General Surgery (Oncology/Endocrine) (R5) - VUMC

Medical Knowledge and Practice-based Learning and Improvement:
Upon completion of the rotation, the Chief resident should demonstrate mastery in the surgical care of patients with gastrointestinal malignancies and other complex surgical oncology diseases. This includes a detailed knowledge of the pathophysiology, staging, prognosis, and multi-modality treatment of common solid tumors. Familiarity with the literature regarding surgical management of malignancy including areas of controversy is also expected.
Technical Skills:
Upon completion of the rotation, the Chief resident should demonstrate proficiency with a broad variety of minimally invasive and open oncologic procedures including esophagectomy, gastrectomy, pancreatico-duodenectomy, distal pancreatic resections, hepatic resection, resection of retroperitoneal tumors, complex colorectal oncologic procedures, splenectomy, and adrenalectomy.
Communications and Interpersonal Skills--Other Attributes of Resident:
The Chief resident should:
- instruct medical students and residents about the preoperative and postoperative care of surgical patients and the principles of surgery
-demonstrate the ability to teach junior house staff basic surgical skills and assist them with introductory level cases
-display leadership skills and the ability to run an effective multi-level service in conjunction with the senior resident and the other numerous residents and medical students on the service
-demonstrate organization, time management and administrative skills for managing a team of residents and students
Patient Care and Technical Skills Benchmarks:
-Be proficient in major gastrointestinal oncologic procedures (open and minimally invasive): Esophagectomy, gastrectomy, pancreatoduodenectomy, distal pancreatectomy, hepatic resection, splenectomy, resection of retroperitoneal and pelvic tumors and colorectal malignancies.
-Be proficient in the complex endocrine surgical procedures: Reoperative thyroidectomy and parathyroidectomy, adrenalectomy.
-Be knowledgeable and conversant in the evaluation and management of the patient with cancer. Participate actively in the VUMC Multidisciplinary Solid Tumor Conference.
Milestones including Systems-based Practice:
-Verbally describes process of Pancreaticoduodenectomy and distal pancreatectomy
-Understands w/u and treatment of Pancreatic Mass/Cysts
-Understands w/u and treatment of Esophageal and Gastric CA
-Understands w/u and treatment of primary, recurrent and metastatic colorectal CA
Understands w/u and treatment of retroperitoneal sarcomas
Understands w/u and treatment of primary and metastatic neuroendocrine tumors
Faculty and Senior residents will evaluate the performance of each senior resident using these goals and expectations. In turn, each resident will evaluate rotation faculty and senior residents as well as the service itself.
8.27.2013: Last update submitted 2012-13