Curriculum

The general surgery residency at Houston Methodist is a five-year program that provides broad experience in general surgery, surgical basic sciences and numerous surgical specialties. The program is well balanced with academic community training, didactic education and research opportunities to prepare residents to be highly skilled surgeons. 

PGY-1
During their first year, residents will experience a broad range of surgical training, including rotations on multiple general surgery services and rotations on the following specific services:

  • Thoracic surgery
  • Vascular surgery
  • Minimally invasive surgery
  • Pediatric surgery
  • Trauma surgery
  • Surgical intensive care unit  

Our goal is to provide the first year resident with exposure to a large volume of surgical patients with varying disease processes.

PGY-2
The second year of residency focuses on several elements of acute care surgery with rotations on services specific to acute care:

  • Multiple general surgery
  • Surgical intensive care unit
  • Trauma surgery
  • Colorectal surgery
  • Plastic and reconstructive surgery
  • Surgical intensive care unit 

PGY-3
Third year residents will spend some time in elective areas, but will rotate on selected services that provide increased case complexity, patient care responsibility and operative experience:

  • Multiple general surgery
  • Acute care surgery
  • Pediatric surgery
  • Surgical oncology
  • Vascular surgery

PGY-4
During the fourth year of residency, rotations will be spent on services where residents are expected to assume leadership roles with increasing decision-making responsibility:

  • General surgery
  • Acute care surgery
  • Colorectal surgery
  • Transplant surgery
  • Trauma surgery
  • Minimally invasive surgery
  • Thoracic surgery

PGY-5
Residents will manage one of the general surgery services at Houston Methodist Hospital during their final year of residency. During this year, they will gain intensive operative experience and, on completion, will be capable of dealing with both routine and complex cases, and all aspects of pre-operative, intra-operative, and post-operative care.

After completing the final year of residency, our graduates will have performed approximately 1,000 major operations and will be eligible to sit for The American Board of Surgery Qualifying Examination.



Eligibility for American Board of Surgery Qualifying Examination We prepare our residents for eligibility for the American Board of Surgery Qualifying Examination. Applicants for the exam must be the operating surgeon for a minimum of 850 operative procedures in five years, and for a minimum of 200 operative procedures in their chief resident year. These procedures must include operative experience in each of the essential content areas listed below.
  • Skin, soft tissue and breast surgery (25 cases)
  • Breast surgery (40 cases)
  • Head and neck surgery (25 cases)
  • Alimentary tract surgery (180 cases)
  • Abdominal surgery (250 cases)
  • Liver surgery (5 cases)
  • Pancreatic surgery (5 cases)
  • Vascular surgery (50 cases)
  • Endocrine surgery (15 cases)
  • Non-operative trauma surgery (40 cases)
  • Operative trauma surgery (10 cases)
  • Non-operative (20 cases)
  • Thoracic surgery (20 cases)
  • Pediatric surgery (20 cases)
  • Plastic surgery (10 cases)
  • Basic laparoscopic surgery (100 cases)
  • Complex laparoscopic surgery (75 cases)
  • Endoscopy (85 cases)