Residents treat a patient while rotating on the pediatric surgical service. Post-Graduate Year 1 (PGY1): The internship provides an extensive experience in the essentials of pre- and postoperative care for the general surgery patient. First-year residents become competent in managing critically ill patients, and they begin to develop technical skills in operative surgery. The PGY1 year includes rotations in the core general surgery services of Endocrine/Oncologic Surgery, Hepatobiliary Surgery, Colorectal Surgery, Thoracic Surgery, Transplant Surgery and Vascular Surgery. Rotations in Plastic and Reconstructive Surgery, Pediatric Surgery, and in the Surgical Intensive Care Unit also are provided in the first year. The majority of the PGY1 rotations are scheduled at Barnes-Jewish Hospital.
Post-Graduate Year 2 (PGY2): In the second year, clinical responsibility and operative experience increase. The PGY2 schedule includes rotations in Acute and Critical Care Surgery, Endocrine/Oncologic Surgery, Minimally Invasive Surgery and Vascular Surgery. PGY2 residents also rotate at the St. Louis VA Medical Center on the General Surgery Service. In addition, there are rotations in the Surgical and Cardiothoracic ICUs, Pediatric Surgical Service. General Surgery PGY2 residents rotate at Barnes-Jewish Hospital and the St. Louis VA Medical Center-John Cochran Division. On many services, the PGY2 residetns see both the ED and inpatient consults.
Post-Graduate Year 3 (PGY3): The third year provides advanced experience on the general surgery services of Acute and Critical Care Surgery, Colorectal Surgery, Hepatobiliary Surgery, Transplant Surgery and Minimally Invasive Surgery. There also are rotations on Endoscopy, Thoracic, and Pediatric Surgery.
Post-Graduate Year 4 (PGY4): During the fourth clinical year of the program, the residents begin to act as chief residents on the Acute and Critical Care, Trauma and North General Surgery Services. On these services they often get the opportunity to take junior residents through operations. Other experience includes rotations on Thoracic, Pediatric Surgery (St. Louis Children's Hospital), and Barnes West County.
Post-Graduate Year 5 (PGY5) (Chief Resident): During the final year of the program, the resident rotates at Barnes-Jewish Hospital on the General Surgery Service and Colorectal Surgery Service, and on General Surgery at the VA Medical Center. Working under the guidance of attending surgeons, the chief resident is responsible for the administration of the service and actively participates in the organization of conferences and teaching junior surgical house officers and medical students.