General Surgery Residency

Welcome to the Carilion Clinic - Virginia Tech Carilion School of Medicine General Surgery website. Our American Council for Graduate Medical Education (ACGME) approved training program continues to evolve from a community-based program to a hybrid model.

In the fall of 2010, the Virginia Tech Carilion School of Medicine (VTC) enrolled its inaugural class of 42 students. This unique allopathic medical school employs a problem-based curriculum with a particular emphasis on competency with medical research.

VTC is located in Roanoke, Va., adjacent to Carilion Roanoke Memorial Hospital. Not only does this endeavor round out Carilion Clinic’s transformation to a clinic model to provide superior patient care, cutting edge research, and education, but it also provides the General Surgery Residency with exciting growth opportunities.

Currently we offer four categorical positions per year of training. Additionally, we offer a number of preliminary positions for PGY-1 and PGY-2 residents.

Overview

The Carilion-Virginia Tech General Surgery Resident training program is housed in the Carilion Roanoke Memorial Hospital (CRMH), a full-service quaternary care hospital located just outside downtown Roanoke, Virginia.

There are approximately 600-inpatient beds to provide an opportunity for residents to participate in the care of patients with a myriad of surgical disease entities under the rubrics of general surgery and the specialties, including (to name a few):

  • Trauma and acute care surgery
  • Advanced laparoscopy
  • Complex head and neck surgery
  • Thoracic surgery
  • Colon and rectal surgery
  • Surgical endocrinology
  • Surgical endoscopy
  • Pediatric surgery
  • Hepatobiliary surgery
  • Breast care surgery
  • Plastic and reconstructive surgery
  • Surgical critical care
  • Vascular/endovascular surgery

Other Opportunities within the Program

Residents also spend clinical time at Carilion Roanoke Community Hospital (CRCH), a large multi-specialty outpatient facility used for the management of adult and pediatric patients with needs amenable to remedy via the outpatient route, that is located roughly a mile from CRMH.

Moreover, just outside of Blacksburg, Va, the home of the Virginia Tech, is the Carilion New River Valley Hospital, a burgeoning medical center that exposes senior residents to a large private practice opportunity in contemporary general and vascular surgery.

Overarching Training Philosophy

Carilion believes that effective perioperative management of patients mandates that our residents develop a sense of “trajectory” in surgical practice. This is to say, surgery residents must learn that recovery from a given illness or operative procedure can be patterned along fairly unique time-course curve, along which certain clinical events should occur with regularity as the patient recuperates. Deviation from an expected trajectory pattern should be considered a potentially ominous sign that an untoward event lies ahead for the patient unless measures are taken to bring the patient back onto the proper trajectory.

Residents will be given opportunities to hone their clinical skills, and to obtain assistance from ancillary tests only when it is believed that the results of these examinations will appreciably alter the manner in which the patient is being managed. To do so mandates belief in the concept that continuity of health care delivery is paramount. In the aggregate, adherence to these principles will result in the delivery of quality, efficient surgical care to patients.