Plastic & Reconstructive Surgery Residencies Rotations

Rotations Overview

Integrated Program

Our integrated track is a six year training program with time spent at Lahey Hospital & Medical Center, Maine Medical Center, Beth Israel Deaconess Medical Center, Boston Medical Center, and Boston Children’s Hospital. Residents have protected educational time and attend weekly didactics.

Years 1-2: Residents will participate in multiple rotations, primarily at Lahey Hospital & Medical Center, including:

  • General surgery
  • Hand
  • Mohs surgery
  • Anesthesia
  • Emergency medicine
  • OMFS
  • Vascular

During years 1-2, integrated residents will have the opportunity to take primary plastic surgery call under the supervision of a Chief Resident while on plastic surgery and non-general surgery off-service rotations. During these calls, the resident will critically evaluate plastic surgery consults and have the opportunity to perform bedside and ER procedures independently.

Year 3: The third year rotation at Lahey Clinic is spent entirely on the Lahey Plastic Surgery Service and represents the official entry into the formal plastic surgery training years.

Years 4-6: Residents focus entirely on plastic surgery rotations, mirroring the Junior, Senior and Chief years of the Independent Program.

Independent Program

The independent program for the plastic and reconstructive surgery residency offers three years of training at leading hospitals in the area.

Residents are divided into two-month blocks and take place at:

  • Lahey Hospital & Medical Center
  • Beth Israel Deaconess Medical Center
  • Boston Children’s Hospital
  • Boston Medical Center (Elective)
  • Maine Medical Center

For junior, senior and chief years, the blocks are divided each year as follows:

  • Three blocks at Lahey Hospital & Medical Center
  • One block at Beth Israel Deaconess Medical Center
  • One block at Maine Medical Center

In addition, residents will spend one block at Boston Children’s Hospital during their junior year, one block at Boston Medical Center during their senior year and one elective block during their chief year.

Block Descriptions

Lahey Hospital & Medical Center

Each year, junior, senior, and chief residents spend a total of six months at Lahey Hospital & Medical Center. Residents’ time is divided into three, two-month rotations. This is a broad-spectrum rotation that represents the residents’ first exposure to a wide variety of plastic surgical problems and their management.

Residents participate in all facets of care. They 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.

Senior Rotations

Senior rotations at Lahey Hospital & Medical Center have several objectives, including:

  • Broadening the residents’ aesthetic exposure
  • Providing mentorship to the junior residents
  • Reinforcing training in general plastic surgical problems
Chief Year

The chief year serves to refine and hone plastic surgery and practice management skills prior to entering practice or fellowship. In addition to the additional responsibilities above, there are increased administrative and clinical responsibilities to ensure that the service is kept running smoothly.

This year provides expanded aesthetic experience including laser and skin care management. A higher responsibility level in postoperative management is expected.

The chief resident has the additional administrative responsibilities for arranging Journal Club, morbidity and mortality 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. The resident should be capable of selecting the best method from the multiple approaches they have been exposed to in the earlier year of training.

Beth Israel Deaconess Medical Center

Each year, junior, senior and chief residents will spend two consecutive months at Beth Israel Deaconess Medical Center.

The multi-year rotations at BIDMC are designed to expose residents to a range of procedures, including:

  • Breast reconstruction with DIEP flaps
  • General plastic surgery
  • Hand surgery
  • Major reconstruction of head and neck cancer

Lahey residents are integrated directly into the BIDMC plastic surgery service and assigned to cases by the chief resident. Progressive responsibility is expected over each subsequent year. Call is shared.

Residents are required to attend the hand and plastic surgery clinics as assigned. They will work within the system to optimize patient care and medical management of critically ill patients or patients with extensive reconstructions. Complex reconstructive problems, including exposure to complicated trauma cases and head and neck cancer, will be addressed.

These rotations allow residents the opportunity to learn and practice within the framework of an urban academic center with a large referral base that has a large number of complex reconstructive problems.

Residents gain additional experience through the preoperative workup and post-operative care of these patients. They attend clinic as assigned.

Residents attend the BIDMC conferences in addition to the mandatory conferences at Lahey Hospital & Medical Center. This double exposure to teaching conferences and to cases seen within the urban university setting greatly enhance the depth and breadth of plastic surgery knowledge.

Parking is reimbursed for this rotation.

Boston Children's Hospital

The junior year rotation at Boston 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 operating room as provided by the expertise of the surgeons there.

Boston Medical Center (Elective)

Boston Medical Center (BMC) is offered as an elective. It is a unique educational opportunity that focuses on trauma reconstruction in an underserved urban, inner-city environment. BMC is the receiving hospital for the underserved population in Boston and has a complex and diverse patient population.

BMC exposes residents to gender affirming surgery for both breast cases and urogenital reconstruction.

Maine Medical Center

Each year, junior, senior and chief residents will spend two consecutive months at Maine Medical Center. The rotation provides excellent clinical education in an independent practice setting at Plastic and Hand Surgical Associates, which is also affiliated with Maine Medical Center. The rotation is an intensive operative experience. It provides a unique opportunity for exposure 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.

During this rotation, pet-friendly housing with parking is provided. Residents will continue to participate in the academic curriculum at Lahey via video conference call.

Chief Year Elective

As an adjunct and enhancement training, a third-year elective block is built into 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.

A recent addition to the program is the third year elective rotation at People’s Ninth Hospital in Shanghai, China. It is designed to provide the Chief resident summative exposure major reconstructive procedures, cutting edge free tissue transfers, craniofacial techniques and cosmetic procedures. The rotation will consist of 14-28 working days on site within the framework of the 2 month Chief elective block.

Away rotations must be approved in advance by the program director, have direct contact between the program director and a site director and have defined educational goals. This is also a great opportunity to schedule mission trips such as Operation Smile.