09-10Surgical Residency Rotation Specific Goals And Objectives
Surgical Residency Rotation SpecificGoals and Objectives2009-20101
Table of ContentsPGY 1Tulane University Hospital and Clinic Acute Care Service 3Tulane University Hospital and Clinic Elective .8Tulane University Hospital and Clinic Hepatobiliary 12Tulane University Hospital and Clinic Vascular/Peds .17Tulane University Hospital and Clinic Plastic Surgery .22Medical Center of Louisiana-New Orleans Trauma and Emergency Surgery . 26PGY 2Tulane University Hospital and Clinic Acute Care Service . 30Tulane University Hospital and Clinic Elective .35Tulane University Hospital and Clinic Vascular/Peds .40Tulane University Hospital and Clinic SICU/Endoscopy .45Tulane Lakeside Hospital Breast Surgery . 50Medical Center of Louisiana-New Orleans Trauma and Emergency Surgery . . 55PGY 3Touro Infirmary General Surgery . 59Touro Infirmary Thoracic and Vascular Surgery . 64Children’s Hospital 69East Jefferson General Hospital – General and Vascular Surgery . . .74PGY 4Tulane University Hospital and Clinic Hepatobiliary . .79Medical Center of Louisiana-New Orleans Trauma and Emergency Surgery .85West Jefferson Medical Center General Surgery .90PGY 5Tulane University Hospital and Clinic Acute Care Service 95Tulane University Hospital and Clinic Elective . 100East Jefferson General Hospital – Colorectal Surgery .1052
Tulane University Hospital and Clinic - Acute CareFaculty Supervisor: C. McGinnessPGY-1Faculty: C Bellows, J. Brown, S. Jones, E Kandil, J. Korndorffer, C McGinness, J McGeeFaculty:Resident Ratio 2:1The following critical learning experiences will be emphasized:- critical care- surgical management of acute disease processesPatient CareGoalResidents must be able to provide patient care that is compassionate, appropriate and effectivefor the treatment of health problems and the promotion of health. Residents are expected to:Competencies Facilitate the outpatient evaluation, management and follow-up of patients in the surgicalclinics. Formulate the diagnostic and therapeutic surgical plan for patients with acute surgicalprocesses Understand and explain the indications for and risks of surgical treatments and alternativetherapies in the process of obtaining consent. Manage patients in the post-operative period.ObjectivesThe resident will: Perform appropriate resuscitation in patients with acute surgical problems. Perform and document a comprehensive history and physical, including past medical history,review of systems, social and family history, and comprehensive physical examination in thepatient with acute surgical problems Interpret medical tests and imaging results in the patient with an acute surgical problem, Develop a differential diagnosis and treatment plan. Perform the following procedures- Procedures on skin and subcutaneous lesions- Laparoscopic appendectomy- Open appendectomy- Drainage of breast abscess- Incision and drainage of perirectal abscess- Lower extremity amputations- Basic wound and drain care3
Dictate within 24 hours of patient discharge a comprehensive discharge summary thatincludes a concise, accurate assessment of the patient’s hospital course, including anycomplications and an accurate, appropriate follow-up plan.Work with nurse practitioners, nurse coordinators and other members of the healthcare teamto ensure effective discharge planning.Medical KnowledgeGoalResidents must demonstrate knowledge of established and evolving biomedical, clinical,epidemiological and social-behavioral sciences, as well as the application of this knowledge topatient care. Residents are expected to:Competencies Understand the basic science and pathophysiology of common acute general surgical disease. Understand the fundamental principles of laparoscopic surgery.ObjectivesThe resident will: Utilize and interpret diagnostic laboratory testing in patients with acute surgical conditions.Utilize and interpret diagnostic radiological tests in patients with acute surgical processes.Correctly use invasive monitoring and non-surgical invasive procedures to diagnose and treatsurgical complication.Understand principles of treatment of common surgical problems in patients with surgicalemergencies.Understand the pathophysiology of cholecystitis and bowel obstructionDescribe the repair of an inguinal hernia.Describe the repair of an incisional hernia.Describe the effective management of patients presenting with acute abdominal process.Practice-Based Learning and ImprovementGoalResidents must demonstrate the ability to investigate and evaluate their care of patients, toappraise and assimilate scientific evidence, and to continuously improve patient care based onconstant self-evaluation and life-long learning. Residents are expected to develop skills andhabits to be able to:Competencies Identify and perform appropriate learning activities. Use information technology to optimize learning.Objectives4
The resident will: Demonstrate improvement in laparoscopic technique using the laparoscopic simulation andskills lab. Demonstrate effectiveness in teaching medical students. Present a topic at weekly educational conference. Analyze surgical complications for presentation at the Morbidity and Mortality patientimprovement conference in a constructive and educational manner.Systems Based PracticeGoalResidents must demonstrate an awareness of and responsiveness to the larger context and systemof healthcare, as well as the ability to call effectively on other resources in the system to provideoptimal healthcare. Residents are expected to:Competencies Coordinate patient care within the healthcare system relevant to clinical specialty. Incorporate considerations of cost awareness and risk/benefit analysis in patient care.ObjectivesThe resident will: Appropriately utilize other specialists and healthcare professionals to optimize efficiency inpatient care. Describe and document the steps necessary in planning an outpatient surgical procedure,including consultations, laboratory and radiographic testing, the consent process and aconsideration of adequate post-procedure care.ProfessionalismGoalResidents must demonstrate a commitment to carrying out professional responsibilities and anadherence to ethical principles. Residents are expected to demonstrate:Competencies Accountability to patients, society and profession. Sensitivity and responsiveness to a diverse patient population.ObjectivesThe resident will: Communicate effectively with patients and families across a broad range of socioeconomicand cultural backgrounds. Act in a consultative role to other physicians and healthcare professionals.5
Interpersonal and Communication SkillsGoalResidents must demonstrate interpersonal and communication skills that result in the effectiveexchange of information and teaming with patients, their families, and professional associates.Residents are expected to:Competencies Communicate effectively with patients and families across a broad range of socioeconomicand cultural backgrounds. Provide surgical consultation in a timely effective manner when requested, and provide aclear, timely communication of evaluation and management plan to the consulting physicianafter verification with surgical faculty.ObjectivesThe resident will: Communicate effectively with patients and families in the interpretation of medicalinformation, especially technical information. Communicate effectively the patient’s condition, treatment plan and expected outcome. Demonstrate the ability to communicate and describe to the healthcare team theinterpretation of medical information and data, including laboratory and microbiologyresults.Teaching Methods Faculty supervision in clinic, operating room and rounds for inpatients. Core curriculum conferences. Morbidity and Mortality/patient safety conference. Breast conference. Tumor board. Evidence Based Reviews in Surgery. Journals and texts from surgical resident library. Laparoscopic simulation and training laboratory. SCORE Curriculum e-learning Fundamentals of Surgery e-learning. Journal Club Teaching of Medical StudentsAssessment Method (Residents) Evalue assessment toolo Faculty of residento Peer to peero Self assessmento 360 (nurses and students)6
At mid-rotation the supervisory faculty reviews rotation goals and objectives with theresident to determine achievements and deficiencies to date.Assessment Method (Program Evaluation) E value rotation assessment at completion of rotation. E value resident evaluation of faculty at completion of rotation.Level of SupervisionResident is supervised by attending faculty at all times during the rotation.Educational ResourcesSurgical resident library text and journal material Laparoscopic skills laboratory Core curriculum conferences Evidence Based Reviews in Surgery. Journals and texts from surgical resident library. Laparoscopic simulation and training laboratory. SCORE Curriculum e-learningFundamentals of Surgery e-learning 7
Tulane University Hospital and Clinic - ElectiveFaculty Supervisor: J. KorndorfferPGY-1Faculty: C. Bellows, J. Brown, S. Jones, E Kandil, J. Korndorffer, C McGinness, J McGeeFaculty:Resident Ratio 2:1The following critical learning experiences will be emphasized:- hernias, acquired and congenital- alimentary tract surgery- management of benign and malignant skin lesions- outpatient surgical management/ambulatory surgery- skin and soft tissue surgeryPatient CareGoalResidents must be able to provide patient care that is compassionate, appropriate and effectivefor the treatment of health problems and the promotion of health. Residents are expected to:Competencies Facilitate the outpatient evaluation, management and follow-up of patients in the surgicalclinics. Formulate the diagnostic and therapeutic surgical plan for patients with abdominal pain,hernia, tumors of the gastrointestinal tract, skin and thyroid. Understand and explain the indications for and risks of surgical treatments and alternativetherapies in the process of obtaining consent. Manage patients in the post-operative period.ObjectivesThe resident will: Perform and document a comprehensive history and physical, including past medical history,review of systems, social and family history, comprehensive physical examination forpatients with non-emergent surgical processes8
interpret medical tests and imaging resultsDevelop a differential diagnosis and treatment plan.Perform the following procedures- procedures on skin and subcutaneous lesions- Tracheal intubation- Placement of venous access devices- Flexible and rigid proctosopy- Anoscopy- Gastrostomy- Anorectal procedures- Routine wound closure-Appendectomy-Hernia repair (inguinal, femoral, umbilical)Work with nurse practitioners, nurse coordinators and other members of the healthcare teamto ensure effective discharge planning.Dictate within 24 hours of patient discharge a comprehensive discharge summary thatincludes a concise, accurate assessment of the patient’s hospital course, including anycomplications and an accurate, appropriate follow-up plan.Medical KnowledgeGoalResidents must demonstrate knowledge of established and evolving biomedical, clinical,epidemiological and social-behavioral sciences, as well as the application of this knowledge topatient care. Residents are expected to:Competencies Understand the basic science and pathophysiology of common general surgical disease. Understand the fundamental principles of laparoscopic surgery.ObjectivesThe resident will: Present an evidence-based review of recommendations for management of patients endocrinedisorders Describe the open repair of an inguinal hernia. Describe the open repair of an incisional hernia. Describe the effective management of patients presenting with abdominal process.Practice-Based Learning and ImprovementGoalResidents must demonstrate the ability to investigate and evaluate their care of patients, toappraise and assimilate scientific evidence, and to continuously improve patient care based onconstant self-evaluation and life-long learning. Residents are expected to develop skills andhabits to be able to:Competencies Identify and perform appropriate learning activities.9
Use information technology to optimize learning.ObjectivesThe resident will: Demonstrate improvement in laparoscopic technique using the laparoscopic simulation andskills lab. Demonstrate effectiveness in teaching medical students. Present a topic at weekly educational conference. Analyze surgical complications for presentation at the Morbidity and Mortality patientimprovement conference in a constructive and educational manner.Systems Based PracticeGoalResidents must demonstrate an awareness of and responsiveness to the larger context and systemof healthcare, as well as the ability to call effectively on other resources in the system to provideoptimal healthcare. Residents are expected to:Competencies Coordinate patient care within the healthcare system relevant to clinical specialty. Incorporate considerations of cost awareness and risk/benefit analysis in patient care.ObjectivesThe resident will: Appropriately utilize other specialists and healthcare professionals to optimize efficiency inpatient care. Describe and document the steps necessary in planning an outpatient surgical procedure,including consultations, laboratory and radiographic testing, the consent process and aconsideration of adequate post-procedure care.ProfessionalismGoalResidents must demonstrate a commitment to carrying out professional responsibilities and anadherence to ethical principles. Residents are expected to demonstrate:Competencies Accountability to patients, society and profession. Sensitivity and responsiveness to a diverse patient population.ObjectivesThe resident will: Communicate effectively with patients and families across a broad range of socioeconomicand cultural backgrounds. Act in a consultative role to other physicians and healthcare professionals.Interpersonal and Communication SkillsGoal10
Residents must demonstrate interpersonal and communication skills that result in the effectiveexchange of information and teaming with patients, their families, and professional associates.Residents are expected to:Competencies Communicate effectively with patients and families across a broad range of socioeconomicand cultural backgrounds. Provide surgical consultation in a timely effective manner when requested, and provide aclear, timely communication of evaluation and management plan to the consulting physicianafter verification with surgical faculty.ObjectivesThe resident will: Communicate effectively with patients and families in the interpretation of medicalinformation, especially technical information. Communicate effectively the patient’s condition, treatment plan and expected outcome. Demonstrate the ability to communicate and describe to the healthcare team theinterpretation of medical information and data, including laboratory and microbiologyresults.Teaching Methods Faculty supervision in clinic, operating room and rounds for inpatients. Core curriculum conferences. Morbidity and Mortality/patient safety conference. Breast conference. Tumor board. Evidence Based Reviews in Surgery. Journals and texts from surgical resident library. Laparoscopic simulation and training laboratory. SCORE Curriculum e-learning Fundamentals of Surgery e-learning. Journal Club Teaching of medical studentsAssessment Method (Residents) Evalue assessment toolo Faculty of residento Peer to peero Self assessmento 360 (nurses and students) At mid-rotation the supervisory faculty reviews rotation goals and objectives with theresident to determine achievements and deficiencies to date.11
Assessment Method (Program Evaluation) E value rotation assessment at completion of rotation. E value resident evaluation of faculty at completion of rotation.Level of SupervisionResident is supervised by attending faculty at all times during the rotation.Educational ResourcesSurgical resident library text and journal material Laparoscopic skills laboratory Core curriculum conferences Evidence Based Reviews in Surgery. Journals and texts from surgical resident library. Laparoscopic simulation and training laboratory. SCORE Curriculum e-learningAmerican College of Surgeons Fundamentals of Surgery e-learning Endocrine Tumour Board Joint GI/Surgery case conference Tulane University Hospital & Clinic – HepatobiliaryFaculty Supervisor: Sander Florman, MDPGY 1Faculty: S. Florman, M. Killackey, A. Paramesh, D. SlakeyFaculty:Resident Ratio 4:2Adjunct faculty fully involved in teaching: L. Balart, F. Regenstein, & C. Mallikarjun(hepatology); B. Alper, R. Zhang, & I. Lukitsch (nephrology)The following critical learning experiences will be emphasized:- management of patients with end-stage liver and renal disease- management of diabetic patients- dialysis access- hepatobiliary surgery for benign and malignant lesions.- pancreas and endocrine surgery- organ transplantation- immunosuppression- critical care- endocrine surgeryPatient CareGoal12
Residents must be able to provide patient care that is compassionate, appropriate and effectivefor the treatment of health problems and the promotion of health. Residents are expected to:Competencies Demonstrate the ability to assess patients with general surgical diagnoses in the intensivecare unit, outpatient clinic and inpatient settings. Formulate a diagnostic and therapeutic surgical plan for patients with hernia, bowelobstruction, abdominal pain, gastrointestinal bleeding, renal failure, liver disease anddiabetes. Facilitate the care of patients for whom a surgical consult has been requested. Demonstrate ability to access patients and formulate plans of care in the outpatient setting.ObjectivesThe PGY-1 resident will: Manage surgical service post-operative patients Prioritize patient care activity and clinical responsibilities Interpret patient acuity and intervene appropriately based upon assessment of patient need Manage ward emergencies, i.e., arrhythmia, hypoxia, shock, electrolyte abnormality, etc. Appropriately become involved in and facilitate discharge planning Complete a pre-operative history and physical, consent, and order appropriate tests. Develop and execute an appropriate post-operative plan in the clinic setting. Perform or have experience with the following procedures:- arterial line placement- naso-gastric tube placement- feeding tube placement- chest tube placement- wound debridement- management of surgical incisions- central venous line placement Perform or have experience with the following operative procedures:- abdominal exploration- common procedures of the alimentary tract- cholecystectomy, laparoscopic and open- hernia repair- closure of incision- repair of lacerations- management of skin and soft tissue infections- dialysis access procedures- kidney and liver biopsyMedical KnowledgeGoal13
Residents must demonstrate knowledge of established and evolving biomedical, clinical,epidemiological and social-behavioral sciences, as well as the application of this knowledge topatient care. Residents are expected to:Competencies The PGY-1 resident on this rotation will have a comprehensive understanding of basicscience principles related to the care of the surgical patient, including fluids and electrolytes,wound healing, assessment of operative risk (including cardiac risk) and assessment ofpulmonary physiology. The resident will develop an understanding of general surgical principles, including thepathophysiology of c
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
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The education program in general surgery is designed such that there is a rotation-based program, a residency-based program, and your own personal program. . As to specific parts of the program: Rotation-based program o Each rotation has goals and objectives for which you are responsible o You will work
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
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The American Revolution, 1775-1781 Where was the American Revolution fought? Building a Professional Army nWashington’s task was to defendas much territory as possible: Relied on guerrilla tactics & avoided all-out-war with Britain Washington’s Continental Army served as the symbol of the “republican cause” But, colonial militias played a major role in “forcing” neutrals .
