Educational Goals | General Surgery | Programs | Residency Program | Cape Fear Valley Health
Residency Program

General Surgery Educational Goals

Educational Goals

The General Surgery Residency Program is structured to provide residents with evidenced-based fundamental knowledge and principles requisite to becoming outstanding general surgeons. We combine a broad didactic curriculum and progressive clinical experiences to ensure residents are prepared for board-certification and beyond. Throughout the five-year program, residents have the opportunity to train in such areas as GI, trauma/critical care, vascular, thoracic, hepatobiliary, emergency medicine, and transplant. Our faculty come from diverse backgrounds with interests in a variety of general surgery areas that help our residents grow into competent, well-rounded surgeons.


  • Demonstrate competence in the care of surgical patients on the ward including preoperative evaluation, writing preoperative and postoperative orders, and postoperative care.
  • Demonstrate competence in the basic pathophysiology of surgical disease.
  • Achieve ACLS and ATLS certification.
  • Demonstrate competence in basic procedures: start IV, placement of central lines, PA catheters, chest tubes, arterial lines.
  • Demonstrate surgical competence in: basic techniques, sterile technique, surgeon in simple procedures, excision subcutaneous lesions, breast biopsies, hernia repair. First assist on larger procedures.
  • Communicate as a professional with patients, hospital staff, students, fellow residents and attending staff.


  • Demonstrate competence in the care of more complex or severely ill patients including critical care and trauma.
  • Demonstrate the application of basic surgical knowledge and during evaluation and care of patients with more complex surgical problems.
  • Demonstrate basic knowledge of surgical specialties while caring for multi-injured patients.
  • Demonstrate competence in performing more advanced procedures: PA catheter, bronchoscopy, and endoscopy.
  • Demonstrate competence in the pathophysiology and management of breast disease.
  • Demonstrate competence in performing advanced procedures under supervision, and first assist on more complex surgical procedures.
  • Communicate more effectively with patient care team; begin to assume leadership position within the team, show foresight and planning in regards to patient care, concise and effective presentation.


  • Demonstrate competence as the "leader/supervisor" on a smaller surgical team with close attending supervision.
  • Coordinate patient care to include appropriate evaluation and treatment by other health care professionals and consultants.
  • Demonstrate mastery of basic surgical pathophysiology and patient care (ward and ICU), and a basic understanding of surgical alternatives.
  • Demonstrate competency in teaching and supervising basic procedures including line placement, chest tubes.
  • Demonstrate competence in teaching and supervising junior residents in the performance of basic surgeries including excision of subcutaneous masses, breast biopsies, and hernia repairs.
  • Perform as surgeon on more complex surgical procedures.
  • Demonstrate competence in endoscopy skills and indications for such procedures.
  • Demonstrate competence in surgical treatment of endocrine conditions and disorders.
  • Demonstrate improved communication with patient care team and function more effectively as team leader.
  • Communicate effectively with other health care professionals.
  • Begin to address issues of problem solving and dispute resolution.
  • Demonstrate an understanding of the role of different specialists and other health care professionals in overall patient management.


  • Function in the role of senior resident with its associated increase in responsibility in affiliated hospitals.
  • Assume leadership of larger surgical teams and supervise care of surgical patients at various levels of acuity with input from surgical attending physicians, consultants and other health care professionals.
  • Demonstrate competence in performing essential common surgical procedures as outlined by the SCORE Curriculum.
  • Demonstrate competence in teaching and supervising more advanced operations.
  • Demonstrate significant knowledge in general, trauma, and pediatric surgery.
  • Demonstrate competence in the understanding of immunosuppression in the treatment of transplant surgical patients, and basic principles of the operations.
  • Demonstrate further developed skills in problem solving and dispute resolution.


  • Provide clinical and administrative leadership of residents and students assigned to the surgical services of the affiliated hospitals.
  • Begin to function as a responsible surgeon under appropriate supervision.
  • Master all essential common surgical skills/techniques as outlined by the SCORE Curriculum.
  • Provide oversight of all aspects of pre-, peri- and post-operative care. Coordinate evaluation, input, and care from consultants and other health care professionals.
  • Achieve the full competence (knowledge, skills, judgment) of a board eligible general surgeon.