Chief Year in General Surgery Training, PGY - 5:

General Surgery:12 months (4 in the Mother Joseph/Glaser Clinic)

Includes:General, Thoracic, Vascular, Transplant, Colorectal and Pediatric Surgery

Goals and Objectives

Patient care:

  • Advanced knowledge and management of the surgical patient with a sophisticated knowledge of anatomy, physiology and pathophysiology as it relates to surgery
  • Evaluation and management of out-patients and in-patients within the Mother Joseph/Glaser Surgery Resident Clinic
  • Complete evaluation and preparation of the pre-operative general surgical patient
  • Master management skills required to independently evaluate the surgical patient and develop your own plan for the patient
  • Take ownership in care of the patient
  • Post-operative care of the surgical patient
  • Master mechanisms and criteria for minimally invasive surgery of the abdomen
  • Fluid and electrolyte management including indications for parenteral and enteral nutrition
  • Understanding and utilization of diagnostic techniques including routine films, contrast studies, ultrasound, CT scan, MRI and endoscopic procedures
  • Clear and timely documentation of daily progress notes
  • Develop a strong work ethic
  • Develop appropriate safe hand offs
  • Develop the ability to care for surgical emergencies in the role as the chief surgical resident

Technical skill:

  • Performance of complex surgical procedures with attending assistance, including complex head and neck, thoracic, esophageal, endocrine, hepatobiliary, pancreatic, gastrointestinal, colorectal and vascular surgery
  • In-patient and out-patient surgical procedures as surgeon or teaching assistant for Mother Joseph/Glaser Clinic patients

Medical knowledge:

  • Demonstrate evidence of having mastered the general surgery core knowledge from basic surgical texts, additional readings and the SCORE curriculum
  • Master a broad knowledge base of general surgery and other surgical specialties
  • Study and prepare for the ABSITE and your ABS qualifying exam

Practice-based learning and improvement:

  • Administer and direct M and M conferences, daily chief conferences and journal clubs
  • Understand and when possible participate in SCOAP projects
  • Teach junior residents to critically read the literature
  • Teach junior residents to master the IT resources available to you to develop a commitment to lifelong learning and education

Interpersonal and communication skills:

  • Organize and facilitate formal and informal teaching rounds with lower level surgical and family practice residents
  • Organization and supervision of general surgery residents, including surgical case assignments, schedules, etc.
  • Organization and supervision of general surgical teaching conferences, including Mortality and Morbidity conference
  • Teach more junior residents the appropriate skills to provide efficient, concise, patient presentations
  • Teach residents to master text paging, emailing, etc.
  • Continue to develop strong doctor patient relationships using counseling and education of patients and their families
  • Master EPIC to provide proper documentation in the electronic medical record
  • Properly consult other specialty services in a professional manner

Professionalism:

  • Respect every patient regardless of social or other circumstances
  • Log cases appropriately
  • Log your duty hours using My Evaluations appropriately and in a timely fashion
  • Complete all required clinical and residency documents in a timely fashion
  • Demonstrate sensitivity to age, gender and culture of patients and other members of the health care delivery team
  • Learn to be punctual
  • Always exemplify professional attire, appropriate grooming and hygiene
  • Demonstrate honesty, integrity and leadership skills

Systems-based practice:

  • Demonstrate the effective communication with referring physicians throughout the Swedish health care system
  • Keep patients’ safety foremost while discharging patients in a timely fashion
  • Demonstrate time management and organizational skills while adhering to work hour regulations
  • Gain an understanding of the importance of discharge planning and the writing of timely discharge orders to the overall throughput of patients in our system