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Rotations and Curriculum — General Surgery Residency at The Jewish Hospital

Facilities

The Jewish Hospital — Mercy Health is a 200-bed, not-for-profit acute care facility. There are more than 14,500 surgical operations performed annually in our 16-plus operating, cystoscopy and endoscopy suites. It is estimated that the Emergency Department sees more than 33,500 visits annually. The hospital offers specialty services in bone marrow transplantation, orthopedics and minimally invasive surgery. The institution serves all patients in the surrounding area with a large Jewish population.

Simulation Lab

  • The general surgery residency at Jewish Hospital is committed to the advancement of clinical performance and optimization of procedural outcomes through education.  Our simulation lab is equipped with Simbionix LAP Mentor and ENDO Mentor Suite.  
  • The LAP Mentor is a laparoscopic training simulator that offers the experience of tissue resistance feedback via the surgical tools and provides a true-to-life feel of performing laparoscopic surgery. The LAP Mentor platform enables constant addition of new modules.
  • The ENDO Mentor Suite is the most comprehensive hands-on training for upper and lower GI endoscopy, with more than 100 tasks and diagnostic/therapeutic virtual patient cases.
  • FLS and FES Trainer 
  • Hands-on skill lab practice for performing minimally invasive surgery and endoscopy to prepare the resident for the operating room and FLS and FES certifications.
  • Certifications obtained during residency:
    • FLS – Fundamentals of Laparoscopic Surgery
    • FES – Fundamentals of Endoscopic Surgery
    • ATLS – Advance Trauma Life Support

Rotation Schedule

PGY 1

 General Surgery: Red Team  Four months
 General/ Vascular/ Thoracic Surgery  Four months
 Surgical Critical Care  Two months
 Intern Mentorship  One month
 Anesthesia  One month

PGY 2

 General Surgery: Red Team  Three months
 General/Vascular/Thoracic Surgery  Four months
 Trauma at University of Cincinnati Medical Center  Two months
 Burns at University of Cincinnati Medical Center  One month
 Breast  One month
 Vascular Mentorship  One month
 Mentorship  One month
 

PGY 3

 General Surgery: Red Team  Three months
 General/Vascular/Thoracic Surgery  Four months
 Research/Endoscopy  Two months
 Pediatric Surgery: Cincinnati Children’s Hospital and Medical Center  Two months
 Mentorship  One month


PGY 4

 General Surgery: Red Team  Four months
 General/ Vascular/ Thoracic Surgery  Three months
 Trauma at University of Cincinnati Medical Center  Two months
 Transplant: The Christ Hospital  One month
 Anderson Mercy Health  One month

PGY 5

 General Surgery: Red Team  Six months
 General/ Vascular/ Thoracic Surgery  Six months
 

University of Cincinnati Medical Center

University of Cincinnati Medical Center is currently the only Level 1 Trauma Center in the tri-state area. During the second and fourth year, residents will rotate for two months on the Trauma Service at UC Medical Center. This rotation includes a one-month rotation in the Surgical ICU during the resident's second year. The two Air Care helicopters provide UC with a rich environment of trauma patients, which makes this center one of the busiest Trauma Centers in the region with 84,000 annual emergency room patients with acute blunt and penetrating trauma. This extensive experience in the clinical management of the trauma patient is complemented by several sectional and departmental didactic sessions including trauma conference, grand rounds, and morbidity and mortality conference.

University of Cincinnati Burn Unit, Cincinnati, Ohio

During the second year, residents will rotate for one month at the University Hospital Burn unit. During this rotation, the residents will take an active role in all aspects of management of the severely-burned patient. While on call, the resident is also responsible for the care of adult patients in the University Hospital Burn Unit. In addition, there is extensive experience with the principles of reconstructive and restorative surgery, as well as rehabilitation from severe burns.

Mentoring

During the PGY 1 through PGY 3 years, residents participate in a mentorship program with faculty representatives from the general surgery and vascular surgery services. The faculty member serves as a mentor to the apprentice resident for one-month intervals. This experience affords the surgical resident in-depth exposure to the continuity of patient care, role modeling opportunities and office-based practices. The apprentice residents will share this increased knowledge with the junior residents within the program.

Cincinnati Children’s Hospital Medical Center
 
During the third year, residents will rotate for two months at the Cincinnati Children’s Hospital Medical Center (CCHMC). CCHMC will perform over 19,000 operations in a year, with 4,000 being in the general surgery category. During this rotation, the residents will have a heavy volume of surgery and extensive experience in the clinical management of patients undergoing a wide variety of surgical procedures. In addition to the operative experience, the resident will participate in the many conferences – grand rounds, X-ray and morbidity and mortality.
 
The Christ Hospital
 
The Christ Hospital is a 555-bed, not-for-profit acute care facility that serves for our PGY 4 transplantation rotation. The institution is involved in clinical research in graft tolerance, and the resident will have the opportunity to participate in many active clinical trials. In addition, the resident will have the opportunity to care for patients with endocrine disease, particularly of the thyroid and parathyroid. The Christ Hospital transplantation rotation is one of the busiest renal transplantation services in the tri-state area.

Didactic Curriculum

 Grand Rounds/Quality Improvement  7 to 8 a.m. Wednesdays
 Chief Conference  8 to 9 a.m. Wednesdays
 Basic Science  9 to 10 a.m. Wednesdays
 Breast, Vascular and Radiology Conference  Monthly
 GI Tumor Board and Thoracic Conference  Bi-monthly
 Journal Club  Monthly
 Simulation/Skills Lab  Open and Scheduled Time

Publications

Agafonoff, S., Allamaneni, S., Bernstein, J., Braverman, T., Naqvi, I., & Chuchulo, A. (2020). Hypervascular neck mass as the initial presentation of papillary thyroid cancer: A case report and review of current literature. International journal of surgery case reports, 66, 196–200. https://doi.org/10.1016/j.ijscr.2019.12.010 PMID: 31865231

Agafonoff, S., Kundu, N., Schwarz, G., & Shah, C. (2020). Immediate Implant Reconstruction in Patients Undergoing Radiation Therapy: Opportunities and Challenges. Annals of surgical oncology, 27(4), 963–965. https://doi.org/10.1245/s10434-019-08172-3 PMID: 31898099

Caparelli ML, Batey JC, Tailor A, Braverman T, Barrat C. Internal hemorrhoid harboring adenocarcinoma: A case report. World J Gastrointest Oncol. 2021;13(1):87-91. doi:10.4251/wjgo.v13.i1.87 PMID:33510851
Caparelli ML, Shikhman A, Runyan B, Allamaneni S, Hobler S. The use of tamsulosin to prevent postoperative urinary retention in laparoscopic inguinal hernia repair: a randomized double-blind placebo-controlled study. Surg Endosc. 2020 Oct 6. doi: 10.1007/s00464-020-08050-0. PMID: 33025252.

Erem, A. S., Krapivina, A., Braverman, T. S., & Allamaneni, S. S. (2019). Serratia Liver Abscess Infection and Cardiomyopathy in a Patient with Diabetes Mellitus: A Case Report and Review of the Literature. The American journal of case reports, 20, 1343–1349. https://doi.org/10.12659/AJCR.918152 PMID: 31506419

Ginting K, Stolfi A, Wright J, Omoloja A. Patient Portal, Patient-Generated Images, and Medical Decision-Making in a Pediatric Ambulatory Setting. Appl Clin Inform. 2020 Oct;11(5):764-768. doi: 10.1055/s-0040-1718754. Epub 2020 Nov 18. PMID: 33207384

Liskutin, T., Batey, J., Li, R., Schweigert, C., & Mestril, R. (2020). Increased Heat Shock Protein Expression Decreases Inflammation in Skeletal Muscle During and after Frostbite Injury. Current molecular medicine, 20(9), 733–740. https://doi.org/10.2174/1566524020666200407083131 PMID: 32264811

Runyan B, Caparelli ML, Batey J, Allamaneni S, Perlman S. Bouveret syndrome: A series of cases that illustrates a rare complication of chronic cholelithiasis. Annals Hepatobiliary Pancreatic Surgery. 2021 Feb 28;25(1):139-144. doi: 10.14701/ahbps.2021.25.1.139. PMID: 33649267.

Duda A, Hanak C, Wirtz P, Lipscomb A, Mitiek M. Single-stage resection with intraoperative filter placement for right renal carcinoma with vena cava extension. J Vasc Surg Cases Innov Tech. 2021 Sep 22;7(4):691-693. doi: 10.1016/j.jvscit.2021.08.008. PMID: 34746532; PMCID: PMC8556488.

Duda A, Beers K, Mitiek M. Surgical management of atrial-esophageal fistula as a complication of atrial fibrillation ablation. J Surg Case Rep. 2022 Jan 26;2022(1):rjab497. doi: 10.1093/jscr/rjab497. PMID: 35096366; PMCID: PMC8791657.

Presentations

“Combined Robotic Partial Left Hepatectomy and Low Anterior Resection for Metastatic Rectal Gastrointestinal Stromal Tumor.” Caparelli ML, Barrat C, Allamaneni S. Poster presented at: South Western Surgical Conference 2020 Annual meeting; 2020 September 1-4; Ojai, CA
 
“Laparoscopy as a Useful Adjunct to Colonoscopic Polypectomy: A Case Series.” Caparelli ML, Duda A, Barrat C. Poster presented at: American Society of Colon and Rectal Surgeons 2019 Annual meeting; 2019 June 1-5; Cleveland, OH.
 
“Metastatic renal cell carcinoma to the pancreas, ileum, and liver; a case report emphasizing aggressive surgical treatment can lead to improved survival.” E-poster Presenter at 2020 American Pancreatic Association: Ashlea McManus MD | Jewish Hospital United States 

“A Pancreatic Pseudocyst with Fistulaization to the common bile duct. A rare complication.”  McManus, A., Allamaneni, S. Presented at APA conference virtually, November 2022. 

“Cross Residency Teaching Program for Technical Improvement in Central Lines and Arterial Lines.” McManus, A., Allamaneni, S., et al. Presented at ACS Quality conference July 21, 2023.

“Spacer gel Erosion through the rectal wall.” A case report detailing the unfortunate side effect of the protective treatment of prostate cancer during radiology.  McManus, A., Cullen, J., et al. Presented at SAGES, March 2023.

“Follow-up after initial treatment of peritoneal mesothelioma” Tyler IV, M.F & Allamaneni, S. Presented at Mercy Health Cincinnati Regional Resident Research Day. May 2023

“Novel Repair of Complex Perineal Hernia Status Post Abdominal Perineal Resection: A Case Report” Klein, E., Jorski, A., Batey, J. Kundu, N., Barrat, C. Presented at Mercy Health Cincinnati Regional Resident Research Day. May 2023

“Robotic-assisted laparoscopic excision of GIST at the GE junction with hiatal hernia repair.” Beloy, J., Ginting, K., Hardin, C., Allamaneni, S. Video presentation at Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), March 2023.