Comprehensive 5-year curriculum covering all major surgical disciplines-trauma, transplant, pediatrics, cardiothoracic, colorectal, oncology, minimally invasive surgery, endoscopy, and more. High case volume & complexity, supervised by a mix of academic faculty and community surgeons, fostering both breadth and depth in surgical skills. Two-tertiary teaching hospitals - Memorial Medical Center (w/ regional burn center and Level I trauma center) and St. John's (with dedicated pediatric services)