PGY 1 general surgery residents at Indiana University rotate at all five downtown facilities – University Hospital, Methodist Hospital, Roudebush VA, Riley Children’s Hospital, and Eskenazi Hospital. The PGY 1 resident functions as a member of his or her assigned surgical care team. PGY 1 responsibilities include evaluating and planning for treatment of patients, attending rounds, outpatient clinics, and conferences, assisting in the operating room, and participating as a member of the educational staff for junior and senior medical students during their surgical clerkships.
PGY 1 house staff require indirect supervision at minimum by more senior house staff and faculty attendings. PGY 1 residents are taught to assume daily primary care responsibility for patients on their service, to understand complex problems of critically ill patients, and perform mandated interventions when necessary. All PGY 1 residents acquire Advanced Trauma Life Support during their PGY 1 year through the Eskenazi Hospital Trauma Department.
The main goal of the PGY 1 year is to make sure the trainee understands the principles of pre and post-operative care. PGY 1 residents should gain valuable insight in the operating room as both first assistant and surgeon junior while being directly supervised by faculty attendings or senior residents. PGY 1 residents on average take call every fourth night at Methodist Hospital and Riley Children’s Hospital, and alternating weekend call at Eskenazi, VA, and University. All PGY 1 residents participate in a month long block of night float.
All PGY 1 trainees, regardless of categorical or preliminary match status, gain corresponding exposure and experience during their first year in general, vascular, pediatric, transplant, and trauma surgery, as well as exposure and experience in the SICU. Other surgery services include introductions to hepatobiliary, breast, endocrine, colon-rectal, thoracic, and oncology surgery. Rotations for all PGY 1 residents are currently one-month long. Rotations are not to exceed the 80 hour work week, thus a night float system at three of our facilities (University, Methodist, and Eskenazi) has been incorporated into the schedule.
Current PGY 1 Rotations
- IU Team A (General Surgery/HPB)
- IU Team B (General Surgery/Colorectal)
- IU Team C (General Surgery/HPB)
- IU Team D (General Surgery/Endocrine)
- IU Transplant
- Night Float (IU)
- Riley Hospital (Pediatric Surgery)
- VA General Surgery
- ESK SICU
- ESK 1 (General Surgery)
- ESK 2 (General Surgery)
- ESK 3 (Trauma Surgery)
- MH Trauma
- MH Green A (General Surgery)
- MH Green B (General Surgery)
- MH Emergency General Surgery
Rotations are always subject to change. Categorical intern rotation schedules are often "super blocked," giving more opportunities for continuity of care along with developing relationships with operative faculty in order to gain the most possible out of the rotation. Example: Intern A could have two blocks of VA G and IU A and Intern B could have two blocks of MH Green A and IU C. Any rotations that are super blocked together are done in a way to ensure all residents receive equitable educational value, despite being at different hospitals.
- IU – University Hospital
- ESK – Eskenazi Hospital
- VA – Veterans Affairs Hospital
- Riley – IU Health Riley Children’s Hospital
- MH – Methodist Hospital