Clinical Site: Hartford Hospital

Hartford Hospital- General Surgery- Red Service:

Attendings: Philip Caushaj
                  Jeffery Cohen
                  Kristina Johnson
                  Kristy Thurston

Residents: PGY5, PGY 3 and PGY 1

Areas of specialty: colon and rectal disease, hernias, biliary disease and basic general surgical pathologies

Goals and Objectives:

PGY 5- (8 week rotation) As the chief of the service is expected to manage care for simple and complex colorectal diseases, hernias and basic general surgical patients. To be able to assist and function as operative surgeon on these cases. In addition there is a heavy emphasis on the service in participating in a teaching or mentoring fashion with junior residents in and out of the operating room.

PGY 3- (8 week rotation) To help manage care for the aforementioned assigned patients and occasionally run the service when the chief is away. To be actively involved in the operating room with these assigned patients in a graded fashion as operative surgeon.

PGY 1- (4 week rotation) To be introduced to the management of simple and complex colorectal patients, be introduced to ERAS pathways, to be included in a graded fashion as first assistant and hopefully operative surgeon on the patients on the service.

Hartford Hospital- General Surgery- Green Service:

Attendings: David Curtis
                  Ed Hannoush
                  William Sardella
                  Frank Cannizzo

Residents: PGY 5, PGY 3, and PGY 1

Areas of specialty: hepatobiliary disease, colon and rectal disease and minimally invasive hernia and bariatric patients

Goals and Objectives:

PGY 5 (8 week rotation) To be able to manage simple and complex in patient hepatobiliary patients as well as simple and complex colorectal patients. To be able to assist and function as operative surgeon in a graded fashion on hepatobiliary and colorectal cases.

PGY 3 (8 week rotation) To be able to understand and help manage simple and complex hepatobililary and colorectal patients. To be able to assist in a graded fashion on hepatobiliary and colorectal patients.

PGY 1 (4 week rotation) To be introduced to the care and management of hepatobiliary and colorectal patients. To participate as first assist or operative surgeon in a graded fashion on simple cases and gain exposure to more complex operative procedures.

All surgical residents are encouraged to attend any of the above clinician’s office hours during their rotation. There will be an attempt to pair at least one member of the green team which each of the above attendings when they are on call.

Hartford Hospital- General Surgery- Blue Service:

Attendings: Chike Chukwumah
                  Paul Vignati

Residents: PGY 5, PGY 3, and PGY 1

Areas of specialty: colon and rectal disease, upper gastrointestinal diseases, complex hernias

Goals and Objectives:

PGY 5 (8 week rotation) To be able to manage in patients with simple as well as complex colorectal and upper GI pathologies. To be able to help manage patients with complex hernias and repairs. To be able to function as teaching assistant on basic hernia repairs.

PGY 3 (8 week rotation) To be able to understand and help manage simple and complex colorectal as well as patients with upper GI surgical disease. Also to be able to assist in a graded fashion as operative surgeon on patients with colorectal, upper GI and hernia repairs.

PGY 1 (4 week rotation) To be introduced to the care and management of simple and complex colorectal in patients as well as upper GI disease as well as complex hernias. To participate as first assist or operative surgeon in a graded fashion on simple cases and gain exposure to more complex operative procedures.

All surgical residents are encouraged to attend office hours. There will be an attempt to pair at least one member of the blue team which each of the above attendings when they are on call. Please see attached expectations and additional readings.

Hartford Hospital- Orange Service (Emergency General Surgery)

Attendings: Ronen Elefant
                  Michael Hernon
                  Kristine Kelliher
                  Jessica Lee
                  Nishant Merchant

Residents: PGY 4, PGY 1, and additional PGY 1

All general surgical emergencies, with more complex and/or non-acute pathologies triaged to the appropriate surgical specialty

Goals and Objectives:

PGY 4 (8 week rotation): The goal for the chief resident is to successfully diagnose and treat general surgical emergencies which include, but are not limited to intraabdominal pathologies such as cholecystitis, appendicitis, diverticulitis, intestinal obstruction, pancreatitis and perforated viscus, as well as soft tissue infections. The resident will also gain competence in recognizing and managing the physiological derangements that are unique the Emergency General Surgery patient population. They will be expected to assist in the triage of surgical consults and reassignment of patients to the appropriate surgical specialists (eg. Bariatrics, Surgical Oncology, HBP or Colorectal). The chief resident will take call alongside their respective assigned attending and participate in a graded fashion with all operations.
PGY 1 (4 week rotation): The role of the junior resident is to help in the pre- and post-op management of the patients assigned to this team, and to participate in a graded fashion in the operating room. They will also participate in night call on a rotating basis with their class.

All surgical residents assigned to this rotation will participate in a weekly 2 hour educational conference that is combined with the Trauma and SICU services. This education session will include case discussions, journal club as well as didactics pertinent to all three surgical disciplines.