PGY Curriculum


Madigan has a graded hierarchy which stresses early operative experience and progressive autonomy.



Madigan believes in early operative exposure as the primary surgeon.  The intern will rotate among General Surgery, Acute Care Surgery, Vascular Surgery, and Burn surgery rotations.  By the end of the intern year, Madigan interns have performed 120-150 surgeries as the primary surgeon.



The second clinical year builds upon the foundation of intern year. There is an increased focus on critical care medicine in trauma, thoracic, and transplant ICUs. Second year residents will also serve as the primary consultant for surgical consults through the emergency department.



In the PGY3 year, residents have minimal clinical responsibilties. This year is protected time to allow for surgical exploration, clinical investigation, and translational research. Residents are encouraged to foster individual surgical interests and/or participate in our robust forward surgical research.



The R3 resident increases the complexity of operative cases performed. In addition to building on General Surgery, residents rotate through Mary Bridge Children’s Hospital, a private practice high-volume bariatric center, and increase their trauma exposure at Harborview Medical Center.



R4s take on the role of team supervisor. On most rotations, the R4 is the senior resident and is responsible for supervising residents and is expected to be aware of all aspects of the patient’s condition and management plan. The complexity of operative cases continues to increase. Key rotations include Trauma Surgery, Colorectal, and Surgical Oncology/HPB.



The chief year represents the most rewarding moment for trainees with wide latitude to develop personal leadership and refine patient management skills. The chief resident is the primary surgeon for complex general and vascular surgery procedures and is expected to be intimately involved in all aspects of patient care.