This is a 12-month program consisting of approximately 25% operative time and 75% patient management; largely inpatient management and some clinic. The goal of this fellowship is to allow the APP fellow to obtain skills in managing patients pre, intra, and post operatively with time managing inpatients, outpatients, and operative patients. Each rotation or block will be approximately 4 weeks, during which time the fellow will gain first assist skills performing cases in General Surgery, Orthopedic Surgery, Plastic Surgery, Urology, and others. Approximately 6 to 8 days per month will be operative at UNM Hospital and Sandoval Regional Medical Center facilities. The inpatient rotations will change each month, however you will be doing the same types of cases throughout the year to build on your surgical skills.