A well-rounded
surgical residency program

General Surgery Residency Program at Huron Hospital

January 09, 2007
by Akane Naka, Project Manager


Huron Hospital, a 211-bed acute care teaching hospital, offers medical services in cancer, critical care, diabetes, geriatric medicine, cardiac, infectious disease, coronary care and comprehensive surgical care. A behavioral medicine component providing adult inpatient mental health, chemical dependency and detox services and the Women's Health Center, including a Level II Nursery and OB Unit are located on the hospital campus. In 1999, Huron Hospital celebrated its 125th anniversary of caring and service to the community, Huron Hospital opened the new Community Health Center in 1999. The residents complete their continuity clinics in the 17 new state-of-the-art examination rooms.

Major Services
Huron Hospital prides itself on maintaining state-of-the-art ancillary services and developing unique programs to meet the needs of its patients. These include:

* The Lennon Diabetes Center offers training and education for diabetic patients
* Full-service radiologic capabilities, including digital subtraction angiography, total body CT scanning, nuclear medicine, magnetic resonance imaging and ultrasonography
* Outpatient oncology clinic
* Pathology departments equipped for both anatomical and clinical pathology
* Individual laboratories for anatomy, biochemistry, diagnostic immunology, microbiology, hematology, cytology and histology
* Complete endoscopic capabilities
* Level II Trauma Center with 30% penetrating injuries
* Dialysis unit

General Surgery Residency Program
The General Surgery Residency Program at Huron Hospital is fully accredited for five years of training, graduating two surgeons per year. The program has distinguished itself in many facets of general surgery, including trauma and critical care, and advanced endoscopic and laparoscopic surgery. The program recently received a commendation from the Residency Review Committee (RRC) for the numerous program improvements, and continued full accreditation with no citations (see article below).

Huron Hospital has maintained a well-rounded surgical residency program committed to teaching the art and science of surgery in a community hospital setting. The goal of our program is to graduate broadly trained general surgeons who will have attained the maturity, judgment and technical skills necessary to enter into independent practice.

The surgical residency program is designed to provide guided exposure to clinical experience in a structured manner over a five-year period. Theory and practice are learned side by side. The practice is a continuum of graded responsibility and technical complexity. A syllabus of reading, supplemented by regular conferences, grand rounds, lectures and daily bedside visits ensures the development of a system of knowledge acquisition. The degree of supervision is appropriate for the experience and aptitude of the resident.

The Huron teaching staff is comprised of surgeons dedicated to post-graduate education. They are all board-certified surgeons who hold fellowships in the American College of Surgeons and many other national surgical societies.

Surgical residents are assured of a balanced exposure to the basic sciences and specialties of surgery. Residents attend weekly lectures and case-oriented conferences, including presentations by visiting professors from around the country for monthly grand rounds and informal discussions.

In recruiting new trainees, the program is searching for candidates with the best mutual fit. To this end, a full, open and truthful exchange of information between the program and the candidate is essential. This is accomplished by dedicating entire days to the interview process.

General Surgery Program Facts
Recent accreditation history:
• 1998 - full accreditation; 2 citations
• 2002 - full accreditation; no citations, one commendation
• 2006 - Next review

Faculty:
• Full time = 5
• Part time = 10

Approved training positions:
• Categorical - 2 per year
• Preliminary - 4 per year

Affiliated training sites:
• Robinson Memorial Hospital (PGY3)
• South Pointe Hospital (PGY5)
• Hillcrest Hospital (PGY2)
• The Cleveland Clinic (PGY4)
• Akron Children's Hospital (PGY3)

Five year board pass rate, first attempts:
• Qualifying examination - 68%
• Certifying examination - 83%

ABSITE mean percentile scores (2005):
• PGY-1 - 61
• PGY-2 - 72
• PGY-3 - 79
• PGY-4 - 75
• PGY-5 - 72

Weekly teaching conferences:
• Monday Case Management
• Wednesday Trauma Rounds
• Wednesday Neuro Rounds
• Thursday Basic Science
• Thursday M & M
• Thursday Director's Meeting
• Thursday Research
• Thursday Grand Rounds

Call frequency: 1 out of 4

Operative log:
• Chief year - avg. 200
• Junior surgeon - avg. 800
• Total - 1000 over 5 yrs

Endoscopies: > 200

Other program characteristics:
• High continuity of care (close to 100%)
• Intensive and organized teaching
• 100% supervised resident's practice
• Very good case load
• Excellent trauma, surgical intensive care, advanced laparoscopic and endoscopic training
• Rich experience in subspecialties (no competing subspecialty residents)
• Open system of management
• Excellent camaraderie with constant teaching among residents, under the leadership of great teach

Resident Benefits
• Vacation: One month paid vacation per year.
• Health and Dental Insurance: Choice of comprehensive low-cost medical, dental, and vision plans. Low
cost prescription drug plan.
• Life Insurance and Disability Coverage: Life insurance policy for resident with option for dependents.
Short term disability insurance; option for long-term disability coverage.
• Flexible Dollar Credits: Flex dollar credits to use toward the cost of benefit selections.
• Flexible Spending Accounts: Options for healthcare and dependent care flexible spending accounts.
• Malpractice Insurance: Professional Liability Insurance with "tail" coverage.
• Educational Allowance: Reimbursement for books and other educational expenditures.
• Uniforms: Free lab coats, scrub suits, and laundry services.
• Direct Deposit Payroll: Direct deposit of your paycheck may be arranged through the Payroll Department.
• Convenient Free Parking: Covered garage parking available at no cost.
• Housing: Apartment and housing referral services.
• Employee Assistance Program: CONCERN, CCHS's Employee Assistance Program (EAP) is available
to assist you and your family members with personal or family issues.
• Friendly and Supportive Staff
• Additional Benefits: Parental and sick leave available; Savings and Investment Plans; Meal stipends when
working on call; Child and elder care referral program; Physician and spousal placement services;
Employee activities and discount programs.

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This article is reposted with thanks to Huron Hospital.