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Fourth and Fifth Clinical Years

PGY 4 general surgery residents at Indiana University rotate at all five downtown facilities - University Hospital, Methodist Hospital, Roudebush VA, and Eskenazi Hospital.  They also rotate at our IU North facility located in Carmel (north side of Indianapolis).  The PGY 4 year sees the resident gaining an increased level of responsibility through consultation opportunities as the senior most resident on trauma, pediatric surgery,and apprentice rotations (colon rectal, hepatobiliary, surgical oncology, minimally invasive surgery).  The PGY 4 resident also sees an increase in their leadership role on assigned services as a senior level resident.

PGY 4 residents begin to take part in the aforementioned apprentice rotations, which are two consecutive blocks of a rotation where a PGY 4 or PGY 5 resident is assigned to one or two faculty member for the duration of the rotation.  The goal of this apprentice model is to increase autonomy given by the faculty member and increase technical ability by the resident in the operating room.  Half of the academic year is set up in an apprentice model, while the remainder of the year follows the one-month rotation set up in areas of trauma surgery, general surgery, endocrine, and pediatric surgery.  PGY 4 residents are also allowed an elective month for future career exploration.  Our international general surgery elective in Eldoret, Kenya (Moi University) is also an elective option during this year as long as the PGY 4 resident is in good standing as defined by the Department of Surgery.

All PGY 4 residents participate in a month long block of night float.  PGY 4 residents on average take call every fourth night at Riley Children’s Hospital, and alternating weekend call at Methodist, Eskenazi, VA, and University.  Rotations away from the downtown campus will be incorporated into either the Eskenazi or Methodist call pool, determined by the administrative chief residents. 


The final year of general surgery training at Indiana University is the Chief Resident year.  This year provides the PGY 5 resident senior-level responsibility in both clinical and operative decision making, as well as providing appropriate oversite for all house staff (PGY 1-4) and surgery clerkship students.  The PGY 5 resident is expected to take on both leadership and education role in teaching house staff (PGY 1-4) and medical students.  The PGY 5 resident is responsible for the management of all the patients on their service.  All surgical consult requests from other departments are funneled through the PGY 5 resident. 

PGY 5 general surgery residents at Indiana University rotate at all five downtown facilities - University Hospital, Methodist Hospital, Roudebush VA, and Eskenazi Hospital.  They also rotate at our IU North facility located in Carmel (north side of Indianapolis). 

PGY 5 residents begin to take part in the aforementioned apprentice rotations, which are two consecutive blocks of a rotation where a PGY 4 or PGY 5 resident is assigned to one faculty member for the duration of the rotation.  The goal of this apprentice model is to increase autonomy given by the faculty member and increase technical ability by the resident in the operating room.  Half of the academic year is set up in an apprentice model, while the remainder of the year follows the one-month general surgery rotations. 

All PGY 5 residents participate in a month long block of night float.  PGY 5 residents take home-call at University Hospital, alternating weekend call at Methodist, Eskenazi, and VA. 

PGY 4 Rotations

  • HPB Apprentice Rotation (2 months)
  • Riley Hospital (Pediatric Surgery)
  • ESK 3 (Trauma Surgery)
  • MH Trauma Surgery
  • Riley Hospital (Pediatric Surgery)
  • Night Float (ESK or MH) 
  • ESK 4 (Vascular/Thoracic Surgery) 
  • MH Green B (General Surgery) 
  • MH Trauma (Trauma Surgery)
  • IU Team D (General/Endocrine Surgery)
  • Elective

PGY 5 Rotations

  • Colon-Rectal Apprentice Rotation
    (2 Months)
  • HPB Apprentice Rotation
    (2 months)
  • MIS Apprentice Rotation
    (2 months – can be done in lieu of 2 GS months)
  • General Surgery Rotation@ ESK, MH, or VA
    (4 months – 2 sites/ 2 consecutive blocks)
  • Night Float (ESK or MH)
  • MH Emergency General Surgery
  • Elective
  • IU North (General Surgery/MIS)

Hospital Abbreviations

  • IU – University Hospital
  • ESK – Eskenazi Hospital
  • VA – Veterans Affairs Hospital
  • Riley – IU Health Riley Children’s Hospital
  • MH – Methodist Hospital

 

Elective Options include but are not limited to:

  • IUH Ball Memorial in Muncie, Indiana - general surgery (housing provided)
  • Goshen Hospital in Goshen, Indiana - general surgery (housing provided)
  • Harrison County Hospital in Corydon, Indiana - rural general surgery (housing provided)
  • Plastic Surgery (main campuses)
  • Vascular Surgery (main campuses)
  • Colonrectal Surgery (St. Francis - Mooresville; PGY 4 only)
  • Cardiothoracic Surgery (main campuses)
  • IU Kenya/Eldoret (PGY 4 only)

Department of Surgery | 545 Barnhill Drive, Emerson Hall 203, Indianapolis, In 46202 | Phone: (317) 274-5771