Post Graduate Year 4 Rotations

General Surgery II

Patient Care
The PGY-4 Resident on the General Surgery II (GSI) service should demonstrate the ability to:

• Supervise all aspects of the care of general surgery patients
• Formulate the diagnostic and therapeutic surgical plan for patients having any of the common general surgical diseases including (breast, thyroid, parathyroid, hepatobiliary cancer, bowel malignancy, etc.)
• Perform with supervision the following procedures:
  1. Laparoscopic Left Colectomy
  2. Laparoscopic Fundoplication
  3. Laparoscopic Common Duct Exploration
  4. Laparoscopic Hernia Repair

Medical Knowledge
The PGY-4 Resident on the General Surgery II (GSI) service should understand:

• The natural history of diseases of the alimentary tract
• The indications for radiographic evaluation of common surgical entities
• The optimal management of common surgical problems
• Non-invasive and invasive evaluation of  diseases of the GI tract

Practice Based Learning and Improvement
The PGY-4 Resident on the General Surgery II (GSI) service should demonstrate the ability to:

• Critically evaluate published literature regarding the diseases managed on the Surgery Service, and formulate evidenced-based therapeutic plan
• Analyze the surgical complications in patients on the service in which he or she have been involved, and present them at the Surgical M&M’s in a constructive and education manner

Interpersonal and Communication Skills
The PGY-4 Resident on the General Surgery II (GSI) service should demonstrate the ability to:

• Demonstrate commitment to the surgery patients superseding personal self-interests, including readiness to provide bedside and operative care to the transplant surgery patients irrespective of time of day
• Recognize potential conflicts between the surgery team and nursing staff, and productively intervene to optimize the care of the patient
• Use current medical literature to support the projected plan of care in the face of possible disagreements from other medical teams
• Take considerable initiative in facilitating the learning of junior housestaff and medical students

Professionalism
The PGY-4 Resident on the General Surgery II (GSI) service should:

• Collegially interact with the faculty and other members of the care team in formulating and instituting therapeutic plans
• Effectively counsel the patients regarding options for care

Systems Based Practice
The PGY-4 Resident on the General Surgery II (GSI) service should:

• Demonstrate the ability to efficiently and effectively organize the care of the surgical patient in a cost-effective and evidenced-based manner
• Appropriately recruit other specialists and healthcare professionals to optimize the efficiency of care of the surgery patient

Return to the General Surgery Residency Goals and Objectives