Rotation Overview

Junior, Senior and Chief Years- Lahey Hospital & Medical Center

This is a broad-spectrum rotation, which represents the first exposure to a wide variety of plastic surgical problems, with specific attention focused on assessment and management. Residents will participate in all facets of care and will develop surgical and treatment skills appropriate for management of hand, breast, microsurgery and trauma plastic surgical cases. The rotation provides a unique insight into practice management and patient care within the setting of a suburban comprehensive healthcare system.

The second year rotations at Lahey Hospital & Medical Center are designed to reinforce training in general plastic surgical problems, serve as a mentor to the junior resident and to begin to broaden the aesthetic exposure. The chief year serves to refine and hone plastic surgical and practice management skills prior to entering practice or fellowship. In addition to the additional responsibilities above, there are increased administrative and clinical responsibilities as chief resident to ensure that the service is kept running smoothly. There is also an expanded aesthetic experience including laser and skin care management. A higher responsibility level with regards to postoperative management will be expected, and the chief resident will have the additional administrative responsibilities for arranging Journal Club, M&M and determining the case distribution for the service. This requires a higher level of communication with residents, staff and office personnel. Many patients will rely on the chief resident as the "first call" person with aesthetic questions after surgery, in consultation with the staff attending. The foundations for critical review of practice methods should be in place, and the resident should be capable of selecting a "best method" from the multiple approaches they have been exposed to in the earlier year of training.

Junior Year - Children’s Hospital

The second year rotation at Children’s Hospital is designed to provide broad exposure to pediatric plastic surgical problems, including cleft lip and palate, craniofacial anomalies and vascular abnormalities. Residents will have additional exposure to oral/maxillofacial surgical problems in conference and the OR as provided by the expertise of the surgeons there. Initial evaluation, operative and long term craniofacial and pediatric management, and assessment of complex reconstructive problems are the focus of this rotation, where the Lahey Hospital & Medical Center resident integrates with the Harvard Plastic Surgery Service.

Senior Year – Boston Medical Center

Boston Medical Center is a unique educational opportunity that focuses on trauma reconstruction in an under served urban/ inner city environment. BMC is the receiving hospital for the under served population in Boston and has an abundance of complex and diverse patient population and it boasts the highest volume in Eastern Massachusetts in lower extremity trauma. The three full time staff that are present will focus their attention on the single resident rotator and the 4 physician extenders will ensure that the focus is on education and not service. The inner city rotation will enhance the suburban experience at Lahey Hospital & Medical Center. As there is only one resident for three attendings, education will be the definitive focus and operative experience will be broad and plentiful. This rotation will serve to enhance and complement the rich educational experience already provided at the Lahey program. 

Junior, Senior and Chief Years- Maine Medical Center

The rotation provides excellent clinical education in a private practice setting at Maine Medical/ Portland Plastic and Hand . It is an intensive operative experience designed to provide a unique opportunity to be exposed to private practice plastic surgery in a group setting where the staff is dedicated to teaching. Although all facets of plastic surgery are performed, the rotation is expected to provide emphasis on hand, aesthetic and reconstructive surgery, with additional exposure to cleft and pediatric problems.

Junior, Senior, Chief Year- Brigham and Women’s Hospital

The third year rotation at BWH is designed to expose residents to hand surgery, general plastic surgery and major reconstruction, including reconstruction of head and neck cancers as well as breast reconstruction with DIEP flaps. The Lahey Hospital & Medical Center resident is integrated directly into the Harvard Plastic Surgery Service. This rotation allows the opportunity to learn and practice within the framework of an urban Academic Center with a large referral base with a focus on complex reconstructive problems.

Year 3 - Elective

As an adjunct and enhancement to your training, a third year elective block has been added to the rotation schedule. Residents may elect to have an away rotation, rotate within the area at various cosmetic centers or choose an area of sub-specialization. The rotation should be free from call responsibilities and is designed to enhance the educational experience. Away rotations must be approved in advance by the Program Director, have direct contact between the PD and a site director and have defined educational goals. It is NOT to be used as an interview or ‘audition’ for prospective employment opportunities.