U.S. Army Medical Department, Office of the Surgeon General
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Grounds of Madigan Army Medical Center General Surgery Residency Program
Madigan Army Medical Center
General Surgery Clerkship     Vascular Clerkship      Cardiothoracic Clerkship

PGY - 3

    Now is the time for residents to refine their skills in pre, post and operative management of most routine general surgical problems.  A resident should be able to see a patient in clinic, determine a need for surgery, initiate and complete a preoperative workup, perform the surgery, and manage any complication that arises postoperatively. The resident is also expected to become involved in the more complex surgical cases, working directly with chief resident and staff.  Complex procedures are allocated on an individual basis.  While the standard surgical text is still the primary reference, residents are expected have a working knowledge of the current literature in any given topic relating to their patients.  This can be achieved either “on-line” or via a review periodical such as “Selected Readings in General Surgery” or “The Scientific American Critical Care of the Surgical Patient.”  The first exposure to the mock oral examination is encountered during this year.