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Rotation Description

UI Hospitals & Clinics Vascular Surgery 

Residents rotating on this service will receive training in procedures including: open and endovascular repair of aneurysms, carotid endarterectomy, creation of arterial venous fistulas for hemodialysis, and lower extremity vascular bypass. The mid-level resident is in charge of the outpatient endovascular procedures performed in the cardiac cath lab which include primarily diagnostic and therapeutic angio/venograms as well as vascular access.

VA General Surgery

This is the general surgery consult service for the Iowa City Veterans Affairs hospital, located across the street from the University of Iowa. Similar to the University service, residents develop the skills to efficiently and thoroughly evaluate patients and treat for "bread and butter" issues including appendicitis, cholecystitis, bowel obstruction, hernia, and perforated viscera. Additionally, renal transplants and thoracic procedures are performed at this VA.

VA Vascular Surgery

Residents rotating on this service will receive training in procedures including: open and endovascular repair of aneurysms, carotid endarterectomy, creation of arterial venous fistulas for hemodialysis, and lower extremity vascular bypass.

Vascular Lab

Trainees on this rotation will have dedicated time in the vascular lab.  They will work alongside vascular lab technicians in an IAC certified lab in order to gain first-hand experience in duplex ultrasound scanning and other noninvasive vascular lab testing.  They will read all of the vascular lab studies done during their rotation allowing them to meet their requirement to sit for their RPVI test.

Vein Clinic

Residents on this rotation will have time dedicated to the evaluation, work-up and treatment of patients with venous diseases.  They will receive training in saphenous ablation, phlebectomies, perforator ablation, sclerotherapy and foam sclerotherapy.

Burn Surgery

As the only Burn Treatment Center in Iowa, this service provides exposure to a diverse set of patients of all ages and with all mechanisms of burn and soft tissue injury. In addition to treating patients with chemical, electrical, and thermal energy burns, residents will care for individuals with severe frostbite injuries and necrotizing soft tissue infections. Residents learn management of the acutely injured burn patient, wound care, and skin harvesting and grafting.

Cardiothoracic Surgery

Residents rotating with this service are involved with cardiac surgeries on pediatric and adult patients. Working with thoracic surgeons, they receive training in procedures including esophagectomies, resections of mediastinal masses, and thoracoscopic and open lung resections. They will also gain experience in heart and lung transplantation.

Catheterization Lab

This is one of several rotations during which residents will have the opportunity to develop their endovascular skills.  Specifically for this rotation, residents will have their time dedicated to the endovascular suite where they will participate in peripheral interventions and line placement under the direction of the vascular surgery faculty.

Emergency General Surgery

This is the general surgery consult service for the University. Residents rotating on this service develop the skills to efficiently and thoroughly evaluate and treat patients with "bread and butter" surgical issues including appendicitis, cholecystitis, bowel obstruction, hernia, and perforated viscera.

GI Surgery

This service encompasses the breadth of benign and malignant diseases of the small bowel, colon, rectum and anus. Residents rotating on this service learn lower endoscopy and are trained in open, laparoscopic, and robotic approaches to a variety of colorectal conditions. Additionally, this service encompasses the University of Iowa Obesity Surgery, a bariatric Center of Excellence, where residents gain significant experience in gastric bypass surgery, laparoscopic experience performing ventral and inguinal herniorrhaphy, paraesophageal hernia repair and Nissen fundoplication, cholecystectomies via a minimally-invasive approach.

Interventional Radiology

During this rotation, residents will have the opportunity to work with interventional radiologists in the interventional radiology suites covering the breadth of interventions from basics of angiography to complex embolizations.

Night Float

This team is a combination of Trauma and Emergency General Surgery services. Residents are responsible not only for evaluation and treatment of trauma patients and general surgery consults, but they also provide cross-coverage for surgical patients admitted during the day.

Pediatric Surgery

Residents rotating on this service are exposed to elective and emergent surgeries for all ages, from premature neonates to teenagers. The team also manages pediatric trauma patients. It works closely with the Pediatric Gastroenterology team as well as the NICU and PICU. Across all pediatric ages, residents gain varied experience operating in the neck, thorax, and abdomen through both open and laparoscopic approaches. Common neonatal procedures performed include closure of gastroschisis and omphalocele, treatment of tracheoesophageal fistulas, repair of congenital diaphragmatic hernias, and management of necrotizing enterocolitis.

Plastic Surgery

Residents learn a diverse set of procedures such as scar revision, liposuction, post-mastectomy breast reconstruction, component separation for hernia repair, and microvascular free flaps.

Surgical Intensive Care Unit

Rotating in the SICU provides an unparalleled opportunity to care for a diverse set of critically ill patients. Working with critical care specialists trained in surgery, anesthesia, medicine, and pharmacy, residents are part of a multidisciplinary team managing patients with complex needs. Residents learn ventilator management, vascular access, tracheostomy and PEG placement, and neurologic monitoring.

Transplant

This service specializes in liver, pancreas, and kidney transplantations, as well as in hepatobiliary procedures. Residents are trained in the harvesting of organs for transplant, including laparoscopic donor nephrectomies, as well as in the transplantation of these organs. Hepatobiliary procedures performed include those for benign and malignant conditions.  Preoperative management of the transplant and hepatobiliary patient is emphasized. Residents will work closely with members of the Transplant Hepatology and Transplant Nephrology Teams.  

Trauma

UI Hospitals & Clinics is the only Level 1 Trauma Center in the state, caring for seriously injured patients. Residents on the trauma service learn to rapidly assess and treat these patients, as well as to manage their overall cares once stabilized. The trauma team works closely with other surgical sub-specialties to coordinate and meet patients' treatment needs. All general surgery residents will be ATLS certified. Common procedures performed on this service include: FAST exam, chest tube placement, central line placement, tracheostomies, and trauma laparotomies.