Indiana University Hospital: Residency Experience
The Indiana University Hospital is a 385-bed private hospital facility. There are four general surgical services at the Indiana University Hospital , Teams A, B, C, and D. Each service or team is composed of faculty, a chief or upper level resident, junior house officers and medical students. Experience at University Hospital involves care of many critically ill patients with a wide spectrum of pathophysiology who are referred either primarily or following complications after operations elsewhere, for complex, high-risk care. A sophisticated intensive care facility with computer capability allows the surgical trainee an opportunity to integrate voluminous on-line data in the day-to-day care of seriously ill patients. Faculty rounds are made on a daily basis to augment bedside patient care teaching. The care of patients with liver, pancreas, kidney, and multivisceral transplants is provided by a transplant fellow, a PGY 4 and at least two junior housestaff at the intern or PGY 2 level and medical students. Approximately 604 solid organ transplants were performed at Indiana University Hospital in 2005. Residents participate on the Thoracic Surgery service that consists of a fellow, a midlevel resident and an intern. A Surgical ICU service started on July 1, 2005 . This service has a PGY 3 and a PGY 2 resident from general surgery and Clinical 3 and 2 residents from Anesthesiology. This team will provide total care for the moment to moment changes of the surgical patients in the ICU in concert with the primary team caring for the patient.
The Indiana University Hospital has 19 operating rooms. The rooms contain sophisticated monitoring, contemporary anesthetic equipment and has intraoperative ultrasound and CT, laser technology, minimally invasive surgery, robotic surgery, microsurgery and mass spectrometry capabilities. Each operating room is equipped with computers and coding of cases (CPT) is accomplished on site. This allows the faculty and resident staff to keep an accurate surgical case log. Each resident is expected to maintain his or her case log and report this experience to the Residency Coordinator in the Surgery Office and to the ACGME. A Radiology-PACS system is in place allowing review of radiographs from most computer stations. The University Hospital facility has computed-tomography, helical (spiral) CT, ultrasound, scintigraphy and magnetic resonance imaging capability. A PET-Scanner (photon emission tomography) is also available. Ambulatory experience is acquired in the Department of Surgery faculty practice area on the first floor of University Hospital that houses 20 examining rooms, an endoscopy suite, minor procedure room, and a conference room for teaching. More than 22,000 patients are seen here annually. Residents are expected to attend clinics either one full day or two half-days weekly for continuity of patient care.
The Indiana Cancer Pavilion opened its doors in 1997. It is located in juxtaposition to Indiana University Hospital and hosts a number of important multidisciplinary programs intimately involving surgical faculty and house staff including: the Breast Disease Center , GI-Oncology Program, Melanoma and Skin Cancer Program, Thoracic Oncology Program, Head and Neck Cancer program and Urologic Oncology Program. The Cancer program at Indiana University is recognized for its excellence both nationally and internationally. The Clinical Cancer Program has received Cancer Center status approval from the National Cancer institute (NCI) and American College of Surgeons Commission on Cancer. A new Cancer Research Building was dedicated in 1998 and is located opposite the Riley Children's Hospital. A second research facility has opened and is across the street from the Medical School Library. Construction on the new Cancer Hospital begain in 2005.