Rotation Goals And Objectives -
General Surgery Rotation Goals and ObjectivesPGY 1 YearSurgical Oncology – Blue ServiceThoracic SurgeryGeneral Surgery – Duke Raleigh HospitalGeneral Surgery – Duke Regional HospitalGeneral Surgery – Durham VA HospitalDuke Regional Hospital surgeryVascular surgery – Green ServiceNight FloatAcute Care Surgery – Red ServiceColorectal Surgery – Gold ServiceTransplant SurgeryPGY 2 YearAcute Care Surgery – Red ServiceGeneral and Vascular Surgery ConsultsBreast and Endocrine SurgerySICUGeneral Surgery – Durham VA HospitalEndoscopyPGY 3 YearSurgical Oncology – Blue ServiceBreast and Endocrine SurgeryThoracic SurgeryGeneral Surgery – Duke Raleigh HospitalGeneral Surgery – Duke Regional HospitalGeneral Surgery – Asheville VA HospitalDuke Regional Hospital surgeryNight ConsultsColorectal Surgery – Gold ServiceTransplant SurgeryCardiothoracic surgeryPGY 4 YearVascular SurgeryPediatric SurgeryNight ChiefTrauma and Acute Care Surgery – Red ServiceBreast and Endocrine SurgeryThoracic SurgeryCardiothoracic SurgeryPGY 5 Year – Chief YearSurgical Oncology – Blue Service
General Surgery – Durham VA HospitalVascular Surgery– Durham VA HospitalColorectal Surgery – Gold ServicePediatric SurgeryEndoscopyGeneral Surgery – Duke Raleigh Hospital
PGY-1 Training ObjectivesSurgical Oncology Service - BluePatient CareThe PGY-1 Resident on the Blue/ GI Surgery Service should demonstrate the ability to: Evaluate pre-operative patients with complex GI issues ( ex: hepatobiliary, colo-rectal, upper andlower GI). Manage ward/postoperative patients. Prioritize patient acuity. Manage ward emergencies (arrhythmia, hypoxia, shock, etc.). Prioritize clinical responsibilities. Plan discharge. Perform (or have experience with) the following ward procedures:o Arterial line/ABG.o Peripheral line/Phlebotomy.o NG tube placement.o Dobhoff placement.o Chest tube placement.o Wound Debridement.o Femoral IJ/SC line placement.o Appendectomy.o Colectomy.o Lysis of adhesions.o Common Ano-rectal procedures (i.e. hemmorhoid banding, repair fistula).o Cholecystectomy, laparoscopic.o Cholecystectomy, open.o Hernia repair.o Incision closure.o Laceration repair, complex.Medical KnowledgeThe PGY-1 Resident on the Blue Surgery Service should understand: Basic Science principles (ex: metabolism, wound healing). General Surgery principles (ex: acute cholecystitis). GI Surgery principles (ex: perforated ulcer). General Medicine principles (ex: infectious disease).
Radiographic studies: indications and interpretation.Practice Based Learning and ImprovementThe PGY-1 Resident on the Blue Surgery Service should demonstrate the ability to: Evaluate published literature in critically acclaimed journals and texts. Apply clinical trials data to patient management. Participate in academic and clinical discussions. Teach medical students and physician assistant students. Attend conferences.Interpersonal and Communication SkillsThe PGY-1 Resident on the Blue Surgery Service should demonstrate the ability to interact with thefollowing persons professionally: Patients; Family members; Nursing staff; and Other members of the care team.ProfessionalismThe PGY-1 Resident on the Blue/Silver Surgery Service should: Be receptive to feedback on performance. Be attentive to ethical issues. Be involved in end-of-life discussions and decisions. Be sensitive to gender, age, race, and cultural issues. Demonstrate leadership.Systems Based PracticeThe PGY-1 Resident on the Blue Surgery Service should: Be aware of cost-effective care issues. Be sensitive to medical-legal issues. Have information technology/computer resources available
PGY-1 Training ObjectivesThoracic SurgeryPatient CareThe PGY-1 Resident on the Thoracic Surgery Service should demonstrate the ability to: Evaluate pre-operative patients with complex thoracic issues or procedures including (butnot exclusive of) benign and malignant tumors of the chest, aneurysmal disease of thethoracic aorta, malignant disorders of the diaphragm/pleura/chest wall and non-neoplasticdisorders of the esophagus. Understand the operative steps for the following procedures commonly performed on theservice: Pulmonary resections (wedge, lobectomy, pneumonectomy) Manage ward/postoperative patients. Prioritize patient acuity. Manage ward emergencies (arrhythmia, hypoxia, shock, etc.). Prioritize clinical responsibilities. Plan discharge. Perform (or have experience with) the following ward procedures:o Arterial line/ABG.o Peripheral line/Phlebotomy.o Chest tube placement.o Wound Debridement.Medical KnowledgeThe PGY-1 Resident on the Thoracic Surgery Service should understand: Basic Science principles (ex: lung volumes, wound healing). Thoracic Surgery principles (ex: pneumothorax). General Medicine principles (ex: infectious disease). Common presenting signs and symptoms, evaluation of, and management of the following: Pulmonary malignacies (primary and metastatic) Pulmonary infections (fungal, bacterial)/empyema Tumors of the mediastinum, pleura, and chest wall Aneurysmal disease of thoracic aorta Esophageal cancer and benign tumors Benign conditions of the esophagus (spasm, achalasia, diverticula) Spontaneous pneumothorax Benign and malignant pleural effusionsSuggested Reading: In addition to sections from the major surgical textbooks relating to your individualpatients, you should inquire of the faculty surgeons as to special contemporary articles and or texts that hewould consider relevant.Practice Based Learning and ImprovementThe PGY-1 Resident should demonstrate the ability to: Evaluate published literature in critically acclaimed journals and texts. Apply clinical trials data to patient management. Participate in academic and clinical discussions. Teach medical students and physician assistant students. Attend conferences.
Interpersonal and Communication SkillsThe PGY-1 Resident should demonstrate the ability to interact with the following personsprofessionally: Patients; Family members; Nursing staff; and Other members of the care team.ProfessionalismThe PGY-1 Resident should: Be receptive to feedback on performance. Be attentive to ethical issues. Be involved in end-of-life discussions and decisions. Be sensitive to gender, age, race, and cultural issues. Demonstrate leadership.Systems Based PracticeThe PGY-1 Resident should: Be aware of cost-effective care issues. Be sensitive to medical-legal issues. Have information technology/computer resources available
PGY-1 Training ObjectivesDurham VA Surgery ServicePatient CareThe PGY-1 Resident on the Durham VA Surgery Service should gain experience with and demonstratethe ability to:Evaluate pre-operative patientsManage general surgery ward/postoperative patientsManage ER/Trauma patientsAssess surgical consult patientsPrioritize patient acuityManage ward emergencies (arrhythmia, hypoxia, myocardial infarct, shock, etc.)Prioritize clinical responsibilitiesPlan dischargePerform the following proceduresIV placement/PhlebotomyNG tube placementDubhoff placementChest tube placementFemoral IJ/SC line placementAmputation (AKA, BKA)AppendectomyArteriovenous fistulaBreast: axillary LNDBreast: sentinel LNDBreast: lumpectomyBreast: mastectomyCholecystectomy, laparoscopicCholecystectomy, openHemorrhoidectomyHernia repair, inguinalHernia repair, ventralHickman catheterLaceration repair, complexOpen G-tube, J-tubeOpen/close laparotomyPEGTracheostomyWide local excisionMedical KnowledgeThe PGY-1 Resident on the Durham VA Surgery Service should understand:Basic Science principles (ex: metabolism, wound healing)General Surgery principles (ex: acute abdomen)Critical Care subjects (ex: ARDS, SIRS, MODS)General Medicine principles (ex: infectious disease)
Pharmacologic principles (ex: antibiotic management)Radiographic studies: indications and interpretationPractice Based Learning and ImprovementThe PGY-1 Resident on the Durham VA Surgery Service should demonstrate the abilityto:Evaluate published literature in critically acclaimed journals and textsApply clinical trials data to patient managementParticipate in academic and clinical discussionsTeach medical students and physician assistant studentsAttend conferencesInterpersonal and Communication SkillsThe PGY-1 Resident on the Durham VA Surgery Service should demonstrate the abilityto:Interact with Patient/FamilyInteract with Nursing staffInteract with Patient Resource Manager and Social WorkersInteract with OR staffInteract with Consult ServiceInteract with AttendingsInteract with Junior HousestaffInteract with Senior HousestaffProfessionalismThe PGY-1 Resident on the Durham VA Surgery Service should:Be receptive to feedback on performanceBe attentive to ethical issuesBe involved in end-of-life discussions and decisionsBe sensitive to gender, age, race, and cultural issuesDemonstrate leadershipSystems Based PracticeThe PGY-1 Resident on the Durham VA Surgery Service should have:Be aware of cost-effective care issuesBe sensitive to medical-legal issuesInformation technology/computer resources available
PGY-1 Training ObjectivesDuke Raleigh Hospital Surgery ServicePatient CareThe PGY-1 Resident on the Duke Raleigh Surgery Service should gain experience with and demonstratethe ability to:Evaluate pre-operative patientsManage general surgery ward/postoperative patientsManage ER/Trauma patientsAssess surgical consult patientsPrioritize patient acuityManage ward emergencies (arrhythmia, hypoxia, myocardial infarct, shock, etc.)Prioritize clinical responsibilitiesPlan dischargePerform the following proceduresIV placement/PhlebotomyNG tube placementChest tube placementFemoral IJ/SC line placementAmputation (AKA, BKA)AppendectomyBreast: sentinel LNDBreast: lumpectomyBreast: mastectomyCholecystectomy, laparoscopicCholecystectomy, openHemorrhoidectomyHernia repair, inguinalHernia repair, ventralHickman catheterLaceration repair, complexOpen/close laparotomyPEGTracheostomyWide local excisionMedical KnowledgeThe PGY-1 Resident should understand:Basic Science principles (ex: metabolism, wound healing)General Surgery principles (ex: acute abdomen)Critical Care subjects (ex: ARDS, SIRS, MODS)General Medicine principles (ex: infectious disease)Pharmacologic principles (ex: antibiotic management)Radiographic studies: indications and interpretationPractice Based Learning and ImprovementThe PGY-1 Resident on the Service should demonstrate the ability to:
Evaluate published literature in critically acclaimed journals and textsApply clinical trials data to patient managementParticipate in academic and clinical discussionsTeach medical students and physician assistant studentsAttend conferencesInterpersonal and Communication SkillsThe PGY-1 Resident should demonstrate the ability to:Interact with Patient/FamilyInteract with Nursing staffInteract with Patient Resource Manager and Social WorkersInteract with OR staffInteract with Consult ServiceInteract with AttendingsInteract with Junior HousestaffInteract with Senior HousestaffProfessionalismThe PGY-1 Resident should:Be receptive to feedback on performanceBe attentive to ethical issuesBe involved in end-of-life discussions and decisionsBe sensitive to gender, age, race, and cultural issuesDemonstrate leadershipSystems Based PracticeThe PGY-1 Resident should have:Be aware of cost-effective care issuesBe sensitive to medical-legal issuesInformation technology/computer resources available
PGY-1 Training ObjectivesDuke Regional Hospital Surgery ServicePatient CareThe PGY-1 Resident on the Duke Regional Surgery Service should gain experience with and demonstratethe ability to:Evaluate pre-operative patientsManage general surgery ward/postoperative patientsManage ER/Trauma patientsAssess surgical consult patientsPrioritize patient acuityManage ward emergencies (arrhythmia, hypoxia, myocardial infarct, shock, etc.)Prioritize clinical responsibilitiesPlan dischargePerform the following proceduresNG tube placementAmputation (AKA, BKA)AV FistulaAppendectomyBreast: sentinel LNDBreast: lumpectomyBreast: mastectomyCholecystectomy, laparoscopicCholecystectomy, openEndoscopyHemorrhoidectomyHernia repair, inguinalHernia repair, ventralHickman catheterLaceration repair, complexOpen/close laparotomyPEGTracheostomyWide local excisionMedical KnowledgeThe PGY-1 Resident should understand:Basic Science principles (ex: metabolism, wound healing)General Surgery principles (ex: acute abdomen)Critical Care subjects (ex: ARDS, SIRS, MODS)General Medicine principles (ex: infectious disease)Pharmacologic principles (ex: antibiotic management)Radiographic studies: indications and interpretationPractice Based Learning and ImprovementThe PGY-1 Resident on the Service should demonstrate the ability to:Evaluate published literature in critically acclaimed journals and texts
Apply clinical trials data to patient managementParticipate in academic and clinical discussionsTeach medical students and physician assistant studentsAttend conferencesInterpersonal and Communication SkillsThe PGY-1 Resident should demonstrate the ability to:Interact with Patient/FamilyInteract with Nursing staffInteract with Patient Resource Manager and Social WorkersInteract with OR staffInteract with Consult ServiceInteract with AttendingsInteract with Junior HousestaffInteract with Senior HousestaffProfessionalismThe PGY-1 Resident should:Be receptive to feedback on performanceBe attentive to ethical issuesBe involved in end-of-life discussions and decisionsBe sensitive to gender, age, race, and cultural issuesDemonstrate leadershipSystems Based PracticeThe PGY-1 Resident should have:Be aware of cost-effective care issuesBe sensitive to medical-legal issuesInformation technology/computer resources available
PGY-1 Training ObjectivesVascular Surgery Service - GreenPatient CareThe PGY-1 Resident on the Green –Vascular should demonstrate the ability to:Evaluate pre-operative patients with Peripheral vascular disease and it’s risk factors(ex: CD, Smoking history, Diabetes)Manage ward/postoperative patientsPrioritize patient acuityManage ward emergencies (arrhythmia, hypoxia, shock, etc.)Prioritize clinical responsibilitiesPlan dischargePerform (or have experience with) the following ward procedures:Arterial line/ABGPeripheral line/PhlebotomyNG tube placementDobhoff placementChest tube placementWound DebridementFemoral IJ/SC line placementOperative procedures:Extremity amputationsPlacement long-term central venous accessDebridement of complex woundsMedical KnowledgeThe PGY-1 Resident on the Green-Vascular Service should understand:Diagnosis of acute limb ischemiaDiagnosis of acute vascular emergencies (ruptured aneurysm, aortic dissection)Vascular non-invasive laboratory testingVascular imaging (CTA and MRA)Evaluation and treatment of venous disordersManagement of common medical diagnoses associated with vascular disease (CAD,DM. ESRD, COPD)Practice Based Learning and ImprovementThe PGY-1 Resident on the Green-Vascular should demonstrate the ability to:Evaluate published literature in critically acclaimed journals and testsApply clinical trials data to patient managementParticipate in academic and clinical discussionsTeach medical students and physician assistant studentsAttend conferencesParticipate in monthly journal clubInterpersonal and Communication SkillsThe PGY-1 Resident on the Green-Vascular Surgery Service should demonstrate the
ability to interact with the following persons professionally:Patients, family members, faculty members, residents, fellows, nursing staff and othermembers of the care teamProfessionalismThe PGY-1 Resident on the Green-Vascular Surgery Serviced should:Be receptive to feedback on performanceBe attentive to ethical issuesBe involved in end-of-life discussions and decisionsBe sensitive to gender, age, race, and cultural issuesDemonstrate leadershipSystems Based PracticeThe PGY-1 Resident on the Green-Vascular Service should have:Be aware of cost-effective care issuesBe sensitive to medical-legal issuesInformation technology/computer resources available
PGY-1 Training ObjectivesNight FloatIntroductionThe system of the night float was initiated to fulfill the ACGME hours restriction mandate whilereducing excessive cross-coverage and maintaining in-patient continuity. The night float PGY-1arrives at 6:00 p.m. and leaves after morning sign-out. The night float coverage extends from Sundayto Friday with Saturday to Sunday being a continuous 24 hour-off period.Patient CareThe PGY-1 Resident on the night float should demonstrate the ability to: Evaluate pre-operative patients. Manage ward/postoperative patients. Prioritize patient acuity. Manage ward emergencies (arrhythmia, hypoxia, shock, etc.). Prioritize clinical responsibilities. Identify limitations of their experience and activate back up systems when appropriate. Perform the following ward procedures:o Arterial line/ABG.o Peripheral line/Phlebotomy.o NG tube placement.o Chest tube placement.o Femoral IJ/SC line placement.Medical KnowledgeThe PGY-1 Resident should understand: Basic Science principles (ex: metabolism, wound healing). General Surgery principles (ex: acute cholecystitis). General Medicine principles (ex: infectious disease). Radiographic studies: indications and interpretation.Practice Based Learning and ImprovementThe PGY-1 Resident should demonstrate the ability to: Evaluate published literature in critically acclaimed journals and texts.
Apply clinical trials data to patient management. Participate in academic and clinical discussions. Teach medical students and physician assistant students.Interpersonal and Communication SkillsThe PGY-1 Resident should demonstrate the ability to: Interact with Patient/Family. Interact with Nursing staff. Interact with Consult Service. Interact with Attendings. Interact with Junior Housestaff. Interact with Senior Housestaff.ProfessionalismThe PGY-1 Resident on the Night Float Service should: Be receptive to feedback on performance. Be attentive to ethical issues. Be involved in end-of-life discussions and decisions. Be sensitive to gender, age, race, and cultural issues. Demonstrate leadership. Systems Based Practice.The PGY-1 Resident on the Night Float should: Be aware of cost-effective care issues. Be sensitive to medical-legal issues. Have information technology/computer resources available
PGY-1 Training ObjectivesACS/Trauma Surgery Service - RedPatient CareThe PGY-1 Resident should demonstrate the ability to:Evaluate pre-operative patientsManage ward/postoperative patientsPrioritize patient acuityManage ward emergencies (arrhythmia, hypoxia, shock, etc.)Prioritize clinical responsibilitiesPlan dischargePerform the following proceduresAnkle/Brachial Index (ABI)Arterial line/ABGPeripheral line/PhlebotomyNG tube placementChest tube placementDebridementComplex Wound CareFemoral IJ/SC line placementIncision closureG-tube placementLaceration repair, complexTracheostomyMedical KnowledgeThe PGY-1 Resident should understand:Basic Science principles (ex: metabolism, wound healing)General Medicine principles (ex: ESRD, dialysis)General Surgery principles (ex: bowel obstruction)Vascular Surgery principles (ex: rest pain, ischemia)Trauma Surgery principles (ex: splenic laceration)Radiographic studies: indications and interpretationPractice Based Learning and ImprovementThe PGY-1 Resident should demonstrate the ability to:Evaluate published literature in critically acclaimed journals and textsApply clinical trials data to patient managementParticipate in academic and clinical discussionsTeach medical students and physician assistant studentsAttend conferencesInterpersonal and Communication SkillsThe PGY-1 Resident should demonstrate the ability to:Interact with Patient/FamilyInteract with Nursing staff
Interact with Patient Resource Manager and Social WorkersInteract with OR staffInteract with Consult ServiceInter
General Surgery Rotation Goals and Objectives PGY 1 Year Surgical Oncology – Blue Service Thoracic Surgery . Manage general surgery ward/postoperative patients Manage ER/Trauma patients Assess surgical consult patients Prioritize patient acuity Manage ward emergencies (arrhythmia, hypoxia, myocardial infarct, shock, etc.) .File Size: 522KBPage Count: 97Learn morePlastic Surgery Residency Program Rotation Goals and .Goals of the Rotation. There are two primary focal points of the rotations on the General Surgical Services. The first focal point is experience in preoperative, operative and postoperative management of patients who present to the General Surgical service. The second focal point is the primary component of General Surgery.www.utmb.eduRecommended to you b
rotation, p. 234 center of rotation, p. 234 angle of rotation, p. 234 Rotations A rotation, or turn, is a turn angle of rotation center of rotation transformation in which a fi gure is rotated about a point called the center of rotation. The number of degrees a fi gure rotates is the angle of rotation
At mid-rotation the supervisory faculty reviews rotation goals and objectives with the resident to determine achievements and deficiencies to date. Assessment Method (Program Evaluation) E value rotation assessment at completion of rotation. E value resident evaluation o
Crop Rotation Practices in Tobacco Survey of rotation systems Cropping system - alternative crops – length of rotation Alternative crops Target pests and diseases Extent to which crop rotation is practiced Factors that limit practicing effective rotation systems 3 tobacco types (Burley, Flue-cured V
H: 3 way gearbox, input shaft clockwise rotation direction, left side output shaft clockwise rotation direction, inline output shaft anticlockwise rotation direction. L: 3 way gearbox, input shaft clockwise rotation direction, right side output shaft anticlockwise rotation direction, inline output shaft anticlockwise rotation direction.
L: 3 way gearbox, input shaft clockwise rotation direction, right side output shaft anticlockwise rotation direction, inline output shaft anticlockwise rotation direction. M: 3 way gearbox, input shaft clockwise rotation direction, right side output shaft clockwise rotation direction, inline output shaft anticlockwise rotation direction.
can establish goals and objectives. The last section provides a template to document specific goals and objectives. Instructions Review the guidelines to identify goals and objectives for EHR implementation. Use the template provided in section 7 to document specific goals and objectives
Full 3D rotation from a global frame in any of the following forms: — Rotation matrix — Rotation vector (3D axis of rotation and rotation about that axis) — Quaternion — Euler angles (roll, pitch and yaw) For additional portability details and guidelines refer to the User Guide which is part of the Sensor Fusion Library
Artificial Intelligence has identifiable roots in a number of older disciplines, particularly: Philosophy Logic/Mathematics Computation Psychology/Cognitive Science Biology/Neuroscience Evolution There is inevitably much overlap, e.g. between philosophy and logic, or between mathematics and computation. By looking at each of these in turn, we can gain a better understanding of their role in AI .
