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General Surgery Curriculum

The General Surgery services of Baystate Medical Center General Surgery Residency Program are arranged by surgical practice group rather than by surgical discipline. There are four services: Blue, Green, Red, and Acute Care Surgery (ACS).


The goals and objectives for the general surgery rotations show some overlap with specialty services. Residents assigned to general surgery teams during the day may be involved with the operative care of patients on other services during call hours and the guidelines have been made as general as possible.

Blue Service

This service is comprised of the full-time faculty practice. The service provides an environment of focused attention to the surgical evaluation and management of patients with hepatobiliary and GI problems, hernias, morbid obesity, and endocrine disease. Many of these problems are managed with the minimally invasive approach. Rotation on this service provides an opportunity to learn the anatomy, pathophysiology, and treatment alimentary tract disease, including management of morbid obesity by bariatric surgery, hepatobiliary disease, pancreatic disease, abdominal wall hernias, and endocrine organs and systems. Residents are expected to acquire experience in the surgical evaluation, diagnosis, and management of patients and to demonstrate clinical and technical skills in the performance of diagnostic and therapeutic procedures using both open and laparoscopic methods.

Green Service

This service is comprised of members of the full time faculty who concentrate on the management of cancer. Hepatic, biliary, colorectal and breast disease are the main types of disease managed and residents have a rotation dedicated to learning comprehensive care of patients with breast problems including malignancy. Advanced experience in operations such as liver resection, Whipple operations and adrenalectomy provide senior level training for chief or senior residents. Many of these problems are managed with the minimally invasive approach.

Red Service

This service consists of members of a private general surgery community practice. Rotation on this service provides an opportunity to learn the anatomy, pathophysiology, and treatment of alimentary tract diseases, including management of morbid obesity with bariatric surgery, hepatobiliary disease, abdominal wall surgery, and breast disease. Residents are expected to acquire experience in the surgical evaluation, diagnosis, and management of patients and to demonstrate clinical and technical skills in the performance of diagnostic and therapeutic procedures using both open and laparoscopic methods.

ACS

This service consists of Trauma and Emergency Surgery physicians.  It is a very busy consult service where residents acquire broad experience in surgical evaluation, diagnosis and management.