The surgical curriculum is covered through a series of conferences given on a weekly or monthly basis. The lecture material is divided into two broad categories, Basic Science and Clinical Science. It is intended to cover all the aspects of the surgical training in 2 ½ years, so the residents will be able to review the curriculum twice during their residency training.
Basic Sciences (Weekly)
The basic science include hemostasis, nutrition and metabolism, renal physiology, cardiopulmonary physiology, transfusion, fluid mechanics and acid base abnormalities, immunology, pharmacokinetics, wound healing, diagnostic/therapeutic radiology, gynecology, urology, oncogenesis and chemotherapy, principles of radiation therapy, ENT, and research and biostatistical methods. These topic areas are covered by physicians or other qualified health professionals with expertise in these particular areas. The object of these lectures is to provide a solid foundation in basic science as it pertains to the field of surgery.
Clinical Sciences (Weekly)
The clinical science curriculum will be presented again through conference format. The conferences, which will accomplish these goals, include Mortality and Morbidity Conference, Grand Rounds, Tumor Board, Trauma Conference, Breast Conference, Gastrointestinal Conference, Textbook Review, Journal Club, and the Interdisciplinary Conference.
Mortality and Morbidity Conference
Mortality and Morbidity Conference is presented every Tuesday morning. The material is presented by the senior level resident in charge of the service responsible for presenting their mortality and morbidity and is attended by all residents and attending surgeons. Complications and deaths are presented and then discussed in detail.
Surgical Grand Rounds
Grand Rounds are held following mortality and morbidity conference on Tuesday mornings. Both the attending surgeons as well as house staff present topics. Subject areas include surgical immunology and transplant, skin and soft tissue, breast, endocrine, alimentary and digestive tract, liver and biliary tree, vascular and thoracic, critical care and nutritional support, and ethics, research, and health care. The presenter identifies topics through needs assessment surveys, disease frequency statistics, perceived need by medical staff leadership or as particular areas of interest specific to topics from these subject areas. The subject matter is presented as a formal lecture with references drawn from the current literature. This conference provides category I CME hours and is approved by the CME Committee.
All surgical residents attend Tumor Board once a month. Individual cases are presented by attending physicians or house staff. Pertinent x-rays by radiologists and pathologists review pathologic histology. Management plans are discussed in a multi-disciplinary format with input from surgeons, medical oncologists, and radiation oncologists. This conference is also approved for one hour of CME.
Trauma Conference is held once a month and is attended by residents and attending staff. Formal lectures are presented by both attending and house staff physicians. References are drawn from the current literature. This conference is also designated for one hour of CME.
Breast Conference is held every Thursday morning, and it is a multidisciplinary conference attended by radiologists, pathologists, medical oncologists, surgeons, residents and breasts specialists. The format for this conference is case presentations of patients with new diagnosis of breast cancer, and also follow-up cases. The surgery residents are asked to participate once a month, and the chief resident in charge of the clinic presents his patients. Management plans are discussed in a multidisciplinary format, and the conference is coordinated by the Director of the hospital Breast Clinic.
Textbook Review is held weekly on Thursdays. A chapter from one of the major standard surgical textbooks is reviewed in detail by the residents and is run by the chief surgical resident.
Journal Club is held every month and is attended by residents and attending staff. Various articles from major peer reviewed surgical journals are reviewed in detail. The house staff presents these articles and the attending staff provides commentary. The articles are assessed as to their validity in terms of content and statistical analysis.
CME+I Skills Lab (Weekly)
The CME+I Skills Lab Curriculum, an adjunct to residency education, began in the spring of 2005 with laparoscopic sessions. We now have a full curriculum of Didactic and Practical sessions from the PGY1 level through the PGY5 level of training. While each session contains a lecture, the primary focus is on the hands on skills with instruction and individual practice on a given surgical problem, technique, or procedure. By utilizing a skills program in residency training, the residents are given the opportunity to learn, practice and improve on various skills in an environment that is stress free, which is not always available while treating patients. Our surgical faculty actively participate and enjoy utilizing the skill sessions in addition to teaching in the O.R. as it allows time for instruction, return demonstration and the ability to critique techniques without the time constraints during surgery.