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General Surgery Residency & Fellowships

Cleveland Clinic General Surgery Residency

residents

Cleveland Clinic's General Surgery Residency Program welcomes your interest in training here. This is a five-year, fully accredited, non-pyramidal program with 10 categorical positions per year, with the option of additional dedicated research or career development time. Our commitment is to train young surgeons to a high level of clinical, academic, and systems competence, becoming professional leaders throughout their career in this rapidly changing field.

Educational opportunities include patient evaluation and management, critical decision making, operative skills, clinical research, residency and hospital administration, medical student teaching, and a structured teaching program and conferences, providing our residents with a superior general surgery residency program.

These elements are the basis of the program with a large Surgical Staff with diverse clinical, research, and administrative expertise and interests. General Surgery continues to change and evolve with increased understanding of pathophysiology, enhanced technologies, and multi-disciplinary approaches to improving treatment outcomes. Our department is at the forefront of these advances, with a commitment to educate our residents become leaders in their chosen field.

We believe our Residency Program offers outstanding training which will equip you to practice the art and science of surgery.

John Fung, MD, PhD
Chair, Digestive Disease Institute

R. Matthew Walsh, MD
Chair, Department of General Surgery

Allan Siperstein, MD
Program Director, General Surgery

News

Congratulations to our 2012 graduating residents on their Fellowship and Staff placements:

Vikram Attaluri, Colorectal Surgery, Cleveland Clinic
Seong Bae, Bariatric and Laparoscopic Surgery, University of Southern California
Louisa Chiu, Surgical Oncology, City of Hope Cancer Center
Angel Farinas, Private Practice, Georgia
Roberto Ramirez, Clinical Associate, Cleveland Clinic
Kevin Shah, Hepato-Pancreato-Biliary Surgery, Duke University
Amit Sharma, Colorectal Surgery, University of Medicine and Dentistry, New Jersey
Nicole Sydow, Cardiothoracic Surgery, University of Arizona
Jessica Titus, Vascular Surgery, Cleveland Clinic

Congratulations to our PGY2 residents pursuing research fellowships this year:

Adam Mace, Colorectal Cancer Biology, Cleveland Clinic - Lerner Research Institute
Jeffrey Mino, Surgical Outcomes Clinical Research, Cleveland Clinic
Rosebel Monteiro, Endocrine Surgery Clinical Research, Cleveland Clinic
Trang Nguyen, Surgical Oncology, University of Pittsburgh
Jenny Pan, Surgical Oncology, National Institutes of Health - National Cancer Institute

Curriculum

Cleveland Clinic General Surgery Program Goals

Our commitment is to train young surgeons to a high level of clinical, academic, and systems competence, becoming professional leaders throughout their career in this rapidly changing field. Our goal is that our graduates excel in the six core competencies described by the ACGME:

  • Patient Care
  • Medical Knowledge
  • Practice Based Learning and Improvement
  • Interpersonal and Communication Skills
  • Professionalism
  • Systems Based Practice

As delineated below, our curriculum offers excellent training in all of these core areas. By mastering these competencies, our graduates will be surgical leaders throughout their career.

Mentorship

Each resident is paired with both a Staff Surgeon and a Senior Resident as mentors. Their role is to provide career counseling, ensure that each resident is developing well clinically, operating at the requisite skill level, developing research projects and publications, and filling leadership positions. More subtly, their role is to demonstrate a model for professionalism.

Research and Professional Development

The research opportunities at the Cleveland Clinic are outstanding – and thus all residents are expected to be productive in clinical research throughout their residency. You will have access to our multiple institutional databases, electronic medical record which houses our massive clinical experience, and national databases. Resident travel to present research at national conferences is supported and fully funded, allowing you to make national contacts among surgical leaders early and often. Surgical innovation has complete institutional support. For interested residents, dedicated research and professional development time between the PGY-2 and 3 may be taken; roughly a quarter of our residents add one or more years of professional development to their five year residency. Activity in research ensures our residents are not only up to date in their medical and surgical knowledge, but advance the field.

Leadership Development

Professional leadership is developed through teaching and service. Many of our residents have received an academic appointment at the Cleveland Clinic Lerner College of Medicine through hands on teaching first year and third year of medical students in the anatomy lab. Appointment to academic and hospital committees is strongly encouraged to demonstrate leadership, develop inter-departmental relationships, and develop an understanding of hospital systems. Our residents have a strong history of leadership on the house staff association, often holding multiple positions. Two Administrative Chief Residents are chosen each year and are given broad responsibility in managing the residency program.

Clinical Training

Experience

Our training philosophy is involving all members of the teams in all phases of patient care at all times – pre operative decision making in the clinic or in consultation, in the operating room, and post-operative care. Experience is gained by operating on skill appropriate cases at our high volume quaternary care hospital, community hospitals, and ambulatory surgery centers. Leadership is developed by conferring a high level of responsibility early in the training program with progressive autonomy and responsibility. The most senior resident on a service is charged with assigning operative cases to residents and fellows, ensuring an optimal experience that is tailored to each resident.

Operative Case Volumes
Categories Minimum CCF 2006-2011 CCF 2011
Skin, Soft Tissue & Breast 25 78 93
Head & Neck 24 60 65
Alimentary Tract 24 206 254
Abdomen 65 230 316
Liver 4 18 15
Pancreas 3 22 16
Vascular 44 89 116
Endocrine 8 37 33
Trauma-Operative 10 21 20
Trauma-Non-Operative 20 76 76
Thoracic 15 26 28
Pediatric 20 48 41
Plastic 5 22 24
Laparoscopy-Basic 60 122 142
Laparoscopy-Complex 25 82 94
Flexible Endoscopy 85 159 174
Total Major 750 951 970
Total Chief 150 227 231
Junior Resident Rotations

Junior residents participate in one month rotations across the full spectrum of the general surgery subspecialties. Junior residents are expected to become technically proficient in bedside procedures, surgical ultrasonography, moderately complex laparoscopy, endoscopy, and moderately complex open surgery. At the completion of the junior years, residents are expected to be proficient in assessment of surgical risk, preoperative medical optimization, postoperative care of medically complex patients, surgical nutrition, and management of the critically ill or injured patient.

Surgical decision making is taught early by PGY-1 residents taking primary responsibility for inpatient consultations. Surgical technique is taught in our high-volume operating rooms by staff surgeons, with junior residents taking primary responsibility on routine cases and secondary responsibility on complex cases.

PGY-2 residents continue with increased responsibility and expectations in and out of the operating room. The PGY-2 is the senior resident on the Breast Surgery service and in the SICU, developing interpersonal and clinical leadership skills early in the training process.

Midlevel Rotations

The PGY-3 year focuses on building on leadership skills attained in PGY 1 and 2, developing surgical decision making on high-complexity and redo operations and fine-tuning operative skills in preparation for the senior years. The PGY-3 resident is the senior resident on the Pediatric Surgery service, the Cleveland Clinic Night Float service, and the community hospital Trauma service. Additional rotations in the surgical subspecialties including Endoscopic and Minimally Invasive, Colorectal and Vascular Surgery.

Senior Rotations

The senior rotations are designed to put the finishing touches on our residents by giving them fellow-level experience and autonomy. Most senior rotations are extended to 10 weeks allowing close relationships to flourish with the staff surgeons. PGY-4 residents are service chiefs on the Liver Transplant, Endoscopic and Minimally Invasive Surgery, Metrohealth Trauma, and Endocrine Surgery services, with additional experience in the subspecialties. PGY-5 residents are acting fellows on the Colorectal and Vascular Surgery services, and chiefs on the Hepato-Pancreato-Biliary and General Surgery services.

Surgery Simulation

The Cleveland Clinic Center for Multidisciplinary Simulation has laparoscopy, flexible endoscopy, and endovascular surgery simulators, in addition to being a Fundamentals of Laparoscopic Surgery (FLS) training and testing site. In conjunction with the University Hospital/Case General Surgery residency we host a live laparoscopy course four times per year taught by endoscopic experts from both hospitals.

Night Float Call Format

All hospitals and services have a night-float or home call system. This format allows all team members operate in skill appropriate cases, providing longitudinal care of patients, and dedicate time to research projects, leadership positions, and knowledge base development. When not on night-float, junior residents typically take call two weekends per month and senior residents take call one or two weekends per month.

Clinical Conferences

Morbidity and Mortality Conference

Each week the chief residents electronically report cases for the M&M conference. The conference faculty moderator selects cases for presentation based on their teaching merit, and moderates the discussion. The most senior resident who operated on the patient presents the case, focusing on the clinical decision making, why the complication occurred, how the case could have been managed differently, and a review of the relevant literature. The focus of the conference is improving clinical decision making to improve patient care. Each hospital holds its own M&M conference.

Grand Rounds

These hour and a half seminars by faculty and visitors are diverse presentations aimed at both faculty and residents. Presentations are on a broad range of topics, including clinical topic updates, world health, surgical history, etc. These are broadcast to Hillcrest and Fairview hospitals.

Cleveland Clinic Conferences

Our residents may attend high-level, multidisciplinary conferences taught by our world-renowned faculty aimed at practicing digestive, vascular, oncologic and endocrine disease specialists. These combine clinical management updates by thought leaders, hands-on skills development, and quality and patient safety developments.

PGY-1 Fundamentals of Surgery Seminar Series

Residents arrive as PGY-1’s with range of knowledge and clinical experience. All General Surgery, Urology, Orthopedic Surgery, Otorhinolaryngology, and Integrated Vascular Surgery residents have a year long curriculum with weekly reading topics and didactic seminars. These are broadcast to Hillcrest and Fairview hospitals.

PGY-2-PGY-5 Conference

Every Wednesday after M&M conference, all PGY-2 through PGY-5 residents attend a three hour educational conference involving lectures by staff, case presentations by a senior resident, and journal articles presented by junior residents. The curriculum for this conference takes place on a two-year revolving schedule. Simulation lab training also occurs during this time once monthly. This is protected education time where all residents are excused from their clinical responsibilities.

Service Specific Conferences

Each service holds its own pre-operative clinical decision making conferences (weekly) and journal clubs (monthly).

Board Review Conference

PGY-5 residents have a weekly board review conference with the curriculum based on the SESAP series.

Structured Curriculum

The SCORE curriculum is the basis for our weekly junior and senior resident reading series, as well as rotation specific learning goals.

Board Passage Rates

The American Board of Surgery publishes board passage rates for every program annually. For the Cleveland Clinic General Surgery Residency, cumulative first time board passage rates 2005-2010 for n = 19 residents: qualifying exam 100%, certifying exam 84%. National rates over the same period of time run in the high 70%s for both exams.

FAQ
What are your resident employment benefits?

Residents are Cleveland Clinic employees with standardized salaries and other benefits.

What opportunities are at Cleveland Clinic for my significant other?

Cleveland Clinic is the largest private employer in Northeast Ohio with over 39,000 employees. We have myriad training programs for physicians, biomedical researchers, and employment opportunities for physicians, researchers, nurses, physician assistants, pharmacists, allied health professionals, business professionals, information technology professionals, and other fields.

How many residents are in your program?

We are approved for 10 categorical residents per year for five clinical years. A varying number of our categorical residents take additional dedicated time for research or professional development. Additionally, we are approved for 5 PGY-1 non-designated preliminary residents and 4 PGY-2 non-designated preliminary residents.

What are you looking for in an applicant?

We are looking for outstanding individuals to immerse in a high volume surgical environment that offers high quality, scientifically advanced care in an economically savvy environment. We seek the most promising surgeons as demonstrated by leadership abilities, academic productiveness, knowledge base, and positive personal qualities among applicants from diverse backgrounds.

Who makes up the PGY-1 surgery class?

Our PGY-1 class is made up of PGY-1 General Surgery residents, Integrated Vascular Surgery, Urology, Orthopedic, ENT, and Non-Designated Preliminary Surgery residents. There is a different set of rotations across the subspecialties for each resident group designed to meet the learning needs of each specialty.

What is your application process?

Cleveland Clinic has minimum requirements for resident application and employment, all of which are required in the standard ERAS application. We have no secondary application form. We review every submitted application completely and carefully, and a selected group is offered on-site interviews.

What are your NRMP program codes?

Categorical General Surgery 1968440C0
Non-Designated Preliminary Surgery 1968440P0

Cleveland Clinic is a large facility, how do I find my way around?

While Cleveland Clinic has a large campus, it is easily walkable from the visitor parking garages and the two on campus hotels: the InterContinental Hotel and the InterContinental Suites. The General Surgery offices are on the tenth floor of the A building (desk A100).

Locations

Training Environment

Our residents develop a rich clinical experience across the spectrum of surgical practice: a quaternary care research hospital, high volume community hospitals, the major regional trauma center and safety net hospital, and ambulatory surgical centers. All of our locations have excellent nursing, case managers, ancillary staff levels (with physician assistant support on the high volume services) allowing residents to concentrate on their role as surgeons. Approximately two thirds of each year is spent at Cleveland Clinic and one third at the remaining sites.

Cleveland Clinic

Cleveland Clinic was founded in 1921 by George Crile Sr., a general and endocrine surgeon; Frank Bunts, a neurosurgeon; William Lower, an urologist; and John Phillips, an internist. It was a new kind of medical center: a physician-lead, not-for-profit, integrated hospital and group practice, equally dedicated to patient care, research, and education. Cleveland Clinic quickly became a world renowned training hospital, medical school and research institute, known for offering the most advanced medical care.

Cleveland Clinic's main campus consists of 41 buildings and more than 85 operating rooms, with constant expansion and renovation. Cleveland Clinic’s subspecialty surgeons are at the forefront of surgical care and are behind its reputation as a top-ranked, quaternary care hospital with an international referral base, and high volume critical care transfer service, that cares for the most complex patients. Cleveland Clinic main campus’s program director is Sricharan Chalikonda, MD. General Surgery residents operate with high volume surgeons across the subspecialties, with a high proportion of advanced laparoscopic, endoscopic, and reoperative cases.

Cleveland Clinic is immediately adjacent to the University Circle Neighborhood, home of the Case Western Reserve University, the Cleveland Orchestra, and the Cleveland Museum of Art. Cleveland Clinic is centrally located and accessible from the downtown, east, and west side residential neighborhoods.

Fairview Hospital

Fairview Hospital is a busy community hospital and Level 2 Trauma Center on Cleveland’s west side. Fairview Hospital’s surgeons are Cleveland Clinic Staff in the General, Colorectal, and Vascular Surgery departments with high volume clinical practices. The site director is Diya Alaedeen, MD. General Surgery Residents operate on all General, Colorectal, Breast, Endovascular, and Vascular Surgery cases and run the SICU and Trauma team.

Located on Cleveland’s west side, Fairview Hospital directly overlooks Rocky River Reservation, the largest of Cleveland’s extensive system of Metroparks, and is close to Lakewood’s restaurants and the Crocker Park Mall.

Hillcrest Hospital

Hillcrest Hospital is a busy community hospital and Level 2 Trauma Center on Cleveland’s east side. Hillcrest Hospital’s surgeons are Cleveland Clinic Staff in the General Surgery department with high volume clinical practices. The site director is John Dorsky, MD. General Surgery Residents operate on all General Surgery cases and run the SICU and Trauma team.

Located on Cleveland’s east side, Hillcrest is easily accessed via freeway and is close to the Beachwood Place, and Legacy Village malls.

MetroHealth Medical Center

MetroHealth Medical Center is an academic health system, the regional Level 1 Trauma and Burn Center, and the regional safety net hospital on Cleveland’s south side. MetroHealth Medical Center’s staff surgeons are all professors at Case Western Reserve University Medical School. There is a full compliment of weekly academic clinical conferences, including Morbidity & Mortality conference, Grand Rounds, Trauma Lecture Series and Critical Care Journal Club. The Trauma Service has two teams, one run by a Cleveland Clinic General Surgery PGY-4 resident and the other run by a University Hospitals Case Medical Center General Surgery PGY-4 resident. The Trauma ICU is run by one PGY-2 resident from the Cleveland Clinic and one PGY-2 from University Hospitals Case Medical Center. As the regional Level 1 Trauma Center, MetroHealth Medical Center cares for the region’s highest acuity trauma patients.

Located on Cleveland’s south side, Metrohealth is near the Tremont and Ohio City neighborhoods with their extensive restaurants and cafes.

Beachwood and Strongsville Family Health and Surgery Centers

Beachwood and Strongsville Family Health and Surgery Centers are ambulatory surgery centers staffed by Cleveland Clinic Main Campus surgeons. Residents perform endoscopy and operate on General and Breast Surgery cases in a fast track surgery environment.

Current Residents

PGY-1

Djurabek Babadjanov, Tashkent Medical Institute
Nicholas Bruns, Rush Medical College
Julietta Chang, Washington University School of Medicine
Kathryn Fong, SUNY Buffalo School of Medicine
Colin Gause, University of Maryland Medical School
Georgios Karagkounis,University of Athens
Hari Keshava, Case Western Reserve University School of Medicine
June Peng, Johns Hopkins University School of Medicine
Louis Ross, Case Western Reserve University School of Medicine
Antonios Sideris, University of Athens

PGY-2

Avery Capone, Georgetown University
Matthew Dong, Tufts University
Priya Iyer, Drexel University
Daniel Joyce, Royal College of Surgeons, Ireland
Michael Liu , Cleveland Clinic Lerner College of Medicine
Jay Mittal, University of Pennsylvania
Naftali Presser, University of California, San Francisco
David Reznick, Case Western Reserve University
Robert Steffen, University of Minnesota
Jey Yung, University of Virginia

PGY-3

Naveen Balasundaram, Stanley Medical College
Billy Lan, Tufts University
Jose Lozada, Case Western Reserve University
Adam Mace, Case Western Reserve University
Jeffrey Mino, University of Medicine and Dentistry, New Jersey
Rosebel Monteiro, University of Medicine and Dentistry, New Jersey
Neil Moores, Albany Medical College
Trang Nguyen, Surgical Oncology, Johns Hopkins University
Jenny Pan, New York University
Sherief Shawki, Suez Canal University

PGY-4

Shohrat Annaberdyev, Case Western Reserve University
Sofya Asfaw, Southern Illinois University
Ronald Charles, Cornell University
Robert Cornateanu, Ben Gurion University
Gavin Falk, Royal College of Surgeons, Ireland
Amy Hiuser, Medical University of the Americas
Joshua Nash, West Virginia University
Samilia Obeng-Gyasi, University of Michigan
Nishant Raj, Ross University
Samir Shah, Baylor University

PGY-5

Christian Cruz Pico, Saint Francis University of Quito
Neil Gibson, Howard University
Samuel Ibrahim, Ain-Shams University
Neilendu Kundu, Northeastern Ohio University
Jean Pierre Martucci, Central University of Venezuela
Isaac Motamarry, Ross University
Omer Nasir, University of Baghdad
Viet Phuong, University of Texas Southwestern
John Rodriguez, Central University of Venezuela
Hue Thai, University of Washington

Research

Adam Mace, Colorectal Cancer Biology, Cleveland Clinic - Lerner Research Institute
Jeffrey Mino, Surgical Outcomes Clinical Research, Cleveland Clinic
Rosebel Monteiro, Endocrine Surgery Clinical Research, Cleveland Clinic
Trang Nguyen, Surgical Oncology, University of Pittsburgh
Jenny Pan, Surgical Oncology, National Institutes of Health - National Cancer Institute

Staff Surgeons

Residency Program Leadership

Acute Care and General Surgery

Breast Surgery

Colorectal Surgery

Endocrine Surgery

General Thoracic Surgery

Hepato-Pancreato-Biliary Surgery and Surgical Oncology

Kidney and Pancreas Transplant Surgery

Liver Transplant Surgery

Minimally Invasive and Bariatric Surgery

Minimally Invasive and General Surgery

Pediatric Surgery

Surgical Endoscopy

Vascular Surgery

Alumni Career Pathways

2012

   
Colorectal Surgery Cleveland Clinic
Vascular Surgery Cleveland Clinic
Surgical Oncology City of Hope Cancer Center
Bariatric and Laparoscopic Surgery University of Southern California
Hepato-Pancreato-Biliary Surgery Duke University
Cardiothoracic Surgery University of Arizona
Colorectal Surgery University of Medicine and Dentistry, New Jersey
Clinical Associate Cleveland Clinic
General Surgery Staff Private Practice

2011

   
Bariatric & Laparoscopic Surgery Cleveland Clinic
Cardiothoracic Surgery Cleveland Clinic
Endocrine Surgery University of California, San Francisco
General Surgery Staff Private Practice
Pediatric Surgery University of Calgary
Surgical Critical Care University of Pittsburgh
Surgical Critical Care Ohio State University
Surgical Endoscopy & Laparoscopy Cleveland Clinic
Vascular Surgery University Hospitals Case Medical Center

2010

   
Breast Surgery Massachusetts General Hospital
Craniofacial Surgery & Plastic Surgery Cleveland Clinic & University of Cincinnati
General Surgery Staff Cleveland Clinic
General Surgery Staff United States Navy
Laparoscopy & Bariatric Surgery University of California, San Diego
Laparoscopy & Bariatric Surgery Cleveland Clinic
Multi-Organ Transplant Surgery University of Washington
Surgical Critical Care Ohio State University
Vascular Surgery Southern Illinois University

2009

   
Bariatric & Laparoscopic Surgery University of South Florida
Breast Surgery University of California, San Francisco
General Surgery Staff United States Army
General Surgery Staff United States Air Force
Plastic Surgery Cleveland Clinic

2008

   
Hepato-Pancreato-Biliary Surgery Cleveland Clinic
Multi-Organ Transplant Surgery Emory University
Surgical Oncology Fox Chase Cancer Center
Surgical Oncology Ohio State University

2007

   
Bariatric & Laparoscopic Surgery University of Colorado
General Surgery Staff United States Navy
Surgical Endoscopy & Laparoscopy Cleveland Clinic
Vascular Surgery & Surgical Critical Care Cleveland Clinic & Emory University

2006

   
Cardiothoracic Surgery Beth Israel Deaconess Medical Center
Endocrine Surgery Cleveland Clinic
Hepato-Pancreato-Biliary Surgery Cleveland Clinic
Plastic Surgery Cleveland Clinic
Contact Us
General Surgery Residency

Janine Keough
Administrator
216.444.2009
Fax: 216.445.7653
keoughj@ccf.org

Lisa Paciorek Donkin
Residency Coordinator
216.444.1754
paciorl@ccf.org

Lea Smith
Residency Coordinator
216.636.9297
smithl24@ccf.org

Medical Student Rotations

Sharon Preztak
Medical Student Surgical Education Coordinator
216.445.0633
preztas@ccf.org

Graduate Medical Education

Main Office
216.444.5690
1.800.323.9259
Fax: 216.444.6112

Cleveland Clinic Operator

216.444.2200

Schedule an Appointment Online

Call us for an Appointment

To find a digestive specialist for your needs, contact the Digestive Disease Institute at 216.444.7000 (or toll-free 1.800.223.2273, ext. 47000)

Same-day Appointments

To arrange a same-day visit, call 216.444.7000

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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