Goals and Objectives
It is the intent of this five-year training program to develop competent general surgeons. Surgeons completing the program will be eligible for certification by the American Board of Surgery with an ultimate goal of a 100% pass rate on both the qualifying and the certifying examinations.
In order to attain this goal, the program requires residents to develop the following competencies:
- A solid fund of basic and clinical knowledge of general surgery.
- The ability to provide compassionate and effective care to all patients.
- The ability to perform general surgical procedures safely and effectively.
- The exercise of clinical judgment to critically select the appropriate course of action in the management of patients.
- The capacity to communicate effectively with all healthcare personnel and with patients
- A clear sense of responsibility in carrying out all administrative duties required in the surgical profession.
- The constant pursuit of improvement in patient care practices by systematic evaluation of current practices in relation to outcomes and to new scientific knowledge.
- An awareness of the underpinnings of the health care system and the dilemmas of practicing cost-effective healthcare.
Residents are expected to develop these elements of clinical competence by assimilating the teaching provided by the faculty, by maintaining an active reading plan on surgical sciences, by practicing surgical skills, and by attending the educational activities offered by the residency program. During the five years of training, each of the above elements of clinical competence is periodically assessed by direct faculty supervision and by senior resident colleagues with subsequent review by the Program Director. Reappointment and promotion to the subsequent year of training require a satisfactory progression in the development of these elements of clinical competence.
The educational program of the residency is designed to meet specific goals, knowledge and skills at each level of training as outlined in the following table.
(PGY Level, Knowledge, Skills)
- I - Pre- and post-operative management in the in- and out-patient setting, Pathophysiology of vital organ systems, Surgical pathology, Cost-effectiveness in surgery - Basic surgical skills: establishment of central venous access, tube thoracostomy, tissue handling and dissection, abdominal wall closure, anal fissure fistula and hemorrhoid, breast biopsy, pediatric surgery, 2nd assisting in major surgical procedures, Essential endoscopic and laparoscopic skills
- II - Management of critically ill surgical patients and trauma victims, Support of vital organ systems, Surgical anatomy, Technique of minor surgical procedures, Research opportunities - Operative skills in the establishment of enteral access and surgical airways, hemodynamic invasive monitoring, Hernia surgery, Appendectomy, Trauma: exploration of extrathoracic and extraperitoneal wounds, 2nd assisting in major surgical procedures,Basic laparoscopy and endoscopy
- III - Decision making on diagnosis of surgical pathologies and of postoperative complications, Critical analysis of scientific literature, Technique of major surgical procedures, Subspecialty training - Operative skills in performing: Biliary surgery: cholecystectomy, Gastrointestinal: enterolysis and enterectomy, bowel anastomosis, Colorectal procedures: partial colectomy, prolapse, sphincteric surgery, Vascular surgery: AV fistulas and shunts, Trauma: exploratory laparotomy and repair of injured viscus, splenectomy, Surgical oncology: head & neck, breast, gynecological, gastrointestinal, Leading the resident team
- IV - Decision making on indications for surgery, triaging and management of trauma victims, Options of surgical procedures and selection criteria, Settings of surgical practice - Operative skills in performing: Transplantation: kidney and liver harvest and transplant, Cardiothoracic: open heart surgery, lung resection, cardiac and lung transplantation, Vascular: aortic, carotid and extremity arterial surgery, Trauma: thoracotomy, neck exploration, repair of vascular injury, Advanced laparoscopy, 1st assistant, Leading the resident team
- V - Decision making on execution of surgical procedures, Management of the outpatient office, Health care systems - Operative skills in performing: Biliopancreatic: bile duct surgery, pancreatectomy, Colorectal: total colectomy, proctectomy and sphincter saving surgery, Esophageal: funduplication, esophagectomy, myotomy, repair of laceration, Endocrine: thyroidectomy, parathyrodectomy, adrenalectomy, Liver: hepatectomy, Teaching assistant, Leading the resident team, Administrative responsibilities