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University of Nebraska Medical Center

Rotation Goals and Objectives

The general surgery residency at UNMC is designed to bolster skills in all learners to develop compassionate, effective leaders across surgical specialties and institutions of care. In addition to curricular and rotation-specific learning, experiences for all residents align with the following objectives:

  • Develop strategies to effectively care for the surgical patient at all stages from diagnosis to follow-up care.
  • Demonstrate comprehensive understanding of relevant anatomy and surgical options for given surgical procedures.
  • Perform operative procedures under scaffolded supervision that are appropriate for training level.
  • Engage in the perioperative evaluation and management of relevant conditions.
  • When necessary, coordinate intervention of multiple specialties necessary to successful management of the surgical patient.
  • Within the discipline and across specialties, serve as an effective surgical team leader across phases of care.
  • For given training level, effectively manage treatment of surgical patients at each phase of patient care.
  • Conduct initial patient evaluation
  • Identify and obtain appropriate diagnostic studies
  • Obtain indicated consultations
  • Create plan for appropriate management of patient care
  • If necessary, determine appropriate path of operative management based on indications for surgical intervention
  • Facilitate coordination and implementation of care for patients throughout the process
  • Perform relevant surgical procedures

Educational events to reach these broad learning objectives align with ACGME program requirements and follow the SCORE general surgery curriculum.

In addition to multiple evaluative tools to triangulate resident performance across post graduate years, the program holds semi-annual evaluations based on the ACGME Milestones.

Rotation Blocks

First Year
  • Block 1: GI/colorectal surgery, Nebraska Medicine
  • Block 2: Minimally invasive surgery, Nebraska Medicine
  • Block 3: Surgical oncology, Nebraska Medicine
  • Blocks 4 & 5: Emergency general surgery, Nebraska Medicine
  • Block 6: Night float, Nebraska Medicine
  • Block 7: Thoracic, Nebraska Medicine
  • Block 8: Vascular, Nebraska Medicine
  • Block 9: Plastics / burn, Nebraska Medicine
  • Blocks 10 & 11: General surgery, Methodist
  • Block 12: Pediatric surgery, Children's Nebraska
Second Year
  • Block 1: Minimally invasive surgery, Nebraska Medicine
  • Block 2: Endocrine / breast, Nebraska Medicine
  • Block 3: Critical care anesthesia, Nebraska Medicine
  • Blocks 4 & 5: Trauma, Nebraska Medicine
  • Blocks 6 & 7: Critical care surgery, Nebraska Medicine
  • Block 8: Night float, Nebraska Medicine
  • Block 9: Liver transplant, Nebraska Medicine
  • Blocks 10 & 11: General surgery, Methodist 
  • Block 12: Colorectal surgery, Methodist
Third Year
  • Blocks 1 & 2: GI / colorectal, Nebraska Medicine
  • Blocks 3 & 4: Surgical oncology, Nebraska Medicine
  • Block 5: Endocrine / breast, Nebraska Medicine
  • Blocks 6 & 7: Emergency general surgery, Nebraska Medicine
  • Block 8: Night float, Nebraska Medicine
  • Block 9: Vascular surgery, Nebraska Medicine
  • Blocks 10 & 11: Pediatric surgery, Children's Nebraska
  • Block 12: Rural rotation, Mary Lanning Memorial 
Fourth Year
  • Blocks 1, 2, 3 & 4: Trauma, Nebraska Medicine
  • Block 5: Thoracic, Nebraska Medicine
  • Block 6: Vascular, Nebraska Medicine
  • Block 7: General surgery flex, Nebraska Medicine
  • Block 8: Night float, Nebraska Medicine
  • Blocks 9 & 10: General surgery, Methodist
  • Block 11: Colorectal, Methodist
  • Block 12: Rural rotation, Mary Lanning Memorial
Fifth Year
  • Blocks 1 & 2: GI / colorectal, Nebraska Medicine
  • Blocks 3, 4 & 5: Surgical oncology, Nebraska Medicine
  • Blocks 6, 7 & 8: Endocrine / breast, Nebraska Medicine
  • Blocks 9 & 10: Emergency general surgery, Nebraska Medicine
  • Blocks 11 & 12: Bellevue Medical Center