Surgery Curriculum 

Medical Knowledge

The resident will be required to know the following about the most common general surgery problems:

Topic                             Web resources  Text
Surgical problems of the breast  Breast disease  
The acute abdomen The acute abdomen

Abdominal Pain in Children

Abdominal Pain in Older Adults

  
Traumatic wounds and wound care Burn Care  
Pre-operative routines    
Surgical and post-op complications Surgical Complications  
Expected post-op routines: analgesia, physical activity, and drain and dressing routines as applicable    
Expected length of stay in hospital as applicable    
Outpatient surgical follow-up    
Rehabilitation instructions, including return to work or physical activity and long term functional issues    

 

 

Patient Care

Topic                             Web resources  Text
Perform pre-op history and physical; interpretation of data base    
Perform basic knot tying and suturing    
Perform proper assistant maneuvers to facilitate the surgeon    
Perform surgical draping and dressing application    
Write post-op orders and progress notes    
Communicate accurately with the patient, family and surgeon    

 

Interpersonal and Communications Skills

Demonstrate clear communication with patient regarding their medical issues in a culturally sensitive manner

Demonstrate team oriented communication and foster working relationships with other member of the care team or specialist colleagues

 

Professionalism

Demonstrate a high degree of professional responsibility in managing patients with Surgery-related problems by referral coordination, direct management and follow up.

Demonstrate professional demeanor, attire and appearance in all settings.

 

The Senior Surgery Resident will assign patients to the R1.  The R-1 will be responsible for the work-ups on the cases to which s/he is assigned. S/he will write the history and physical exam, orders, and progress notes. S/he should round on and care for these cases on which s/he has assisted to learn aspects of post-op care.

During this rotation residents will be in their own continuity clinic 2 half days a week and will be expected to attend Tuesday afternoon didactics every week. The remaining 7 half-days per week should be spent with the surgery residency faculty and residents. Residents may take vacation or CME during this rotation.

Topic                             Web resources  Text
Recognize the indications for surgical intervention    
Identify the basic steps and roles in the surgical consultative process    
Learn to function in the surgical-primary care physician team    
Know the ethics of informed consent    
Be able to disclose the operative findings to the patient, and show appropriate sensitivity when discussing life threatening illnesses (eg. Breast Cancer)    

 

Practice-Based Learning

Assess the practice models on this rotations for evidence of practice-based learning and identify opportunities that would be appropriate for the this medical area.

Identify a learning opportunity within your clinic practice that could be studied to improve the care for patient with Surgery-related problems.

 

Systems-Based Practice

Learn how to access the appropriate services for patients with Surgery-related problems and the impact of utilization management for these patients.

Demonstrate understanding of the role of the PCP in the immediate and after-care of patients with Surgery-related diagnoses.