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Transition to Practice Program

Goals and Objectives

Wake Forest University Department of Surgery Transition to Practice Program



The Mission of the Wake Forest University Department of Surgery Transition to Practice Program is to help associates develop broad based excellence in the practice of general surgery. We aim to consistently develop well rounded, skillful, compassionate graduates who are highly sought by community practices, academic medical centers and international surgical organizations.


Goals and Objectives

Goal 1. Provide a training experience in which associates develop excellence in the practice of general surgery including emergency general surgery and trauma as well as aspects of minimally invasive surgery (MIS), oncologic surgery and endocrine surgery. Experiences in surgical critical care, obstetrics/gynecology, and surgical practice in underserved international settings are also offered.



  • Offer Wake Forest EGS rotation of 4 months.
  • Take Friday night Acute Care Surgery (ACS) call (trauma/EGS/critical care/burn). Calls to be shared among the TTP associate and ACS fellows.
  • Offer general surgery experience in private practice settings in surgical practices in the region
  • Offer Wake Forest MIS rotation of at least 1 month. Associates will also be exposed to MIS techniques on the EGS service as well as private practice rotations
  • Offer Wake Forest oncologic surgery rotation of at least 1 month. Associates will also be exposed to oncologic surgery during  private practice rotations
  • Offer Wake Forest endocrine surgery elective of 1 month available. Associates will also be exposed to endocrine surgery during  private practice rotations
  • Offer electives in surgical critical care 1-2 months and Ob/Gyn 1 month
  • Offer elective in international surgery, United Republic of Tanzania, Eastern Africa, 1 month

Goal 2. Provide a training experience that is tailored to the associates needs based both in the areas in which growth is desired and the associate’s plans for the future with respect to practice settings. Associates will have graduated autonomy based on their level of experience and readiness.


  • Interview Associate as to their needs and planned career direction.
  • Have faculty complete Intake Assessment Tool after 1 month of practice at our institution.         
  • Develop specific plan based on these data

Goal 3. Help Associates develop leadership skills and experience that will allow them to effectively lead teams, manage conflict, coordinate multiple services, and mentor others.


  • Hold quarterly discussions with Associates to give feedback and guidance based on input from attending physicians, other staff, and students.
  • Ongoing feedback to be provided by attending physicians on an ad hoc basis.

Goal 4. Provide experience and training in the development and implementation of quality and performance improvement initiatives.


  • Involve Associates in Trauma and general surgery peer review and PI. Associates will participate in implementation of QI/PI efforts on the services on which they rotate.
  • If more extensive experience is desired, associates will work with Mike Chang, (Acute Care Surgery Director) or Shayn Martin (Adult Surgical ICU Director) on ongoing PI projects.
  • An elective in patient safety and quality Improvement (iQ Academy) will be offered

Goal 5. Provide training and resources so that the associate may learn aspects of billing and collections, as well as medical liability.



  • Provide instruction by our billing/compliance departments on appropriate physician billing strategies and rules
  • Provide ongoing instruction in daily billing practices in both the academic and private practice setting
  • Provide feedback on billing practices in the form of tracking of RVUs and charges, and compliance audit for coding accuracy.
  • Provide access to risk management professionals and legal counsel as opportunities arise

Quick Reference

Transition to Practice Program
Jennifer Hinson
Program Coordinator



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Last Updated: 06-06-2016
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