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

Wake Forest University School of Medicine

Wake Forest University School of Medicine
Wake Forest University Baptist Medical Center, Winston-Salem, NC

Number of Positions Available: 1

Contact Information

TTP 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


TTP Program Page

Program Highlights

The TTP 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 (two to three months); surgical oncology (one to two months); minimally invasive surgery (one to two months); and TTP clinic (once per week). TTP Associates may also elect to spend one to two months in the surgical intensive care unit or ob/gyn.

Program Description

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

  • Emergency General Surgery (EGS): The TTP 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 TTP Senior Associates. The TTP 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 TTP 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.
  • Minimally Invasive Surgery (MIS): Our four MIS surgeons all have busy patient care schedules, and this allows an excellent opportunity for participation by the TTP Associate. The TTP Associate would work closely with the Senior Associate on the rotation.
  • Surgical Intensive Care Unit (SICU): The TTP Associate working with the current critical care fellows would cover the SICU to provide an excellent educational opportunity.
  • Obstetrics/Gynecology: During the ob/gyn elective, the TTP Associate would work closely with the TTP Senior Associate on the rotation.

TTP Associates would be given graded responsibility and autonomy based on progress. The eventual goal would be that the TTP Associate functions as the attending on the service with the responsible TTP Senior Associate as backup.

The TTP 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 TTP Associate’s scheduled activities, needs, and goals. The TTP 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

Karen Gerancher, MD – Obstetrics/Gynecology
Perry Shen, MD, FACS – Surgical Oncology
Mark Smith, MD, FACS – Lexington Memorial Hospital
Carl Westcott, MD, FACS – Minimally Invasive Surgery