Clinical rotations are designed to help meet the goal of achieving a broad-based general surgical experience. The PGY I rotations include experience through a variety of disciplines of surgery, including Colon and Rectal Surgery, Plastic Surgery, GI Surgical Oncology, Surgical Critical Care, Thoracic Surgery, and Vascular Surgery, and General Surgery at The Leonard Chabert Medical Center (LCMC) in Houma, Louisiana. The emphasis during the PGY I year is to develop experience in all facets of pre- and postoperative surgical care while mastering the fundamentals of general surgical technique and principles. Operative experience is considered moderate with approximately 100 uncomplicated surgical and endoscopic procedures performed by the PGY I house staff.

The second-year rotations include experience at Ochsner on Pediatric Surgery, Acute Care Surgery, Cardiothoracic Surgery, and Transplant Surgery. Each PGY II rotates on Trauma at University Medical Center (UMC) and at Chabert in Houma on the General Surgery service. Residents' operative experience is again considered moderate and is commensurate with the residents' technical abilities. In general, by the completion of the PGY II year, residents have completed about 250 cases as surgeon.

The PGY III rotations include experience on the Minimally Invasive/Bariatric Surgery Service Vascular, Transplant, Colon and Rectal, Acute Care Surgery at Ochsner and the General Surgery service at Chabert in Houma. The third-year operative experience is considered extensive. The average resident in the Ochsner program has performed more than 500 surgical procedures by the completion of the PGY III year.

The PGY IV rotations include experience on the Pediatric Surgery, GI Surgical Oncology, Breast/Endocrine/Soft Tissue, and Colon and Rectal surgical services at Ochsner, General Surgery at LCMC, and Trauma at UMC. The average fourth-year resident performs 350 operative procedures during this very busy year bringing the total cases to over 800 by the end of the fourth year.

The PGY V year is devoted to functioning as chief resident. Rotations are GI Surgical Oncology, Minimally Invasive/Bariatric Surgery, Acute Care Surgery, and Thoracic Surgery at Ochsner and one in LCMC in Houma. A sixth rotation will be decided upon during the next academic year since we have only recently been approved for a sixth categorical position and have not yet graduated our full complement of chief residents. The average chief resident performs 350 general surgical procedures, bringing the total operative experience to about 1,200 cases by the completion of training.