Surgery
- Third 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: PGY-3
Trauma Rotation: Each resident is assigned to work as a member
of the Trauma Service for a one and one half month period during
their PGY-3 year. Residents will have the opportunity to direct
trauma resuscitations. They will also have the opportunity to perform
the primary survey, initiate the resuscitation phase (including
the use of various procedural skills - e.g.: tube thoracostomy,
airway management, insertion of intravascular monitoring lines,
etc.), perform the secondary survey and participate in decisions
regarding definitive care under the supervision of the trauma fellow,
attending surgical or emergency medicine staff. The resident will
take in-house call every third night during which time supervision
is provided by the attending surgical staff, senior surgical resident
or trauma fellow.
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 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),
and, as senior residents, according to their ability to direct
trauma resuscitations and perform the primary survey, 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.
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