About The Medical Surgical/4 West Department At Boston Medical Center: 4 West 46-bed surgical unit provides general post-operative care for colorectal, surgical oncology, gynecology, trauma and acute care surgery (TACS) patients, bariatric surgery, urology, plastics, transgender, transplant, and vascular surgery patients. Using our patient-centered care model you will be uplifted by a supportive nursing organization, and will be able to deliver the excellent care to your patients that they deserve.