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

Transition to Practice Program

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

To learn more about this new program or to request an application, contact the College at 312-202-5653 or e-mail

Straight from the Source

The Transition to Practice (TTP) Program guides surgeons during the transition from training to practice and offers valuable experiences to all participants. Learn what the TTP Program has to offer you.

See the full video playlist on YouTube.

Apply for 2018-2019

Institutions participating in the ACS TTP Program have TTP Associate positions available for the 2018–2019 academic year. Interested residents and recent residency graduates are encouraged to review the program profiles of available positions.

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New TTP Institutions

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

  • Stony Brook University Hospital, Long Island, NY
  • Bluefield Regional Medical Center, Bluefield, VA

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Learn More about TTP

Check out some of the great articles about the TTP Program:

  • Review of Transition to Practice programs co-authored by TTP program participants, Thomas H. Cogbill, MD, FACS, and Stephen B. Shapiro, MD, FACS, in the February 2016 issue of Surgical Clinics of North America
  • 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