Core surgery rotations at Sacramento VA Medical Center

VA Mather exterior

The Sacramento VA Medical Center rotations provides residents with a broad exposure to surgical pathology and opportunities for patient assessment and problem solving in a structured and well-supervised environment.  Areas of exposure include general surgery, surgical oncology, vascular surgery, thoracic surgery, and surgical critical care.  Since outpatient clinics are co-located with inpatient wards and operating room suites, the resident has a unique chance to be involved with all aspects of pre-, post-, and intra-operative patient care.

The resident team at the VA provides coverage for general, thoracic, and vascular patients. In addition to surgical residents, there may be family medicine residents participating on the team. Because the service is generally busy with a robust mix of “bread and butter” and complex general surgery cases, the rotation is also popular with medical students. During the PGY-1, PGY-2, and PGY-3 rotations at the VA, residents will function as part of this combined team, where the majority of clinical responsibility is for general surgery patients.

The VA surgical 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 cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care are emphasized. 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.

VA facility

As members of a multi-disciplinary team, residents’ interpersonal and communication skills are used 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. VA surgical practices function in the context of a large system of health care and residents can utilize a range of system resources in the provision of care. Responsibility and competency are acquired in a graded fashion.