American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Wake Forest University School of Medicine

Winston-Salem, NC

Number of Positions Offered: 2

Contact Information

Mastery in General Surgery Program Chief

Preston Miller, MD, FACS

Additional Information

General Surgery
Medical Center Boulevard
Winston-Salem, NC 27157
Fax: 336-716-9758

Administrative contact: Jennifer Hinson,; 336-716-7398


Wake Forest School of Medicine

Program Highlights

The Junior Associate’s schedule will be created based on the specific needs of the trainee as well as the scheduling requirements of the Senior Associates and all other program trainees. Core rotations will include emergency general surgery (four months); community surgery at Lexington Memorial Hospital, Lexington, NC, and Frye Regional Hospital, Hickory, NC (two months each); surgical oncology (one to two months); and minimally invasive surgery (one to two months). Junior Associates may also elect to spend one to two months doing endocrine surgery, obstetrics/gynecology, or in the surgical intensive care unit.

Program Description

Overall, it is expected that the Junior Associate will act as a supervising surgeon and mentor as appropriate. The clinical volume available will facilitate this in areas where the Junior Associate and residents will work together.

  • Emergency General Surgery (EGS): The Junior Associate would hold a faculty appointment as an assistant instructor in surgery. He or she would supervise and help the residents caring for EGS patients. They would assume the role of the surgical attending, with backup from Mastery in General Surgery Program Senior Associates. The Junior Associate would cover the EGS service for four months.
  • Surgical Oncology: Rotation on the surgical oncology service will provide a rich experience in general oncologic surgical cases, including breast surgery. The surgical oncology service does approximately 1,500 cases/year, and the Junior Associate would be expected to provide senior help and receive instruction on such cases.
  • Lexington Memorial Hospital: This local community hospital provides a venue for experience in a nonacademic private practice setting. This provides a large number of “bread and butter” general surgical cases as well as upper and lower endoscopy.
  • Frye Regional Hospital: This community hospital in Hickory, NC, also provides a quality general surgical experience of significant volume in a private practice setting.
  • Minimally Invasive Surgery (MIS): Our four MIS surgeons all have busy patient care schedules, and this allows an excellent opportunity for participation by the Junior Associate. The Junior Associate would work closely with the Senior Associate on the rotation.
  • Endocrine Surgery: Due to the large volume of endocrine surgery seen at our institution, there are ample opportunities for the Junior Associate to operate and care for patients with complex endocrine surgical diseases.
  • Surgical Intensive Care Unit (SICU): The Junior Associate working with the current critical care fellows would cover the SICU to provide an excellent educational opportunity.
  • Obstetrics/Gynecology: During this elective, the Junior Associate would work closely with the Mastery in General Surgery Program Senior Associate on the rotation.

Junior Associates would be given graded responsibility and autonomy based on progress. The eventual goal would be that the Junior Associate functions as the attending on the service with the responsible Mastery in General Surgery Program Senior Associate as backup.

The Junior Associate will be expected to attend educational conferences such as weekly grand rounds and morbidity and mortality conferences. Attendance at other educational conferences such as basic science and specialty conferences in critical care, vascular, or oncology will be optional dependent on the Junior Associate’s scheduled activities, needs, and goals. The Junior Associate will attend the American College of Surgeons (ACS) Clinical Congress as well as the meeting of the state chapter of the ACS, if possible.

Senior Associates

Acute Care Surgical Staff
Karen Gerancher, MD – Obstetrics/Gynecology
Jennifer Cannon, MD, FACS – Endocrine Surgery
Perry Shen, MD, FACS – Surgical Oncology
Mark Smith, MD, FACS – Lexington Memorial Hospital
Peter Bradshaw, MD, FACS – Frye Regional Hospital
Carl Westcott, MD, FACS – Minimally Invasive Surgery