Services

General Surgery

There are two major general surgery services at Rhode Island Hospital. Surgery I emphasizes experience in Hepatobiliary, Endocrine and Oncologic Surgery and Surgery II emphasizes experience in Breast, Laparoscopy and Colorectal Surgery. Both services are composed of a chief resident, a third-year resident, a second-year resident and two interns. At The Miram Hospital the General Surgery team is composed of a chief resident, two PGY-3 residents, a PGY-2 and three interns. The team at the VA Medical Center consists of a PGY-4, a PGY-2 and two interns. The service at the Memorial Hospital of Rhode Island is composed of a PGY-4, a PGY-2 and an intern. During their general surgery rotations, the residents are exposed to surgery of the abdomen, alimentary tract, breast, endocrine system, and head and neck. Each categorical surgical resident in their fourth year also has a designated 2.5 month rotation in surgical endoscopy.

Cooper

Trauma Service

The Trauma Service manages patients from their initial evaluation in the Emergency Department through their operative and postoperative care. Rhode Island Hospital is the only Level-I Trauma Center in the region and also operates a 10-bed Trauma Intensive Care Unit. The service is composed of a chief resident, a PGY-4, a PGY-3 and two interns. A PGY-2 and an intern staff the TICU. Second-year and fourth-year residents in the Emergency Medicine residency also spend one month each on the Trauma Service.

Each of the four designated trauma rooms has X-ray facilities in the room along with a complete spectrum of state-of-the-art instrumentation. A dedicated elevator, located adjacent to these trauma rooms, connects directly to the trauma operating room which is reserved around the clock solely for trauma care. Approximately 10,000 of the 90,000 yearly visits to the Emergency Department are trauma patients.

Surgical Critical Care

Rhode Island Hospital has a 9-bed closed SICU which admits a variety of patients from the General Surgery, Vascular and other subspecialty services. A third-year resident and a second-year resident have complete and direct responsibility for patient care in this unit and, in this capacity, initiate virtually all invasive and diagnostic procedures. A surgical critical care fellowship is now based at Rhode Island Hospital. They also manage the emergency care of acute post-surgical complications. Residents at The Miriam Hospital and the VA Medical Center follow their general surgery patients through the ICU at those institutions should this type of postoperative care be indicated.

Amaral Pediatric Surgery

The Pediatric Surgery Service provides care for 25-45 patients at any given time. Babies born at adjacent Women and Infants Hospital who need surgery are transferred to the Hasbro Children's Hospital. This service is run by a PGY-4 surgical house officer, in conjunction with the Pediatric Surgery fellow, with the support of two surgical interns and a PGY-2 pediatric resident. The resident team also provides coverage for two critical care units; one at Women & Infants Hospital and the other located in the Hasbro Children's Hospital.

Cardiothoracic Surgery

Over 900 cardiac procedures are performed annually at Rhode Island Hospital. Two general surgery interns staff this service and gain critical care experience in the 20-bed ICU. At The Miriam Hospital, the VA Medical Center and Memorial Hospital, thoracic surgery is part of the general surgery service. Additional Thoracic experience occurs on the General Surgery services where senior residents perform approximately 250 - 300 cases annually.

Transplant Surgery

The Division of Transplant Surgery was instituted in 1996 under the direction of Anthony Monaco, M.D. and is currently under the direction of Paul Morrissey, MD. Residents on the Vascular Service participate in all transplant procedures and follow these patients postoperatively. At present approximately 90 kidney and pancreas transplant procedures are performed yearly in both adults and children.

Nutrition

Surgical residents rotate on the very active nutritional support service at Rhode Island Hospital for one month of their first year. This experience provides solid grounding in the fundamentals of surgical metabolism and the effects of illness on nutritional requirements. Residents also learn placement of central venous catheters.

Residents' Animate and Inanimate Laboratory

Residents receive additional operative training in monthly animal labs which are run by faculty members and the laparoscopic surgery fellow. Residents may practice a variety of open and laparoscopic general, thoracic and cardiac procedures. Level-appropriate tasks for each PGY-level have been designated and each resident will have at least two operative training sessions per year. Practice at inanimate skill stations is required of surgical residents at each PGY level.



		Surgery Homepage Mission Statement//Facilities//Services//Rotations//Conferences//Lectureships//Graduates//RRC Statistics Africa Rotation//Rhode Island//Salary and Benefits
			SURGICAL SERVICES

			General Surgery There are two major general surgery services at Rhode Island Hospital. Surgery I emphasizes experience in Hepatobiliary, Endocrine and Oncologic Surgery and Surgery II emphasizes experience in Breast, Laparoscopy and Colorectal Surgery. Both services are composed of a chief resident, a third-year resident, a second-year resident and two interns. At The Miram Hospital the General Surgery team is composed of a chief resident, two PGY-3 residents, a PGY-2 and three interns. The team at the VA Medical Center consists of a PGY-4, a PGY-2 and two interns. The service at the Memorial Hospital of Rhode Island is composed of a PGY-4, a PGY-2 and an intern. During their general surgery rotations, the residents are exposed to surgery of the abdomen, alimentary tract, breast, endocrine system, and head and neck. Each categorical surgical resident in their fourth year also has a designated 2.5 month rotation in surgical endoscopy. Trauma Service The Trauma Service manages patients from their initial evaluation in the Emergency Department through their operative and postoperative care. Rhode Island Hospital is the only Level-I Trauma Center in the region and also operates a 10-bed Trauma Intensive Care Unit. The service is composed of a chief resident, a PGY-4, a PGY-3 and two interns. A PGY-2 and an intern staff the TICU. Second-year and fourth-year residents in the Emergency Medicine residency also spend one month each on the Trauma Service. Each of the four designated trauma rooms has X-ray facilities in the room along with a complete spectrum of state-of-the-art instrumentation. A dedicated elevator, located adjacent to these trauma rooms, connects directly to the trauma operating room which is reserved around the clock solely for trauma care. Approximately 10,000 of the 90,000 yearly visits to the Emergency Department are trauma patients. Surgical Critical Care Rhode Island Hospital has a 9-bed closed SICU which admits a variety of patients from the General Surgery, Vascular and other subspecialty services. A third-year resident and a second-year resident have complete and direct responsibility for patient care in this unit and, in this capacity, initiate virtually all invasive and diagnostic procedures. A surgical critical care fellowship is now based at Rhode Island Hospital. They also manage the emergency care of acute post-surgical complications. Residents at The Miriam Hospital and the VA Medical Center follow their general surgery patients through the ICU at those institutions should this type of postoperative care be indicated. Pediatric Surgery The Pediatric Surgery Service provides care for 25-45 patients at any given time. Babies born at adjacent Women and Infants Hospital who need surgery are transferred to the Hasbro Children's Hospital. This service is run by a PGY-4 surgical house officer, in conjunction with the Pediatric Surgery fellow, with the support of two surgical interns and a PGY-2 pediatric resident. The resident team also provides coverage for two critical care units; one at Women & Infants Hospital and the other located in the Hasbro Children's Hospital. Cardiothoracic Surgery Over 900 cardiac procedures are performed annually at Rhode Island Hospital. Two general surgery interns staff this service and gain critical care experience in the 20-bed ICU. At The Miriam Hospital, the VA Medical Center and Memorial Hospital, thoracic surgery is part of the general surgery service. Additional Thoracic experience occurs on the General Surgery services where senior residents perform approximately 250 - 300 cases annually. Transplant Surgery The Division of Transplant Surgery was instituted in 1996 under the direction of Anthony Monaco, M.D. and is currently under the direction of Paul Morrissey, MD. Residents on the Vascular Service participate in all transplant procedures and follow these patients postoperatively. At present approximately 90 kidney and pancreas transplant procedures are performed yearly in both adults and children. Nutrition Surgical residents rotate on the very active nutritional support service at Rhode Island Hospital for one month of their first year. This experience provides solid grounding in the fundamentals of surgical metabolism and the effects of illness on nutritional requirements. Residents also learn placement of central venous catheters. Residents' Animate and Inanimate Laboratory Residents receive additional operative training in monthly animal labs which are run by faculty members and the laparoscopic surgery fellow. Residents may practice a variety of open and laparoscopic general, thoracic and cardiac procedures. Level-appropriate tasks for each PGY-level have been designated and each resident will have at least two operative training sessions per year. Practice at inanimate skill stations is required of surgical residents at each PGY level.