Surgery

PGY-1

First Year Residents:

The residents in the first year will do rotations in general surgery and its primary and secondary components. They are expected to be able to take a detailed history, perform complete physical examinations, formulate a preliminary plan for diagnostic evaluation, interpret significance of pertinent history, physical findings, laboratory and diagnostic studies, and know appropriate therapeutic options and priorities of management of the patient. First year residents always work under the supervision of a senior resident or attending staff. At this level, residents do not perform any invasive procedures without direct supervision; exceptions which they should be expected to perform satisfactorily independently include starting peripheral intravenous lines, insertion of nasogastric tubes, insertion of Foley catheters, and management of wound dressing and drains. All other procedures, including placement of central venous lines, are performed under supervision. Residents also learn about the evaluation of critically ill patients in the intensive care unit and emergency room.

First year residents learn basic principles and techniques of surgery and perform biopsies of skin, soft tissue, and other masses under close and direct supervision. They assist senior residents and attending staff in major surgical procedures. The clinical training emphasis is on evaluation of patients, understanding the rationale for different diagnostic tests, interpretation of results of diagnostic tests, and learning basic surgical principles and techniques.

First Year Resident Educational Objectives:

1. Demonstrate proficiency in performance of a detailed history and physical examination under both routine and emergent circumstances.

2 . Demonstrate proficiency in formulating and implementing plan for diagnostic evaluation.

3 . Demonstrate basic proficiency in interpreting significance of history, physical findings, and laboratory and diagnostic studies.

4. Demonstrate a working knowledge of common surgical problems.

5. Demonstrate basic proficiency in knowledge of therapeutic options and priorities of management.

6. Acquire basic operative skills necessary to perform less complex procedures (i.e., biopsy of superficial lesions, insertion of central lines).

7. Acquire basic operative skills necessary to assist more senior surgeons in major surgical procedures.