The fourth year resident is called the "Senior Resident" and serves as the Chief Resident's key ally. At this point, you should be certain that you will be happy and comfortable in general surgery or will proceed to one of the subspecialties such as vascular, colorectal, pediatric, oncologic, cardiothoracic or plastic and reconstructive surgery. There are certain subspecialties that do not require five years of general surgery prior to fellowship. It is up to you to research these details and ask all the questions necessary to make decisions.
The resident will rotate between MMC and NBIMC. He/she will also spend two months at the Jersey Shore Regional Trauma Center. The resident will have total immersion in trauma and gain significant experience. In all the rotations, advanced surgical judgment and technical skills will be developed.
The PGY4 resident will be deciding, whether to remain in general surgery or proceed to fellowship training. We have attached a list of our residents who have entered fellowships in cardiothoracic, colorectal, vascular and plastic surgery, at some of the most prestigious institutions in the country. The remainder of the residents have entered private practice, and many have chosen to start practice at Monmouth Medical Center. We have always provided a welcoming environment for all new surgeons who have flourished in clinical practice.
At this stage, many residents will have excellent study habits and be accustomed to clinical research projects and protocols. Our senior residents become solid teachers and take pride in the constant learning process imbued in all the residents. The fourth-year resident becomes more responsible for patient care and the duties and obligations of his/her position. A yearly clinical research paper is still expected.