Residency Goals & Objectives

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  1. To acquire a comprehensive knowledge base, clinical decision-making ability, and technical skills in the principal components of general surgery. These goals are fostered in an environment of progressively graded clinical and operative experience and responsibility.
  2. To acquire a broad experience in the additional components of general surgery, including acquisition of the appropriate knowledge bases, the development of specific technical skills, and an understanding of the principles of decision-making particular to the specialty.

  3. To acquire the ability to quickly and effectively assess, stabilize, and manage (operatively or non-operatively, as appropriate) the patient with severe multiple injuries, regardless of the organ systems involved.

  4. To demonstrate the intellectual curiosity and commitment required to participate fully in the didactic curriculum of the residency program and to develop personal, life-long habits of self study and continuing education.

  5. To develop professional habits consistent with sound, ethical medical practice, including:

    • Effective interpersonal relationships with peers and other health professionals.
    • A compassionate attitude toward patients and their families and friends.
    • Clarity and timeliness of written communication in the medical record and elsewhere.

A. To develop General Competencies in areas recommended by the ACGME

  • Patient care
  • Medical knowledge
  • Practice-Base learning and improvement
  • Interpersonal and communication skills
  • Professionalism
  • System-Based practice

B. To secure an environment in which the residents can develop mature surgical judgment and technical skills and at the same time be able to cultivate their cultural, social and spiritual life.

 

Yearly Educational Objectives

PGY-1 residents are expected to accomplish and maintain the following objectives:

  • Establish basic proficiency in the evaluation of patients under routine and emergency circumstances (recognizes surgical emergencies, performs a history and physical examination, orders appropriate basic ancillary studies, effectively communicates findings to other physicians.
  • Establish basic proficiency in providing pre-operative and post-operative care (writes appropriate pre-op and post-op orders for floor patients, handles nursing calls appropriately, manages most routine postoperative care with minimal intervention by supervisors).
  • Develop a working knowledge of common problems in general surgery, vascular surgery, neurosurgery, orthopedics, plastic surgery, gynecology and urology. (Achieves acceptable grade on rotation evaluation).
  • Establish a working knowledge and familiarity with common procedures of the surgical specialties (achieves acceptable grade on rotation evaluation).
  • Acquire basic operative skills necessary to perform less complex surgical procedures, such as hernia repair, central line procedures and minor outpatient surgery.
  • Acquire basic skills to perform endotracheal intubation and administer conscious sedation.
  • Develop personal values and interpersonal skills appropriate for the surgical resident (is available at required times, gives patient care needs highest priority).

 

PGY-2 residents are expected to accomplish and maintain the following objectives:

  • Develop enhanced proficiency in the provision of pre-operative and post-operative care (manages pre-operative and post-operative care of complex patients with minimal intervention by supervisors).
  • Establish a knowledge based and skill proficiency for the management of the critically ill surgical patient and the burned patient (achieves acceptable grade on rotation evaluation, can place endotracheal tube, S-G catheters, arterial lines, and perform escharotomy).
  • Develop organizational and teaching skills necessary for basic management of a surgical service (attends to organizational duties of service such as organizing rounds and teaching sessions).
  • Acquire proficiency in surgical endoscopy (successfully performs colonoscopy, EGD, sigmoidoscopy).
  • Acquire basic skills to perform ultrasound evaluations of breast, thyroid and trauma.
  • Develop a working knowledge of and familiarity with the management of common problems in thoracic surgery and transplant surgery (achieve specific goals & objectives on these services).
  • Increased skill in operative technique required for procedures of increasing surgical complexity, such as skin grafting, more complex hernia repairs and complex soft-tissue surgery (is able to perform these operations with minimal assistance).

 

PGY-3 residents are expected to accomplish and maintain the following objectives:

  • Continues to develop technical skills necessary for the performance of more complex surgical procedures in general, pediatric and minimally invasive surgery (performs laparoscopic cholecystectomy, small bowel resection, and other procedures of similar complexity).
  • Establish a knowledge base, judgment and interpersonal skills necessary to function as a surgical consultant (successfully manages simple consults with minimal help).
  • Develop enhanced skills in the management of a surgical service (manages service administrative duties assigned by chief resident or faculty).
  • Proficiency in the rational use of surgical literature and evidence-based medicine (defends discussions and recommendation with scientific evidence).

 

PGY-4 residents are expected to accomplish and maintain the following objectives:

  • Continue to develop knowledge and skills necessary for the complete management of common problems in general surgery, pediatric surgery, vascular surgery and surgical oncology (manages most common problems with minimal assistance).
  • Develop knowledge and skills necessary for function as the trauma team leader for both adult and pediatric patients (successfully directs trauma resuscitation).
  • Satisfactory performance as a teacher of junior residents and medical students (receives acceptable feedback from students and peers).

 

PGY-5 residents are expected to accomplish and maintain the following objectives:

  • Develop knowledge and skills necessary to assume complete responsibility for the management of the surgical patient, including mastery of the fundamental components of surgery as defined by the American Board of Surgery (achieves acceptable score on written and oral examinations and receives acceptable evaluations).
  • Proficiency in management of complex problems in general surgery, vascular surgery, surgical oncology and trauma (treats complex problems in the discipline with minimal help).
  • Demonstrates personal and professional responsibility, leadership skills and interpersonal skills necessary for independent practice as a specialist in surgery (successfully manages the chief resident services).