Surgical Subspecialties (PGY-3)

Description of Rotation or Educational Experience

During this two week rotation, residents are exposed to a variety of clinical situations in three surgical subspecialties, urology, and ophthalmology, and ENT (balance and fall clinic).

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Recognize proper treatment course for most common surgical issues by subspecialty.

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

• This rotation fulfills family medicine-specific training and educational requirements for Care of the Surgical Patient, with special emphasis on the diagnosis and management of surgical disorders and emergencies and the appropriate and timely referral of surgical cases for specialized care.

Objectives

By the end of the rotation the resident is expected to:

• Develop a base of knowledge regarding the most common conditions/diseases as managed by the various subspecialty

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 continuously 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 strengths, deficiencies and limits in one’s knowledge and expertise;
• Set learning and improvement goals

Objectives

By the end of the rotation the resident is expected to be able to:

• Recognize specific knowledge deficits by subspecialty and work towards improvement.

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Work effectively in various health care delivery settings and systems relevant to their clinical specialty
• Work in interprofessional teams to enhance patient safety and improve patient care quality

Objectives

By the end of the rotation the resident is expected to be able to:

• Recognize emergency cases by subspecialty and exercise proper referrals.

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Compassion, integrity, and respect for others
• Respect for patient privacy and autonomy

Objectives

By the end of the rotation the resident is expected to be able to:

• Collaborate effectively with interprofessional team to holistically manage patient care

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with physicians, other health professionals, and health related agencies
• Work effectively as a member or leader of a health care team or other professional group

Objectives

By the end of the rotation the resident is expected to be able to:

• Be able to understand the specialized language and jargon of the various surgical subspecialties

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Direct role-modeling and observation
• Shadowing

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Directly by attending physicians

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.