Residents are an essential part of the teaching of medical students. It is critical that any resident who supervises or teaches medical students must be familiar with the educational objectives of the course or clerkship and be prepared for their roles in teaching and evaluation. Therefore, we’ve included in this manual the clerkship objectives for Surgery as well as the overall Educational Program Objectives.
1) How does our program prepare residents to function as instructors to medical students on your clerkship rotations?
We provide annual training during Tuesday core curriculum didactic sessions for our junior and senior residents.
We hold a PGY-1 orientation session that focuses on medical student teaching
We hold a rising PGY-4 boot camp session that focuses on teaching and leadership
2) How does our program disseminate the learning goals and objectives for medical students on clerkship rotations to trainees?
Goals and objectives are listed in the program manual, the residents are required to attest they've read the manual yearly
Goals and objectives are communicated and shared electronically during the PGY-1 orientation each June
Goals and objectives are provided during the rising PGY-4 boot camp session
3) How does our program track compliance with resident review of the goals and objectives?
Attendance at these particular sessions above
Attestation of program manual
Surgery – SURG 7400 Goals and Objectives
This course provides the medical students an opportunity to learn various responsibilities of a PGY-1 Surgery resident. Upon successful completion of this course, the learner will be able to:
Actively participate in the care of surgical patients as a member of a team while supporting those they work with and prioritizing patient needs over self-interest
Gather a focused patient history and perform a thorough abdominal physical exam
Give an oral presentation of a clinical encounter and propose an appropriate diagnostic and/or treatment plan for a patient with a surgical disease
Accurately document a clinical encounter in the electronic medical record
Demonstrate knowledge of the pathophysiology of common surgical diseases, standards of diagnosis, and treatment, and apply this knowledge to specific patient scenarios
Articulate how sociocultural differences impact surgical care
Demonstrate sterile technique and perform basic suturing and knot-tying skills
Identify and control life-threatening external hemorrhage
Model professional and ethical behavior, including, but not limited to, attendance, interpersonal skills, and respectful communication with patients and other healthcare team members
Solicit and incorporate feedback regarding one’s clinical performance
Perform a preoperative history and physical evaluation focusing on anesthetic considerations
Develop a basic anesthetic plan and assist in supporting a patient's airway in appropriate, selected situations
The objectives (below) are written to reflect the qualities and competencies expected of our graduates. Each objective specifies the expected competency level to be attained by our students, the outcome measures used to evaluate the attainment of the objective, and the essential qualities and competencies of a physician (as defined by the six ACGME Essential Competencies) addressed by the objective. The Accreditation Council for Graduate Medical Education (ACGME) has formulated essential competencies felt to be necessary for physicians practicing in the current healthcare climate. They are:
Patient Care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Medical Knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
Practice-Based Learning and Improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals
Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
Systems-Based Practice, as manifestd by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide optimal patient care
Provide patient-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
Gather essential and accurate information about patients and their conditions through history-taking, physical examination, and the use of laboratory data, imaging, and other tests (PC1).
Interpret laboratory data, imaging studies, and other tests required for the area of practice (PC2).
Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment (PC3).
Organize and prioritize responsibilities to provide care that is safe, effective, and efficient (PC4).
Counsel and educate patients and their families to empower them to participate in their care and enable shared decision making (PC5).
Develop and carry out patient management plans (PC6).
Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care.
Apply established and emerging evidence to diagnostic decision-making and clinical problem-solving (KP1).
Demonstrate an investigatory, methodical, and analytic approach to clinical situations (KP2).
Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care compliance, and barriers to and attitudes toward care (KP3).
Demonstrate the ability to investigate and evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.
Identify strengths, deficiencies, and limits in one's knowledge and expertise (PBLI1).
Set learning and improvement goals (PBLI2).
Participate in the education of patients, families, students, trainees, peers and other health professionals (PBLI3).
Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes (PBLI4).
Incorporate feedback into daily practice (PBLI5).
Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.
Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics (ICS1).
Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions (ICS2).
Communicate effectively with and demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, gender identity, age, culture, race, religion, disabilities, socioeconomic status, body habitus, and sexual orientation (ICS3).
Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.
Demonstrate compassion, integrity, and respect for others (P1).
Demonstrate respect for patient privacy and autonomy (P2).
Demonstrate accountability to patients, families, and the healthcare team (P3).
Demonstrate a commitment to ethical principles pertaining to provision or withholding of care, confidentiality, informed consent, and business practices, including compliance with relevant laws, policies, and regulations (P4).
Demonstrate trustworthiness that makes colleagues feel secure when one is responsible for the care of patients (P5).
Demonstrate responsiveness to patient needs that supersedes self-interest (P6).
Maintain comprehensive, timely, and legible medical records (P7).
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.
Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health (SBP1).
Identify and report system errors (SBP2).
Demonstrate the ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care.
Work effectively with others as a member of a health care team or other professional group, cultivating mutual respect, dignity, diversity, ethical integrity, and trust (IPC1).
Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served (IPC2).
Demonstrate the qualities required to sustain lifelong personal and professional growth.
Demonstrate healthy coping mechanisms to respond to stress (PPD1).
Develop the ability to use self-awareness of knowledge, skills, and emotions to engage in appropriate help-seeking behaviors (PPD2).
Manage conflict between personal and professional responsibilities (PPD3).
Practice flexibility and maturity in adjusting to change with the capacity to alter one's behavior (PPD4).
Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty (PPD5).
Demonstrate understanding of scientific theory and methodology and the critical thinking skills needed to interpret and apply research to improving patient care.
Demonstrate the critical thinking skills needed for applying basic and clinical sciences to improving patient care in health care systems (SCI1).
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