Residency Training Program
The
surgical residency is sponsored by the University
Health Systems of Eastern Carolina, which includes the Brody
School of Medicine at East Carolina University as its educational
component. Founded
to meet the extensive health care needs of coastal North Carolina,
the School has grown rapidly in size and stature and enjoys
sustained public, private, and governmental support. The hospital
serves over 100,000 local citizens in addition to being the only
tertiary referral center in eastern North Carolina, serving more
than 1.2 million residents. In contrast to many centers with a
diminishing patient load, the hospital is expanding its capacity in
response to a growing demand for its services and has a total of 745
beds and 22 operating rooms. Over 18,000 major operations and 1,500
open heart procedures are performed at the hospital, while another
7,500 outpatient operations are managed in the nearby SurgiCenter.
Clinical and research facilities already in place include centers
for heart, cancer, diabetes and obesity, childrens health,
rehabilitation, wellness, and surgical robotics. A Level I regional
trauma center has been in place since 1985. Other planned centers
will be devoted to neurosciences, digestive medicine, women's
health, and comprehensive elder care.
Surgery
residents actively participate in a variety of sites where
surgical care is provided. These include inpatient services,
hospital operating rooms, surgical clinics, private offices, and
the SurgiCenter, which has eight operating rooms with 23-hour
recovery facilities. Rotations that provide in-depth knowledge of
general surgery and exposure to surgical specialties include
cardiothoracic surgery, otorhinolaryngology and head and neck surgery, plastic and
reconstructive surgery, and transplantation surgery. Housestaff are given increasing responsibilities according to
their knowledge and demonstrated clinical and surgical skills.
The uniqueness
of the ECU Surgical Residency Program is derived from the
following factors:
The residency produces "toti-potential"
general surgeons. Our graduates are competitively prepared for
fellowships, academic positions, and private practice.
The residency is
conducted in one institution. There are no rotations to
scattered hospitals. Residents receive their training at one site
and under one faculty for an integrated curriculum.
One year of the residency is
devoted to research. The research year sharpens technical
skills, provides rigorous training in research methodology,
ensures an academically competitive curriculum vitae, fosters
national research networking opportunities, and provides time for
reflection and creativity. In cooperation with the ECU School of
Business we have implemented a program to allow the optional use
of the surgery research year to obtain the MBA degree.
The Department is recognized
for its leadership in surgical education. Our Robotic Surgery
Center is a national and international education site to train
surgical teams in the use of robotics in the operating room. In
addition, the Surgical Resident Curriculum is a model developed in
our department for the Association of Program Directors in Surgery
and surgical educators across the United States. The curriculum is
integrated with surgical geriatrics projects that are being
developed in our department through grants from the American
Geriatrics Society. The department also houses the editorial
offices, and is the creative center, for the educational
periodical Current Surgery.
The Department is dedicated to a high quality of life for faculty and
residents. Our residents work hard, but there is also time for
outside activities. The overall environment is courteous,
friendly, and, most of all, supportive.
The surgery
faculty is composed of full-time academic surgeons, scientists,
and educators. The department also hosts an active schedule of visiting professors. Many nationally
acclaimed academic surgeons have participated in our programs.
Surgical rotations at the hospital are unusually busy with a
varied and large practice. PCMH
is a private, nonprofit institution where academic and private
practice faculty work side by side. The hospital was nationally
accredited in May, 2000, earning 98 out of 100 points for the
second consecutive inspection.
Complementing
the abundant clinical experience is a well-organized, didactic
schedule of clinical and teaching rounds, conferences, seminars,
journal club meetings, and professional interchanges through
visiting professors. Residents are recognized as important, and
often award-winning, teachers for the third-year medical student
surgical clerkship and the fourth-year acting internship.
Four
categorical positions are available in each of the six years of
the residency program. In addition, there are two preliminary
positions in both years one and two that are available for
residents interested in pursuing careers in the surgical
specialties. Our program is not pyramidal. Each resident's
progress is evaluated at regular intervals to provide constructive
feedback, and although all appointments are on a one-year basis,
if a categorical resident performs and progresses satisfactorily,
he or she can expect to finish the program.
|