CMC General Surgery goals and objectives

AAH Surgery Rotation Goals and Objectives

General Surgery Service – Advocate Christ Medical Center

Faculty Supervisor:  Marc Mesleh, MD; Jason Zimmermann, MD

Faculty: Paul Balash, MD; Bryce Bardezbanian, MD; Marc Mesleh, MD; Steve Schaefer, MD; Rodney Thill, MD; Jason Zimmermann, MD

Faculty: Resident Ratio 6:4

Patient Care 

Goal

The PGY-1 Resident on the Christ General Surgery service will provide patient care that is compassionate, sensitive, and value-based.  Residents are expected to:

Competencies

  • Facilitate the outpatient evaluation, management and follow-up of patients in the surgical clinics.

  • Formulate the diagnostic and therapeutic surgical plan for patients with acute surgical processes.

  • Understand and explain the indications for and risks of surgical treatments and alternative therapies in the process of obtaining consent.

  • Pre-operative management of inpatients

  • Manage patients in the post-operative period

Objectives

The resident will:

  • Perform appropriate resuscitation in patients with acute surgical problems.

  • Perform and document a comprehensive history and physical, including past medical history, review of systems, social and family history, and comprehensive physical examination in the patient with acute surgical problems

  • Interpret medical tests and imaging results in the patient with an acute surgical problem.

  • Develop a differential diagnosis and treatment plan.

  • Perform the following procedures

  • Procedures on skin and subcutaneous lesions

  • Laparoscopic appendectomy

  • Open appendectomy

  • Incision and drainage of perirectal abscess

  • Basic wound and drain care

  • Work with nurse practitioners, nurse coordinators and other members of the healthcare team to ensure effective discharge planning.

Medical Knowledge 

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care.  Residents are expected to:

Competencies

  • Understand the basic science and pathophysiology of common acute general surgical disease.

  • Understand the fundamental principles of laparoscopic surgery.

Objectives

The resident will:

  • Utilize and interpret diagnostic laboratory testing in patients with acute surgical conditions.

  • Utilize and interpret diagnostic radiological tests in patients with acute surgical processes.

  • Correctly use invasive monitoring and non-surgical invasive procedures to diagnose and treat surgical complication.

  • Understand principles of treatment of common surgical problems in patients with surgical emergencies.

  • Understand the pathophysiology of appendicitis

  • Understand the pathophysiology of cholecystitis

  • Understand the pathophysiology of bowel obstruction

  • Describe the repair of an inguinal hernia.

  • Describe the repair of an incisional hernia.

  • Describe the effective management of patients presenting with acute abdominal process.

Practice Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to improve patient care based on constant self-evaluation and life-long learning. Residents are expected to develop skills and habits to be able to:

Competencies

  • Identify and perform appropriate learning activities.

  • Use information technology to optimize learning.

Objectives

The PGY-1 Resident on the Christ General Surgery Service should demonstrate the ability to: Evaluate published literature in critically acclaimed journals and tests

Apply clinical trials data to patient management

Participate in academic and clinical discussions

Teach medical students and physician assistant students

Attend conferences

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teamwork with patients, their families, and professional associates.

The PGY-1 Resident on the Christ General Surgery Service will:

  • demonstrate an understanding and appropriate communication to all members of the healthcare team including residents and physicians from other services, APCs, nursing, and care management.

  • Effectively communicate the patient’s condition, interpretation of medical information and data, including laboratory and microbiology results, treatment plan and expected outcome.

  • Communicate effectively and compassionately with patients and family members.

Professionalism

Goal

Residents must demonstrate a commitment to professional behavior and a sensitivity to diversity and inclusiveness in providing ethical patient care.

The PGY-1 Resident on the Christ General Surgery Service should:

  • Be receptive to feedback on performance

  • Be attentive to ethical issues

  • Be involved in end-of-life discussions and decision

  • Be sensitive to gender, age, race, and cultural issues

  • Demonstrate leadership

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of healthcare, as well as the ability to call effectively on other resources in the system to provide optimal healthcare.

The PGY-1 Resident on the Christ General Surgery Service will:

  • Be aware of cost-effective care issues

  • Be sensitive to medical-legal issues

  • Utilize information technology/computer resources available

Assessment Method (Residents)

  • MedHub assessment tool

  • Faculty

  • Peer to peer

  • Self-assessment

  • 360° (APC, nurses, and students)

  • At mid-rotation the supervisory faculty will review rotation goals and objectives with the resident to determine achievements and opportunities for improvement to date.

Assessment Method (Faculty and Program Evaluation)

  • MedHub rotation assessment at completion of rotation.

  • MedHub resident evaluation of faculty at completion of rotation.

Level of Supervision

Resident is always supervised by attending faculty during the rotation.

Educational Resources

  • Library text and journal material

  • Core curriculum conferences

  • Evidence Based Reviews in Surgery.

  • Journals and texts from surgical resident library.

  • Surgical simulation and training laboratory.

  • SCORE Curriculum e-learning

Teaching Methods

  • Faculty supervision in clinic, operating room and rounds for inpatients.

  • Core curriculum conferences.

  • Morbidity and Mortality/patient safety conference.

  • Multidisciplinary tumor board conferences (hepatobiliary, GI/colorectal)

  • Journals and texts from surgical resident library.

  • SCORE Curriculum e-learning

  • Journal Club