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

The American College of Surgeons (ACS) Committee on the ACS Transition to Practice (TTP) in General Surgery has developed a program for new surgeons who are leaving residency and entering into the practice of general surgery. The ACS TTP Program will support the transition to independent practice in general surgery through:

  • Individualized, hands-on learning tailored to individual needs
  • Independence and autonomy in clinical decision making
  • Practical general surgery experience under the guidance of notable practicing surgeons
  • One-year, paid staff appointments at institutions accredited by ACS
  • Exposure to important elements of practice management

Learn More

  • TTP Program participants describe their experiences in the video below:

  • Update on the progress of the TTP Program discussed by ACS Executive Director David B. Hoyt, MD, FACS in the April 2014 issue of the Bulletin of the American College of Surgeons
  • Description of the needs assessment, design, and future direction of the TTP Program by Steering Committee Chair J. David Richardson, MD, FACS, in the September 2013 issue of the Bulletin
  • Excellent overview of the ACS TTP Program detailed by Dr. Hoyt in the February 2013 issue of the Bulletin


New TTP Programs

We are pleased to announce that the following institutions are now approved to offer the TTP Program:

Now Accepting TTP Associate Applications for 2016–2017 Academic Year

Institutions participating in the TTP Program are accepting TTP Associate Applications for the 2016–2017 Academic Year. Interested residents are encouraged to review the program profiles listed on the left and submit an application to for consideration.

Institutions interested in establishing a new TTP site can also contact for more information.

Contact Us

To learn more about this new program or to request an application, contact the College at 312-202-5491 or e-mail