine, and transitional residents participating on the team. Medical students from Department of Defense scholarship programs and the Uniformed Services University of the Health Sciences rotate for specific general and vascular surgery rotations. Residents function as part of this combined team.

DGMC faculty teaches patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. The importance of knowledge about established and evolving biomedical, clinical, and cognitive (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care are emphasized.

A unique environment is present offering exposure to contingency readiness, disaster preparedness, Global Reach, diverse care settings, and joint VA/DoD medical programs. Residents experience practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.

As members of a multi-disciplinary team, residents’ interpersonal and communication skills are expected in effectively exchanging information and partnering with patients, families, and other health professionals. Professionalism, adherence to ethical principles, and sensitivity to a diverse patient population are expected. Within Federal government health care programs, specifically the DoD and VA, professionalism and accountability are emphasized. Institution surgical practices function in the context of multiple large systems of health care. Residents will have access and can utilize a range of system resources in the provision of care. Responsibility and competency are acquired in a graded fashion.