Chronology of the Residency Program
The R-1 is assigned to general surgery for five to six months and to the emergency trauma center at Harborview for one or two months. Experience in the burn center and in cardiothoracic, pediatric, orthopedic, urologic, and neurologic surgery completes the year. When on general surgery, the R-1 serves on a team with medical students and three or four senior surgical residents. Responsibility focuses on initial evaluation and on pre- and post-operative care. The R-1 assists in operations on his/her patients and performs appropriate operative procedures. View a copy of the 2011-12 R1 rotation schedule (PDF).
The R-2 concentrates on the fundamentals of critical care, with primary responsibility in the ICU's and in the Harborview Emergency Trauma Center. Rotations on various other services, such as transplantation, surgical oncology, surgical consult service, and cardiac surgery broaden this experience. The R-2 performs operative procedures appropriate to that level of training. View a copy of the 2011-12 R2 rotation schedule (PDF).
The R-3 spends the year in general surgery at the VA and University of Washington Medical Center where advanced laparoscopy and bariatric surgery is the focus. A rotation as a senior fellow in medical gastroenterology augments the R-3's knowledge and expertise in upper and lower GI endoscopy. On the trauma surgery services the R-3 has their first experience with primary responsibility for leading a team under the direction of a chief resident. This leadership role is reinforced on the burns/plastic service, transplant and pediatric surgery where the R-3 is the senior resident. A community hospital rotation at the Everett Clinic/Providence-Everett Hospital completes the year. The R-3 performs major operations under close supervision. This early acquisition of technical ability permits a shift of emphasis in later years to the refinement of diagnostic sense, clinical and operative judgment, teaching and investigative skills. View a copy of the 2011-12 R3 rotation schedule (PDF).
With the operative experience and surgical maturity gained during the R-3 year, the R-4 fine tunes their knowledge and technical skills on both general surgery and subspecialty services. Rotations on general surgery, advanced GI and hepatobiliary surgery, surgical oncology and advanced laparoscopic surgery at UWMC, and vascular and thoracic surgery at the VA and HMC provide meaningful and rewarding clinical experiences. View a copy of the 2011-12 R4 rotation schedule (PDF).
The Chief resident year provides major responsibility in patient care, teaching, and administrative areas. They perform the most complex operative procedures, and assume responsibility for the operative and supportive care of all surgical patients on the team. Chief residents enjoy a significant amount of decision-making latitude in the context of appropriate attending staff supervision. As leaders in the program, they also participate extensively in teaching students and residents, clinical investigations, and in departmental and service administrative matters. View a copy of the 2011-12 R5 rotation schedule (PDF).