LGH Colorectal

AAH Surgery Rotation Goals and Objectives

Colorectal surgery Service – Lutheran General hospital

Faculty Supervisor: Slawomir Marecik

Faculty: Slawomir Marecik, John Park, Leela Prasad

Faculty: Resident Ratio 3:2

Patient Care 

Goal

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

Competencies

  • Manage patients on the floor/post operative patients

  • Prioritize patent acuity

  • Liase with nursing and ancillary staff to provide care for patients.

  • Plan discharge

  • Perform basic anorectal procedures, like incision and drainage of perianal abscess, fistulotomy, botox injections, banding and injection sclerotherapy

  • Learn basics of endoscopy

Objectives

  • Conduct a thorough history and physical examination

  • Assess and initiate treatment for patients with colorectal disease

  • Recognize, evaluate and manage post operative problems

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

  • Knowledge of diagnostic tests utilized in the work up of colorectal disease

  • Interpret Imaging studies

  • Basic knowledge of colorectal and anal anatomy

  • Basic knowledge of surgical steps in anorectal procedures.

Objectives

  • Demonstrate knowledge of pathophysiology and treatment of patients with colorectal conditions.

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 colorectal surgery 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 colorectal 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 colorectal 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 colorectal 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.

  • Journals and texts from surgical resident library.

  • SCORE Curriculum e-learning

  • Journal Club