Ascension St. John Hospital Surgery Residency

Ascension St. John Hospital offers a five-year residency training program in General Surgery. Ascension St. John Hospital is a 776-bed teaching facility that includes 66 intensive care beds. The surgical program is oriented to meet the requirements of Accreditation Council for Graduate Medical Education, the American College of Surgeons and the American Board of Surgery. The Department of Surgery has been at the forefront of all technical changes in the past few decades. The first laparoscopic cholecystectomy is Michigan was performed in our operating rooms. We were also amongst the first hospitals in the nation to do Aortic stent grafts. We now have a Da Vinci Robotic system for robotic surgery. It is the only hospital in Michigan with an advanced laparoscopy fellowship. This is a hands-on program with supervised operative experience from very early on. Our chief residents were in the 90th percentile in all categories of operative experience required by the American College of Surgeons. In addition to being a tertiary referral center for the Ascension St. John Health System, Ascension St. John Hospital is also a regional trauma center and a regional surgical oncology center. The hospital and the teaching staff are deeply committed to your education.

The program concentrates its educational thrust at the following required prime components:

• head and neck
• alimentary tract
• abdomen and its contents
• breast, skin and soft tissue
• peripheral vascular system
• trauma to include musculoskeletal system and head injuries
• endocrine system
• surgical oncology
• complete care of the critically ill

In addition to the prime components, further essential knowledge in the basic areas of education is required, including:

• wound healing
• hemostasis and blood disorders
• immunobiology
• oncology and transplantation
• shock
• circulatory physiology
• surgical bacteriology
• muscle and bone mechanics and physiology
• respiratory physiology
• genito-urinary physiology
• gastrointestinal physiology
• surgical endocrinology
• surgical nutrition
• fluid and electrolyte balance
• metabolic response to injury
• surgical anatomy
• surgical pathology

The program is organized with the objective of a bedside and direct clinical approach in teaching residents to give them a complete training experience in the care of surgical problems. As the skills and knowledge of residents grow, they are given the opportunity to perform surgery commensurate with their skill, under supervision. As residents progress through the five years of training, each year offers more responsibility. In addition to acquiring professional knowledge, residents are made aware of the high moral and ethical standards required of the surgeon. Upon completion of this training, they will be fully trained, competent surgeons.

The surgical training program is under the direction of the Program Director who, in cooperation with the assistant program directors, outlines the entire prospectus for the five years of training, arranges the services and their composition, arranges the clinical conference topics and delegates speakers and attending surgeons to the task of carrying out these assignments.

The Program Director takes an active part in all parameters of the program, evaluating the attending teaching staff as to their teaching effectiveness and intermittently evaluating the progress of each resident.

Evaluation of the resident staff includes:

• American Board of Surgery In-Training Examination
• Monthly surgical text review examination
• Basic science written examination
• Mock oral board examination for senior residents

All surgical staff members are certified by the American Board of Surgery. All are highly qualified and keenly interested in the teaching program. The members of the surgical staff have specific teaching assignments and responsibilities in furthering the quality of the program. Many members hold faculty rank at Wayne State University School of Medicine. There are highly qualified and excellent teaching staff in the subspecialty services of orthopedics, neurosurgery, thoracic surgery, plastic surgery, urology, pediatric surgery, hand surgery, and transplant surgery.

The Chief of Surgery is responsible for the quality of the residency training program including the performance of the surgical staff and the overall supervision of the residency training program.