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Akane Naka, Project Manager | February 13, 2007
Vascular Service V is covered by a first year, second or third year, and a fifth year resident. This is a busy vascular service with complex patients. Common medical problems in these vascular patients include diabetes mellitus, cardiac disease, pulmonary disease and neurologic problems, including stroke. The residents learn and provide for the care of these patients and perform vascular surgery, including carotid, aortic, peripheral vascular, endovascular, and angio access surgery. The indications for and the technique of amputation are also learned on this service.
Night Float Service VI is primarily a cross-covering consultation and a trauma service. This service is covered by a senior and junior resident and three first-year residents. The residents will learn about the acute and chronic care of a variety of surgical specialties, including general surgery, vascular surgery, plastic surgery, urology, pediatric surgery, trauma surgery, and transplant surgery. You will learn how to evaluate patients in the emergency room, how to assess consults from within the hospital, and how to effectively provide cross-cover patient care. By necessity, this service emphasizes communication and systems-based practice.

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General Surgery Service VII is primarily a colon and rectal service. A Chief Resident, a junior resident, and a first year resident cover this service. This is a busy service in which patients with colon rectal tumors, inflammatory bowel, and anorectal problems are cared for. This service provides experience in colonoscopy, endorectal ultrasound, gastrointestinal motility studies, colon and rectal resection, pull-through procedures, and anorectal surgery.
Trauma/Critical Care Service VIII is covered by a first year and a fourth year resident. At times, a third year resident also rotates on this service. Two emergency department residents at the second year level rotate on this service. This service is responsible for the comprehensive management of trauma patients. The service coordinates the care of patients with head and neck, chest, abdomen, and extremity injury. By its very nature, this service teaches systems-based practice.
This service also functions as a consultative critical care service and treats patients with severe soft tissue and pulmonary infections, respiratory failure, hemodynamic instability, renal failure, and major bleeding. Critical care patients in the general surgical intensive care unit are covered by a second or third-year general surgical resident under the direct supervision of a critical care attending who takes call in the hospital with the residents.