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General Surgery residents

General Surgery

The General Surgery Residency is a five-year program leading to board eligibility. Residents complete rotations in general surgery, orthopedic surgery, otolaryngology, emergency medicine, urological surgery, anesthesia, plastic surgery, cardiothoracic surgery, endoscopy, critical care and obstetrics/gynecology.

Second-year residents receive experience in the care of burn patients on a four-week rotation at the University of Wisconsin Hospital in Madison.

Third-year residents receive experience in the care of transplant patients on a four-week rotation at the University of Wisconsin Hospital in Madison.

Because there are no residents or fellows in surgical subspecialties, such as neurosurgery, cardiac surgery or urology, surgical residents are actively involved in the care of patients in these areas. Rather than serving as observers or third assistants, they have hands-on experience as first assistants or as the operating surgeon.

"It's a well rounded general surgery program. The staff really care about you and your family."
Tom Blee, MD, Graduate, General Surgery Residency; General Surgeon, Red Wing, Minn.

"Gundersen's program provides a solid foundation for each resident to pursue their dreams, whether it is a fellowship, private practice, or an academic career. There are no limitations!"
Melanie Richards, MD, Graduate, General Surgery Residency; Associate Professor of Surgery; Mayo Clinic, Rochester, Minn

Our Mission

We seek to train general surgeons who are outstanding clinicians. Our graduates will have an intense commitment to patient care and lifelong learning. We will assist the development of this expertise by providing our trainees with strong foundations of academic excellence, sound technical skills, clinical research, and an understanding of contemporary issues in surgical practice.

About the Residency

One of the strengths of the five-year General Surgery Residency is its blend of inpatient and outpatient experiences, closely resembling the practice of general surgeons. It also offers both primary care and tertiary care opportunities in a very busy surgical practice. Residents see both the routine and more unusual cases in surgery.

Residents have a unique opportunity to work side-by-side with attending surgeons from day one. Residents also enjoy extensive hands-on experiences in surgical specialties during their five years. They gain increasing responsibilities in care of patients before, during and after surgery and, as chief residents, they run a surgical service under the guidance of supervising surgeons.

A typical resident performs more than 1,200 operations during the five-year program, including 350 in the senior year. Residents are supplied with personally-fit surgical loupes to assist with the performance of fine procedures.

The program is geared toward surgeons interested in general surgery, with many of our graduates choosing to practice in smaller communities. But every graduate who has chosen to continue training into a surgical subspecialty has been accepted into fellowships in cardiothoracic, vascular, endocrine, colorectal, advanced laparoscopic and trauma/critical care surgery.

Twenty-five percent of our former residents are women, including the first woman in Wisconsin to graduate from a general surgery program. Our graduates have an exceptional record in passing their written and oral boards — 100 and 89 percent compared with a national average of 85 and 83 percent respectively. This reflects our faculty's commitment to teaching.

Our focus is to train clinical surgeons who are excellent clinicians and understand the basic science behind surgical procedures. Our attending staff is available to answer questions, and values the close working relationships with residents and medical students.

Our teaching atmosphere is nurturing rather than adversarial, a milieu we believe prepares better doctors and enhances superior patient care. We offer lectures, small group discussions and interactive conferences in which attending and resident physicians discuss cases. The Cleary Surgical Techniques Training Laboratory, which opened in 1995, offers residents opportunities for additional practice in laparoscopy, trauma, stapling and other surgical techniques.

Surgeons here are interested in clinical research and residents are expected to publish two papers in peer-reviewed journals during their residency and make two presentations at regional or national medical meetings. These requirements enhance the residents' ability to access and use medical literature and create a desire to find answers to problems that surgeons experience in practice.

To support this requirement, we provide the assistance of a surgical research associate, a secretary, databases and statistical resources. A departmental library and dedicated computers augment these resources. Residents receive full credit for the work they do and are recognized as author or co-author of these projects.

Resident research

Class of 2015

Publications

  1. Adegboyega TO, Landercasper J, et al. Prospective assessment of compliance with National Comprehensive Cancer Network (NCCN) Guidelines and National Quality Forum (NQF) endorsed Quality Measures (QM) for Evaluation and Treatment of patients with breast cancer. JNCCN. 2014; in press.
  2. Adegboyega TO, Hartman DE, Overholt EM. A Case of a Cervical Sympathetic Chain Schwannoma. Gundersen Medical Journal. 2014;8(1):43-45.
  3. Al Harakeh AB, Kallies KJ, Borgert AJ, Kothari SN. Bowel Obstruction Rates in Antecolic/Antegastric vs. Retrocolic/Retrogastric Roux Limb Gastric Bypass: A Meta-Analysis. Surg Obes Relat Dis, 2015;in press.
  4. Van Osdol AD, Borgert AJ, Kallies KJ, Shapiro SB. Long-term Outcomes of an Integrated Transfusion Reduction Initiative in Patients Undergoing Resection for Colorectal Cancer. Am J Surg, in progress.
  5. Van Osdol AD, Landercasper J, Andersen JJ, Ellis RL, Gensch EM, Johnson JM, De Maiffe B, Marcou KA, Al-Hamadani M, Vang CA. Determining Whether Excision of All Fibroepithelial Lesions of the Breast Is Needed to Exclude Phyllodes Tumor: Upgrade Rate of Fibroepithelial Lesions of the Breast to Phyllodes Tumor. JAMA Surg. 2014;149(10):1081-5.
  6. Van Osdol AD, Jarman BT. Same As It Ever Was - Only Different: A Successful ACGME Innovative Project to Equip PGY I Residents to Take At-Home Call. J Surg Educ. 2014;149(10):1081-5.

Presentations

  1. Adegboyega TO, Landercasper J, Linebarger J, Johnson J, Andersen J, Dietrich L, Driscoll C, Raghavendra M, Madadi A, Al-Hamadani M, Vang C, Marcou K, Hudak J, Go R. Prospective Synoptic Template Recording to assess for Compliance of Care with NCCN Guidelines for Breast Cancer. ASCO, December 1, 2012; Chicago, IL.
  2. Adegbboyega TO, Kowalski TJ, Kothari SN. Fecal Microbial Transplantation for Clostridium Difficile Infection in a Community Hospital. Wisconsin Surgical Society, November 8, 2013; Kohler, WI.
  3. Adegbboyega TO, Borgert AJ, Lambert PJ, Jarman BT. Applying the National Surgical Quality Improvement Program Risk Calculator to Patients Undergoing Colorectal Surgery: Theory vs. Reality. ACS NSQIP National Conference, July 28, 2014; New York, NY (Oral and Poster).
  4. Al Harakeh AB, Kallies KJ, Borgert AJ, Kothari SN. Bowel Obstruction Rates in Antecolic/Antegastric vs. Retrocolic/Retrogastric Roux Limb Gastric Bypass: A Meta-Analysis. American Society for Metabolic and Bariatric Surgery November 2-7, 2014; Boston, MA (Poster).
  5. Van Osdol AD, Gundrum JD, De Maiffe BM, Landercasper J. Upgrade to malignancy of borderline breast lesions on needle biopsy.
    • Wisconsin Surgical Society November 4, 2011; Kohler, WI.
    • American Society for Breast Surgeons May 2-6, 2012; Phoenix, AZ (Poster).
  6. Van Osdol AD, Mathiason MA, Kallies KJ, Davis CA. Patency Rates in Hemodialysis Access: Do Transposed Brachiobasilic Fistulas Make the Cut? Wisconsin Surgical Society November 2, 2012; Kohler, WI (Poster).
  7. Van Osdol AD, Landercasper J, Andersen J, Ellis R, Gensch E, Gundrum JD, De Maiffe BM, Marcou K. Fibroadenoma or Phyllodes Tumor: Should Fibroepithelial Lesions Found on Breast Needle Biopsy be Excised or Observed? Wisconsin Surgical Society November 2, 2012; Kohler, WI.
  8. Van Osdol AD, Johnson JM, Landercasper J, Vang C, et al. Results of NCCN Guideline Compliant Care for Management of Fibroepithelial Lesions of the Breast. NCCN Annual Conference March 15, 2013; Hollywood, FL (Poster).
  9. Van Osdol AD, Jarman BT. Same As It Ever Was - Only Different: A Successful ACGME Innovative Project to Equip PGY I Residents to Take At-Home Call. 2014 APDS Annual Meeting, April 8-10, 2014; Chicago, IL.
  10. Van Osdol AD, Borgert AJ, Kallies KJ, Shapiro SB. Long-term Outcomes of an Integrated Transfusion Reduction Initiative in Patients Undergoing Resection for Colorectal Cancer.
    • Wisconsin Surgical Society November 14, 2014; Kohler, WI.
    • Southwestern Surgical Congress, April 26-29, 2015; Monterey, CA.

Class of 2016

Publications

  1. Landercasper J, Appel A. Invited commentary for "Measuring the Quality of Sentinel Lymph Node Biopsy (SLNB) for Breast Cancer: A Population-Based Evaluation: Wells B, Saskin R, Wright F, et al (Univ of Toronto, Ontario, Canada; Inst of Clinical and Evaluative Sciences, Toronto, Ontario, Canada; Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; et al) Ann Surg Oncol 20:615-619, 2013". Breast Diseases: A Year Book Quarterly. 2013;24(4):379-381.
  2. Schaeffer JS, Shakhnovich I, Al-Hamadini M, Kallies KJ, Cogbill TH, Davis CA. Duplex Ultrasound Surveillance after Uncomplicated Endovascular Abdominal Aortic Aneurysm Repair. Manuscript in progress.
  3. Tsigonis AM, Landercasper J, Al-Hamadani M, Linebarger J, Vang C, Marchese E, Krause F, Johnson J, Marcou K, Hudak J. Does anesthesia type influence breast cancer outcomes? Manuscript in progress.
  4. Tsignois AM, Landercasper J, Al-Hamadani M, Linebarger J, Vang C, Johnson J, Marchese E, Marcou K, Hudak J. Does surgery resident participation compromise breast cancer surgery outcomes? Manuscript in progress.

Presentations

  1. Appel AL, Brekke EF, Wittchow RJ, Frohnauer MK, Kallies KJ, Borgert AJ, Johnson JM. Impact of Veracyte Testing on Management of Bethesda Category 3 and 4 Thyroid Lesions. Wisconsin Surgical Society November 14, 2014; Kohler, WI.
  2. Schaeffer JS, Shakhnovich I, Al-Hamadini M, Kallies KJ, Cogbill TH, Davis CA. Duplex Ultrasound Surveillance after Uncomplicated Endovascular Abdominal Aortic Aneurysm Repair. Midwest Vascular Society, September 6-8, 2013; Chicago, IL.
  3. Schaeffer JS, Shakhnovich I, Al-Hamadini M, Kallies KJ, Cogbill TH, Davis CA. Review of Outcomes after Endovascular Abdominal Aortic Aneurysm Repair and Duplex Ultrasound Surveillance. Wisconsin Surgical Society, November 8, 2013; Kohler, WI (Poster).
  4. Schaeffer JS, Davis CA, Shakhnovich I. Incidental Finding of Cystic Adventitial Disease of the Common Femoral Vein: Case Report and Review of the Literature. Wisconsin Surgical Society, November 14, 2014; Kohler, WI (Poster).
  5. Tsigonis AM, Shapiro SB. A Management Strategy for Difficult Parastomal Hernia Repair Using Retrorectus Placement of Prosthetic Mesh: A Case Report. Abdominal Wall Reconstruction Summit, January 18, 2013; Breckenridge, CO (Poster).
  6. Tsigonis AM, Shapiro SB. Early Experience with Retrorectus Placement of Prosthetic Mesh in High-Risk Patients Requiring Ventral Hernia Repair (Poster). Wisconsin Surgical Society, November 8, 2013; Kohler, WI (Poster).
  7. Tsigonis AM, Landercasper J, Al-Hamadani M, Linebarger J, Vang C, Marchese E, Krause F, Johnson J, Marcou K, Hudak J. Does anesthesia type influence breast cancer outcomes?
    • Wisconsin Surgical Society, November 8, 2013; Kohler, WI.
    • ASCO Breast Cancer Symposium (Poster), September 4-6, 2014; San Francisco, CA.
  8. Tsigonis AM, Landercasper J, Al-Hamadani M, Linebarger J, Vang C. Does resident participation compromise breast cancer surgery outcomes? Wisconsin Surgical Society, November 14, 2014; Kohler, WI.

Class of 2017

Presentations

  1. Bray MS, Kallies KJ, Folkers ME, Kothari SN. Endoscopic Retrograde Cholangiopancreatography Perforations: Outcomes in Management
    • Wisconsin Surgical Society, November 14, 2014; Kohler, WI.
    • Southwestern Surgical Congress, April 26-29, 2015; Monterey, CA. (Quick shot)
  2. Czosnyka NM, Al-Hamadini M, D'Huyvetter C, Kallies KJ, Marcos B. Pre-Injury Beta Blockers and their Effect on 30 Day Mortality in the Hypoperfused Trauma Patient. Wisconsin Committee on Trauma: Trauma and Critical Care Resident Paper Competition, May 8, 2013; Neenah, WI.
  3. Czosnyka NM, Borgert AJ, Kallies KJ, Hughes SR, Kothari SN. Laparoscopic Appendectomy: A Call for Standardization of Surgical Supplies? Southwestern Surgical Congress 66th Annual Meeting (Quick shot) April 15, 2014; Scottsdale, AZ.
  4. Lyle BA, Landercasper J, Johnson JM, Al-Hamadani M, Vang CA, Zutavern K, Hennessy J, Theede L, Linebarger JH. Wound Complications Following Breast Conserving Surgery (BCS): A Quality Improvement Study with first report use of the new ASBrS SSI Quality Measure. The American Society of Breast Surgeons: Annual 15th meeting Poster Presentation, April 30-May 4, 2014; Las Vegas, NV. 
  5. Lyle BA, Linebarger JH, Landercasper J, Johnson JM, Al-Hamadani M, Vang CA, Groshek J. Is the ACS NSQIP® Surgical Risk Calculator applicable for breast cancer patients undergoing breast conserving surgery?
    • Wisconsin Surgical Society, November 14, 2014; Kohler, WI.
    • Southwest Surgical Society, April 28, 2015; Monterey, CA.

Class of 2018

Publications

  1. Badger W, Landercasper J. Invited Commentary for "McDermott A, Wall D, Waters P, et al. Surgeon and Breast Unit Volume-Outcome Relationships in Breast Cancer Surgery and Treatment. Ann Surg. 2013;258:808-814". Breast Diseases: A Year Book Quarterly. 2014;25(2):140-2.
  2. Coorough N, Landercasper J. Invited commentary for "Surgeon Specialization and Use of Sentinel Lymph Node Biopsy for Breast Cancer: Yen TWF, Laud PW, Sparapani RA, et al (Med College of Wisconsin, Milwaukee) JAMA Surg 149:185-192, 2014". Breast Diseases: A Year Book Quarterly. 2014;25(3):250-2.

Presentations

  1. Watson RS, Saterbak AT, Borgert AJ, Kallies KJ, Fisher MG. Reducing Hip Dislocations: Does It Matter Where It's Done? Wisconsin ACS-COT Meeting/Lunda lecture May 6, 2014; Madison, WI.

Class of 2019

Publications

  1. Hayes L, Landercasper J. Invited commentary for "Adepoju L, Qu W, Kazan V, Nazzal M, Williams M, Sferra J. The evaluation of national time trends, quality of care, and factors affecting the use of minimally invasive breast biopsy and open biopsy for diagnosis of breast lesions. Am J Surg. 2014 Sep;208(3):382-90." Breast Diseases: A Year Book Quarterly. 2015; in press.
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