Cardiothoracic Surgery Rotation

This is a PGY-1 and PGY-4 rotation intended to give all residents a basic familiarity with cardiothoracic surgery as well as significant cardiothoracic ICU experience.

At the conclusion of the rotation, residents should be able to demonstrate:

  • Knowledge of the anatomy, physiology, and pathophysiologic conditions of the bean and great vessels which are amenable to surgical correction
  • The ability to appropriately manage patients with pathologic conditions of the heart and great vessels within the purview and context of general surgery training

General Surgery Rotation

The general surgery service provides a wide range of clinical experiences, with a particularly rich experience in minimally invasive surgery These services include laparoscopic cholecystectomy, common bile duct manipulation, laparoscopic appendectomy, as well as a wide range of advanced laparoscopic procedures. Cedars-Sinai is an international leader in endoscopic surgery, with major clinical and research programs.

During rotation on the general surgery service, experience will be gained in:

  • Gastrointestinal surgery
  • Minimal access surgery
  • Endocrine surgery
  • Abdominal surgery
  • Alimentary tract and digestive system
  • Liver, biliary tract and pancreas
  • Ambulatory surgery and outpatient care
  • Urologic surgery
  • Otolaryngology / head and neck surgery
  • Plastic surgery
  • Emergency room

Surgical Intensive Care Unit Rotation

Critical care experience is gained on a number of rotations including the Critical Care rotations in the PGY-1 and PGY-2 year.

The Surgical Intensive Care Unit (SICU) is a state-of-the-art 20-bed facility. Patients are cared for in individual rooms with full on-line computer capabilities including electronic record-keeping. The SICU team is headed by general surgery faculty and staffed by surgical residents and affiliating residents from anesthesia, obstetrics and gynecology and other programs.

As part of the rotation, residents receive a structured educational program in surgical critical care, including weekly lectures and journal club. In addition, residents also receive Advanced Trauma Life Support training.

The Critical Care Service also sponsors a Critical Care Fellowship under the direction of Daniel Margulies, MD, FACS.

At the end of this rotation, residents should able to demonstrate:

  • Knowledge of the principles associated with the diagnosis and management of critically-ill patients including knowledge of simple and complex multiple organ system normalities and abnormalities
  • The ability to appropriately diagnose and treat patients with interrelated system disorders in the intensive care unit

Surgical Oncology Rotation

This service includes General and Thoracic Surgical Oncology.

At the end of this rotation, the resident should be able to:

  • Demonstrate understanding of the biology, pathology, diagnosis, treatment, and prognosis of neoplastic diseases
  • Demonstrate proficiency in diagnosis, preparation, operative treatment, and total management of the cancer patient including long-term follow-up care
  • Demonstrate medical knowledge about oncologic surgery is gained during rounds, in the operating room and at conferences

Transplant Rotation

At the end of the transplant surgery rotation, residents will be able to demonstrate:

  • An understanding of general immunological principles and their application to surgical practice
  • An understanding of the principles of care for patients with abnormal immune function who are undergoing general surgery procedures
  • An understanding of the emerging field of molecular biology and the novel immune therapies having potential application to clinical surgery

Organ Transplantation

Following this unit, residents should be able to demonstrate:

  • An understanding of the history of clinical transplantation and interpret the guidelines for preparing patients for organ transplantation.
  • A working understanding of the fundamental immunologic principles governing organ transplantation and immunosuppression. Demonstrate understanding of the potential metabolic, physiologic, and malignant side effects of immunosuppressants.

Trauma Surgery Rotation

The Trauma Service at Cedars-Sinai Medical Center is fully accredited Level I Trauma service, 1 of only 4 in Los Angeles County.

The Trauma Service, under the responsibility of a general surgery team, is comprised of surgical residents with around-the-clock faculty support. There is a steady volume of patients with major injuries, of which 91 percent are blunt and 9 percent are penetrating.

Residents collaborate closely with other services including neurosurgery and orthopaedic surgery for the optimal care of these patients. Such collaboration is fostered by the rotation on neurosurgery in the first year.

At the end of this rotation, residents should be able to demonstrate:

  • An understanding of the pathophysiologic effect of blunt and penetrating trauma
  • The ability to effectively manage the surgical care of a patient with complex multi-system injuries

A knowledge of and ability to manage a variety of healthcare services for trauma patients, such as transportation, emergency room and in-hospital care and rehabilitation.