Experience That Lasts A Lifetime.
York Hospital's General Surgery Residency is a fully accredited, five-year educational program leading to eligibility for certification by the American Board of Surgery. Our program offers three categorical positions at each post-graduate year level of training. Surgical residents not only receive training in general surgery, but also receive extensive experience in the surgical sub-specialties.
York Hospital has had a surgery residency program since 1944. Since our inception, we have enjoyed continuous accreditation. The date of the last review was September 2007 with notification by the RRC occurring in February 2008. The program is fully accredited by the ACGME for a three year cycle ending in 2011.
Why York Hospital?
Top ten reasons York Hospital Surgery residents have chosen this program:
- Diversity and volume of surgery (Overall 80th percentile total procedures performed as surgeon)
- Operating room experience starts early in the training program
- Second busiest Level ll Trauma Center in Pennsylvania
- Surgical Grand Rounds from national speakers
- Surgical sub-specialty experience
- Only two outside rotations (transplant and pediatric surgery)
- Strong emphasis on education; "blue collar, academically oriented"
- Research opportunities
- Excellent record of fellowship matriculation
- Great location for easy access to cultural events and recreational opportunities
Clinical experience: our cornerstone
York Hospital is a 526-bed community teaching hospital that serves as a regional referral center and Level II Trauma center. Fully accredited residencies in Emergency Medicine, Family Medicine, Internal Medicine, and Obstetrics and Gynecology complement our own.
We have 18 operating rooms and perform over 7,500 inpatient surgeries and over 7,200 outpatient surgeries annually. An additional 11,000 outpatient surgeries are performed at our Apple Hill Outpatient Surgery Center. The Emergency Department delivers care to over 68,100 patients annually. Our program is clinically oriented and affords the resident progressive supervised patient care responsibilities at all post-graduate levels of training. Operative experience is a strong component of the residency and begins in the junior years of training. Our recent graduates have reported total case experience as surgeon in the 80th percentile nationwide.
Inpatient Services
Acute care services are located strategically to provide optimal trauma and emergency resuscitation. These include radiology services, the emergency department, the operating room, the surgical intensive care unit, the post-anesthesia care unit, the cardiac diagnostic lab, and the pulmonary function lab.
Acute care facilities include a 40-bed intensive care unit. This includes a 10-bed Trauma/Surgical ICU. Another 20 ICU beds are shared between surgical and medical patients. Post-operative cardiac patients are cared for in a separate Open Heart/Medical ICU. Step-down units allow for an intermediate level of care. There are 18 operating rooms in York Hospital and an additional 10 operating rooms are located at our outpatient facility, Apple Hill Surgical Center. York Hospital also operates a separate endoscopy suite in which both outpatient and inpatient procedures are performed. The hospital has a 24-hour laboratory, blood bank and radiology services as well as 24-hour IV teams. Prompt delivery of support services aids in the delivery of excellent patient care and efficient utilization of resident time. Radiology services are available at any hour and our PACS system facilitates review of these studies.
One of our chief residents is assigned to our ward service which provides care to our uninsured and under-insured population. This service is always staffed by a faculty member who provides immediate and direct supervision, but allows for autonomy where safe and applicable. Our operating schedule is divided into “blocks” and the chief resident on the ward service has two blocks per week (about 9 hours) in which to schedule elective operative cases.
Education
Our curriculum is structured around the six core competencies and allows for progressive experience and responsibility during the five-year program. Each clinical rotation has a set of educational goals and objectives which are constructed to obtain an optimal educational experience. Residents’ performance is evaluated in the outpatient setting, the OR, in the ED and trauma resuscitation area, and on ward rounds. Residents participate actively in our weekly conferences including Morbidity and Mortality conference, Breast Cancer. Multidisciplinary conference, and Tumor Board. Residents prepare presentations for our monthly Journal Club which is based on the American College of Surgeons Evidence Based Reviews in Surgery. Technical skills are taught with a separate curriculum in our Medical Simulation Center (MSC). York Hospital’s commitment to your education will be evident once again when our new MSC is completed later this year.
Every Friday morning, all residents participate in a series of lectures and educational experiences during protected time. During these periods they are excused from all clinical responsibilities. Nurse practitioners and faculty are responsible for clinical concerns during this time. These mornings include our weekly M&M conference, Grand Rounds, basic science lecture series, and skills lab. In addition, a series of lectures is delivered to cover such topics as ethics, informed consent, cultural diversity, and coding & billing. Additional educational opportunities include basic and advanced laparoscopic surgery courses, national and regional surgical meeting attendance, the Advanced Trauma Operative Management (ATOM) course, ATLS courses, and cadaver dissection in conjunction with our neighbor institution, York College.
All residents are expected to participate in research projects during their five years at York Hospital. Projects have ranged from poster presentations and published case reports to prospective randomized trials and molecular biology research. The Emig Research Center facilitates and encourages our faculty and residents in their research endeavors.
Residents from other departments including Emergency Medicine, Family Medicine, and Internal Medicine rotate on our surgical services. A visiting plastic surgery fellow from Penn State-Hershey and orthopedic residents from Memorial Hospital of York also rotate on our Plastic Surgery and Orthopedic Surgery services, respectively.
Our surgery residency program enjoys visiting medical students from the University of Pennsylvania, Drexel University, and the Pennsylvania State University at Hershey. Teaching is an expectation of all of our residents.
Well Seasoned Leadership.
Thomas R. Scott M.D., F.A.C.S. is a graduate of our program and is board certified in general surgery. He has been the residency program director since June 2005 and has been in surgical practice at York Hospital since 1992. He has a special interest in endoscopy and laparoscopy.
John J. Castronuovo M.D., F.A.C.S is board certified in general surgery and vascular surgery. He has served as Chairman of the Department of Surgery and Medical Director of the Surgical Service Line at York Hospital since November 2005. Prior to coming to York, Dr. Castronuovo served as a surgery residency program director for over 20 years.
In addition, we have a supportive voluntary faculty of teaching general surgeons. Many of our faculty are graduates of our program who chose to practice in our community.
Our surgery education committee oversees the curriculum, educational program, and performance improvement activities for the residency program. It is comprised of the department chairman, the program director, faculty members, and a chief resident. Individually, as well as collectively, residents contribute significantly to the program’s organization, evaluation and development. Our objective is to train general surgeons who are not only responsible and competent practitioners, but also will be leaders in the organizations in which they work.