CMC Plastics / Transplant

AAH Surgery Rotation Goals and Objectives

Plastic and Transplant Service – CMC

Faculty Supervisor:  Plastic Surgery: Saeed Chowdhry, MD

Transplant Surgery: Deepak Mital, MD

Faculty: Plastic Surgery: Saeed Chowdhry, MD and Michael Ogilvie, MD

Transplant Surgery: Deepak Mital, MD and Douglas Slakey, MD

Faculty: Resident Ratio 4:1

Rotation Structure

  • The resident will participate in the CMC surgery call pool.

  • The resident will manage time effectively between plastic and transplant surgery.

  • The resident will be on call for assistance with kidney transplantation, deceased and living donor, Monday – Saturday, except that workhour restrictions will take precedence. Kidney transplants will be surgical priority during rotation.

  • Transplant: Clinic (8:30 – noon) – Thursday Morning: Dr Mital. Friday Morning: Dr Slakey.

  • Plastic Surgery: OR – Monday and Wednesday: Dr. Chowdhry. Tuesday: Dr. Ogilvie

Patient Care 

Goal

The PGY-1 Resident on the Plastic and Transplant Service will provide patient care that is compassionate, sensitive, and value-based.  Residents are expected to:

Competencies

  1. Evaluate patients with conditions that require plastic surgical reconstruction, including trauma and oncology.

  1. Formulate a diagnostic and treatment plan for patients with wounds.

  1. Evaluate patients with end stage renal disease for dialysis access and kidney transplantation.

  1. Evaluate patients as potential living kidney donors.

Objectives

The resident will:

  • Prioritize patient acuity

  • Participate in multidisciplinary patient evaluation and management

  • Prioritize clinical responsibilities

  • Plan admission and discharge (collaboratively with healthcare team resources)

  • Perform (or have experience with) the following procedures:

  • Wound debridement, negative pressure wound therapy, wound, and burn care

  • Foley catheter placement

  • NG tube placement

  • Tissue handling

  • Operative procedures:

  • Debridement of complex wounds

  • Vein mapping

  • Dialysis access

  • Living donor nephrectomy

  • Back table preparation of donor kidney

  • Kidney transplantation

  • Clinical and in-patient notes, documentation of patient care and plans.

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 wound healing.

  • Understand the anatomical considerations of tissue transfer.

  • Describe the management of patients with burns including treatment of minor burns and resuscitation of patients with severe burns and smoke inhalation

  • Understand the fundamental principles of transplant surgery and immunosuppression management.

  • Understand the ethical considerations of organ donation and transplantation.

  • Be able to describe the concept and diagnostic methods of determining brain death.

  • Participate in the multidisciplinary evaluation of patients for transplantation and understand the function of a multidisciplinary team.

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 Plastic and Transplant 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

Present a patient at multidisciplinary transplant conference

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 Plastic and Transplant 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 Plastic and Transplant 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 Plastic and Transplant Service will:

  • Be aware of cost-effective care issues

  • Describe the societal and individual consequences of different forms of renal replacement therapy (peritoneal dialysis, hemodialysis, transplant)

  • 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 transplant conference (Teams) Mondays 2:45-3:30

  • Journals and texts from surgical resident library.

  • SCORE Curriculum e-learning

  • Journal Club