Core surgery rotations at UC Davis Medical Center

vascular surgeon, David L. Dawson

Burn Surgery

The UC Davis Burn Service provides care for adults and children who present with major burns.  Over 500 acute burns are admitted per year. In addition, there is a very large affiliated plastic surgery and reconstructive program that provides additional care for these patients. Residents participate in ward, ICU, and operative care.

Trauma and Acute Care Surgery

The Trauma and Acute Care Surgery rotations teach the evaluation and management of patients with surgical disease that requires urgent and emergent care. UC Davis Medical Center is the region’s Level 1 trauma center, and the Trauma and Emergency Surgery service is busy, caring for patients with blunt and penetrating injuries. Much of the surgical management of traumatic vascular injuries at UC Davis Medical Center is done by the Trauma and Emergency Surgery service. Additionally, the service provides care for patients with many types of acute general surgery emergencies. The rotation offers experience with evaluation and management of the acute abdomen, complex soft tissue infections, biliary disease, and other conditions.

Building on their earlier experiences, residents at the PGY-2 level of training will work in the surgical intensive care unit (SICU).

At the senior resident (PGY-4) level, there will be additional emphasis on the provision of comprehensive, systems-based care and residents’ participation in surgical case will be greater.

Plastic Surgery

The Plastic Surgery provides care for a variety of soft tissue management problems, including the management of basic and complex wounds, wounds in chronically ill or disabled patients, traumatic injuries (including facial fractures and hand injuries), and other challenges. The resident learns to evaluate and treat patients with plastic surgical problems.

Surgical Oncology

The Surgical Oncology provides residents with education in the principles and rationale for performing cancer surgery, its basis in cancer biology, and the appropriate role of surgeons and of surgical treatment vis-à-vis other oncology disciplines. They will gain an understanding of the principles guiding evaluation of endocrine disorders, and the surgery for endocrine disorders.

Residents learn both curative and palliative management of the cancer patient.  This includes attention to patient care, the employment of medical knowledge, and communication and interpersonal skills with regard to colleagues in other disciplines, and with patients in difficult social circumstances.  Residents will learn about vascular complications of cancer therapy, principles of management when tumors involve major vessels, and the role of transcatheter procedures for cancer treatment

Transplantation Surgery Service

Residents on the Transplant Service will be to gain a better understanding of medical and surgical issues involved in the provision of care to patients who are candidates for or who have undergone intra-abdominal organ transplantation including kidney, liver, and pancreas allografts. Residents will also gain an understanding of surgical issues involved in organ donation. Further, they will care for patients with end stage renal disease in need of dialysis access. It is intended that by the completion of the senior rotation, residents will have a confident approach to the evaluation and management of patients referred for transplantation. In addition, they will have an understanding of the principles guiding evaluation of patients for dialysis access.