Clinical Rotations

Dr. Raghavendran and general surgery trainees
General Surgeons in the Operating Room.
Dr. Hughes in the operating room

University of Michigan surgical training will become the signature of American surgical leadership.

To accomplish this, our aims are to:

  • Develop outstanding technical skills and mature clinical judgment by combining simulation training, broad operative exposure, formative feedback, and a deliberate focus on the development of autonomy.
  • Provide the opportunity, training, and mentorship to launch an academic career grounded in effective collaborations and substantive research contributions.
  • Develop residents as highly-professional leaders of health care teams and other organizations.
  • Use preparation, opportunity, and feedback to develop outstanding educators of all learners (including peers, patients, and self) over the arc of their career.
  • Promote a culture of constant quality improvement for health care systems.
  • Encourage work/life balance, personal insight, and wellness to sustain a career in surgery characterized by genuine compassion and service to patients.
  • Support all individuals to reach their highest potential within an inclusive and collaborative community.

Clinical Rotation Schedule

House Officer Level: PGY 1

Block 1 & 2: VA General & Vascular Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 3: Acute Care Surgery, Trauma and Acute Care Surgery (SA 1/2)

Site: University of Michigan Hospitals

Block 4: Endocrine Surgery and Minimally Invasive Surgery (Blue)

Site: University of Michigan Hospitals

Block 5: Colorectal Surgery (Maize)

Site: University of Michigan Hospitals

Block 6: Pediatric Surgery

Site: University of Michigan Hospitals

Block 7: Plastic Surgery

Site: University of Michigan Hospitals

Block 8: Vascular Surgery

Site: University of Michigan Hospitals

Block 9: Surgical Intensive Care Unit

Site: University of Michigan Hospitals

Block 10: Transplant Surgery (STX)

Site: University of Michigan Hospitals

Block 11 & 12: Hepatopancreaticobiliary Surgery & Surgical Oncology (White)

Site: University of Michigan Hospitals

House Officer Level: PGY 2

Block 1 & 2: VA General & Vascular Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 3 & 4: Acute Care Surgery, Trauma and Acute Care Surgery (SA 1/2)

Site: University of Michigan Hospitals

Block 5: Endocrine Surgery and Minimally Invasive Surgery (Blue)

Site: University of Michigan Hospitals

Block 6 & 7: Colorectal Surgery (Maize)

Site: University of Michigan Hospitals

Block 8: Pediatric Surgery

Site: University of Michigan Hospitals

Block 9: Hepatopancreaticobiliary Surgery & Surgical Oncology (White)

Site: University of Michigan Hospitals

Block 10: Float

Site: University of Michigan Hospitals

Block 11: Surgical Intensive Care Unit

Site: University of Michigan Hospitals

Block 12: Anesthesiology

Site: University of Michigan Hospitals

House Officer Level: PGY 3

Block 1: VA General Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 2: VA Vascular Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 3 & 4: Acute Care Surgery, Trauma and Acute Care Surgery (SA 1/2)

Site: University of Michigan Hospitals

Block 5: Cardiac Surgery

Site: University of Michigan Hospitals

Block 6: Endocrine Surgery and Minimally Invasive Surgery (Blue)

Site: University of Michigan Hospitals

Block 7: Vascular Surgery

Site: University of Michigan Hospitals

Block 8: Surgical Intensive Care Unit

Site: University of Michigan Hospitals

Block 9: Burn Surgery

Site: University of Michigan Hospitals

Block 10: Transplant Surgery

Site: University of Michigan Hospitals

Block 11: General Thoracic Surgery

Site: University of Michigan Hospitals

Block 12: Pediatric Surgery

Site: University of Michigan Hospitals

House Officer Level: PGY 4

Block 1: Trauma and Acute Care Surgery (Hurley)

Site: Hurley Medical Center (Flint, MI)

Block 2, 3, 4, 5: Acute Care Surgery, Trauma and Acute Care Surgery (SA 1/2)

Site: University of Michigan Hospitals

Block 6: Endocrine Surgery and Minimally Invasive Surgery (Blue)

Site: University of Michigan Hospitals

Block 7 & 8: Colorectal Surgery (Maize)

Site: University of Michigan Hospitals

Block 9: Transplant Surgery

Site: University of Michigan Hospitals

Block 10 & 11: Surgical Oncology (White)

Site: University of Michigan Hospitals

Block 12: Float

Site: University of Michigan Hospitals

House Officer Level: PGY 5

Block 1 & 2: VA General Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 3: VA Vascular Surgery

Site: Ann Arbor Veteran’s Administration Hospital

Block 4 & 5: Acute Care Surgery (SA 1)

Site: University of Michigan Hospitals

Block 6 & 7: Endocrine Surgery and Minimally Invasive Surgery (Blue)

Site: University of Michigan Hospitals

Block 8 & 9: Hepatopancreaticobiliary Surgery (White)

Site: University of Michigan Hospitals

Block 10: Colorectal Surgery (Maize)

Site: University of Michigan Hospitals

Block 11: Vascular Surgery

Site: University of Michigan Hospitals

Block 12: General Thoracic Surgery

Site: University of Michigan Hospitals

 

Residents typically have 2 years of Academic Development Time (ADT) between the PGY 3 and PGY 4 clinical years of training. For House Officers at ADT1 and ADT2 level, blocks 1 through 12 include 0% outpatient and 100% research.

“I feel very lucky to have the opportunity to train at a program that perfectly balances excellence in patient care, teaching, research, and innovation. In the short time that I have been here I have felt a real sense of family among the faculty and residents, from my co-interns to the highest ranks within the department. For these reasons, I know that the University of Michigan is an institution that will always push me to be the best physician that I can be.”

Ton Wang, M.D., General Surgery Residency

Explore each level of the clinical rotations during the 5-year clinical pathway of our residency:

General Surgery White

Divisions of Hepatopancreatobiliary and Gastrointestinal Surgery and Surgical Oncology 

  • Typical Resident Complement: Chief resident (5th year), senior resident (4th year), and two junior residents (2nd or 1st year)
  • Primary Clinical Content: Advanced hepatobiliary, pancreas, foregut; surgical oncology (breast, melanoma, sarcoma, other major GI oncology)
  • Didactic Conference: Weekly GI Surgery Journal Club, weekly GI Tumor Board, monthly HPB teaching conference, weekly Breast Tumor Board, weekly Sarcoma Tumor Board

Sites: University Hospital, East Ann Arbor Surgery Center

General Surgery Blue

Divisions of Endocrine and Minimally Invasive Surgery

  • Typical Resident Complement: Chief resident (5th year), senior resident (4th and/or 3rd year), three junior residents (2nd or 1st year)
  • Primary Clinical Content: Thyroid, parathyroid, adrenal, endocrine pancreas, carcinoid, bariatric, minimally invasive (primarily ventral hernias/foregut)
  • Didactic Conferences: Weekly endocrine teaching conference, weekly multidiscliplinary endocrine oncology tumor board, weekly minimally invasive surgery journal club

Sites: University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, East Ann Arbor Surgery Center, Livonia Surgery

General Surgery Maize

Division of Colorectal Surgery 

  • Typical Resident Complement: Chief resident (5th year), senior resident (4th year), four junior residents (2nd and 1st year).
  • Primary Clinical Content: Malignant and benign colorectal, inflammatory bowel disease, pelvic floor disorders
  • Didactic Conferences: Weekly colorectal teaching conference

Sites: University Hospital, East Ann Arbor Surgery Center 

Acute Care Surgery Team 1 (SA 1)

  • Typical Resident Complement: Chief resident (5th year), senior resident (3rd year), and three junior residents (2nd year)
  • Primary Clinical Content: Emergency general surgery consultation service: broad range of emergency general surgery, including appendicitis, cholecystitis, small bowel obstruction, colorectal emergencies, necrotizing fasciitis, etc.

Sites: University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, Cardiovascular Center

Acute Care Surgery Team 2 (SA 2)

  • Typical Resident Complement: Three chief residents (4th year), five junior residents (2nd and 1st year)
  • Primary Clinical Content: Blunt/penetrating trauma, burns, critical care, emergency general surgery consults
  • Didactic Conferences: Weekly trauma teaching conference

Sites: University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, Cardiovascular Center  

Surgical Intensive Care (SICU)

  • Typical Resident Complement: Collaborative combination of surgery and anesthesia residents (one 3rd year, one 2nd year, and 1st year surgery resident)
  • Primary Clinical Content: Primary care of surgical intensive care patients. Primary aims are toward management of severe multi system organ system failure. Special clinical focus on Acute Respiratory Distress Syndrome (ARDS) and associated use of Extracorporeal Membrane Oxygenation (ECMO).
  • Didactic Conferences: Weekly lunchtime teaching conference, monthly Death and Complications conference

Site: University Hospital

Vascular Surgery: University of Michigan (SVA)

  • Typical Resident Complement: Chief resident (5th year), senior resident (3rd year), and five junior residents (1st year)
  • Primary Clinical Content: Basic and complex open and endovascular procedures including a large complement of open aortic surgery
  • Didactic Conferences: Bimonthly vascular surgery teaching conference

Site: Cardiovascular Center

General and Vascular Surgery: Ann Arbor VA Hospital (VAVG)

  • Typical Resident Complement: Chief resident (5th year), senior residents (3rd year), and junior residents (2nd and 1st year)
  • Primary Clinical Content: Provides full integration of vascular and general surgery patients in one service. Cases span the full spectrum of basic to complex on both the general and vascular components
  • Didactic Conferences: Weekly general surgery faculty/resident meeting. Full participation with general surgery activities at University Hospital

Site: Ann Arbor Veterans Administration Hospital

Cardiac Surgery: (CARDIAC)

  • Typical Resident Complement: One junior resident (3rd year)
  • Primary Clinical Content: Basic and complex open procedures for valvular heart disease, heart failure, and coronary artery disease
  • Didactic Conferences: Weekly cardiac teaching conference

Site: Cardiovascular Center

Adult General Thoracic Surgery: University Hospital (THOR)

  • Typical Resident Complement: Chief resident (5th year), junior resident (3rd year)
  • Primary Clinical Content: Full complement of adult thoracic surgery including an extensive experience in pulmonary and esophageal procedures. Surgical techniques include open, thoracoscopic, and robotic.
  • Didactic Conferences: Weekly interdisciplinary conferences, monthly journal club, and death and complications conference

Sites: University Hospital, Cardiovascular Center

Transplant Surgery (STX)

  • Typical Resident Complement: One senior resident (4th) or one mid-level resident (3rd year) and four junior residents (1st year)
  • Primary Clinical Content: Abdominal transplantation including kidney, liver, and pancreas. Also included strong component of HPB and organ procurement
  • Didactic Conference: Daily kidney/liver multidisciplinary rounds, weekly liver evaluation meeting

Sites: University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, Cardiovascular Center

Pediatric Surgery (PEDS)

  • Typical Resident Complement: One mid-level senior resident (3rd year), three junior residents (2nd year and 1st year)
  • Primary Clinical Content: Full spectrum of pediatric surgical disease in large, tertiary care setting
  • Didactic Conference: Weekly pediatric surgery death and complications conference, weekly teaching conference, and journal club

Site: C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital

Plastic Surgery (PLA)

  • Typical Resident Complement: One junior resident (1st year)
  • Primary Clinical Content: Basic and advanced plastic surgery including microsurgery and breast reconstruction
  • Didactic Conferences: Weekly teaching conference and weekly hand surgery education conference

Site: University Hospital

Anesthesiology (ANES)

  • Typical Resident Complement: One junior resident (2nd year)
  • Primary Clinical Content: Perioperative anesthesia management including extensive experience with airway management.
  • Didactic Conference: Daily teaching conference and weekly teaching session

Sites: University Hospital, Domino's Farms Pre-Operative Clinic

Burn

  • Typical Resident Complement: 3rd year general surgery or plastic surgery resident
  • Primary Clinical Content: surgical and medical treatment of acute and chronic burn patients over the full spectrum of severity.

Sites: University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, Cardiovascular Center 

 

FLOAT covers Vacations (7d) on relevant service, PGY 4 in ACS call pool at University Hospital, C.S. Mott Children's Hospital and VonVoigtlander Women's Hospital, East Ann Arbor Surgery Center, Livonia Surgery Center, and Cardiovascular Center.