In compliance with the ACGME minimum program requirements, the General Surgery Residency Program at Medical College of Georgia requires its residents to obtain competencies in the 6 areas listed below to the level expected of a new practitioner:

  • 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 manifested 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 care that is of optimal value.

While these competencies have always been a part of residency training, their delineation as requirements has mandated specific competency-directed activities and careful documentation. Toward this end, the following knowledge, skill, and attitude requirements, as well as additional general surgery technical ability and institutional requirements have been defined.

Gen Surgery Residents
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gen surgery residents

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  1. All residents will maintain a full-time position as surgical resident in the Section of General Surgery. All residents will be responsible for the year-specific job description described hereafter.
        Competency or Objective: Institutional Requirement
        Documentation: Graduate Medical Education Office Resident Rolls
  2. Upon receiving and reviewing this handbook, all residents should sign the last page, certifying receipt of the handbook, tear out the page, and turn it in to the Program Coordinator.
        Competency or Objective: Institutional Requirement
        Documentation: Receipt of signed certification page by Program Coordinator
  3. All residents will engage in the care of patients on the General Surgery in-patient services and the outpatient clinic as well as in the operating room.   Residents act as a team under the guidance of the attending surgeon to manage all patient care issues, encompassing the preoperative, perioperative, and postoperative time intervals. 
        Competency or Objective: Patient Care, Professionalism, Interpersonal and Communication Skills
        Documentation: Faculty, Peer, Nursing Staff, and Anesthesia Evaluations,
  4. All residents will prepare for, attend, and participate actively in all year level appropriate teaching conferences (basic science, journal club, and oral board review conference). In addition, morbidity and mortality conference and grand rounds will be prepared for and attended. Residents on medical leave, annual leave, or called to see a patient for a matter than cannot be delegated until the conclusion of the conference will be excused.  Residents who must leave for duty hour compliance will be excused as well.
        Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills
        Documentation: Record of Attendance, Faculty Evaluations, In-Service Examination Scores 
  5. All residents will prepare for, attend and participate actively in scheduled skills conference.  They will  use  free time to use the available skills lab.
        Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Physical Skills
        Documentation: Record of Attendance, Session Records.
  6. All residents will prepare for and take the annual in-service examination sponsored by the American Board of General Surgery.  Residents scoring lower than 20th percentile will participate in a weekly remediation group for the purpose of bolstering fund of knowledge.  Residents will prepare for, attend, and actively participate in this meeting.
        Competency or Objective: Medical Knowledge
        Documentation: In-Service Examination Scores
  7. Residents are responsible for all histories and physicals as well as obtaining preoperative consent under the supervision of the attending surgeon.  Attending notes are added to comply with the laws of Medicare/Medicaid/Tricare.  The residents are to write daily notes and orders, operative notes and orders. A discharge note and complete orders are to be on the chart on the day of discharge prior to beginning daily duties, such as clinic or operations.  Discharge summaries and consultations are to be sent to referring physicians.  Rounds with faculty responsible for individual in house patients will occur on a daily basis with the exception of weekends.  Residents are to contact the appropriate faculty member regarding any patient management questions.
        Competency or Objective: Patient Care, Professionalism
        Documentation: Faculty Evaluations, daily chart review by faculty.
  8. For surgical cases in which the resident is the only resident and/or is the primary surgeon, residents are expected to:
        a. Have familiarized themselves with the patient, their history, and their physical findings.
        b. Done the appropriate reading prior to any operation
        c. Have all necessary radiographic studies available for easy viewing in the O.R. prior to the start of the case. 
        d. Dictate operative reports within 24 hours. If not dictated in 48 hrs, residents will lose O.R. privileges
        e. Write post-operative admission orders or outpatient orders including prescriptions
        f. Enter cases into their own personal and the ACGME online case log in a prompt manner (by the end of the week during which the case was performed).
        Competency or Objective: Patient Care, Technical Skills, Institutional Requirements, Delinquent Dictation Reports from Medical Records 
        Documentation: Faculty Evaluations, Biannual Resident Case Review
  9. All residents are to adhere to the 80 hour work week policy described in the Section of General Surgery Policy and Procedures portion of this Handbook. If the time limit is reached, the resident should notify the chief resident and/or supervising faculty member, sign-out his or her pager, and leave the facility.
        Competency or Objective: ACGME/Institutional Regulations, Patient Care
        Documentation: Time Logs, Time Log Audit Reports, ACGME surveys.
  10. All residents are responsible for monitoring their level of fatigue. If a resident feels as if their level of fatigue is compromising their ability to provide patient care, the resident should notify the chief resident and/or supervising faculty member, sign-out his or her pager, and go to an appropriate call bedroom (or home if near the end of shift and the resident is not too compromised to drive) and sleep. The resident may return to duty after a nap if he or she feels sufficiently rested and the shift is not completed or the 80 hour work week limits have not been reached. If a resident is judged to be too fatigued to adequately provide patient care by the chief resident and/or supervising faculty, even if the resident does not agree, the same protocol applies.
        Competency or Objective: Patient Safety
        Documentation: Faculty and Peer Evaluations
  11. Junior residents (PGY 1-3) will read assigned chapters in the assigned surgical text (and are expected to read other topics on conjunction with care of patients with those topics) as part of their personal home study routine.  At weekly Basic Science Conference, these residents will be asked questions culled from study guides and departmental sources. Questions are reviewed by the basic science faculty. The Section of General Surgery provides each resident with the General Surgery Text used for this lecture.
        Competency or Objective: Medical Knowledge, Interpersonal and Communication Skills, Practice-Based Learning
        Documentation: Attendance Record, Quiz and Mock ABSITE scores. ABSITE scores.
  12. At monthly Journal Club, faculty will assign articles from established General Surgery journals.  All residents will be assigned to summarize articles and/or will be asked to categorize the methodology of the study (e.g., case series, controlled, blinded, etc.), appropriateness of the statistical analysis, and alternative study designs that might better answer the hypothesis presented by the authors. Questions from any CME questions published with the assigned articles may also be asked.  Discussion will be overseen and guided by supervising faculty assigned by area of expertise. 
        Competency or Objective: Medical Knowledge, Interpersonal and Communication Skills, Practice-Based Learning
        Documentation: Attendance Record, Faculty Evaluations
  13. All residents should demonstrate understanding of socioeconomic issues impacting upon the practice of general surgery including but not limited to the awareness lack or limits of individual patient Medicare, Medicaid, Peach Care, HMO or other insurance coverage; frugal use of expensive tests and medications; and familiarity with social services available to assist patients in need.
        Competency or Objective: Systems-Based Practice, Professionalism
        Documentation: Attendance (either live or on-line) and adequate score on post-test for GME Core Competency Lectures related to Socioeconomic Issues, Attendance at General Surgery section didactic lectures and grand rounds by practice CEO/coding office/hospital legal counsel, Faculty Evaluations
  14. All residents are expected to demonstrate sensitivity to patient diversity issues including but not limited to race, gender, cultural/religious beliefs, sexual orientation, career choice, socioeconomic status, and educational/intelligence level.
        Competency or Objective: Professionalism
        Documentation: Attendance (either live or on-line) and adequate score on post-test for GME Core Competency Lectures related to Ethics, Attendance at General Surgery section didactic lectures by hospital legal counsel, Clinical Examination Evaluation, Evaluations from Faculty, Nursing Staff, Administrative Staff, Chief Resident, Patients
  15. All residents are expected to develop and demonstrate values consistent with the highest ethical practice of medicine.
        Competency or Objective: Professionalism
        Documentation: Attendance (either live or on-line) and adequate score on post-test for GME Core Competency Lectures related to Ethics, Attendance at General Surgery section didactic lectures by hospital legal counsel and VA Ethics Conference, Evaluations from Faculty, Nursing Staff, Administrative Staff, Peers, Patients
  16. During clinic, inpatient rounds, surgical procedures, and conferences, residents are expected to take part in the teaching of students, interns, and more junior residents including but not limited to discussions of normal anatomy, physiology and embryogenesis; elements of surgical history taking; elements and technique of physical examination; common signs and symptoms, their implications, and components of appropriate evaluation; patient disease processes and congenital anomalies; rationale, indications, and risks of surgical procedures and medical interventions; wound care, , sterile technique, sharps safety, universal precautions, and perioperative patient care.
        Competency or Objective: Medical Knowledge, Interpersonal and Communication Skills, Professionalism
        Documentation: Student and Chief Resident Evaluations
  17. Residents are required to participate in academic contributions to the Section of General Surgery by seeking opportunities for involvement in research such as questioning existing data through literature reviews, formulating research questions, and discussing potential research projects with faculty members. Summarizing the history and course of an interesting patient in the form of a case report is also acceptable. Production of one publishable paper or poster presentation is required for each academic year.  Residents are required to understand and comply with the institutional Human Assurance Committee Policies. For projects approved by the involved faculty member, residents can access data from existing databases maintained by that faculty member or establish and collect a novel data set from patient chart reviews. After data analysis and interpretation residents are expected to present their findings via manuscript submission. Submission of associated abstracts to scientific meetings is also encouraged. Dedicated research time with which to perform basic science research is available, with one or two residents routinely seeking this opportunity. Attempts will be made to accommodate all residents that wish to pursue dedicated research efforts with protected time.
        Competency or Objective: Medical Knowledge, Practice-Based Learning
        Documentation: Submitted/Accepted Manuscripts and Abstracts
  1. Knowledge and experience in documenting Preoperative History and Physical Examinations, Operative notes, in-patient progress notes, and discharge summaries. 
        Competency or Objective: Patient Care  
        Documentation: Faculty Evaluations, Faculty Review/Cosign of the Medical Record.
  2. Routine and intensive care management of surgical patients including 
        a. Bowel preparation 
        b. Perioperative antibiotics 
        c. Intravenous fluids 
        d. Pain control 
        e. Management of drains 
        f. Wound care 
        g. Nasogastric tube (placement and management) 
        h. Parenteral nutrition 
        i. Invasive monitoring 
        j. Ventilatory support 
        k. Pressor management. 
        l. Percutaneous line placement, including interpretation of results. 
        m. Chest tube management. 
        n. Antibiotic use, including procedural prophylaxis. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports
  3. Experience and skill at preoperative assessment of patient risk factors, determination of special evaluations that should be performed to optimize patient medical comorbid status prior to an anesthetic. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports
  4. Knowledge and experience with the prophylactic measures utilized to prevent complications such as 
        a. Wound infections 
        b. Atelectasis 
        c. Deep venous thrombosis 
        d. Pulmonary embolus 
        e. Delirium tremens 
        f. Bacterial endocarditis.  
        Competency or Objective: Medical Knowledge, Patient Care  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports
  5. Radiological evaluation of acutely ill patients, including, but not limited to: 
        a. Evaluation of CXR for  pneumonia, hemo/pneumothorax, pulmonary edema and ARDS and other thoracoabdominal pathology. 
        b. Evaluation of abdominal plain films for bowel obstruction, free air, pneumatosis intestinalis and other intraabdominal pathology. 
        c. Evaluation of head and neck CTs for  head, face and neck trauma.. 
        d. Evaluation of plain films of the extremities for fractures and soft tissue pathology. 
        e. Evaluation of extremity vasculature, central vasculature and the breast  using ultrasound. 
        f. Evaluation of chest and abdominal CT scans. 
        Competency or Objective: Medical Knowledge, Patient Care  
        Documentation: Faculty Evaluations
  6. Emergency evaluation of surgical patients including triage, prioritization and appropriate consultation. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations
  7. Familiarity with the art of collegiality and interaction between surgeons of  various specialties, and doctors in other fields and specialties who collaborate with us in the total care of patients 
        Competency or Objective: Professionalism, Patient Care  
        Documentation: Faculty Evaluations
  8. Knowledge of general surgical instruments and retractors, electrocautery safety, laser safety, and precautions for preventing the spread of blood-borne illnesses 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations
  9. Develop Surgical Skills including demonstration of understanding of anatomy, indications and risks, familiarity with instrumentation, efficiency, and avoidance of complications for the following: 
        a. Flexible endoscopy to include EGD, Bronchoscopy, Colonoscopy and Flexible Sigmoidoscopy. 
        b. Perform endoscopic biopsy (also demonstrate appropriate choice of methods, location and depth of biopsies) 
        c. Perform low complexity inguinal, umbilical and ventral hernia repairs. 
        d. Perform incisional excisional and punch biopsies of skin and soft tissue lesions. 
        e. Perform percutaneous central venous line placement. 
        f. Perform percutaneous and open breast biopsies. 
        g. Perform incision and drainage of skin, soft tissue and perirectal abscesses.
  10. Knowledge and skill in maintenance of sterile technique 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Attendance of Skill Sessions
  11. Knowledge and technical skill in preparation and draping of surgical patient  
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Attendance of Skill Sessions
  12. Technical skill in opening incisions and various types of wound closure (and the appropriate situation for each)  
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Attendance of Skill Sessions
  13. Technical skill in various types of knot tying (and the appropriate situation for each). Demonstration of knot tying skill.  
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill    
        Documentation: Faculty Evaluations, Skills Labs Evaluations, Attendance Record of Skill Sessions
  14. Rotation specific Objectives and Responsibilities will be provided at the beginning of each rotation, then signed and returned to the Program Coordinator. 
        Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills 
        Documentation: Objectives and Responsibilities record.

Administrative Responsibilities

  1. All residents are required to pass parts II and III of the USMLE  
        Competency or Objective: Medical Knowledge, Institutional Requirement  
        Documentation: Report of USMLE test results
  2. All residents must apply for and receive a State of Georgia medical license to progress from the PGY2 year.  
        Competency or Objective: Institutional Requirement  
        Documentation: Georgia Composite State Board records
  3. Obtain and document appropriate surgical history  
        Competency or Objective: Patient Care, Medical Knowledge  
        Documentation: Daily Faculty Rounds, Clinical Evaluation Examination, Faculty Evaluations
  4. Perform and document appropriate surgical examination  
        Competency or Objective: Patient Care, Medical Knowledge  
        Documentation: Daily Faculty Rounds, Clinical Evaluation Examination, Faculty Evaluations
  5. Select, obtain, and review appropriate laboratory and imaging studies  
        Competency or Objective: Patient Care, Medical Knowledge  
        Documentation: Daily Faculty Rounds, Clinical Evaluation Examination, Faculty Evaluations
  6. Integrate clinical information to develop differential diagnosis and most likely diagnosis  
        Competency or Objective: Patient Care, Medical Knowledge  
        Documentation: Daily Faculty Rounds, Clinical Evaluation Examination, Faculty Evaluations
  7. Present interesting or challenging imaging cases selected by the Chief Resident or a Faculty Member at VA Vascular Conference  
        Competency or Objective: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Practice-Based Learning  
        Documentation: Attendance record of conferences, Faculty Evaluations
  8. Perform routine rounds with data gathering, patient examinations, and implementation of plans on general surgery ICU patients.  
        Competency or Objective: Patient Care  
        Documentation: Spot Chart Reviews, Faculty Evaluations
  9. See patients from Augusta State Medical Prison and formulate diagnosis and treatment plan with supervising faculty member. Work with prison staff to schedule studies, surgical procedures, and follow-up.  
        Competency or Objective: Patient Care, Medical Knowledge, Systems-Based Practice 
        Documentation: Spot Chart Reviews, Faculty Evaluations
  10. Develop Surgical Skills including demonstration of understanding of anatomy, indications and risks, familiarity with instrumentation, efficiency, and avoidance of complications for the following: 
        a. Flexible endoscopy to include EGD (including percutaneous gastrostomy placement), Bronchoscopy, Colonoscopy and Flexible Sigmoidoscopy. 
        b. Perform endoscopic biopsy (also demonstrate appropriate choice of methods, location and depth of biopsies) 
        c. Perform lower extremity amputations. 
        d. Perform moderate complexity inguinal and ventral hernia repairs. 
        e. Perform percutaneous and open tracheostomy. 
        f. Perform percutaneous and open breast biopsies. 
        g. Perform dialysis access procedures to include A-V fistulae, A-V grafts and durable dialysis catheter placement. 
        h. Perform IVC filter placements. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log
  11. The PGY-2 will be responsible for intensive care unit patients on multiple services detailed in the service specific Objective and Responsibilities provided at the beginning of each rotation. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log
  12. Rotation specific Objectives and Responsibilities will be provided at the beginning of each tour, reviewed by the responsible attending’s with the residents, then signed and returned to the Program Coordinator. 
        Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills 
        Documentation: Objectives and Responsibilities record.

Administrative/Rotation Independent Responsibilities

  1. The PGY-3 resident serves as the General Surgery consultant for the other specialties in the institution. After initial evaluation and treatment recommendations, the resident continues to follow these patients throughout their hospitalization.  
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Faculty Rounds, Clinical Evaluation Examination, Faculty Evaluations  
  2. Interpret history and clinical data and propose initial treatment/evaluation plans for acute abdomen, advanced skin and soft tissue infections, acute and subacute trauma, vascular pathologies. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  3. Provide appropriate staging evaluation of newly-diagnosed neoplasms 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  4. Provide appropriate metabolic evaluation of surgical disease. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations 
  5. Appropriately request and interpret postoperative tests/data on General Surgery inpatients and, from that data, recommend and provide appropriate postoperative management following head and neck, thoracic, gastrointestinal, colon and rectal, endocrine and breast, pediatric and vascular procedures. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  6. Demonstrate Surgical Skills including demonstration of understanding of anatomy, indications and risks, familiarity with instrumentation, speed, and lack of complications for the following (in addition to skills listed under PGY-1 and PGY-2): 
        a. Assist and perform laparoscopy. 
        b. Assist and perform colectomies, cholecystectomies, lysis of adhesions 
        c. Assist and perform complex ventral incisional and inguinal hernia repairs. 
        d. Assist and perform mastectomies, lumpectomies and axillary dissections. 
        e. Assist and perform moderate complexity pediatric procedures. 
        f. Assist on carotid endarterectomy and abdominal aortic aneurysm repairs. 
        g. Assist and perform renal and pancreas transplants. 
        h. Assist and perform peripheral bypass procedures. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill 
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log  Documentation: Attendance record of conferences, Faculty Evaluations
  7. Rotation specific Objectives and Responsibilities will be provided at the beginning of each tour, reviewed by the responsible attending’s with the residents, then signed and returned to the Program Coordinator. 
    Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills                
    Documentation: Objectives and Responsibilities record.

Administrative/Rotation Independent Responsibilities

  1. The PGY-4 begins to serve as a team leader with senior resident leadership of trauma, pediatrics and the VA rotations. After initial evaluation and treatment recommendations, the resident continues to follow these patients throughout their hospitalization.  
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations  
  2. Interpret history and clinical data and propose initial treatment/evaluation plans for trauma and pediatric patients, in addition to the responsibilities noted for PGY-3 residents. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  3. Provide appropriate evaluation, staging and perioperative care for complex cancer patients. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  4. Provide appropriate metabolic evaluation of surgical disease. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations 
  5. Appropriately request and interpret postoperative tests/data on General Surgery inpatients and, from that data, recommend and provide appropriate postoperative management following complex general, vascular, pediatric and trauma procedures. 
        Competency or Objective: Medical Knowledge, Patient Care 
        Documentation: Spot Chart Reviews, Clinical Evaluation Examination, Faculty Evaluations
  6. Demonstrate Surgical Skills including demonstration of understanding of anatomy, indications and risks, familiarity with instrumentation, speed, and lack of complications for the following (in addition to skills listed under PGY-1, PGY-2, and PGY-3): 
        A. Assist and perform advanced laparoscopy. 
        B. Assist and perform LAR and APR. 
        C. Assist and perform thoracotomy, laparotomy and head in neck procedures in the trauma setting. 
        D. Assist and perform complex pediatric procedures. 
        E. Assist and perform major vessel injury procedures in the trauma setting. 
        F. Assist and perform carotid enarterectomy and abdominal aortic aneurysm repairs. 
        G. Assist and perform major and minor Pediatric Surgical Procedures. 
        H. Assist and perform thyroidectomy, parathyroidectomy and adrenalectomy. 
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill Documentation: Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log  
        Documentation: Attendance record of conferences, Faculty Evaluations
  7. Rotation specific Objectives and Responsibilities will be provided at the beginning of each tour, reviewed by the responsible attending’s with the residents, then signed and returned to the Program Coordinator. 
        Competency or Objective: Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills                
        Documentation: Objectives and Responsibilities record.

Administrative Responsibilities

  1. Administer the day-to-day logistics of the resident/student schedule including operating room assignments, clinic assignments, rounding times, prompt attendance to conferences, and specific elements of conference participation.
        Competency or Objective: Patient Care, Professionalism Interpersonal and Communication Skills, Systems-Based Practice  
        Documentation: Peer and Faculty Evaluations
  2. Supervise (with faculty input) the junior residents in surgical procedures
        Competency or Objective: Patient Care, Professionalism, Interpersonal and Communication Skills, Systems-Based Practice  
        Documentation: Peer and Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log
  3. Present adult surgical cases  other than emergencies at weekly service specific  pre-op conference prior to surgery
        Competency or Objective: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Practice-Based Learning  
        Documentation: Attendance record of conferences, Faculty Evaluations
  4. Post all adult surgical with the operating room within the time frame mandated including requesting specialized equipment, blood products, and estimates of case duration.  
        Competency or Objective: Institutional Requirement, Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Surgical Log, Operating Room Nurse and Anesthesia Evaluations
  5. Prepare written, computer and oral presentations for weekly Morbidity and Mortality, Case Review and Mock Orals conferences.  
        Competency or Objective: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Practice-Based Learning, Institutional Requirements  
        Documentation: Attendance record of conferences, Faculty Evaluations   I
  6. Demonstrate Surgical Skills including demonstration of understanding of anatomy, indications and risks, familiarity with instrumentation, efficiency, and avoidance of complications for the procedures notes for PGY 1-4.   
        Competency or Objective: Medical Knowledge, Patient Care, Technical Skill  
        Documentation: Faculty Evaluations, Morbidity and Mortality Reports, Surgical Log