Duke University Hospital Program

The Duke General Surgery Residency Program is dedicated to producing world-class surgeons equipped with both clinical expertise and research skills essential for a successful career in academic and community surgery. The program spans seven years, including two years focused on surgical research, designed to provide a comprehensive educational experience.

Curriculum Overview

The curriculum encompasses a wide range of core general surgery areas, including subspecialties such as cardiothoracic, vascular, endocrine, trauma, oncology, and pediatric surgery. Trainees engage in a broad clinical experience through rotations in various facilities: Duke University Hospital, Duke Raleigh Hospital, Duke Regional Hospital, Cone Health Wesley Long Hospital, and the Durham Veterans Administration Medical Center. This variety allows residents to manage diverse patient populations and surgical needs, enhancing their learning through both general and specialized cases 1.

Training Structure

During their training, residents progress through clinical years that emphasize hands-on surgical practice and decision-making. Year one focuses on core rotations in General Surgery across multiple hospitals, subsequently progressing into more specialized surgeries in years two through five. Notably, each resident is required to complete extensive research, often aligning their academic growth with their surgical training 616.

Rotations

Residents participate in a variety of rotations including:

• Surgical Oncology
• Thoracic Surgery
• General Surgery (at Duke Raleigh and Durham VA)
• Pediatric Surgery
• Acute Care Surgery
• Endovascular and Endoluminal Surgery
• Colorectal Surgery

The structured rotation schedule aims to enhance exposure to multiple surgical techniques and patient care scenarios, preparing residents comprehensively for independent practice 17.

Research Opportunities

The program encourages participation in research activities as a core aspect of the residency experience. Residents can engage in the Duke Surgical Education Research Group (SERG), allowing them to lead research projects and explore areas such as clinical trials and surgical education. Research efforts culminate typically in a two-year dedicated research fellowship, where residents can solidify their academic contributions 513.

Unique Aspects of the Program

Diversity and Community Engagement

The Duke General Surgery Residency is committed to diversity, equity, and inclusion within both the training environment and the greater community. Active programs support underrepresented groups in medicine through mentoring and outreach efforts, including initiatives like the SEEDS initiative focusing on surgical diversity 3

Wellness and Resident Support

Recognizing the demanding nature of surgical residency, the program places a strong emphasis on wellness and support for its trainees. With access to mental health resources, wellness days, and structured time off, residents are encouraged to prioritize their well-being while managing the rigors of residency 11.

Application and Competitiveness

The program is regarded as competitive, accepting a select number of candidates each year primarily through ERAS or ECFMG for international medical graduates. Applicants should possess strong clinical skills, academic records, and research experience. While the program strives to maintain a diverse educational environment, it does expect candidates to have passed all USMLE Steps prior to entrance, with some preference for those with research experience 12.

Visa Support

The program offers visa sponsorship for eligible foreign medical graduates, primarily providing support for the J-1 visa type. This assistance facilitates applications for international candidates seeking comprehensive training opportunities within a prestigious program 9.

Facilities and Training Sites

Residents gain experience in state-of-the-art facilities, including:

• Duke University Hospital: A Level I trauma center with comprehensive surgical offerings.
• Duke Regional Hospital: Focusing on community-based general surgery.
• Durham VA Medical Center: Providing unique opportunities in veteran care.

These diversified settings foster comprehensive surgical training and a wide exposure to patient demographics and conditions 10.