CMC Trauma

AAH Surgery Rotation Goals and Objectives

Trauma Surgery Service – Christ Medical Center

Faculty Supervisor:  James Doherty MD & J. Kayle Lee MD

Faculty: 8

Faculty: Resident Ratio 2:1

Patient Care 

Goal

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

Competencies

- daily floor rounds

- thorough assessment of assigned patients

- manage traumatic & postoperative pain in a multimodal manner

- carry out plans from rounds

- coordinate multidisciplinary care - contacting consults & other service providers

- follow through on tests/studies

- understand relevant issues in dispo planning

- attend trauma clinic on Tuesdays and Fridays

- focused H&P

- able to perform I&D removal of foreign bodies

- participate in trauma activations: respond to adult code yellows after rounds

- able to do a primary, secondary, and tertiary trauma survey

- able to perform a FAST exam

- able to perform simple wound closure techniques

Objectives

Residents should be aware of the medical, social, emotional, psychological, and economic components of traumatic injury and have the goal of preserving the function and dignity of their patients. They are responsible for floor trauma patients and the implementation of care plans. They respond to issues that arise throughout the day/evening and should be able to recognize changes in patient condition, update other members of the trauma team, and initiate workup & treatment as needed. Residents are responsible for documenting appropriately: daily progress notes, H&Ps, disposition notes, clinic notes, event notes, procedure notes, etc.

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

- able to recognize serious changes in patient condition, know how to assess & begin addressing them, and appropriately involve more senior members of the team

- able to interpret basic diagnostic tests

- e.g. can interpret a CXR for placement of various tubes, htx/ptx, infiltrates, etc.

- understand chest tube management

- understand wound management and able to recognize wound infections

Objectives

Residents should develop a knowledge base of traumatic mechanisms, injuries, and associated issues through reading and experience on the service. They should be able to recognize and begin to address perioperative issues. Residents should develop skills in lab test and basic imaging interpretation. They should also know principles of chest tube and wound management.

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 Trauma 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 Trauma 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 Trauma 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 Trauma 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

  • Trauma Quality Improvement committee meetings

  • Journals and texts from surgical resident library

  • SCORE Curriculum e-learning

  • Journal Club