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Updated: May 30, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Nondesignated preliminary residents in general surgery: 25-year outcomes
Christopher M Pezzi1, Thomas J Leibrandt, Rebecca T Augustine
1Department of Surgery, Abington Memorial Hospital, Abington, PA 19001, USA.
Background:
This study assesses the outcomes of nondesignated preliminary (NDP) residents in general surgery (GS) at an independent, nonuniversity training program.
Methods:
Records of all NDP residents from 1984-1985 through 2008-2009 were reviewed, and residents' careers were followed. Designated preliminary and categorical residents were excluded.
Results:
Sixty-two residents completed the NDP year. Three of these residents also completed a second postgraduate NDP year. A total of 60 NDPs (97%) continued in accredited postgraduate programs. Forty-eight graduates (77%) pursued surgery-associated careers: 26 (42%) in GS and 22 (35%) in other surgery-related specialties. Eleven of the 26 NDPs who entered GS (42%) became categorical residents in our program. All NDP GS graduates are board certified, board eligible, or are residents in training.
Conclusions:
After a preliminary year in GS, NDPs continued in postgraduate medical education followed by board certification, usually in GS or surgery-related specialties. NDPs often obtain categorical positions in the parent GS program.
