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The Gundersen Lutheran Medical Foundation offers a robust General Surgery Residency, emphasizing high-volume open and laparoscopic cases amidst a rural environment in La Crosse, Wisconsin. Our fully integrated program features 12 general surgeons across 25 branch clinics and commits to training through critical care, trauma resuscitation, and rural electives. Residents gain practical experience alongside dedicated faculty, enriching their academic and surgical skills. With a strong emphasis on ethical practice, publication, and evidence-based learning, we prepare our graduates for diverse surgical careers in both urban and rural settings.
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SURGERY FOR RURAL AMERICA Thomas H. Cogbill, M.D. Gundersen Lutheran Medical Foundation La Crosse, Wisconsin
Gundersen Lutheran Health System Fully Integrated Physician-Led 453 Physicians 6159 Employees
Main Clinic – La Crosse, Wisconsin (population 51,000) 12 General Surgeons Branch Clinics – 25 Locations 9 General surgeons
GL SURGICAL RESIDENCY Began in 1974 Currently 2 Categorical Positions/Year Only Surgical Residency Single Fellowship – Bariatric/MIS
GL SURGICAL RESIDENCY Committed to General Surgery High Volume Open Cases High Volume Laparoscopic Cases Critical Care – 2 Months (R1/R3) R4/R5 Trauma Resuscitation Leaders
GL SURGICAL RESIDENCY Obstetrics/Gynecology – 2 Months (R3) High Volume Endoscopy – 2 Months (R3/R4) Rural Surgery Elective – (R4) Practice-Based Learning Curriculum
Practice Management Curriculum Ethics Grand Rounds (6/year) Coding & Reimbursement Malpractice Contracts Practice Management
Rural Surgery Elective Prairie du Chien, Wisconsin (pop 6047) Decorah, Iowa (pop 7944) Anticipated Practice Sites
Emphasis on Academics Require 2 Publications Require 2 Presentations Evidence-Based Learning
Graduates Fellowship 24% Urban/Large Rural General Surgery 26% Small Rural General Surgery 50%
Postgraduate Responsibility • Faculty clinical resource • CME programs • Teaching a.ATLS b. Rural elective
Essentials for Rural Surgery Strong 5-Year Core General Surgery Obstetrics/Gynecology Endoscopy Surgical Subspecialties Practice Management Curriculum Full Immersion Rural Surgery Elective