Residency Level: PGY 1 (Categorical, Preliminary)
Surgical Rotation: Burns/Plastic Surgery (Harborview Medical Center Burn Unit)
Length of Rotation: Four Weeks
Goals and Objectives
Patient care:
· Demonstrate the ability to manage and care for burns following the guidelines in Burn Pearls, the rotation handbook
· Demonstrate the ability to assess and manage the burn patient including making a plan and assuring its implantation in consultation with upper level members of the team
· Demonstrate the ability to assess and manage a simple lacerations and the ability to evaluate complex lacerations and wounds
Technical skill:
· Demonstrate technical proficiency in the emergency room and operating room with basic wound suturing, burn care, debridement, skin grafting and appropriate dressings
· Master venous access, airway management and fluid resuscitation of the burn patient
· Demonstrate the principles of burn wound management including escharotomy, skin grafting, coverage techniques and debridement techniques including revision of scars and resultant deformities and composite tissue transfers.
Medical knowledge:
· Demonstrate mastering the pathophysiology of the burn injury, including the dynamics of thermal injury and progression of tissue damage, including how to care for: hypothermia, frostbite, flame burns, scald burns, electrical burns, chemical burns, smoke inhalation injury and carbon monoxide poisoning
· Learn to examination and assess a burn wound including extent and depth of injury
· Learn the principles of burn shock and fluid resuscitation
· Learn bacteriology and immunologic alteration of the burn wound
· Learn the indications and techniques of burn wound immobilization and coverage
· Learn about the rehabilitation of the burn wound patient
· Demonstrate the ability to perform a basic craniofacial trauma evaluation, including important elements of history and physical examination
· Demonstrate the ability to identify fractures on the craniofacial CT scan
· Demonstrate the ability to perform a basic hand examination and evaluate common hand injuries in the emergency department and clinic
· Demonstrate understanding of basic hand anatomy
Practice-based learning and improvement:
· Demonstrate understanding of the expected course of wound healing by regular attendance at wound rounds and observation and participation in the wound care of once patient's
Interpersonal and communication skills:
· All residents should again an appreciation for a multidisciplinary and holistic approach to the care of the burn patient
Professionalism:
· All residents should gain an appreciation for a multidisciplinary and holistic approach to patient care
· Demonstrate sensitivity to age, gender and culture of patients and other health care professionals
Systems-based practice:
· Demonstrate an appreciation for the team approach a patient care and presenting the patients at multidisciplinary rounds on Mondays and Thursdays
SCORE CURRICULUM CATEGORY 17: TRAUMAFOCUSED
• Hypothermia
• Frostbite
• Flame burns
• Scald burns
• Electrical burns
• Chemical burns
• Smoke inhalation injury
• Carbon monoxide poisoning
COMPLEX
• Burn debridement or grafting
SCORE CURRICULUM CATEGORY 24: PLASTIC SURGERY
Operations/Procedures
ESSENTIAL − COMMON
• Skin grafting
COMPLEX
• Revision of scars and resultant deformities
• Composite tissue transfer