Surgery
- First Year
Educational Objectives: Demonstrate appropriate
knowledge and skills in the initial assessment and resuscitation of the trauma
patient. Demonstrate appropriate knowledge and skills in the assessment and resuscitation
of patients with an acute surgical problem. Demonstrate appropriate knowledge
and skills in the management of patients with acute urgent or emergent surgical
problems. Demonstrate appropriate knowledge and skills in the procedures required
for trauma and other acute surgical emergencies, including but not limited to,
emergency airway management, central venous cannulation, tube thoracostomy, cricothyrotomy,
venous cutdowns and peritoneal lavage.
Description of clinical experiences: Residents
are assigned to work as a member of the Trauma Service for a one and one
half month period during their PGY-1 year. The resident’s responsibility
will be to perform history and physical examinations on trauma patients as
directed by the senior surgical resident or Trauma Attending Staff. Residents
will have the opportunity to participate on the Trauma Team when assigned
by the senior resident or attending staff. Residents will have the opportunity
to learn some of the basic procedures involved in trauma care such as laceration
repair, insertion of nasogastric tubes, Foley catheters and large-bore intravenous
lines, insertion of arterial lines, and insertion of central venous catheters.
The resident will take in-house call every third night during which time
supervision is provided by the attending surgical staff or senior level surgical
resident.
Description of didactic experiences: Residents
attend the Trauma Conference scheduled from 7:30 to 8:30 on the first and
third Wednesdays every month which is a multidisciplinary conference including
emergency medicine. Residents will also attend the other conferences given
by the Trauma Service during their rotation.
Evaluation process: Residents are informally
evaluated by the attending staff on TaCS. Residents receive written evaluations
after completing rotations to the Trauma Service. Residents are evaluated
on their knowledge base, facility to perform procedural skills as appropriate
for their level of training, resuscitation, secondary survey and appropriate
communication with the trauma fellow or staff. Residents are required to
keep a log book of all procedures they perform. In addition to the rotation
evaluations, residents are evaluated during their ATLS course, the oral examinations
administered to all residents annually, the national in-service examination,
case presentations at conference, and on videotapes of trauma resuscitations.
Feedback mechanisms: Residents receive
feedback from the attending staff on TaCS. Such feedback is considered most
important in the resident's education. Several times during the year the
preceptor meets with the resident. In addition, the Program Director meets
with each resident at least twice each year to formally review the department's
evaluation of the resident.
|
